Transcript Highlights:

• practice agreements if collaborative practice agreements if they<00:07:57.039><c> do</c><00:07:57.199
• that</c> collaborative practice, I believe that collaborative practice, I believe that was<00:10:45.440
• practice we could had a collaborative practice we could then<00:33:04.480><c> initiate</c><00:33:05.039
• I do think it's an important bill, and I do think that it encourages collaborative practice.
• I do think it's an important bill, and I do think that it encourages collaborative practice.

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:

• Senate Bill 294, collaborative pharmacy practices for chronic health conditions by Senator Harold.
• The collaborative practice agreement, or CPA, is a voluntary arrangement that creates a...
• Physicians and pharmacists have been entering into collaborative practice agreements...
• The current collaborative practice statute has the necessary guidance and protections for prescribers
• When we establish the ability for collaborative practices, You know, when we established the ability

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• THE COLLABORATIVE PRACTICE AGREEMENT OR CPA IS A VOLUNTARY ARRANGEMENT THAT CREATES A FORM OF RELATIONSHIP
• PHYSICIANS AND PHARMACISTS HAVE BEEN ENTERING INTO COLLABORATIVE PRACTICE AGREEMENTS OR CHRONIC HEALTH
• AND IMPORTANTLY THE LAW REQUIRES THE TERMS AND CONDITIONS OF THE COLLABORATIVE PRACTICE AGREEMENTS MUST
• CORRECT COLLABORATIVE PRACTICE STATUTE HAS THE NECESSARY GUIDANCE FOR PRESCRIBERS TO FOLLOW SHOULD THEY
• WHEN WE ESTABLISHED THE ABILITY FOR A COLLABORATIVE PRACTICE BETWEEN PHARMACIST AND A PHYSICIAN IT WAS

Keywords: 999, senate, all

Transcript Highlights:

• DNR appreciates the intent of this bill to restore collaborative forest practices rulemaking process,
• DNR appreciates the intent of this bill to restore collaborative Forest Practices Rules.
• DNR appreciates the intent of this bill to restore collaboration in the Forest Practices rulemaking process
• Last November, the Forest Practices Board adopted the Type NP buffer rule following decades of collaborative
• Last November, the Forest Practice Board adopted Type NP buffer rule following decades of collaborative

Summary: The House Agriculture and Natural Resources Committee heard public testimony on House Bill 2598, which would create a Salmon Advisory Commission made up of tribal leaders, state agencies, legislators, and local governments to develop recommendations on salmon and steelhead recovery. Prime sponsor Rep. Lekanoff described the bill as a way to bring executive, legislative, and tribal leaders together on salmon recovery and treaty obligations. Staff noted a fiscal note of roughly $35,000 in out years. Supporters emphasized salmon’s cultural and treaty importance and the need for coordinated leadership, while the lone public testifier, Todd Myers of Washington Policy Center, opposed the bill as another statewide layer of bureaucracy and argued that recovery efforts should focus more on local, watershed-level action. The committee noted 10 signed in pro, 886 con, and one other, but no vote was taken on the bill in the hearing. The committee then heard House Bill 2620, which would repeal the recently adopted Forest Practices Board rule expanding riparian buffers on non-fish-bearing streams and impose new standards for future riparian buffer rulemaking, including an economic viability standard for the timber industry and additional consensus and alternative-analysis requirements. Rep. Dent said the bill was intended to restore communication and collaboration in the forest practices process. Testimony was sharply divided. Tribal representatives and environmental advocates said the rule was the product of a long, science-based adaptive management process under the Forest and Fish framework and was needed to protect water quality, salmon habitat, and treaty rights; they argued the bill would undermine that process and conflict with Clean Water Act compliance. Forest industry and small forest landowner witnesses supported the bill, saying the process had lost trust, ignored alternatives, and imposed significant economic harm on rural communities and family tree farms. DNR and Ecology testified in opposition, saying the rule was based on science and that the bill would weaken water-quality protections and jeopardize HCP compliance. The committee recorded 592 signed in pro, 489 con, and one other, with no vote taken during the hearing. After the public hearings, the committee moved into executive session on five bills. Staff briefly described House Bill 2104, which would make permanent the Aviation Assurance Funding Program for wildfire response; House Bill 2348, a DNR request bill on land and material sales advertising; House Bill 2544, which would require an adjudication process for the Upper Columbia River with a proposed substitute; House Bill 2554, which would repeal Initiative 456 concerning state declarations on tribal natural resource management; and House Joint Memorial 4009, urging federal action on wildland firefighting consolidation. The committee then recessed briefly for caucus and began executive action, starting with a motion to report House Bill 2104 out of committee with a do pass recommendation.

Transcript Highlights:

• Um PAs are highly trained medical professionals who practice medicine in collaboration with physicians
• Um PAs are highly trained medical professionals who practice medicine in collaboration with physicians
• Um PAs are highly trained medical professionals who practice medicine in collaboration with physicians
• </c><00:21:38.799><c> Collaboration</c> practice at a remote site.
• Collaboration practice at a remote site.

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:

• Senate Bill 88 replaces the outdated supervision model with a collaborative model, aligning practice
• Senate Bill 88 replaces the outdated supervision model with a collaborative model, aligning practice
• Senate Bill 88 replaces the outdated supervision model with a collaborative model, aligning practice
• Senate Bill 88 replaces the outdated supervision model with a collaborative model, aligning practice
• Senate Bill 88 replaces the outdated supervision model with a collaborative model, aligning practice

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:

• Cancer Connect Collaborative, the Cancer Innovation Fund, and the Cancer Connect Collaborative Research
• The collaborative includes members who practice and specialize in oncology care and research, who develop
• Other functions of the collaborative also include recommending funding strategies and best practices,
• He is the managing physician for internal medical faculty practice.
• And I practice in the gap, the huge gap.”

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• Senate Bill 101 by Hall relating to the practice of barbering to business and commerce.
• services. 123 by Hall relaying the verification of the accuracy of an application for a license to practice
• Senate Bill 262 by Perry relating to eligibility. requirements to practice public accountancy to business
• Senate Bill 378 by Schwartner, relating to certain prohibitive practices by a barber or cosmetologist
• Senate Bill 613 by Hinojosa-Vidalgo relating to the regulation of the practice of veterinary medicine

Bills: SJR36, SB2, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048

Keywords: Medicaid, healthcare expansion, affordable care act, federal funding, medical assistance, constitutional amendment, Texas Constitution, healthcare access, Patient Protection and Affordable Care Act, healthcare, affordable care, state constitution, low-income individuals, Medicaid expansion, federal matching funds, time regulation, daylight saving time, standard time, referendum, Texas constitution

Transcript Highlights:

• Peters is here from the Forest Practices Board.
• DNR appreciates the intent of this bill to restore collaborative forest practices rulemaking.
• DNR appreciates the intent of this bill to restore collaboration in the Forest Practices rulemaking process
• Last November, the Forest Practices Board adopted the type NP buffer rule following decades of collaborative
• You were asking about collaboration.

Bills: HB2598, HB2620, HB2104, HB2348, HB2544, HB2554, HJM4009

Keywords: anadromous fish, environmental conservation, state coordination, wildlife recovery, fisheries management, forest management, natural resources, collaboration, forest practices, sustainability, aviation, wildland fires, funding, disaster relief, emergency response, timber sales, land sales, process efficiency, legislation, department language

Transcript Highlights:

• That was a collaborative decision.
• All of the Forest Practices Rules are promulgated by the Forest Practices Board.
• Forest Practices Board.
• In brief, the Forest Practices Board rules regulate what's called forest practice.
• The Forest Practices Program is a framework of collaboration.

Summary: The committee held a work session on the history, implementation, and current challenges of Washington’s Forest and Fish law and related Habitat Conservation Plan. Testimony from tribal representatives Jim Peters and David Herrera, former Rep. Jim Buck, and mediator Tim Thompson described the original timber, fish, and wildlife negotiations as a broad, collaborative effort intended to balance salmon and habitat protection with a viable timber industry. DNR’s Sabur Jawad outlined the program’s statutory framework, the roles of DNR, Ecology, Fish and Wildlife, tribes, local governments, landowners, and the Forest Practices Board, and explained that changes to aquatic-resource rules can come through adaptive management, legislative direction, or court orders. He also described the permitting and enforcement system, the programmatic HCP, road maintenance and abandonment work, and the adaptive management process, including the long-running NP stream-buffer studies and resulting rulemaking timeline. Agency and stakeholder testimony emphasized accomplishments such as decades of HCP coverage, annual compliance monitoring, road and fish-barrier improvements, small forest landowner assistance programs, and the completion of numerous adaptive management studies. DNR’s Katie Allen said the program has strong successes but also faces resource-intensive implementation, rising costs, and watershed-wide pressures beyond forestry, and she pointed to a State Auditor review that produced 13 recommendations now being addressed through an action plan and a structured decision-making model. Washington Farm Forestry Association executive director Elaine O’Neill said small forest landowners supported the agreement expecting assistance and flexibility, but argued the balance has shifted toward more protection and less practical consideration of rural vitality and property rights. Washington Forest Protection Association executive director Jason Spadero said the agreement has produced measurable environmental gains and regulatory predictability, but criticized the recent NP rule and urged continued science-based, economically balanced management. In the final discussion, tribal representatives said the collaborative, consensus-based process still works in some areas, but that the principals need to be re-engaged more directly and periodically to restore accountability and trust. They said the adaptive management process and funding remain important, but expressed concern that consensus has broken down in some recent rulemaking and that side negotiations or outside pressure can undermine the original agreement. Members asked how to restore the collaborative model; Peters suggested renewed commitment from the principal parties and more regular high-level meetings, while Herrera echoed the need to implement the auditor’s recommendations. No formal votes or legislative actions were taken during the work session.

Transcript Highlights:

• </c><00:10:42.800><c> practice</c> law that sets up collaborative practice law that sets up collaborative
• So collaborative practice agreements.
• </c><00:38:30.400><c> So</c> collaborative practice agreement. So collaborative practice agreement.
• :39:56.400><c> that</c> collaborative practice agreement that collaborative practice agreement that lets
• With collaborative practice agreements.

Keywords: 1191, senate, all

Transcript Highlights:

• I've been practicing 32 years, and when I started practicing we didn't have family courts in Kentucky
• when I started practicing we didn't and when I started practicing we didn't have<00:04:00.159><c> family
• I remember going to my practicing.
• </c> collaborative or mediation?" collaborative or mediation?"
• </c> friends that went through collaboration. friends that went through collaboration.

Keywords: 00:00 - Call to Order/Roll Call 01:13 - Discussion of 26RS HB 109 26:47 - Roll Call Vote on 26RS HB 109 32:30 - Discussion of 26RS HB 190 36:15 - Roll Call Vote on 26RS HB 190 37:30 - Adjournment, 958, all

Transcript Highlights:

• Idaho has used clinical-based practice models to pass this.
• Pharmacists are integral members of interprofessional collaborative practice, as defined by the World
• I strongly support efforts to ensure members of interprofessional collaborations are able to practice
• My question is around care collaboration and particularly some of our pharmacists who are practicing
• who are practicing in very small rural communities.

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• Also, collaborative leadership.
• So based on research, we know best practices.
• , to embed these best practices in what they're doing.
• We know that to embed these practices and to continue sustaining these practices within our schools to
• And continuously improve practice to maximize student outcomes.

Summary: The joint informational and oversight hearing focused on community schools in California, with members emphasizing that the purpose was to examine effectiveness, implementation, and sustainability rather than the Governor’s budget proposal. The California Department of Education described the California Community Schools Partnership Program, created in 2021 and funded with more than $4 billion, including planning, implementation, extension, and county coordination grants. Officials said nearly 2,500 schools are participating and highlighted the statewide technical assistance structure, including the State Transformational Assistance Center, eight regional centers, county offices, and CDE support. Researchers from the Learning Policy Institute and UCLA presented early findings and implementation data. LPI reported reductions in chronic absenteeism and suspensions, along with gains in math and English language arts, with especially large benefits for Black students and other historically underserved groups. UCLA described the Annual Progress Report as a statewide improvement tool showing growth in capacity-building, shared decision-making, whole-child supports, and continuous improvement. Members asked about how the reports measure outcomes, how to interpret outliers, and how to distinguish community schools effects from other concurrent initiatives; presenters said matched comparison methods and deeper case-study work are being used, with additional statewide findings expected in June. Panelists from Oakland Unified, LAUSD/UTLA, San Diego Unified, and advocacy organizations described key elements of success: integrated student supports, strong family and student engagement, collaborative leadership, community partnerships, and school-site decision-making. They gave examples such as wellness centers, dual enrollment, student senates, parent leadership, and community campaigns that built trust and increased participation. Members also raised concerns about sustainability, implementation fidelity, and whether community schools improve participation in LCAP processes. Presenters said major barriers include unclear early guidance, the need for a mindset shift away from top-down models, and uncertainty about long-term funding for coordinators and other staff. The panel’s recommendations centered on stable ongoing funding, stronger technical assistance, shared governance, and embedding community schools practices into district and county systems.

Transcript Highlights:

• on evidence-based practice.
• So I’m very appreciative of collaboration.
• It's the culture change and the practices.
• We're also training the board in best practices, right?
• That is not a fair practice to engage our community.

Keywords: 995, all

Summary: The Special Commission on Criminal Justice Reform 3.0 heard a presentation from the Massachusetts Parole Board focused on consolidation, cooperation, and evidence-based supervision across the correctional system. Parole Board Chair Angela Gomez-June described the board’s mission, its coordination with the Department of Correction, houses of correction, courts, probation, law enforcement, victim services, and UMass partners, and outlined 2024 activity including 2,810 institutional release hearings, 18,238 victim notifications, 53 pardon petitions, 70 commutation petitions, 41 early termination applications, and supervision of 2,993 parolees. She emphasized the board’s shift toward individualized, data-driven decision-making, including revised GPS use, graduated sanctions, and more service-oriented community supervision. Members and sheriffs pressed for clearer breakdowns of the board’s data, including the difference between releases, hearings, and active supervision; average length of supervision; the share of lifers in the caseload; and how many people are placed in housing, employment, and treatment. The board said its active supervised population fluctuates around 1,600 to 1,800, with more than 400 lifers, and that about 30 to 36 percent of its population is housed through programs such as MASH, community justice resource centers, and sheriff-run residential programs like Rocky Hill and HOPE. Members also discussed parole refusals, noting that some individuals decline parole to avoid supervision or to serve time inside instead, and asked for a more detailed breakdown of those cases. The board and commission also discussed collaboration with DOC and UMass on risk assessment, reentry planning, and community pathways, including a tablet video explaining the parole process and pharmacist support for medication-related drug test issues. The board reported that after the SJC’s Matus decision, 210 individuals were identified as affected, 144 were immediately eligible for hearings, 100 hearings had been completed, and 10 more were scheduled; it also said clemency and commutation work had been slowed by staffing and Matus-related demands. The meeting ended with a request for follow-up data on outcomes, supervision lengths, housing and employment placements, and other consolidated statistics, and the commission announced its next public hearing for March 9 at 10 a.m. before adjourning.

Transcript Highlights:

• All of the Forest Practices Rules are promulgated by the Forest Practices Board.
• Forest Practices Board.
• In brief, the Forest Practices Board rules regulate what's called forest practice.
• The Forest Practices Program is a framework of collaboration.
• in forest practices.

Keywords: 904, all

Transcript Highlights:

• This proposal has also involved direct collaboration and feedback with our practicing architects at AIA
• This proposal has also involved direct collaboration and feedback with our practicing architects at AIA
• Collaborating to align bill language with realities of practice in Washington, this bill is not about
• We will still be practicing as we are practicing... ...with our groups.
• We will still be practicing as we are practicing today.

Summary: The Consumer Protection & Business Committee held public hearings on two bills. House Bill 2616, described as an agriculturally resilient markets act, would create a broad package of agriculture-related policies and appropriations, including a strategy to expand state purchasing of Washington-grown food, temporary packaging and emissions exemptions for certain agricultural uses, changes to labor notice rules for agricultural and dairy layoffs, several grant and study programs, a transfer of cannabis production/processing/testing oversight to the Department of Agriculture, and an appropriation for the tree fruit leadership program. Representative Christine Reeves said the bill was intended as a state-level “farm bill” to address farm losses, food security, and regulatory burdens, and she emphasized stakeholder input and the need to support family farms and farmworker well-being. Testimony on HB 2616 was overwhelmingly supportive, with growers, commodity groups, dairy and potato representatives, and other agricultural stakeholders arguing that Washington farms face low margins, high regulatory and labor costs, refrigeration and processing challenges, and competition from foreign producers. Several speakers said the bill’s exemptions, grants, and studies would help keep farms viable and preserve local food production. Committee members asked about stakeholder outreach, the role of Washington State University and commodity commissions, the impact of federal versus state policy, and possible ways to reduce compliance burdens. The hearing ended without a vote, and the chair noted the bill was after cutoff and would not move this year, but that stakeholder meetings would continue over the summer. The committee then heard House Bill 2721, which would create a registration system for commercial interior designers, expand and rename the Board of Architects, set education, examination, and experience requirements, define the scope of practice, require seals and technical submission attestations, and establish penalties and a fee account. Supporters from interior design organizations said the bill would recognize a profession already performing code- and safety-related work in commercial spaces, align Washington with other states and national model law standards, and remove barriers to ownership and advancement, especially for women. Testifiers also said the bill would clarify responsibility for life safety, accessibility, and non-structural interior construction in schools, health care, and public buildings. The committee heard only supportive testimony, but members raised questions about how the profession compares with architecture, the impact of delaying the bill until 2027, and demographic diversity in the field. The chair closed the hearing noting the bill would not advance this session and that further interim work would be needed.

Transcript Highlights:

• Also, collaborative leadership.
• relationships, collaborative leadership.
• So based on research, we know best practices.
• We know that to embed these practices and to continue sustaining these practices within our schools to
• And continuously improve practice to maximize student outcomes.

Keywords: 988, house, all

Transcript Highlights:

• Now, if LSCW has a collaborative..." "Now, if LSCW has a collaborative agreement with Dr.
• So yes, it's assumed that that supervisory, collaborative practice provider and the licensed clinical
• Same basic practice. We're not assuming that the LSCW has a collaborative agreement with Dr.
• practice.
• practice.

Summary: The Joint Committee on Administrative Rules met with a quorum and approved the minutes from the prior meeting. Members announced that two Department of Natural Resources rules had been withdrawn, leaving only the Missouri Prescription Drug Monitoring Program (PDMP) rule proposal for consideration. Public testimony focused on a proposed expansion of PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marriage and family therapists, professional counselors, and psychologists, along with related clarifications to delegate access categories such as medical assistants and clinical nurse specialists. Testimony from the PDMP director and supporters from Compass Health and the Department of Mental Health argued the changes would improve care coordination, medication reconciliation, and overdose prevention within multidisciplinary behavioral health teams, especially in CCBHC settings. They said access would remain limited to licensed Missouri professionals working under supervision or collaboration with a prescriber or dispenser, and that the system is intended for treatment-related, view-only use. Opponents and skeptical committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could create privacy risks or misuse in non-treatment contexts such as custody disputes, and might exceed the committee’s rulemaking authority. One public witness opposed the rule, warning it could deter patients from seeking counseling and arguing the change should be made, if at all, by statute. After testimony, committee members debated whether the proposal was a permissible clarification or an impermissible substantive expansion of the law. Supporters of disapproval said the issue was legality, not the merits of PDMP access, and urged the department to seek a bill sponsor if it wanted the change enacted. A motion was made and seconded to disapprove Rule 1 CSR 60-1.010 on the grounds of lack of statutory authority, conflict with state law, and arbitrariness/capriciousness. The committee then took a roll-call vote and approved the motion by 7 ayes to 1 no, disapproving the rule and adjourning with no further business.

Transcript Highlights:

• And on Tab 5, we have Senate Bill 294 on collaborative pharmacy practice for chronic health conditions
• And this is Senate Bill 294, dealing with collaborative pharmacy practice.
• And I think it was back in 2020 when we originally passed the collaborative practice agreement between
• So we are excluding those from these conditions that can be used through a collaborative practice.
• The collaborative pharmacy practice agreement, also known as the CPPA, was passed into law in 2020.

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.