Video & Transcript Research : 'streamlined practice'
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MN
Minnesota 2025-2026 Regular Session
Tax panel hears bill to create agricultural water quality property tax credit, HF363 3/19/25
Minnesota House Floor Meeting
Transcript Highlights:
- The practice that they implement on farms, we are all doing the same practices.
- The practice that they implement on farms, we are all doing the same practices.
- The practice that they implement on farms, we are all doing the same practices.
- The practice that they implement on farms, we are all doing the same practices.
- The practice that they implement on farms, we are all doing the same practices.
MN
Minnesota 2025 1st Special Session
House Health Finance and Policy Committee 3/26/25
Health Finance and Policy
Transcript Highlights:
- I've also been a practicing optometrist for 24 years and a practice owner.
- I practice and live in Moorhead, Minnesota, but also practice in Wadena, Minnesota.
- or do practice County that have practice or do practice also<00:40:34.560>
in <00:40:34.800>- practice are. Thank you. Thank you Dr. practice are. Thank you. Thank you Dr.
- full license to practice in Minnesota. full license to practice in Minnesota.
MN
Minnesota 2025-2026 Regular Session
Private Equity Presentation 3/2/26
Minnesota House Floor Meeting
Transcript Highlights:
- In this illustrative example, in a platform practice of three physicians in one practice, depending on
- of a practice with two physicians, add-on acquisition of practice B of a solo practitioner, and add-on
- >
practice <00:03:51.599>medicine <00:03:52.000>doctrine, corporate of practice - <00:04:08.959>
is three physicians in one practice is three physicians in one practice is - practice C with four physicians. practice C with four physicians.
Summary:
The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers.
Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care.
The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.
MN
Minnesota 2025 1st Special Session
House judiciary committee approves HF20 2/13/25
Transcript Highlights:
- balanced approach to the data Practices balanced approach to the data Practices Act<00:02:09.200
- central premise of the data Practices central premise of the data Practices Act<00:26:57.919>
- The Data Practices Act exists.
- The Data Practices Act exists.
- The Data Practices Act exists.
FL
Florida 2026 4th Special Session
January 14, 2026 - 04:00 PM
Transcript Highlights:
- Really prepared certified practices.
- Next up, we have HB 301 advanced practice.
- Advanced practice, registered nurses to engage an autonomous practice to provide mental health services
- So I speak from that practical experience as well.
- And once we get outside of that scope of practice, once we do get outside of the area where they're practicing
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 2/13/25
Judiciary Finance and Civil Law
Transcript Highlights:
- <00:02:40.920>
Act uh meaning of the uh data Practices Act uh meaning of the uh data Practices - >
puts <00:03:09.400>a Act uh the data Practices Act uh puts a Act uh the data Practices - particular section of the data Practices particular section of the data Practices Act<00:10:45.839
- number of sections in the data Practice number of sections in the data Practice Act<00:14:48.320
- central premise of the data Practices central premise of the data Practices Act<00:27:55.519>
FL
Florida 2026 4th Special Session
January 21, 2026 - 08:00 AM
Transcript Highlights:
- Autonomous practice by Representative Shoaf.
- Advanced practice, registered nurses to engage an autonomous practice to provide mental health services
- Do not have a practicing psychiatrist.
- Let me briefly share an example from my practice.
- So they're not practicing outside the scope. They're still they're just not practice it.
FL
Florida 2025 Regular Session
March 13, 2025 - 01:00 PM
Transcript Highlights:
- You crafted some language that now is standard practice.
- Last but not least, we have HB 883, Advanced Practice Registered Nurse Autonomous Practice, by Representative
- But current law allows for advanced practice registered nurses to engage in autonomous practice of primary
- autonomous practice for psychiatric nurses.
- In Maryland, full practice authority since 2015...
Summary:
The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0.
The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0.
HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.
VA
Transcript Highlights:
- He returned to Danville, where he’s been practicing in private practice ever since.
- He has a wide practice experience. He brings to the table. He has a wide practice experience.
- So I've been practicing— So I've been practicing now for almost 23 years.
- Again, it's not the area I practice in, so we don't practice against each other.
- I could practice here.
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 03/05/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- <00:03:06.159>
that benefits of farming practices that benefits of farming practices that - <00:03:25.319>
and the adoption of protective practices and the adoption of protective practices - <00:03:40.200>
that are just some of the uh practices that are just some of the uh practices - engage farmers and Implement practices engage farmers and Implement practices is<00:10:30.800>
- practices equipment to implement these practices it<01:10:27.320>
sing <01:10:27.719>it - practices equipment to implement these practices it<01:10:27.320>
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (04/15/2026)
Executive Departments and Administration
Transcript Highlights:
- on practice setting. on practice setting.
- . practices. practices.
- . practice. practice.
- > practice under a collaborative practice practice under a collaborative practice agreement<03:27:19.200
- internal in in my practices. internal in in my practices.
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 03/04/25
State and Local Government
Transcript Highlights:
- So right now, if you are a practicing physician in another country, you may have practiced for 20 years
- So right now, if you are a practicing physician in another country, you may have practiced for 20 years
- preventing people from practicing preventing people from practicing medicine<00:02:21.959>
uh - <00:02:33.280>
medicine Minnesota who cannot practice medicine Minnesota who cannot practice - physician will practice the practicing physician will practice generally<00:09:41.320>
under <
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/11/26
Health and Human Services
Transcript Highlights:
- This practices act just hasn't coming.
- Uh the throughout the practices act.
- Updating the athletic training practice Updating the athletic training practice act<00:08:49.080
- . practice. practice.
- before practicing independently. before practicing independently.
WA
Washington 2025-2026 Regular Session
Committee to Hear SAO Performance Audits Dec 3rd, 2025
Transcript Highlights:
- As you can see, the schools we reviewed adopted most of these practices.
- We would like to go through three of the practices in more detail.
- Practice one: small groups, because it's a straightforward example to describe.
- We saw various culturally responsive practices at all of the schools that we visited.
- Two of the practices that stand out to me that I've seen firsthand.
Summary:
The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings.
The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints.
Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 24th, 2025
Transcript Highlights:
- in California under existing interstate practice mobility provisions.
- in California under existing interstate practice mobility provisions.
- Steven Abelowitz, and I've been working as a practicing pediatric physician for almost 30 years.
- help me grow my practice to reach more patients and provide better care.
- help me grow my practice to reach more patients and provide better care.
Summary:
The Assembly Business and Professions Committee heard several bills, including SB 788 by Senator Niello, which clarified that CPAs and CPA firms, including employees and out-of-state CPAs authorized to practice in California, are regulated by the California Board of Accountancy rather than subject to Tax Preparation Act registration requirements. Supporters said the bill would reduce duplicative regulation and confusion; there was no opposition, and the bill passed to Appropriations.
The committee also heard SB 351 by Senator Cabaldon, aimed at strengthening enforcement of California’s corporate practice of medicine rules as they relate to private equity and hedge fund involvement in medical and dental practices. The author and physician supporters argued that private equity can interfere with clinical decisions and patient care, while opposition from the American Investment Council said the bill could sweep in legitimate business practices and requested a narrow amendment. The bill passed to Judiciary.
SB 312 by Senator Umberg was heard next and would require health certificates for imported dogs sold in California to be submitted to CDFA and made publicly available, with supporters describing it as a transparency and consumer protection measure to combat puppy mills and misleading online sales. There was no opposition, and the bill passed to Agriculture. The committee also approved a consent calendar containing SB 291, SB 387, SB 517, SB 602, and SB 773, all moving to their respective committees. The meeting ended after additional roll calls and adjournment.
FL
Florida 2025 Regular Session
March 5, 2025 - 01:30 PM
Transcript Highlights:
- So House Bill 649, autonomous practice by CRNAs. So House Bill 649, autonomous practice by CRNAs.
- They're practicing autonomously in 43 other states.
- I would not be able to practice medicine if it was because of them.
- Rather, the CRNAs' scope of practice is not being increased.
- after earning a doctorate in nursing practice in nurse anesthesiology.
Summary:
The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays.
The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.
MN
Minnesota 2025-2026 Regular Session
House health panel hears HF1010 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- <00:03:17.840>
for the Midwifery scope of practice for the Midwifery scope of practice for - certified nurse midwives practice certified nurse midwives practice nursing<00:05:01.560>
for - Midwifery practice means says certified Midwifery practice means managing<00:18:16.159>
diagnosing - have this as our scope of practice have this as our scope of practice because<00:21:18.559>
I - in traditional practice.
NM
New Mexico 2026 Regular Session
IC - Revenue Stabilization and Tax Policy Dec 15th, 2025
Transcript Highlights:
- It's very rewarding, but about 10 years ago, I took over my father's practice, who had practiced in New
- So he put his practice up for sale.
- This isn't the state to practice in, which as my home state, as the state that I chose to practice in
- This isn't the state to practice in, which as my home state, as the state that I chose to practice in
- The physician daughter practices in Texas, and the attorney daughter practices in New Mexico.
Summary:
The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion.
The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care.
The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.
HI
Hawaii 2025 Regular Session
CPC Public Hearing - Thu Feb 20, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- students is the practice the only way of students is the practice the only way of demonstrating<00:57
- some are having to take the practice some are having to take the practice some<00:58:48.319>
- . practice to take it to get the practice to take it to get the verification<01:04:11.240>
that been actually paying for the practice been actually paying for the practice for<01:04:40.039> - <01:15:54.760>
um practice um practice um current<01:15:56.000>practice <01:15:56.560><
Summary:
The committee on Commerce and Consumer Protection met on February 20, 2025, and heard testimony on several measures. HB 850, relating to condominiums, drew support from the Community Associations Institute and the Hawaii State Association of Parliamentarians, who said it would improve owner participation, clarify voting rules, and preserve the use of proxies as a personal choice. A Zoom testifier supported the bill’s intent but warned that special meetings can be abused and suggested further amendments to address board president authority. Members asked about proxies versus electronic voting and whether the bill would reduce proxy use; no vote was taken.
The committee also heard HB 48 on coffee labeling, with the Department of Agriculture in support, and HB 1370 on taxation, where a local brewery representative supported equal tax treatment for beer served from 5-gallon kegs and larger kegs when dispensed from a faucet, arguing the bill would clarify draft beer treatment and encourage sustainability. HB 1422 on motor carriers received comments from the Public Utilities Commission and the Department of State Parks, while representatives from a community-based shuttle initiative supported the bill and said nonprofit, community-led transportation solutions should not be regulated like traditional carriers.
HB 874, relating to child performers, received support from SAG-AFTRA, IATSE, and individual performers, who emphasized protecting minors’ earnings, safety, and schooling. Testimony also discussed whether to include social media influencers and whether to add annual income limits or trust-account protections; the Department of Labor and Industrial Relations said the issue was outside its wheelhouse. Later, HB 799 on healthcare drew support from health plans and HMSA, with the Department of Health requesting amendments such as a sunset date, a Maui-only pilot, and a report back before changing its position. HB 1379 on health received support from Hawaii Pacific Health, but the Hawaii Medical Board raised concerns about vague language and public-safety implications for internationally trained physicians, asking for more time to study national licensing recommendations. Finally, HB 439 on education was heard, with the Hawaii Teacher Standards Board opposing the bill as drafted and warning about licensing standards and predatory third-party loans affecting J-1 teachers; the transcript ends before any action or vote on these measures.
MN
Minnesota 2025-2026 Regular Session
Nurse Licensure Compact discussion 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- different practice laws. different practice laws.
- This talks about the nurse's practice.
- This talks about the nurse's practice.
- state has to match the practice state has to match the practice requirements<00:36:59.280>
that - nurses under our for more practicing nurses under our practice<00:37:25.200>
requirements <00:
Summary:
The committee took up House File 1925, which would have Minnesota join the nurse licensure compact. Rep. Schumacher described the bill as a way to improve workforce flexibility, telehealth, care coordination, and border-community access, while maintaining safeguards such as the same licensure exam and federal background checks. He also said the compact could help retain Minnesota-trained nurses who currently leave for neighboring compact states. Several members questioned whether the compact would weaken Minnesota’s standards or actually solve staffing problems, and some raised concerns about outside states’ differing practice rules and continuing education requirements. Supporters, including a nurse leader, a travel nurse, a business group representative, and a hospital nursing leader, testified that the compact would ease staffing shortages, speed hiring, support telehealth, and reduce administrative burdens. Opponents, including nurses and union representatives, argued it could lower standards, not address root causes like unsafe staffing and turnover, and could create risks for patients seeking reproductive or gender-affirming care.
The committee also considered two related amendments tied to rural health transformation recommendations. The A1 amendment would have required two hours of continuing education on nutrition for physicians, physician assistants, and advanced practice registered nurses; members criticized it as government overreach, unrelated to many specialties, and an attempt to chase uncertain federal funding. The amendment failed on a voice vote. The A2 amendment would have reinstated the presidential fitness test in schools and allowed parents to opt out; it also failed. A3, which updated the compact bill’s effective date language from 2025 to 2026, was adopted. Members noted the bill also contained an appropriation and might need referral to other committees if it advanced. The committee then began hearing public testimony on HF 1925, with witnesses split between support and opposition.