Video & Transcript Research : 'scope of practice'

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KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (1-29-26)

Health Services

Transcript Highlights:
  • We're just doing a little bit of statutory cleanup.
  • >> Of<00:04:10.319> course.
  • Next we have House Bill 385 >> Of course.
  • bill was passed 90 to 4 on the floor of bill was passed 90 to 4 on the floor of the<00:06:22.319
  • <00:07:56.800> and on all of these bills ahead of time and on all of these bills ahead of
Summary: The House Standing Committee on Health Services met with a quorum and heard three bills. House Bill 393, sponsored by Rep. Rebecca Raymer with testimony from Mackenzie Wallace of the Alzheimer’s Association, would clean up statutes governing the Alzheimer’s disease and related disorders council, add another caregiver seat, and require the council to develop and distribute an early detection/diagnosis toolkit for health care providers. Wallace said the bill mainly resolves duplicative language and conflicting deadlines and aligns the statute with current Office of Dementia Services work. The committee took a motion and second, asked no questions, and passed the bill with favorable expression. House Bill 385, sponsored by Rep. Marianne Proctor, was described as a simple cleanup bill changing a statutory definition from “institution” to “facility.” The committee moved and seconded the bill, asked no questions, and approved it with favorable expression. House Bill 388, sponsored by Rep. Robert Duval, was presented as a cleanup bill for Casper requested by the OIG office and related to prescription drugs; Duval noted it had previously passed the House 90-4. The committee again took a motion and second, had no substantive discussion, and passed the bill with favorable expression, with one member briefly registering a vote after the roll call. At the close of the meeting, the chair noted that consensus had been reached on all three bills in advance and that a lot of work had gone into them. The committee announced its next meeting for February 5 at noon in Annex Room 149 and then adjourned.
KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (1-15-26)

Health Services

Transcript Highlights:
  • Welcome to the first meeting of the Health Services Committee of the new 2026 session.
  • > the<00:02:30.319> Kentucky legislative chair of the Kentucky legislative chair of the
  • If a child is using any of these medications, of course, but um, just quickly, those medications are
  • The Kentucky Board of Nursing to query the cabinet, but we felt like we needed to clarify that all of
  • If a child is using any of these medications, of course, but um, just quickly, those medications are
Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.
TX

Texas 89th Regular

Licensing & Administrative Procedures Mar 25th, 2025

Licensing & Administrative Procedures

Transcript Highlights:
  • Several years ago, and they had a certificate of registration that they ended up doing in this last one
  • keep that if they got a waiver, and they have that waiver all the way through. through until the end of
  • hold the licenses have now been cut out, and this just extends for that group. 10 years now instead of
  • My name is Carla Jackson, and I'm a registered interior designer in the state of Texas.
  • us which speak for or against one of the bills.
KY
Transcript Highlights:
  • This legislation is as a result of two cases, one from the Supreme Court of Kentucky and one from the
  • Court of Appeals of Kentucky.
  • director for the division of director for the division of Developmental<00:03:12.280> and
  • So it has its own floor. already um kind of identified one of the already um kind of identified one of
  • the amount of increase because of the amount of reports<00:36:09.079> that<00:36:09.319> actually
Summary: The committee first took up Senate Bill 26, presented by Senator Brandon Storm, Family Court Judge Marcus Vanover, and Crystal Adams on behalf of the Kentucky Judicial Commission on Mental Health. The bill would ensure Kentucky complies with the ADA by prohibiting disability alone from being used to terminate adoption petitions, parental rights, or child-placement petitions. Testimony cited Kentucky Supreme Court and Court of Appeals cases involving parents with intellectual or developmental disabilities and national data showing high removal rates for parents with psychiatric, intellectual, or physical disabilities. The committee approved the bill 15-0 with favorable expression. The committee then heard Senate Bill 85 from Senator Steve Meredith and State Auditor Allison Ball, which continues the transition of the Office of the Ombudsman from the Cabinet for Health and Family Services to the Auditor’s office. Testimony focused on completing the transfer by clarifying access to the ITWIST database, ensuring complaints go directly to the Ombudsman, adding whistleblower protections, and making the office a separate office within the Auditor’s office for efficiency. Members asked about the prior conflict of interest when the Ombudsman was housed within CHFS, the database access dispute and lawsuit, and whether the office still remained independent. The bill passed with favorable expression after some members voted pass. Finally, the committee considered House Bill 805, with Representative Nick Wilson and Representative Sarah Stalker explaining a committee substitute and amendment. The bill would set timelines for the Cabinet to physically locate children reported at immediate safety risk and require annual kinship-care reporting to be automatically provided to the legislature and posted publicly. Wilson said the bill also cleans up language from last year’s House Bill 271, including changing “threats” to “risks” in the safety-plan definition and other terminology fixes. The committee adopted the substitute and amendment and advanced the bill with favorable expression.
AL

Alabama 2026 1st Special Session

Alabama Senate County and Municipal Government Committee Mar 17th, 2026

County and Municipal Government

Transcript Highlights:
  • Because one of them is budget and I don't know if he counts. >> He doesn't count.
  • It is permissive legislation that allows a municipality to adopt a Firefighters Bill of Rights.
  • that are insurers for municipalities that have a lot of concerns, and I just wanted to let you know
  • I wanted to make sure we got your bill given the timing now, got it in committee and probably out of
  • municipalities that have a lot of municipalities that have a lot of concerns<00:03:54.640> and
TX

Texas 89th Regular

Border Security May 15th, 2025

Border Security

Transcript Highlights:
  • the clerk of the committee.
  • southern part of the United States.
  • Members, questions of the author. All right.
  • Senator Hinojosa of Hidalgo [member_166]. Aye.
  • This is the codification of federal law.
Bills: HCR98, HB180
Summary: The Senate Committee on Border Security met with a quorum present and first took up HCR 98, a resolution urging Congress to improve coordination among federal, state, and local authorities on counter-unmanned aircraft systems (C-UAS) technology for border security. The author and sponsor described increasing drone activity along the border, saying unauthorized drones are used to track agents, identify weaknesses, and smuggle contraband, and argued for clearer procedures to detect, identify, and neutralize such aircraft. There was no public testimony, and the committee voted 4-0 to report HCR 98 favorably to the full Senate; the resolution was also ordered for local and uncontested calendar placement without objection. The committee then heard HB 180, sponsored by Chairman Birdwell, which would authorize the governor to coordinate directly with Mexican officials and individual Mexican states on border security agreements and appoint representatives to implement them. Birdwell said the bill would codify prior border-security cooperation efforts, improve responses to cross-border challenges such as drug and human trafficking, and include a finding that entrants from foreign countries must use a legal port of entry. No questions were asked, and there was no invited or public testimony. After the hearing, the committee left HB 180 pending. The meeting concluded with no further business and the committee standing in recess subject to the call of the chair.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • That's kind of an odd way of doing it.
  • The statement of purpose of amendment? Yes. Page two of nine? Yes. Okay.
  • Oh, and a couple of sessions of...
  • an assessment of gaps in services, and an evaluation of overall program management, an assessment of
  • The advantage, I guess, of doing the statement of purpose is, if you look at eight of nine, it shows
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 11th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • But I still, as part of that, just having the $5 out as one-time funding, too, would be part of that.
  • And so you had discussed giving us a line of credit instead of carrying over the dollars.
  • of federal.
  • The second set of deliverables might be, I'm trying to think of a project that we have.
  • We might have a deliverable of you're going to train all of our staff because we all have.
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • of the infrastructure.
  • For any of those of you that may be paying attention?
  • kind of housing.
  • of the session at this point.
  • There's a lot of questions. There's a lot of questions, and it's a worthwhile goal.
Bills: SB2015
Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • So part of that is in this biennium and part of it in the coming biennium.
  • It's kind of lipstick kind of thing. I won't go there, but so.
  • Chairman, members of the committee, 25% of the... But, Mr.
  • People aren't going to know all of these things of how it got here or there.
  • “A reduction of $4,749,032.
Bills: SB2015
Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And so a facility like this, at least some of the components of this align with some of the work that
  • of course.
  • sort of definition of place and if there's one or two.
  • come out of?
  • The end of the week. The end of the week?
Bills: SB2015
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.
AL

Alabama 2025 Regular Session

Alabama Senate County and Municipal Government Committee Feb 18th, 2025

County and Municipal Government

Transcript Highlights:
  • This is the one that the Secretary of State has recommended because I got out of the other system, and
  • After talking to the Secretary of State's office and just... ...the Secretary of State's office and just
  • So what has changed is not the original purpose of... changed is not the original purpose of navigable
  • Okay, so some of them are licensed, but in general, there are a lot of them that are not licensed.
  • One of the conversations and one of the reasons the governor's office is pretty heavily on one side of
Bills: SB5, SB142, SB158, SB171, SB5
AL

Alabama 2026 1st Special Session

Alabama House Ports, Waterways and Intermodal Transit Committee Jan 21st, 2026

Ports, Waterways & Intermodal Transit

Transcript Highlights:
  • the Alabama Department of Public Health.
  • and the licensing of bar pilots.
  • There is a little bit of a change in the definition of inland port because Bilabacry was left off of
  • <00:08:59.279> the and the the funds come out of the and the the funds come out of the general
  • :09:05.600> in bit of a change in the definition of in bit of a change in the definition of in
Bills: HB277, SB89, HB135, HB277, SB89, HB135
AL

Alabama 2025 Regular Session

Alabama House State Government Committee Apr 2nd, 2025

State Government

Transcript Highlights:
  • This changes the makeup of the board of trustees of the University of South Alabama.
  • meetings instead of 10 days at 24.
  • They're pretty much mirror images of each other. Okay.
  • Uh, so that really that aspect of it isn't changing.
  • All in favor of the approval of the sub say "Aye." Aye. Any opposed? Okay, the sub's approved.
Bills: HB442, HB459, HB90, HB91, HB461, HB481