Video & Transcript : 'interjurisdictional practice' :

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FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Mar 5th, 2025

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • Senate Bill 294, collaborative pharmacy practices for chronic health conditions by Senator Harold.
  • You know, several years ago, I think it was about six years ago, we expanded the scope of practice for
  • 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
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.
FL

Florida 2026 Regular Session

Health Policy Feb 2nd, 2026

Health Policy

Transcript Highlights:
  • for advanced practice nurses.
  • Gail Harrell, Doctor of Nurse Practice, invites you to her practice.
  • I am a doctor of nursing practice.
  • I am a doctor of nursing practice.
  • I am a doctor of nursing practice.
Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758
Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.
NH

New Hampshire 2025 Regular Session

House Ways and Means (03/18/2025)

Transcript Highlights:
  • practice.
  • I practice all over the country.
  • I'm a practice of one doctor.
  • Some practice in health care facilities; others practice as co-partners in private small family practices
  • This practice, in particular, Dr.
Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Oct 7th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • That is due to age and changes in types of practices in oral health.
  • There's been a big change in practice.
  • been major issues in your practice, you're going to get a license.
  • In turn, they will practice in New Mexico after they finish.
  • And come back to practice in one of these high rural areas.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • They have been authorized to practice.
  • They have been authorized to practice.
  • Years of practice: how many years of practice is a candidate required to have to even apply?
  • How recent is that practice?
  • Of approach to practice.
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
WA
Transcript Highlights:
  • Because I'm having trouble formulating what it would look like practically.
  • Because I'm having trouble formulating what it would look like practically.
  • Well, for instance, somebody is just aged out of a practice, sold their practice, or decided that they're
  • going to leave the practice.
  • So if they've been out of practice for a long time, that could be cause for concern.
Summary: The House Postsecondary Education & Workforce Committee held a public hearing on Senate Bill 6258, which would authorize the Washington Medical Commission to adopt rules allowing physicians and certain other licensees to voluntarily relinquish their licenses outside of a disciplinary process. Staff and the bill sponsor explained that the current system only allows relinquishment through a disciplinary or quasi-disciplinary path, which can trigger reporting to national databases even when there is no misconduct. Testimony from the Medical Commission and the Washington Physicians Health Program supported the bill as a non-disciplinary, permanent, and more dignified way for providers to exit practice while preserving patient safety by excluding those under investigation or discipline. The chair said the committee would executive the bill the next day and asked that amendments be submitted by 6 p.m. that day. The committee then held a work session on part-time/adjunct faculty in the community and technical college system. State Board of Community and Technical Colleges staff described the system’s 34 colleges, the role of local bargaining, and the differences in duties and pay between full-time and part-time faculty. They noted that adjunct pay has historically lagged and cited a 2024 report estimating it would cost about $75.1 million to raise average adjunct compensation to 85% of full-time faculty pay. American Federation of Teachers Washington representatives and contingent faculty testified in support of HB 2538, arguing that contingent faculty are underpaid, often lack stable employment and compensation for work outside class time, and that higher pay would improve retention, student support, and equity. Members asked about bargaining structures, health benefits, workload, and comparisons to other faculty roles. In executive session, the committee considered Substitute Senate Bill 5931, which makes administrative changes to the Workforce Education, Investment, Accountability, and Oversight Board, including removing a public dashboard requirement and adjusting election timing. The bill passed 14-1 and was reported out with a do-pass recommendation. The committee also approved Senate Bill 5963, which automatically makes Passport to Careers participants income-eligible for the Washington College Grant and aligns need calculations with the federal formula; it also directs Passport funds into the state financial aid account. That bill passed unanimously, 15-0, and was likewise reported out with a do-pass recommendation.
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Feb 19th, 2026 at 10:30 am

Early Learning & K-12 Education

Transcript Highlights:
  • Does that prohibit that practice? It's not locked.
  • Does that prohibit that practice?
  • There's nothing in the bill that would prohibit existing practices, for sure.
  • You're using evidence-based practices and so forth.
  • You're using evidence-based practices and so forth.
KY
Transcript Highlights:
  • </c> clinical practice. clinical practice.
  • </c> the scope of your practice? the scope of your practice?
  • </c> allows currently practicing allows currently practicing professionals<00:19:23.120><c> to</c><00
  • </c> clarifies the scope of practice clarifies the scope of practice definitions,<00:20:08.760><c> and
  • . practicing. practicing.
Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Jun 15th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • This bill's language wrongly criminalizes our practice and mischaracterizes us. I think this...
  • And it's something that's already outside the scope of those of us who practice.
  • My title is a diploma of osteopathic manual practice, quite simple and very easy to explain.
  • These changes recognize how veterinary medicine is actually practiced and shelter...
  • We believe in practice these ...way to reduce shelter euthanasia.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025 at 10:00 am

Health & Long-Term Care

Transcript Highlights:
  • They have been authorized to practice.
  • How recent is that practice?
  • There should be a limitation on time out of practice.
  • They call it practice ready assessment.
  • Of approach to practice.
Summary: The committee opened with an extensive update on the expected effects of federal HR1 on Washington’s health care system, especially Medicaid and the individual market. Governor’s office and Health Care Authority staff said the bill is likely to cause immediate coverage losses in the exchange beginning in January, followed by larger Medicaid impacts over the next several years. They highlighted likely premium increases, administrative burdens from more frequent eligibility checks and work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, and possible effects on rural hospitals and safety-net providers. They also noted separate CMS rules already being implemented in Washington on prior authorization, managed care access, home- and community-based services, and eligibility/enrollment, and explained how those rules interact with HR1’s new requirements and timelines. Members asked about Planned Parenthood funding, work requirements, rural health grants, provider impacts, and how the state will use existing systems and a forthcoming timeline to prepare for implementation. The committee then received an update on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Presenters described the state’s clinical experience license, the clinical evaluation tool used to assess readiness, a grant program for career guidance and clinical training, and a 2025 law adding a hardship waiver process. National presenters from World Education Services and the Federation of State Medical Boards said many states have adopted similar pathways because of physician shortages, but approaches vary widely. They recommended clear guardrails, employment offers before application, ECFMG certification, supervised provisional practice, data collection, and protections against exploitation. Committee members asked about portability across states, retention of IMGs, and whether Washington should pursue additional options such as dedicated residency slots, preceptorships, or practice-ready assessment models. The final topic was an update on the Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles praised the state’s work, noting Washington’s high Medicaid reimbursement rate for doulas and the importance of building infrastructure to support equitable maternal care. Health Care Authority staff said the benefit launched on January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled with Apple Health, 287 clients served, and 641 claims paid so far, while also acknowledging barriers such as provider enrollment, claims submission, client matching, and language access. Doulas for All described the hub as part of a broader effort to expand access, support community-based birth workers, and reduce maternal and infant mortality disparities, especially for Black and Indigenous families.
KY

Kentucky 2026 Regular Session

House Standing Committee on Licensing, Occupations, and Administrative Regulations.(2-4-26)

Licensing, Occupations, & Administrative Regulations

Transcript Highlights:
  • So, I'm going to vote in practices.
  • </c> workforce mobility and remote practice workforce mobility and remote practice settings.<00:07:15.280
  • </c><00:13:54.160><c> before</c> undergo a supervised practice before undergo a supervised practice before
  • </c><00:18:43.840><c> Act</c> Kentucky Veteran Veterinary Practice Act Kentucky Veteran Veterinary Practice
  • This is this is what practice acts.
FL

Florida 2025 Regular Session

Health Policy Mar 11th, 2025

Transcript Highlights:
  • And general Kerr recommended practices.
  • So we want to study that and see if there's better practices.
  • She will have 30 miles away, said a practice.
  • They're straight out of practice.
  • If they want to go and it's an expense set up a practice on their own or go join another practice.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 14th, 2026

New Mexico House Floor Meeting

Transcript Highlights:
  • Gentleman, we haven't done this kind of scope of practice expansion for...
  • It doesn't restrict practice.
  • , where we have expanded scope of practices and debated that.
  • We normally talk about practicing independently and that sort of thing.
  • Speaker, generally, there are some large practices, say in Albuquerque.
Bills: HB145 , HB164 , HR1 , HB20 , HB65 , HB66 , HB80 , HB306 , SB29 , SB37 , HB99 , HB206 , HB213 , HB270 , SB104 , SB193 , HB38 , HB254 , HB256 , SB58 , SB64 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM39 , HM29 , HM43 , HM59 , HM11 , HM14 , HM21 , HM34 , HM50 , HB253
Summary: The House opened with quorum, invocation, pledge, and several announcements recognizing guests and Early Childhood Day at the Roundhouse, including remarks supporting New Mexico’s universal child care efforts. The chamber then received and adopted a long series of committee reports, moving multiple bills forward, including HB 303, SB 96, HB 195, HB 279, HB 292 (with a Judiciary substitute), SB 30, HB 234, SB 35, SB 40, SB 43, HB 153 (with an Appropriations substitute), HB 253, HB 255, HB 287, HB 371 (with an Appropriations substitute), SB 143, HB 248 (with a Taxation and Revenue substitute), HB 309, SB 48, and enrollment/signing reports for memorials. The House also received Senate Judiciary Committee substitute for SB 41, which would eliminate the statute of limitations for certain sexual crimes and was referred to Judiciary. The main floor debate centered on House Judiciary Committee substitute for HB 99, a medical malpractice reform bill. Supporters said it would balance patient compensation with provider stability by capping punitive damages, raising the burden of proof for punitive damages, and limiting when such claims can be pleaded. Several members described the bill as the product of months of bipartisan work and argued it would help retain doctors, especially in rural areas. The House passed HB 99 on final passage by a vote of 16-3. The House also passed HB 66, expanding the health care provider loan repayment program, by 69-0; HB 306, addressing unexpected patient-facing facility fees, by 69-0; HB 38, adding wheelchairs to insurance coverage for certain prostheses-related benefits, by 69-0; HB 20, allowing Native American applicants to request a distinguishing designation on driver’s licenses and ID cards, by 66-3; and HB 253, preserving and regulating virtual education with an emergency clause, by 69-0. The chamber then took up HB 213, which expands optometrists’ scope of practice to include certain laser eye procedures. A proposed amendment requiring patients to sign a disclosure acknowledging that optometrists are not MDs or DOs and did not attend medical school was debated at length, with supporters framing it as informed consent and opponents calling it demeaning and unnecessary. The House tabled that amendment 35-19, and the underlying bill continued in debate at the end of the transcript.
TX
Transcript Highlights:
  • , it is still the practice of medicine.
  • He has a practice in College Station and another practice in Belleville, Texas.
  • APNs are limited to their scope of practice.
  • They are not coming into family practice. ... of physicians are going into family practice, and we even
  • We deal with all kinds of medical practice. I'm sorry.
NH
Transcript Highlights:
  • </c><00:03:52.640><c> of</c> local anesthesia and the practice of local anesthesia and the practice of
  • </c> name is Lori Rosado I'm a practicing name is Lori Rosado I'm a practicing dentist<00:04:55.919><
  • by hygienist as a profession practiced by hygienist as a profession practice<00:05:25.840><c> safely
  • optometric practices.
  • and optometric practices.
Summary: The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent. HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.
NM

New Mexico 2025 Regular Session

Senate Chamber Mar 18th, 2025

New Mexico Senate Floor Meeting

Transcript Highlights:
  • I don't care what religion you, you practice.
  • Now let's go to the Unfair Practices Act.
  • These private remedies already exist under the unfair trade practices.
  • Pretending to be unfair trade practices. When it's really aimed at.
  • I've never done an unfair trade practices claim. This is not, this is not my practice of law.
FL

Florida 2025 Regular Session

Judiciary Feb 11th, 2025

Transcript Highlights:
  • It was created by the court to assist with admissions of lawyer into the practice of law.
  • We're proposing changes to the rule that govern how laws practice and the courts.
  • Employers must be members of the Florida part of practice here in Florida.
  • Sometimes it's an entity that's engaged in the practice of law.
  • Non-lawyers engaging in the license practice of law.
FL
Transcript Highlights:
  • . >> Chair Trumbull: NEXT WE MOVE TO TAB 2, SENATE BILL 294 ON PHARMACY PRACTICES FOR PRODUCT HEALTH
  • PHARMACY PRACTICE PRINCIPLES ACT AND AT THAT POINT RECOGNIZE VARIOUS CONDITIONS THAT IT WAS A VERY GOOD
  • PHYSICIANS AND PHARMACISTS HAVE BEEN ENTERING INTO COLLABORATIVE PRACTICE AGREEMENTS OR CHRONIC HEALTH
  • THERE IS NO NEED TO LIMIT PRACTICES FOR MODERN PATIENT CENTERED CARE WHICH CAN LOWER HOSPITALIZATIONS
  • MY NAME IS MARIO LOPEZ, CARDIOLOGIST PRACTICING IN CHARLOTTE COUNTY SOUTHWEST FLORIDA FOR 37 YEARS.
FL

Florida 2026 4th Special Session

February 3, 2026 - 02:30 PM

Transcript Highlights:
  • Today I present HB 439, Practice of Chiropractic Medicine. The bill is about patient access.
  • Today I present HB 439, Practice of Chiropractic Medicine. The bill is about patient access.
  • Can a physician currently practicing under a temporary area of need certificate obtain any permanent
  • CAN A PHYSICIAN&nbsp; 546 CURRENTLY PRACTICING UNDER A&nbsp; TEMPORARY AREA OF NEED CERTIFICATE&nbsp;
  • Act does not explicitly state whether practice under a temporary ACM...
Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • of any other design professional from practicing.
  • It does not limit or restrict or prevent the practice of any other design professional from practicing
  • of any other design professional from practices. or restrict or prevent the practice of any other design
  • to continue to practice.
  • But in practice, there is a disconnect.
Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on several real estate, housing, and consumer protection bills. A major portion of the hearing focused on bills to create licensure for commercial interior designers (H.324/S.254), with supporters from the architecture and interior design fields arguing the measure would recognize a distinct profession, expand permitting authority for qualified designers, improve public safety, and remove barriers to firm ownership and public contracting. Witnesses said the proposal had been redrafted through collaboration among interior designers, architects, engineers, and building officials, and Senator Gomez said the Senate had passed the bill previously and hoped to advance it again. The committee also heard support for H.450 on solar customer protections, with solar companies backing standardized disclosures, a consumer brochure, a longer rescission period, and sales registration requirements as consumer safeguards that would not materially disrupt business operations. The committee then took testimony on H.431/S.245, a bill to end housing discrimination in the Commonwealth. Senator Gomez, fair housing advocates, and several renters described alleged discrimination against Black renters and voucher holders, citing testing data and personal experiences. They said the bill would strengthen enforcement by linking court findings to temporary license suspensions, require fair housing training, increase public reporting, and add board representation with fair housing or voucher-holder experience. A real estate appraisers representative also supported S.196, which would make appraisal licensure mandatory in Massachusetts, arguing that home valuation should be done by licensed professionals. A substantial part of the hearing addressed broker-fee and rental-timing bills, including H.335, H.336, H.374, H.224, and H.449. Supporters of the broker-fee changes argued that tenants should not be charged fees when the landlord hired the broker, while opponents warned the language could restrict tenant representation and harm small landlords, students, and the rental market. Several witnesses opposed the 90-day lease-signing window in H.336, saying it would compress the September rental cycle, worsen competition, and make it harder for students and out-of-state renters to secure housing. The chairs noted that broker fees had already been addressed in the state budget, and the hearing concluded with no votes on the bills, only the close of testimony and an announcement that the committee would not hold another hearing until later in the year.