Transcript Highlights:

• They saw practices self-sustaining in 90 days at a 30% margin after 11 months.
• We know that it works in large practices.
• ...or is that a referral within the practice and collaborative care?
• Altman's team to provide collaborative care at his practice.
• Well, it's because, first of all, it's a proven practice.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• of practice, would have to be made in statute.
• practice independently.
• And there are a couple of states that have adopted this practice already.
• in other countries and have practiced in other countries.
• So I've taken what you've given me and I put it into practice.

Committee: House House Health & Human Services

Transcript Highlights:

• </c> practice law in Fort Mitchell, Kentucky. practice law in Fort Mitchell, Kentucky.
• </c> an attorney that practices in Lexington. an attorney that practices in Lexington.
• We run the risk of practicing law.
• </c><00:15:34.079><c> of</c> this goes directly to the practice of this goes directly to the practice
• </c><00:36:31.599><c> I</c> it's very practical. I can use it. I it's very practical. I can use it.

Committee: House Licensing, Occupations, & Administrative Regulations

Transcript Highlights:

• I've practiced for 29 years.
• My daughter practices with me.
• I have a small practice.
• I can just speak to my practice, but in my practice, that is not true.
• And do you have your own practice, your own ASC, your own pain center? My own practice.

Bills: SB30 , SB517 , SB1313 , SB1314 , SB1316 , SB1541 , SB1698 , SB1845 , SB1860 , SB2420 , SB2429

Committee: Senate State Affairs

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections

Summary: The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights. The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.

Transcript Highlights:

• But just to clarify, we're not practicing medicine because in the state of Louisiana, practicing medicine
• Today you're not practicing medicine, but this bill would allow you to practice medicine. Correct.
• But today you're not practicing medicine, but this bill would allow you to practice medicine.
• scope of practice, including opioids.
• You know, I don't really see it working in practice.

Committee: House Health and Welfare

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• S.163, an act relating to the role of advanced practice registered nurses in hospital care. >> Member
• </c><00:16:45.000><c> registered</c> role of advanced practice registered role of advanced practice registered
• registered nurses in advanced practice registered nurses in hospital<00:17:08.760><c> care.
• Over time, hospital practice has evolved to include advanced practice registered nurses and physician's
• </c> V.S.A. section 1851 of advanced practice V.S.A. section 1851 of advanced practice registered<00:

Transcript Highlights:

• 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.
• We've been doing multi-tiered supports for quite a while now, inclusive practices.
• Those are evidence-based practices and they're essential for preventing restraint and isolation.

Summary: The committee opened by explaining that several bills had been removed from the agenda because the Senate must physically possess a bill before holding a public hearing. The chair said the missing bills would be rescheduled for Tuesday. The committee then waived the five-day notice rule for considering substitute House Bills 1705 and 32010, and proceeded to hear substitute House Bill 2219 and substitute House Bill 1795. House Bill 2219, on child care operational efficiency, would allow longer mixed-age ratio periods in child care centers, waive repeat DCYF orientation requirements in certain cases when staff have recently completed the same training, and require licensing standards to include a zero-tolerance policy for imminent physical harm involving high-potency synthetic opioids and related drug residue or paraphernalia. The prime sponsor and supporters said the bill would help child care providers manage staffing shortages, take breaks, and reduce duplicative licensing burdens. Testimony was strongly supportive, with advocates and providers describing the bill as a low-cost way to improve retention and flexibility. Questions focused on how the fentanyl language would apply to prescribed medications. House Bill 1795 would narrow and update state law on restraint and isolation in public schools and other public educational programs. The bill prohibits mechanical and chemical restraints and restraints that restrict breathing or blood flow, bars planned isolation in IEPs and 504 plans, limits planned restraint to cases with parent request and medical necessity, and prohibits new construction or remodeling of spaces intended primarily for student isolation. Supporters, including disability advocates, educators, school psychologists, principals, and state education groups, said the bill is a needed step toward reducing trauma and disproportionality and cited demonstration sites showing reductions in restraint and isolation. Some educators and paraeducators raised concerns about staffing, training, and what tools remain available in crisis situations, while others asked for future work on professional development and resources. No vote was taken on either bill during the hearing.

Transcript Highlights:

• In this illustrative example, in a platform practice of three physicians in one practice, depending on
• In this illustrative example, in a platform practice of three physicians in one practice, depending on
• Amy Gilbert, a family practice physician who trained in Minnesota and practiced here in a variety of
• </c> trained in Minnesota and I practiced trained in Minnesota and I practiced here<01:30:21.840><c>
• Please pass the leaving practice.

Bills: HF3668 , HF2779 , HF2771

Committee: House Health Finance and Policy

Transcript Highlights:

• And the board itself doesn't control the scope of practice. We do as the legislature.
• Their practice scope is a carve-out of the scope of practice of dentistry.
• I emphasize again that this board does not control the scope of practice.
• Again, this board does not control the scope of practice.
• I practice up in Lewis County, in Idaho County.

Committee: Senate Health and Welfare

Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would save money, address the denturist board’s negative cash balance, and preserve separate scopes of practice while giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL emphasized public safety, efficiency, and lower fees, while denturists and their representatives argued the change would create a conflict of interest because dentists and denturists compete for the same patients and dentists could influence education, licensing, and scope-of-practice decisions. After debate, the committee voted 4-3 to send HB 935 to the floor with a due pass recommendation. The committee then took up House Bill 913, which would begin implementing federal Medicaid work requirements for able-bodied adults and use a three-month look-back period before the January 1, 2027 effective date. Representative Van de Woude said the bill would help the state prepare budgets and give enrollees time to meet requirements such as work, job training, school, or community service. Testimony split between supporters, who framed the bill as encouraging responsibility and independence, and opponents, who warned that the added administrative burden could increase errors, costs, and confusion, especially while the department is already handling managed care and other Medicaid changes. Hospital, child advocacy, and other opponents urged a one-month look-back instead of three, while the sponsor defended the three-month period as better for long-term compliance and smoother implementation. The committee rejected a substitute motion to send HB 913 to the 14th order for possible amendments, then voted to send the bill to the floor with a due pass recommendation. The final vote on the motion passed after discussion, and the committee adjourned after completing its business for the day.

Transcript Highlights:

• </c> practice in the next five years. practice in the next five years.
• </c> assistants, and advanced practice assistants, and advanced practice registered<01:12:19.120><c>
• </c> their actual practice? their actual practice? Chair<01:15:46.320><c> Schemacher.
• </c> that's why I brought up the practice that's why I brought up the practice question<01:45:07.440>
• </c> opportunity to have more nurses practice opportunity to have more nurses practice under<01:45:21.600

Bills: HF1925

Committee: House Health Finance and Policy

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation

Transcript Highlights:

• They practice there or don't practice.
• They practice there or don't practice.
• practice in Sholo.
• I've practiced in the third world extensively.
• I've been practicing for 15 years in a private practice. I am not owned by private equity.

Committee: House House Health & Human Services Committee of Reference

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

Transcript Highlights:

• But as a practical... ...hear bills.
• I mean, if you see this, the practice in health care facility emergency practice practitioner may not
• practice in a medical office.
• practice in a medical office.
• practice in a medical office.

Bills: HB99 , HB38 , HB165 , HB127 , HB72 , HB151 , SB40 , SB104 , SB136 , SB164

Committee: Senate House Judiciary

Summary: The committee first took up Senate Bill 40, a committee substitute addressing automated license plate readers (ALPRs) and privacy. Sponsor Sen. Worth said the bill was intended to preserve ALPRs as a law-enforcement tool while adding guardrails to prevent sharing or selling data for immigration enforcement, protected health care activity, or criminalizing constitutionally protected conduct. Supporters included state and local law enforcement, the ACLU, immigrant-rights, reproductive-rights, and sexual-assault advocacy groups. Law enforcement witnesses said the bill balanced privacy with public safety and cited cases where ALPRs helped locate kidnapped children, murder suspects, and stolen vehicles; opponents and some senators argued the bill was too narrow, too focused on immigration and health care, and raised concerns about federal law, data sales, and enforcement. After debate, the committee adopted an amendment removing subsection F, then approved the committee substitute and advanced SB 40 on a do-pass motion. The committee then heard Senate Bill 104, which would create a process for removing wildlife commissioners after the 2023 wildlife commission legislation and the governor’s veto of the prior removal language. Sen. Worth explained that SB 104 would allow the governor to initiate removal for malfeasance, incompetence, or failure to attend meetings, with notice, a hearing, and exclusive review by the state Supreme Court; he said it was modeled on the Board of Regents removal process and was intended to complete the wildlife commission reforms. The New Mexico Wildlife Federation, Audubon Southwest, and the Department of Game and Fish supported the bill, saying it would depoliticize wildlife management and provide stability. Senators asked about the existing “three consecutive meetings” vacancy language, current vacancies, and the prior removal of a commissioner. The committee discussed the governor’s earlier veto and whether the bill was necessary, but no amendment was adopted and the committee approved SB 104 on a do-pass motion.

Transcript Highlights:

• There are plenty of people that practice a religion that doesn’t allow it.
• There are plenty of people that practice a religion that doesn't allow it.
• Those best-practice standards filter down from the medical world into the clinical practice.
• In our medical world, there are best practices.
• In our medical world, there are best practices.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved the minutes and then took up a large agenda of health-related bills. SB 1214, the Arizona Stem Cell Therapy Act, drew extensive testimony from supporters who said it would create guardrails for regenerative medicine, protect patients, and encourage biotech investment, while opponents argued it was tied to abortion politics and imposed harsh penalties. The bill passed on a 4-3 vote. SB 1194, which would prohibit health professionals and institutions from denying care based on vaccination status, also passed 4-3 after testimony from supporters framing it as an access-to-care and religious-freedom measure and opponents warning it would interfere with private practice policies and parental choice. SB 1814, creating a study committee on substance use disorder treatment standards and oversight, passed unanimously 7-0. SB 1602, increasing stipends for kinship foster parents, passed as amended 7-0, and SB 1603, expanding child-only cash assistance eligibility, also passed as amended 7-0. The committee then considered several bills focused on gender-related care and public funding. SB 1177, which bars public monies from funding gender transition procedures and makes intentional violations a felony, passed 4-3 amid testimony that it protects taxpayers and counterarguments that it is discriminatory and unsupported by evidence. SB 1014, requiring insurance coverage for detransition procedures when transition care is covered and directing data reporting on transition and detransition, passed 4-3 after supporters said it would help detransitioners and collect needed data, while opponents argued it would chill providers and target transgender patients. SB 1094, creating civil liability for physicians who perform irreversible gender reassignment surgery on minors, was heard with testimony from supporters citing malpractice concerns and detransitioner harms and from opponents saying it would create a hostile environment for providers and treat trans patients differently; the transcript cuts off before the vote is shown. SB 1752, which classifies commercial harvesting or sale of mescaline as a felony while preserving bona fide religious use defenses, passed unanimously 7-0. Later, SB 1628, requiring insurers to report claims-denial and prior-authorization data and DIFI to publish standardized reports, passed unanimously 7-0 after supporters emphasized transparency and opponents called it redundant to federal reporting. SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause, also passed 7-0; supporters said it would prevent patients from losing access to behavioral health care, while health plans and Access said existing oversight already covers much of this and warned the bill could slow necessary network changes. Throughout the meeting, the committee repeatedly adopted motions for due-pass recommendations and, where applicable, amendments, with several bills passing on party-line or near-party-line votes.

Transcript Highlights:

• So, this is a long-standing practice here in Vermont. It wasn't always unique to Vermont.
• Other states did have this practice.
• This is a long-standing practice here in Vermont. It wasn't always unique to us.
• Other states did have this practice.
• Uh, but same uh function in practice.

Transcript Highlights:

• > practice with optometry and practice with optometry and ophthalmology<00:11:37.440><c> is</c><00:11
• 30.160><c> years</c><00:12:30.720><c> and</c> practiced optometry for 38 years and practiced optometry
• These conflicts only arise typically in the political process, not in clinical practice.
• These conflicts only arise typically in the political process, not in clinical practice.
• So I believe not in clinical practice.

Transcript Highlights:

• Where do you practice? Dr. Chestnut: I practice with Dutch Pet Health.
• Senator Leach: So you practice there? Dr. Chestnut: I practice there as well.
• We do practice very similar medicine.
• Madam Chair, no practice is perfect.
• Madam Chairwoman, Senator Epstein, as you can imagine, like any practicing dental practice, we do get

Bills: SB1176 , SB1186 , SB1235 , SB1286 , SB1446 , SB1458 , SB1515 , SB1616 , SB1641 , SB1668 , SB1670 , SB1678 , SB1747 , SB1787

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Transcript Highlights:

• They would be unfamiliar with our scope of practice.
• So a New Mexican psychologist practicing or allowed to practice in a...
• Psychologists practicing or allowed to practice in another state have a complaint lodged against that
• To be licensed to practice in our state.
• , a license to practice in their home state.

Summary: The committee first heard Senate Bill 130, which would require heart calcium scans for people over 50, allow pharmacists to manage related screening and medication, and eliminate cost-sharing barriers for the testing and treatment. The sponsor argued the bill could prevent coronary artery disease deaths and reduce long-term health costs, while an industry lobbyist questioned whether it would actually save patients money and raised concerns about the substitute language. After questions about costs, rural access, pharmacist training, liability, and the effect of treatment, the committee adopted a due pass recommendation on the committee substitute by a 6-4 vote. The committee then considered House Bill 31, the EMS personnel licensure interstate compact. Supporters from the Chamber of Commerce, Think New Mexico, the Health Care Authority, and an autism advocacy group said the compact would help address EMS shortages, improve emergency response, and support rural health workforce needs. One opponent warned about out-of-state personnel practicing under unfamiliar standards and possible retention problems. The committee adopted an immunity-related amendment and then gave the bill a 9-0 do pass recommendation. House Bill 33, the psychology inter-jurisdictional compact, was also heard and amended with a similar immunity change. Supporters said it would expand telehealth and behavioral health access, while some members questioned data on workforce shortages, standards, and how the compact would affect New Mexico’s oversight. The committee approved the amended bill 8-0. House Bill 43, a cleanup bill for PERA disability and survivor pension provisions, was presented as a technical measure to clarify statutes, update the disability earnings cap to match Social Security, and reduce ambiguity without changing benefits or liabilities. Members asked about double-dipping, survivor provisions, and fiscal impact, and the bill received a 9-0 do pass recommendation. The committee also heard Senate Memorial 22, which asks the Legislative Finance Committee to study how CYFD-administered state and federal funds support domestic violence services. Sponsors and advocates said funding has been flat or reduced despite rising need, and that providers need clearer, more transparent data; committee members expressed concern that the state lacks a clear accounting of where the money goes. The memorial passed on a 9-0 vote.

Transcript Highlights:

• It’s a practice in Western civilization to do that.
• I'm a 49-year licensed practicing funeral director in Odessa.
• Your need for bodies to practice on...
• I practice in San Antonio.
• You don't have to say you're practicing.

Bills: SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721

Committee: House Public Health

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• As you know, DCF's practice of taking benefits from codified into law.
• Passing this bill will ensure that DCF can never revert back to this harmful practice.
• DCF instead committed to directing the benefits This practice in 2024.
• Everyone knows now DCF changed its practice. We are so grateful for that.
• In practice, a parent or interested adult being present doesn't buffer against that.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• I'm a practicing optometrist in Benton, Kentucky.
• </c><00:18:41.200><c> in</c> Kentucky who want to practice in Kentucky who want to practice in multiple
• Substituting a practice standards.
• </c> applications and practical applications. applications and practical applications.
• </c> licensed and certified advanced practice licensed and certified advanced practice paramedics.<00

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.