Transcript Highlights:

• These delays have been allowed to practice, and there's delays in patients from getting care.
• Certified midwives have been practicing in some states for upwards of 30 years.
• Certified midwives have been practicing in some states for upwards of 30 years.
• Certified midwives have been practicing in some states for upwards of 30 years.
• <00:10:52.959> for midwif fre scope of practice for midwif fre scope of practice for certified

Keywords: 1187, senate, all

Transcript Highlights:

• <00:10:10.160> Act approach of the data Practices Act approach of the data Practices Act restoring
• of money to deal with data practices of money to deal with data practices requests<00:15:43.000>
• budget to deal with any data practice budget to deal with any data practice requests<00:16:31.040
• It doesn't create any additional data practice requests.
• or 1365 which is the the data practices or 1365 which is the the data practices section<00:56:26.039

Keywords: 1183, house

Transcript Highlights:

• institution's best management practices institution's best management practices for<00:41:19.400
• do um GIS map and track all practices do um GIS map and track all practices implemented<00:43:09.680
• wants to know the outcomes of a practice wants to know the outcomes of a practice or<00:43:19.440
• <00:45:51.319> um adoption of conservation practices um adoption of conservation practices
• It's not going to pay for a practice.

Bills: HF363, HF2155, HF1524, HF821, HF1677, HF1292

Keywords: HF363, property tax credit, agricultural water quality credit, Minnesota agricultural water quality certification program, clean water fund, class 2a, class 2b, certified acres, conservation incentive, water quality, agricultural property, county assessor, county auditor, Department of Revenue, Department of Agriculture, property tax reimbursement, school district reimbursement, legacy finance, taxes committee, southeastern Minnesota

Transcript Highlights:

• I am a co-owner of a medium-sized family medicine practice in Arlington.
• As a practicing family physician and co-owner of my practice, I can speak firsthand about how unreasonable
• That is not a typical practice. Captain of Carrick. Thank you.
• So Massachusetts has removed all barriers and restrictions to scope of practice for all advanced practice
• We are a direct primary care practice.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• <00:11:01.760> of medications and overall uh practice of medications and overall uh practice
• how they couldn't leave their practice how they couldn't leave their practice to<00:16:56.199>
• a reasonable practice in the practice<00:19:36.159> of<00:19:36.320> medicine<00:19:36.760
• > that<00:19:36.880> if<00:19:37.000> your practice of medicine that if your practice
• to put some rules around this practice to put some rules around this practice uh uh uh and<00:22

Keywords: 1191, senate, all

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.

Keywords: 999, senate, all

Transcript Highlights:

• Our state's reentry to practice requirement is two years.
• two-year restricted license allowing independent practice.
• Are they practicing?
• Go to practice from other countries.
• and want to practice in small-town New Mexico?

Transcript Highlights:

• How would your practice change? How would your practice change?
• They're wellness practices.
• alternative about these practices. alternative about these practices.
• <01:37:59.280> Early a practical necessity. Early a practical necessity.
• I own my own practice.

Keywords: 1191, senate, all

Transcript Highlights:

• It has clear and sufficient authority over the licensees and those authorized to practice in the state
• public accountancy in California under existing interstate practice rules, and those working under a
• Steven Abelowitz, and I've been working as a practicing pediatric physician for almost 30 years.
• help me grow my practice to reach more patients and provide. better care.
• My name is Jorge Gonfer on behalf of myself as a practicing EMT and a future physician in support.

Keywords: 988, house, all

Transcript Highlights:

• I don't practice. I never intended to practice. I wanted to be an organizer for my community.
• In my practice as an attorney, I've been medical malpractice.
• HB 213 moves the practice of this surgery outside of the Medical Practice Act.
• I've also practiced at our centers in Alaska and Montana.
• I'm a practicing optometrist in Gallup, New Mexico.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• practices act can be extremely costly. practices act can be extremely costly.
• is to respond to data practices is to respond to data practices requests. requests. requests.
• mine who's an expert on data practices mine who's an expert on data practices laws
• as a practical matter.
• Practice principles.

Keywords: 1183, house

Transcript Highlights:

• that they felt in these type practices. that they felt in these type practices.
• and to my practice of medicine.
• This may not affect your practice. We don't do legislation just for your practice.
• And there are a lot of practices that this will affect, but it may not affect your practice.
• Chairman, I'd like to ... uh to continue to practice. Thank you. uh to continue to practice.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• <00:09:14.560> that cohesive evidence-based practices that cohesive evidence-based practices
• probably have heard about the practice probably have heard about the practice assessments.<00:42
• Now you can practice.
• keeping the practice. keeping the practice.
• <00:59:53.040> chairs, practice is the answer. So, Mr. chairs, practice is the answer.

Keywords: Call to Order and Roll Call - 00:13 Approval of Minutes - 4:07 Kentucky Academic Standards for Reading and Writing - 5:18 Math Improvement Committee Report - 21:02 ETS Praxis Exam - 41:47 KDE Performance Review Data - 1:15:04 Adjournment - 1:57:54, 958, all

Summary: The committee heard a presentation from KDE on the revised Kentucky academic standards for reading and writing. KDE explained the statutory six-year review process, the public comment periods, and the main revisions, including updates tied to the science of reading, decodable text, encoding/decoding, and an updated vision statement. KDE said 308 responses were received on the initial public comment, most respondents favored keeping standards as-is, and about 12% of standards were revised. The department also said the document was streamlined by removing repeated graphics and reducing its size by about 24%, and that a later comment period drew more than 400 responses. No new standards were flagged for review. Members asked about alignment between standards, curriculum, assessments, and NAEP, and KDE said instructional resources should be aligned to standards, KSA assessments are aligned to the standards, and screeners/diagnostics help identify student needs. Representative Truett raised the idea of a textbook-to-standards crosswalk, and KDE said publishers and a future repository partner should provide such crosswalks for local districts. Representative Bojanowski asked why foundational reading skills are not directly assessed on the third-grade KSA; KDE responded that the assessment is designed to measure end-of-grade expectations, while screening and diagnostics are used earlier to identify decoding needs. Representative Gel asked about early childhood supports, and KDE said it is working with early learning and special education offices and promoting LETRS professional learning for both teachers and preschool educators. The committee then received the mathematics improvement committee report. KDE said the mathematics committee unanimously approved a new strategic plan for improving math achievement from pre-K through grade 20 and adult education. The plan centers on six priorities: student empowerment, effective mathematics teaching and learning, continuous educator development and growth, a continuum of learning, community and family partnerships, and teacher recruitment and retention. KDE said the plan is intended as a living document with goals, recommended actions, and evidence bases, and that it aligns with the Kentucky Numeracy Counts Act by supporting high-quality instructional resources, professional learning, and family resources. In response to Senator Thomas, KDE explained that the professional learning recommendation means districts should tailor teacher training to classroom needs and instructional materials so math teachers are better equipped to implement standards and support students.

Transcript Highlights:

• <00:26:14.919> out<00:26:15.080> of dietitian who practices out of dietitian who practices
• practice.
• No extension of scope of practice.
• No extension of scope of practice.
• <00:37:47.319> we're extension of of scope of practice we're extension of of scope of practice

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• House Bill 649, autonomous practices by CRNAs.
• Vice Chair, House Bill 649, Autonomous Practices by CRNAs.
• Nursing Practice in Nurse Anesthesiology program at USF.
• There are really only five states that have true independent practice.
• We can argue about scope of practice and whether this is it or it isn't.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• practice practice um<00:46:14.400> the<00:46:14.559> experience<00:46:15.160> of
• And how many of the J-1 teachers go through a practice... sure it is due to the practice test it sure
• because like some of you said practice because like some of you said practice can<01:09:07.279><
• Practice is not the requirement.
• Not all use the practice test.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 627, which concerns Department of Education school safety funding and staffing. DOE said the bill would restore two positions and related funding that had been removed from the governor’s budget: a targeted violence prevention and threat assessment program manager and a security technology manager. DOE described ongoing work on school vulnerability assessments, fire suppression measures, security camera research, panic buttons, and active shooter prevention training. Testifiers from DOE, the Department of Law Enforcement, fire services, HSTA, and an individual witness all supported the bill, with the individual citing a past school shooting experience as a reason to increase school resource officers and safety measures. Members asked about the positions’ duties, how the request differed from existing security funding, and the status of active shooter training; DOE said it would provide more information on training statistics. The committee then took up HB 249, relating to Executive Office on Early Learning family child interaction learning programs. The Early Learning Board, EOEL, Commit to Kids, Early Childhood Action Strategies, Partners in Development Foundation, and others testified in support. EOEL said it currently spends about $800,000 annually on FCI program contracts and supports expanding state funding for FCIL programs, including infant and early childhood mental health, if the appropriation covers the broader scope. Testifiers emphasized that FCIL programs are trauma-informed, evidence-based, and help families and children, with one provider sharing a long-term example of a parent and child benefiting from the program. Members asked how many programs are supported, whether FCIL exists on all islands, and whether the request was in the governor’s budget; EOEL said the expansion was requested by the office but not included in the governor’s budget. HB 429, concerning pre-K expansion, drew broad support from the Lieutenant Governor, EOEL, HSTA, and community groups. Supporters said the Ready Keiki initiative has already opened more than 50 classrooms and would add another 50 over the next two years, including Hawaiian immersion classrooms. EOEL said it currently administers 72 public pre-K classrooms across 74 campuses and that the bill’s funding was included in the governor’s budget request. Testimony stressed kindergarten readiness, affordability for working families, equity across islands, and inclusion classrooms. Members asked about national quality benchmarks, with EOEL stating Hawaii meets 10 of 10 benchmarks and that only five states had done so at the time referenced. The Lieutenant Governor also described construction and delivery efforts, including refurbishing existing classrooms, modular options, possible use of state buildings, and even collaboration with libraries to expand child care access. Finally, the committee heard HB 439 on J-1 teacher licensure. DOE supported the bill, while the Hawaii Teacher Standards Board opposed it, arguing licensure standards are not place-based and should remain rigorous and uniform for all educators. The Attorney General’s office offered technical comments, including replacing “educators” with “teacher” and clarifying the bill’s language on issuance and renewal conditions. Several organizations and individuals testified in support, including school, cultural, business, and educator groups. One witness, a teacher from the Philippines, said J-1 educators are highly qualified and described the rigor of teacher preparation in the Philippines. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• A secure physician group practice.
• rural and smaller community practice rural and smaller community practice addressing<00:16:07.199
• <00:21:36.480> plan to see how we work as a practice plan to see how we work as a practice
• <00:24:40.480> of community practice, the practice of community practice, the practice of
• medical school faculty practicing medical school faculty practicing clinically<00:31:45.279>

Keywords: 1183, house

Transcript Highlights:

• Best practices.
• When I first worked on this, practices.
• 00:05:00.800> exams likely uncommon, these practice exams likely uncommon, these practice exams
• for unconscious practice exams.
• for unconscious practice exams.

Keywords: 1183, house

Transcript Highlights:

• All of this impacts midwives' ability to sustain their practices.
• Let me give you a couple of real-life examples from my practice.
• My practice is on the South Shore.
• I started a direct primary care practice in 2017 called Action Medicine and currently practice in Braintree
• I'm going to give you some examples from my clinical practice.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• I practiced for 35 years.
• I started my own practice, and now I have a couple of partners.
• Oh, this person has also got a license to practice in New Mexico.
• of their time has to be practiced here, but if they're practicing in Texas even 15 percent, that means
• Practicing out of state.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce