Transcript Highlights:

• You crafted some language that now is standard practice.
• Last but not least, we have HB 883, Advanced Practice Registered Nurse Autonomous Practice, by Representative
• But current law allows for advanced practice registered nurses to engage in autonomous practice of primary
• autonomous practice for psychiatric nurses.
• In Maryland, full practice authority since 2015...

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• supervised practice they can get in the supervised practice they can get in the workforce<00:05:57.960
• No, there's no scope of practice changes. There's no changes to the practice of physical therapy.
• <00:09:04.600> is in and their supervised practice is in and their supervised practice is
• <00:09:18.120> statute so the supervised practice statute so the supervised practice statute
• <00:09:28.839> and six months of supervised practice and six months of supervised practice

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 27, 2025, with a quorum present and first took up House Bill 255, relating to physical therapy. The bill sponsor and representatives of the Kentucky Board of Physical Therapy and APTA Kentucky said the measure is mainly a cleanup and modernization bill that updates outdated statutory language, changes PTAs from “certified” to “licensed,” gives the board authority to purchase liability insurance, moves fee and fine caps into regulation without changing current fees, renames temporary permits as provisional licenses, and creates a pathway to more easily recognize some internationally trained physical therapists already practicing in other states. Senators asked whether the bill changed training, scope of practice, Medicaid, or supervised practice standards; witnesses said it did not, and that supervised practice requirements remain in place with out-of-state practice accepted only when equivalent or more stringent. The committee approved HB 255 with favorable expression. The committee then considered House Bill 618, an alcoholic beverages measure with a Senate committee substitute. The bill was described as having three parts: allowing restaurants to buy limited quantities of alcohol from retail outlets to meet customer demand while keeping the three-tier system intact and requiring quarterly reporting; creating a temporary auctioneer license to auction previously retail-sold alcohol in original packaging, such as estate or bourbon collections; and giving quota bar license holders the same opportunity restaurants already have to sell barrel picks by the bottle. Testimony supported the bill as a way to help restaurants, auctioneers, and bars, while a senator raised a question about sales tax on auction sales and another noted that nonprofit or church-related alcohol auctions already require permits under existing law. One senator suggested future guardrails to encourage local purchasing, but no amendment was adopted. The committee passed HB 618 with favorable expression.

Transcript Highlights:

• He returned to Danville, where he’s been practicing in private practice ever since.
• He has a wide practice experience. He brings to the table. He has a wide practice experience.
• So I've been practicing— So I've been practicing now for almost 23 years.
• Again, it's not the area I practice in, so we don't practice against each other.
• I could practice here.

Keywords: House Committee Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• <00:03:06.159> that benefits of farming practices that benefits of farming practices that
• <00:03:25.319> and the adoption of protective practices and the adoption of protective practices
• <00:03:40.200> that are just some of the uh practices that are just some of the uh practices
• engage farmers and Implement practices engage farmers and Implement practices is<00:10:30.800>
• practices equipment to implement these practices it<01:10:27.320> sing<01:10:27.719> it

Keywords: 1187, senate, all

Transcript Highlights:

• on practice setting. on practice setting.
• . practices. practices.
• . practice. practice.
• > practice under a collaborative practice practice under a collaborative practice agreement<03:27:19.200
• internal in in my practices. internal in in my practices.

Keywords: 1189, house, all

Transcript Highlights:

• So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
• So licensing this practice would be like regulating somebody's prayer or religious practice.
• So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
• So licensing this practice would be like regulating somebody's prayer or religious practice.
• However, many of our practices, if they are practiced consistently, things like yoga, Tai Chi, Reiki,

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• It's for somebody who is currently in practice too, so it's not just, 'I want to practice 30 days in
• Senate Bill 697 modernized the PA Practice Act, not changed the scope of practice, but modernized the
• PA Practice Act by removing outdated administrative requirements that hindered PA practice.
• after 8,000 hours of clinical practice.
• That's a good practice; that's a good transparency practice.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• So right now, if you are a practicing physician in another country, you may have practiced for 20 years
• So right now, if you are a practicing physician in another country, you may have practiced for 20 years
• preventing people from practicing preventing people from practicing medicine<00:02:21.959> uh
• <00:02:33.280> medicine Minnesota who cannot practice medicine Minnesota who cannot practice
• physician will practice the practicing physician will practice generally<00:09:41.320> under<

Keywords: 1187, senate, all

Transcript Highlights:

• Imagine a practice.
• Practice.
• That are medical practices.
• Okay, but that's what I want to say to you is, the Medical Practice Act says a medical practice has to
• They're advanced practice providers.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• This practices act just hasn't coming.
• Uh the throughout the practices act.
• Updating the athletic training practice Updating the athletic training practice act<00:08:49.080
• . practice. practice.
• before practicing independently. before practicing independently.

Keywords: 1187, senate, all

Transcript Highlights:

• New practice sites or from our new practice sites.
• So we continue to get practices, newer practices or practices that aren't ready, that are ready now to
• practices.
• Different practices.
• This is the breakdown of internal medicine and family practice. Practice and PCP practices.

Keywords: 962, all

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• As you can see, the schools we reviewed adopted most of these practices.
• We would like to go through three of the practices in more detail.
• Practice one: small groups, because it's a straightforward example to describe.
• We saw various culturally responsive practices at all of the schools that we visited.
• Two of the practices that stand out to me that I've seen firsthand.

Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.

Transcript Highlights:

• What they do is facilitate two-way practice.
• These are considered the practice of medicine.
• I work in the context of a private practice. As Dr.
• in the faculty practice.
• If they can work as faculty members, practice in faculty practice, and practice in health centers, they

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• state where they intend to or actually practice.
• to practice in Florida.
• autonomous APRNs who are practicing in primary care.
• under the law. ...practice requirements under the law.
• If you practice through the compact, you...

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• It's very rewarding, but about 10 years ago, I took over my father's practice, who had practiced in New
• So he put his practice up for sale.
• This isn't the state to practice in, which as my home state, as the state that I chose to practice in
• This isn't the state to practice in, which as my home state, as the state that I chose to practice in
• The physician daughter practices in Texas, and the attorney daughter practices in New Mexico.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• students is the practice the only way of students is the practice the only way of demonstrating<00:57
• some are having to take the practice some are having to take the practice some<00:58:48.319>
• . practice to take it to get the practice to take it to get the verification<01:04:11.240> that
• been actually paying for the practice been actually paying for the practice for<01:04:40.039>
• <01:15:54.760> um practice um practice um current<01:15:56.000> practice<01:15:56.560><

Keywords: 910, house, all

Summary: The committee on Commerce and Consumer Protection met on February 20, 2025, and heard testimony on several measures. HB 850, relating to condominiums, drew support from the Community Associations Institute and the Hawaii State Association of Parliamentarians, who said it would improve owner participation, clarify voting rules, and preserve the use of proxies as a personal choice. A Zoom testifier supported the bill’s intent but warned that special meetings can be abused and suggested further amendments to address board president authority. Members asked about proxies versus electronic voting and whether the bill would reduce proxy use; no vote was taken. The committee also heard HB 48 on coffee labeling, with the Department of Agriculture in support, and HB 1370 on taxation, where a local brewery representative supported equal tax treatment for beer served from 5-gallon kegs and larger kegs when dispensed from a faucet, arguing the bill would clarify draft beer treatment and encourage sustainability. HB 1422 on motor carriers received comments from the Public Utilities Commission and the Department of State Parks, while representatives from a community-based shuttle initiative supported the bill and said nonprofit, community-led transportation solutions should not be regulated like traditional carriers. HB 874, relating to child performers, received support from SAG-AFTRA, IATSE, and individual performers, who emphasized protecting minors’ earnings, safety, and schooling. Testimony also discussed whether to include social media influencers and whether to add annual income limits or trust-account protections; the Department of Labor and Industrial Relations said the issue was outside its wheelhouse. Later, HB 799 on healthcare drew support from health plans and HMSA, with the Department of Health requesting amendments such as a sunset date, a Maui-only pilot, and a report back before changing its position. HB 1379 on health received support from Hawaii Pacific Health, but the Hawaii Medical Board raised concerns about vague language and public-safety implications for internationally trained physicians, asking for more time to study national licensing recommendations. Finally, HB 439 on education was heard, with the Hawaii Teacher Standards Board opposing the bill as drafted and warning about licensing standards and predatory third-party loans affecting J-1 teachers; the transcript ends before any action or vote on these measures.

Transcript Highlights:

• <00:03:17.840> for the Midwifery scope of practice for the Midwifery scope of practice for
• certified nurse midwives practice certified nurse midwives practice nursing<00:05:01.560> for
• Midwifery practice means says certified Midwifery practice means managing<00:18:16.159> diagnosing
• have this as our scope of practice have this as our scope of practice because<00:21:18.559> I
• in traditional practice.

Keywords: 1183, house

Transcript Highlights:

• in California under existing interstate practice mobility provisions.
• in California under existing interstate practice mobility provisions.
• Steven Abelowitz, and I've been working as a practicing pediatric physician for almost 30 years.
• help me grow my practice to reach more patients and provide better care.
• help me grow my practice to reach more patients and provide better care.

Summary: The Assembly Business and Professions Committee heard several bills, including SB 788 by Senator Niello, which clarified that CPAs and CPA firms, including employees and out-of-state CPAs authorized to practice in California, are regulated by the California Board of Accountancy rather than subject to Tax Preparation Act registration requirements. Supporters said the bill would reduce duplicative regulation and confusion; there was no opposition, and the bill passed to Appropriations. The committee also heard SB 351 by Senator Cabaldon, aimed at strengthening enforcement of California’s corporate practice of medicine rules as they relate to private equity and hedge fund involvement in medical and dental practices. The author and physician supporters argued that private equity can interfere with clinical decisions and patient care, while opposition from the American Investment Council said the bill could sweep in legitimate business practices and requested a narrow amendment. The bill passed to Judiciary. SB 312 by Senator Umberg was heard next and would require health certificates for imported dogs sold in California to be submitted to CDFA and made publicly available, with supporters describing it as a transparency and consumer protection measure to combat puppy mills and misleading online sales. There was no opposition, and the bill passed to Agriculture. The committee also approved a consent calendar containing SB 291, SB 387, SB 517, SB 602, and SB 773, all moving to their respective committees. The meeting ended after additional roll calls and adjournment.

Transcript Highlights:

• So House Bill 649, autonomous practice by CRNAs. So House Bill 649, autonomous practice by CRNAs.
• They're practicing autonomously in 43 other states.
• I would not be able to practice medicine if it was because of them.
• Rather, the CRNAs' scope of practice is not being increased.
• after earning a doctorate in nursing practice in nurse anesthesiology.

Summary: The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays. The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.

Transcript Highlights:

• different practice laws. different practice laws.
• This talks about the nurse's practice.
• This talks about the nurse's practice.
• state has to match the practice state has to match the practice requirements<00:36:59.280> that
• nurses under our for more practicing nurses under our practice<00:37:25.200> requirements<00:

Keywords: 919, house, all

Summary: The committee took up House File 1925, which would have Minnesota join the nurse licensure compact. Rep. Schumacher described the bill as a way to improve workforce flexibility, telehealth, care coordination, and border-community access, while maintaining safeguards such as the same licensure exam and federal background checks. He also said the compact could help retain Minnesota-trained nurses who currently leave for neighboring compact states. Several members questioned whether the compact would weaken Minnesota’s standards or actually solve staffing problems, and some raised concerns about outside states’ differing practice rules and continuing education requirements. Supporters, including a nurse leader, a travel nurse, a business group representative, and a hospital nursing leader, testified that the compact would ease staffing shortages, speed hiring, support telehealth, and reduce administrative burdens. Opponents, including nurses and union representatives, argued it could lower standards, not address root causes like unsafe staffing and turnover, and could create risks for patients seeking reproductive or gender-affirming care. The committee also considered two related amendments tied to rural health transformation recommendations. The A1 amendment would have required two hours of continuing education on nutrition for physicians, physician assistants, and advanced practice registered nurses; members criticized it as government overreach, unrelated to many specialties, and an attempt to chase uncertain federal funding. The amendment failed on a voice vote. The A2 amendment would have reinstated the presidential fitness test in schools and allowed parents to opt out; it also failed. A3, which updated the compact bill’s effective date language from 2025 to 2026, was adopted. Members noted the bill also contained an appropriation and might need referral to other committees if it advanced. The committee then began hearing public testimony on HF 1925, with witnesses split between support and opposition.