Transcript Highlights:

• Okay, practice violations, okay. And then the rest, the remaining are?
• Are accommodated. of different types of violation of the Practice Act.
• Of those, 4,000. 899 are active and practicing in Texas.
• So roughly what percentage of your employees are practicing telework?
• It's still a very favorable place to practice medicine.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• Illegal marketing product practice. Practice. Okay. Not much better. Okay. Yeah.
• </c> practice as opposed to a service? practice as opposed to a service?
• </c> Illegal marketing product practice. Illegal marketing product practice.
• Practice.<01:28:05.600><c> Okay.</c> Practice. Okay. Practice. Okay.
• </c> practices by having 40-year agreements. practices by having 40-year agreements.

Summary: The committee first held a public hearing on Senate Bill 25, which would allow state-chartered credit unions to compensate board members if the membership approves it. Prime sponsor Senator Dan Innis said the bill is enabling only, intended to help credit unions recruit and retain qualified directors and align New Hampshire with other states that already allow such compensation. Credit union representatives from the Cooperative Credit Union Association and St. Mary’s Bank supported the bill, saying board service has become more complex because of cybersecurity, asset-liability management, and other regulatory demands, and that compensation could be modest and take forms such as meeting fees or educational reimbursement. In response to committee questions, they said compensation would be set by the membership, disclosed in advance, and subject to bylaws and internal policies; they also noted that board members must be credit union members and that voting procedures vary by institution, with some using mailed ballots rather than proxy voting. Members raised questions about why credit union boards were historically excluded, what kinds of compensation were contemplated, whether there would be a cap, and how voting and confidentiality would work. Testimony explained that the historical rationale was the nonprofit, volunteer mission of credit unions, but witnesses argued that the modern environment and competition for talent justify a change. They also said the bill would not mandate compensation and would not create a salary structure comparable to banks, but would allow members to approve modest compensation or reimbursements. After no further testimony, the chair closed the public hearing on Senate Bill 25. The committee then opened a public hearing on Senate Bill 26, sponsored by Senator Howard Pearl, concerning the definition of deposits in land sales and escrowed accounts. Pearl said the bill would clarify that buyer funds for upgrades and luxury items in new-home construction are not treated as refundable deposits that must be held in escrow, arguing that the current Attorney General interpretation raises builder costs, increases home prices, and can limit buyer choices. He said the proposal would allow those upgrade funds to be paid directly to builders for construction, with signed disclosures making clear that the buyer requested the items and bears the risk if financing falls through. The hearing on Senate Bill 26 had just begun when the transcript ended.

Transcript Highlights:

• </c> place that follows best practices place that follows best practices defined<01:25:54.960><c> by<
• It requires practitioners to practice only within the scope of their practice that's authorized by the
• state in which they're practicing.
• of practice and The Practice<01:49:17.239><c> Act</c><01:49:17.480><c> will</c><01:49:17.599><c> be<
• </c> practice within the scope of practice practice within the scope of practice authorized<01:56:05.159

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• </c> in focus on the data practices in focus on the data practices provision.<00:45:28.319><c> Senator
• Um I will say we practice to be good.
• </c> that's not a data practices question. that's not a data practices question.
• ,</c><01:06:02.240><c> and</c><01:06:02.480><c> and</c> principles, practices, and and principles, practices
• And then uh I think the final practices.

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• I have a medium-sized family medicine practice in Arlington.
• My practice is going and not just mine.
• Consider a few cases from my practice.
• I've been practicing in Massachusetts for the past four years.
• Since 2024, my practice has served over 200 MassHealth members.

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• This that supervision practices.
• </c> scope of practice. scope of practice.
• </c> part of our practice part of our practice as<00:04:51.199><c> well</c><00:04:51.360><c> as</c> as
• </c> one of the focuses of uh of my practice one of the focuses of uh of my practice uh<00:05:03.600>
• </c> therapy outpatient practice as an adult. therapy outpatient practice as an adult.

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• , but they don't represent all types of private equity practices.
• We don't want predatory practices. We should always worry about hospital safety.
• It did document some pretty concerning practices.
• I practice as a corporation. I mean, I get how that works.
• Because doctors cannot afford insurance in their practices to continue to practice.

Bills: HB99 , HB49 , HB164 , SB30 , SB43 , SB50 , SB136

Committee: House House Judiciary

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:

• Every health care profession has a practice act.
• Madam Chair, if you are—if you are unlawfully practicing... not practicing, just advertising, that would
• If they are allowed in their practice act, and Senator Davis, I’d be happy—we can look up the practice
• The practice act is extremely important. It lays everything out.
• The practice act is extremely important. It lays everything out.

Summary: The committee took up a long agenda of bills, beginning with CS/SB 678, which would allow pawnbroker transaction forms to be printed or digital; it drew support from a business representative and was reported favorably. Members then heard several bills by Senator Leak, including SB 466 to designate St. Johns County as the site of the Florida Museum of Black History and create a board to work with the museum foundation and Florida Memorial University; the bill drew supportive testimony about preserving accurate Black history and the significance of the site, and it passed favorably. Leak’s CS/SB 578 would let Florida wineries use recyclable inserts and other alternative containers for larger wine sales, and it also passed favorably. SB 582 would increase penalties for unlawful demolition of historic buildings and structures, limiting the higher penalties to certain nationally or internationally recognized historic properties; it was supported by preservation advocates and reported favorably. CS/SB 1168 would create an aggravated offense for installing or using tracking devices or apps in furtherance of crimes such as murder, domestic violence, or robbery, and it passed favorably after a brief discussion about stalking and violent crimes. CS/SB 806 would make the Florida Attorney General the exclusive public official with standing to enforce Florida charitable trusts, limiting out-of-state attorneys general from suing over Florida-administered trusts; members debated whether this would burden out-of-state beneficiaries, but the bill was reported favorably. SB 1228 would advance spring restoration efforts for Ichetucknee Springs and Santa Fe spring flows and allow a utility compliance plan amendment to deliver reclaimed water to replenish the aquifer; it passed favorably. CS/CS/SB 304 would require a qualified medical opinion in child protective investigations involving infants and young children with possible genetic or medical conditions that can mimic abuse, and it drew emotional support from parents and advocates before passing favorably. SB 1286 would clarify that ordinary unsupervised childhood activities like biking or playing outside do not constitute neglect absent reckless endangerment, and it was reported favorably. SB 1318, the hands-free driving bill, generated the most extensive debate: it renames the texting-while-driving law, expands the prohibition to handheld device use, and adds penalties in work zones and school zones; supporters cited fatal crash statistics and personal loss, while opponents raised concerns about enforcement, civil liberties, racial disparities in traffic stops, and the need for broader distracted-driving and insurance reforms. Despite those concerns, the bill was reported favorably after amendments. The committee also approved two claims bills, SB 14 for the estate of Penao-Hanvier against Miami Beach and SB 20 for J.N. against Hillsborough County, both settled claims recommended favorably by the special master. Finally, CS/SB 68 would modernize health facilities authority financing for private not-for-profit health systems, and CS/SB 172 would restrict misuse of health care specialty titles while preserving titles authorized under existing practice acts; both were discussed with questions about doctors, optometrists, and CRNAs, and both were reported favorably after amendment and debate.

Transcript Highlights:

• His sister is a veterinarian, and they actually are very well trained in this practice, if you will.
• There are limitations here in the scope of practice that's been consensus, and that's in the bill, so
• if you will uh in in this uh practice if you will and<00:03:51.159><c> this</c><00:03:51.280><c> has
• This is a practice that I can do myself as an owner, that I can have an agent of mine do.
• </c><00:14:18.759><c> that</c> carves out a scope of practice that carves out a scope of practice that

Summary: The House Agriculture Committee met briefly and took up Senate Bill 69, a measure creating a certification path for non-veterinarians who perform equine dental work, especially floating teeth. Sponsor Sen. Robin Webb and supporters said the bill was the product of about two years of open meetings and stakeholder discussions, and that it would provide accountability, insurance access, and a way to grandfather in long-time practitioners with additional training. They framed it as a rural access and affordability issue, arguing that many horse owners, especially in remote areas, cannot easily reach or afford large-animal veterinarians and that the bill would preserve a long-standing husbandry practice while setting limits so certified providers could not perform surgery. Opposition came from equine veterinarians Dr. Brad Tanner and Dr. William Rainbow, who agreed there is a shortage of large-animal veterinarians and that floating teeth is necessary, but argued the bill’s scope goes beyond simple husbandry. They said the proposed authority would include procedures such as tooth removal and other work they consider surgery, which should remain within veterinary practice because of the need for sedation, pain management, and broader oral and physical exams. They also objected to the title “equine dental provider,” saying it could mislead owners into thinking the person has dentist-like training, and suggested a term like “equine teeth floater” would be clearer. Tanner cited a KVMA survey he said showed only 14 of 214 respondents supported indirect veterinary supervision in the bill. Members asked about continuing education, the “good moral character” licensing language, and whether people with past criminal records could be excluded. Supporters said continuing education would be required through certification programs and that character determinations would be handled case by case, with reference to broader second-chance licensing efforts moving through the legislature. Rep. Stalker asked for clearer terminology and educational guidance for consumers; the witnesses reiterated that the public should understand the difference between floating teeth and a full dental exam. After discussion, the committee moved to a roll call vote on the bill, but the transcript cuts off before the final vote result is fully shown.

Transcript Highlights:

• So, for example, soil health practices can double as nutrient management practices that could support
• Using dry manure management practices prevents the creation of methane.
• These practices also reduce farmers' fertilizer and pesticide costs.
• So in the perfect world that would work out, but I'm not sure that seems practical.
• Farms are applying for AMP practices even when they have digesters on site. Okay. There. Oh.

Summary: The joint informational hearing examined how agricultural programs have used cap-and-invest funding and what role agriculture should play in future climate investments. The chairs opened by noting that agriculture had been largely left out of the cap-and-invest reauthorization, despite prior support through the Greenhouse Gas Reduction Fund, and framed the hearing around climate-smart agriculture, food security, rural vitality, and the need for measurable co-benefits such as water savings, soil health, and air quality improvements. The first panel included CDFA Deputy Secretary Virginia Jamison and LAO analyst Helen Kirsten. Jamison described CDFA’s climate-smart portfolio, including the Healthy Soils Program, SWEEP, the Alternative Manure Management Program, and dairy methane reduction efforts, saying roughly $727 million has supported these programs and produced estimated reductions of 31 million metric tons of CO2e, 1.6 million acre-feet of water savings, and about 4,000 projects. She emphasized technical assistance, oversubscription of the programs, and the need for continued investment and better measurement/verification. Kirsten outlined the cap-and-invest structure, the Greenhouse Gas Reduction Fund, and the state’s emissions inventory, noting agriculture is about 8% of California’s GHG emissions and that funding for tier-three programs may remain constrained. She also said prior LAO work found the programs have significant reduction potential but that some estimated benefits may be overstated, recommending further evaluation. The second panel featured UC researchers Alexandra Hill and Ermi Kibreab, who presented on the economic importance of California’s working landscapes and on dairy methane reduction pathways. Hill said working landscapes are a major part of the state and national economy, with agriculture driving most of the sector’s sales and jobs. Kibreab explained that dairy is central to methane reduction because it accounts for a large share of agricultural methane emissions, and described herd efficiency, digesters, alternative manure management, and emerging feed additives as complementary strategies. He said digesters and other incentive-supported measures are helping California move toward its methane goals, while noting feed additives such as 3-NOP and seaweed-based approaches could offer additional reductions in the future. The third panel brought contrasting views from environmental advocates, farmers, and industry representatives. Phoebe Seaton argued that further state funding for dairy digesters is not environmentally or economically justified, citing concerns about methane, nitrous oxide, groundwater impacts, odors, and high cost per ton reduced. Brian Shobe of CalCAN supported continued funding for programs like AMP, SWEEP, and Healthy Soils, saying they provide multiple co-benefits and that farmers need stable, incentive-based support to comply with climate and water regulations. Cannon Michael of Bowles Farming Company described his farm’s investments in organic and regenerative practices, composting, drip irrigation, solar, habitat management, and workforce programs, and said consistent funding helps farms plan and remain viable. Tricia Gerringer of the Agricultural Council of California urged funding for FPIP, the Farmer Program, methane reduction programs, and sustainable ag waste management, arguing they deliver immediate, measurable reductions and co-benefits. Members and witnesses debated the relative merits of digesters versus alternative manure management, the role of regenerative agriculture, and whether agriculture should be treated as a distinct policy category. No votes were taken; the hearing concluded with public comment supporting agricultural climate funding and a request to include agriculture in broader cap-and-invest discussions.

Transcript Highlights:

• My question was about the practicality.
• So my question is the practicality.
• Next up, we will have HB 883, Advanced Practice Registered Nurse Autonomous Practice, by Representative
• practice in primary care.
• to their scope of practice.

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• to one year of active practice.
• to one year of active practice.
• and more serious areas of practice.
• Wide variance in office practices, how they handle their data.
• But caseload standards were reduced when I was practicing.

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• SB 6152 does not expand our scope of practice.
• SB 6152 does not expand our scope of practice.
• We have providers, but their scope of practice is very different.
• It is a tool used to prevent unfair labor practices from happening.
• Our union, WSNA, filed an unfair labor practice charge..."

Summary: The Senate Labor and Commerce Committee heard testimony on several bills. SB 6152 would add physical and occupational therapists as attending providers in workers’ compensation claims. Supporters said it would reduce delays, improve access to care, and speed return to work; opponents, including the Washington State Medical Association, retail and business groups, and L&I, raised concerns about diagnosis, scope of practice, network enrollment, implementation time, and the $1.9 million fiscal note from accident and medical aid accounts. The committee also heard SB 5437, which would prohibit non-compete agreements and clarify non-solicitation rules. The sponsor and labor and physician groups supported ending non-competes as anti-competitive and harmful to worker mobility, while business, banking, and clinic representatives argued non-competes protect investments, confidential information, and patient/customer relationships and asked for narrower changes. The committee then heard SB 6058, which would give L&I discretion over whether to investigate wage complaints and would toll civil statutes of limitation when a complaint is filed. The sponsor said it would better match agency resources, and testimony was entirely supportive. SB 5944 would require language access provider compensation bargaining to include missed or canceled appointments and make CBAs prevail over conflicting agency policies; the sponsor and union representatives said it would create consistency across agencies, with no opposition testimony. SB 6039 would modernize L&I communications by allowing electronic notices while preserving a non-electronic option; supporters called it a permissive modernization, while worker advocates warned email could be missed and could burden vulnerable workers, though L&I said the bill preserves choice and has no fiscal impact. Finally, the committee heard SB 6117, which would place workers and employers not covered by the NLRA under PERC jurisdiction if federal law no longer applies, with card-check and secret-ballot procedures and interest arbitration provisions. Supporters said it would create a state backstop if federal labor enforcement fails and protect workers’ organizing rights; opponents from agriculture, business, and small business groups warned it was too broad, could sweep in agriculture and small businesses, and could weaken secret-ballot protections and disrupt harvest operations. The sponsor closed by saying the bill is intended to create a clear framework where federal jurisdiction is absent. No votes or executive actions were taken in the hearing.

Transcript Highlights:

• If we were actively practicing and interfacing with people who were practicing, we could not be objective
• with people who were practicing, we could not be objective Because if we were actively practicing and
• The board is composed of nine practicing physicians. They all practice.
• All of our board members actively practice in the state of Louisiana.
• A hearing is done by our board members, active practicing physicians.

Bills: HB689 , HB742 , HB926 , HB946 , HB948 , HB1028 , HB1095 , HB1114 , HB1121 , HB1155 , HB1185 , HB1217 , HB1220 , HB1227 , HCR76

Committee: House Health and Welfare

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• In climate-smart agricultural practices.
• So this helps them to implement new practices like healthy soils practices or improved irrigation, reduced
• pesticide use, integrated pest management practices.
• Practices.
• support schools to use particular practices such as adopting healthy soil practices that sequester carbon

Transcript Highlights:

• It's a best practice in election management.
• This is a best-practice bill.
• Why are they opposing best practices in election management?
• I'm the chair of the California Fair Political Practices Commission.
• I'm the chair of the California Fair Political Practices Commission.

Committee: House Elections

Transcript Highlights:

• House Bill 2555 relates to coverage of traditional health care practices under Medicaid.
• Authority to apply for a waiver from CMS by December 31, 2026, to cover traditional health care practices
• Authority to apply for that waiver from CMS to allow for the coverage of traditional health care practices
• Traditional health care practices are defined as the sum total of knowledge, skill, and practices based
• The waiver application must allow for coverage of traditional health care practices when provided by

Summary: The House Health Care and Wellness Committee held public hearings on four bills and then took executive action on three measures. HB 2555 would require the Health Care Authority to apply for a Medicaid waiver to cover traditional health care practices provided through Indian Health Service, tribal, and urban Indian facilities. Supporters, including the prime sponsor, tribal health leaders, and the Health Care Authority, said the bill would recognize traditional medicine, expand access, and leverage federal funding, though HCA noted the July 1, 2026 waiver deadline and urban Indian reimbursement questions may be difficult to resolve. HB 2685 would codify tribal data sovereignty principles for state agencies, require reporting of notifiable conditions to tribal health jurisdictions, and exempt certain tribal data from public disclosure. Tribal representatives supported the bill as necessary for access, governance, and better public health planning, while the Washington Coalition for Open Government and HCA raised concerns about the breadth of the PRA exemption, undefined ownership interests, and implementation details. HB 2658 would require health carriers to submit standardized public data on behavioral health and other coverage and access metrics, with the Insurance Commissioner posting the information on a public dashboard. Supporters said the bill would improve transparency about mental health parity and help families, employers, and policymakers compare plans; opponents argued it duplicates or complicates recent parity reforms and could be misinterpreted. HB 2683 would shorten carrier credentialing timelines from 90 days to 30 days and require carriers to post billing and coverage information online. Supporters said it would reduce delays for providers and patients, while opponents warned the shorter timeline could be hard to meet and that posting information without login protections could raise privacy concerns. In executive session, the committee adopted two amendments to HB 2168, which concerns overdose mapping data, then reported the substitute bill out with a due pass recommendation by a vote of 16-1. It rejected an amendment to HB 2196 that would have extended PANDAS/PANS coverage to public and school employee plans, then advanced the substitute bill with a due pass recommendation by a vote of 15-2. Finally, the committee passed HB 2545, which would allow ambulatory surgical facilities to perform elective percutaneous coronary interventions, by a vote of 13-4, after members discussed safety, access, and cost savings.

Transcript Highlights:

• the, that the P.A.s, physician assistants, would work under Missouri statute as far as how they practice
• Workers with significant experience in their field who practice in states without occupational licensing
• Current law blocks them from practicing their trained profession simply because their prior state did
• This is also folks who are practicing from other states on Missouri projects, as an example.
• We’re not letting nurses practice here or physicians that don’t meet Missouri requirements.

Committee: House Professional Registration and Licensing

Transcript Highlights:

• You know, certainly the top priority of contractors is to keep workers safe, and it's their practice
• and podiatrists have a smaller scope of practice.
• So, as Suzanne said, for our scope of practice, we would be doing the diagnosing.
• We can do the same, largely the same scope of practice. We can get you as good or better outcomes.
• I have been in practice for 13 years, and I focus on treating injured workers.

Summary: The Labor and Workplace Standards Committee held its first meeting of the session and heard four bills. HB 2107 would make permanent and slightly narrow a temporary L&I requirement that, after an on-site safety inspection at a building construction site, the agency make a good-faith effort to notify the owner or employer within 10 working days if an immediately identified hazard could injure a worker. Construction industry groups and L&I supported the bill and said the pilot had worked well, with L&I reporting it had been able to notify owners almost 96% of the time during about 1,400 inspections. HB 2137 would remove the population threshold for binding interest arbitration for correctional employees in city and county jails. Teamsters representatives said the change would give corrections officers in smaller jurisdictions the same bargaining rights as other uniformed personnel and help address safety, staffing, and wage inequities. County representatives opposed the bill, saying it would increase bargaining and compensation costs for many counties, and asked for amendments requiring arbitrators to consider county finances and making awards nonbinding on county legislative authorities. HB 2264 would clarify unemployment insurance eligibility for workers who opt into an employer-initiated layoff or reduction-in-force plan, even if they can rescind their decision, so long as the termination results from the employer’s plan. Supporters said current court rulings create confusing and unfair denials of benefits for workers who leave in good faith during layoffs; NFIB raised questions about severance, retirement, and UI solvency. HB 2243 would allow physical therapists and occupational therapists to serve as attending providers in the workers’ compensation system. Physical therapy and occupational therapy advocates said this would speed care and return workers to work sooner, while retailers, food industry representatives, NFIB, the Washington State Medical Association, and L&I raised concerns about diagnosis, scope of practice, added costs, and the possibility that all PTs and OTs would have to join the provider network. No votes were taken; the committee heard testimony and then adjourned.

Transcript Highlights:

• seeking to practice in areas of critical need.
• These prohibitions include discipline in another state, criminal convictions related to their practice
• These prohibitions include discipline in another state, criminal convictions related to their practice
• Just two months after the Mobile Act became effective, MQA licensed our first health care practices.
• One of the reasons that some Senate Bill 1600 applicants are not meeting the practice requirements.

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.