Transcript Highlights:

• So we will start off with the State Board of Chiropractors, and we have the presentation by the Auditor
• So we will start off with the State Board of Chiropractors, and we have the presentation by the Auditor
• So making sure we tailored... ...a practice from state to state for chiropractors is also different,
• If you could ask two chiropractors, you'll get two different answers.
• I will inform both of those two chiropractors that that is the case. Thank you.

Keywords: 1182, all

Summary: The committee first heard the January 2026 follow-up to the special audit of the Arizona State Board of Chiropractic Examiners. The auditor’s contractor reported that the board had implemented or was in the process of implementing most of the 28 recommendations from the 2024 audit, but three remained unimplemented: resolving complaints within 180 days and two open meeting law recommendations. The follow-up also identified new concerns about outdated or incomplete public disciplinary records and the lack of a complete public records request log and response procedures. Committee members pressed the board on open meeting compliance, complaint delays, transparency, and lobbying activities, while the executive director said the board had adopted new policies, added staff and investigators, created an intake committee, improved complaint prioritization, and was transitioning to a new licensing platform. She also said the board had ended broad subpoenas, improved conflict-of-interest tracking, and was working to formalize its practices in rule. The committee did not take a vote or other formal action in the transcript provided. The committee then received the Arizona school district financial risk analysis for January 2026. The Auditor General’s office reported that the number of highest-risk districts increased from two to nine, and districts approaching the highest-risk category increased from seven to nine. The presentation explained the financial risk measures used, common risk patterns among the highest-risk districts, and the district action plans posted on the report website. Tucson Unified School District was used as an example of a highest-risk district, and Scottsdale Unified as an approaching-highest-risk district. Members asked about declining enrollment, reserve balances, negative fund balances, and the use of capital monies for operations. Sierra Vista Unified School District then presented its response to being identified as financially at risk. The superintendent said she had recently taken over and was implementing a turnaround plan that included a school closure, staffing reductions through attrition, spending freezes, tighter purchase controls, a three-year sustainable spending plan, and efforts to stabilize enrollment through outreach, customer-service changes, and alternative program offerings. She also said the district was redirecting some capital assistance to operations, renegotiating contracts, and improving communication with families and staff. Committee members questioned the district about declining enrollment, instructional spending, school safety, academic performance, and whether the action plan adequately addressed those issues. No formal vote or action was taken on the school district item in the transcript provided.

Transcript Highlights:

• He asked whether the goal was to allow physical therapists or chiropractors to enter that field, saying
• , but he is not in favor of PTs or chiropractors working on animals.
• Senator Strickland said he thought the issue would come up with the next item involving chiropractors
• , but he is not in favor of PTs or chiropractors working on animals.
• Megan Murray with the Whiteman Group on behalf of the California Chiropractors Association.

Keywords: 987, senate, all

Transcript Highlights:

• So if I'm a chiropractor, my board should regulate and enforce with me.
• An example of a chiropractor, you could say maybe a dentist.
• They would be under some specialty, assuming they're a chiropractor with no licenses.
• Who guards the board's decision to allow chiropractors to actually work?
• So we don't let a chiropractor do brain surgery, right?

Bills: SB27, SB8, SB15, SB30, SB268, SB568, SB650, SB1405, SB1540, SB1610, SB1637, SB1660, SB2024, SB2217, SB2308, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB493, HB705, HB1545, HB2017, HB2516, HB2885, HB2963, HB2974, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks

Transcript Highlights:

• The supervising doctor must be physically on site, and they must be a licensed chiropractor.
• Some consultation with that chiropractor that has more experience at some point? Yeah.
• The chiropractor, yeah.
• The licensed chiropractor is making that plan, and then the student doctor will execute it.
• The chiropractor—yeah, so the licensed chiropractor then says, okay, these are the procedures that need

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• ,<00:08:43.320> and professional, animal chiropractor, and professional, animal chiropractor
• We've got chiropractor, equine dental provider.
• ><00:10:33.800> Um<00:10:34.240> We've<00:10:34.360> got<00:10:35.000> chiropractor
• Um We've got chiropractor, in Kentucky.
• Um We've got chiropractor, uh<00:10:37.040> equine<00:10:37.520> dental<00:10:37.800>

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.

Transcript Highlights:

• At this point, I think we should take up House Bill 942, which is the chiropractors regulation.
• uh which is the chiropractors uh which is the chiropractors uh uh uh regulation. regulation. regulation
• We have a neurologic chiropractor.
• We have a neurologic chiropractor.
• The bill before us extends the repealer for the licensure law for the chiropractors board.

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.

Transcript Highlights:

• President, generally speaking, this bill just extends the repealer on the chiropractor act, and it extends
• There's another small amendment that says if a chiropractor is certified as an animal chiropractor, he
• <00:42:24.880> is chiropractor is chiropractor is certified<00:42:26.800> as<00:42:26.960
• > an<00:42:27.120> animal<00:42:27.480> chiropractor,<00:42:28.760> he certified
• as an animal chiropractor, he certified as an animal chiropractor, he can,<00:42:29.520> if<00

Keywords: MS Senate Floor - 9 March, 2026; 4:00 PM, 925, all

Summary: The Senate convened with a quorum present, opened with prayer and the Pledge of Allegiance, and then handled a series of introductions and announcements. Members welcomed guests in the gallery, recognized the doctor of the day, and later made several announcements about memorials, committee meeting times, and calendar deadlines. The chamber also agreed to dispense with the reading of the journal and the titles of bills and resolutions. The body then took up multiple measures, mostly on the appropriations, rules, and general bills calendars. Among the bills discussed and passed were House Bill 941 on the Mississippi Healthcare Industry Zone Act, with an amendment changing the repealer date to 2028; House Bill 1633 on the Site Development Grant Program, with a strike-all clarifying eligible utility and site-improvement expenditures; House Bill 1404 on fraudulent utility conversion, with a substitute strike-all adding protections and criminal penalties related to landlords failing to pay tenant-funded utilities; House Bill 907 revising the timing for sample ballots from the Secretary of State; House Bill 867 allowing Ross Barnett Reservoir funds to be used for shoreline maintenance and erosion prevention; House Bill 1558 revising compensation and reimbursement for the Tishomingo County Water District; and House Bill 514 revising the Veterinary Practice Act to protect certified veterinary technicians and update board membership and fees. Several other measures were also addressed, including Senate Bill 2648, which would let the MSU Extension Service assist poultry farmers with comprehensive nutrient management plans and was amended by the House to add Alcorn State University; Senate Bill 2637, on flexibility for the Northeast District livestock show location, on which the Senate voted not to concur and invite conference; House Bill 1069, the Mississippi Agriculture and Farmland Wind Tower Protection Act of 2026, which was amended to shift review of a waterfowl impact assessment to the Department of Wildlife, Fisheries, and Parks and impose a one-year moratorium with a study committee; House Bill 1073, a consumer choice bill restricting bans on gas-powered farm equipment and lawn tools; House Bill 942 extending the chiropractic licensure repealer and allowing certain animal chiropractic work under veterinarian supervision; and House Bill 479, which extended temporary licensing timeframes for psychology and marriage and family therapy and added safeguards tied to background checks and qualifications. Most of these measures were adopted and passed by voice vote or by afternoon or morning roll call, with a few items retained on the calendar and several motions to reconsider or hold bills for later action.

Transcript Highlights:

• I'm just curious as to whether it applies to chiropractors.
• You've got a couple chiropractors on the bill. Does it apply to them?
• a<00:10:44.240> couple it apply you you got a couple it apply you you got a couple chiropractors
• on the bill does it apply chiropractors on the bill does it apply to<00:10:46.240> them<00:10
• We haven't had a conversation about chiropractors, really.

Keywords: 1187, senate, all

Transcript Highlights:

• Nurses, optometrists, chiropractors.
• I'm going to use chiropractors as an example, and I'm going to do so respectfully, but I think it's a
• A clinical example that I think the committee will understand: Imagine a scenario where a chiropractor
• To take the example that was just given, if there was a chiropractor out there, you know... performing
• Do the nurses have authority to go after chiropractors? Is there a hierarchy or isn't there?

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

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

Transcript Highlights:

• Nurses, optometrists, chiropractors, dentists, and other healthcare practitioners are often regulated
• And I'm going to use chiropractors as an example, and I'm gonna do so respectively, but I think it's
• Imagine a scenario where a chiropractor is practicing outside of their scope and they're doing a procedure
• To take the example, uh, that was just given, if there was a chiropractor out there, you know, performing
• Does the nurses have, do the nurses have authority to go after chiropractors?

Transcript Highlights:

• <00:26:40.200> licensed<00:26:40.679> chiropractors chiropractors licensed chiropractors
• chiropractors licensed chiropractors also<00:26:41.799> have<00:26:41.960> the<00:26:42.159
• <00:31:55.279> license just for a basic chiropractor license just for a basic chiropractor
• The animal chiropractic opportunity has been available for chiropractors for several years.
• The animal chiropractic opportunity has been available for chiropractors for several years.

Keywords: 1183, house

Transcript Highlights:

• My chiropractor is here.
• My chiropractor is quarter of a century.
• licensed second generation chiropractor licensed second generation chiropractor here<04:08:43.359
• I'm a chiropractor in Bedford, New Hampshire.
• I'm a a chiropractor in Schistler.

Keywords: 1189, house, all

Transcript Highlights:

• or any justification or any grievances that have been filed subject to this, that they capped chiropractors
• So for instance, If you had a settlement from an insurance company and a chiropractor said, hey, it's
• Could you just tell us where the chiropractors may stand, any of those groups that advocate for these
• So yes, the answer is yes, and now this would allow chiropractors to conduct themselves the same.

Summary: The Health Professions and Programs Subcommittee met with a quorum and considered several health-related bills. HB 887, reducing medical marijuana registry card fees to $15 for honorably discharged veterans, drew support from veterans’ advocates and cannabis groups as a way to lower a financial barrier to care; it passed 18-0 and was reported favorably. HB 733, a Department of Health bill covering medical marijuana treatment center setbacks, physician certification renewals, low-THC/cannabis definitions, emergency license suspension for certain murder-related arrests, dental loan repayment area definitions, Early Steps policy cleanup, and autism microcredential eligibility, received mixed testimony from cannabis advocates who objected to some marijuana-related changes and zoning impacts; it also passed 18-0. HB 259, removing the $1,500 cap on pre-treatment funds held in trust by chiropractic physicians, was described as a free-market change supported by chiropractic groups and passed 18-0. The committee also approved PCS for HB 1443, creating a statewide Parkinson’s Disease Registry within the existing Parkinson’s Disease Research Institute and adding appointments to the consortium board, with USF support and no opposition; it passed 18-0. HB 1445, the related public records exemption for the registry, adopted an amendment adding the required public necessity statement and sunset date of October 2, 2031, then passed 18-0. HB 1309, which would standardize and speed patient access to medical records and align nursing home timelines with federal requirements, drew opposition from an information systems group concerned about data mining and portal access, while supporters argued it would improve patient access and care coordination; it passed 17-1 and was reported favorably. The meeting then adjourned.

Transcript Highlights:

• Okay, uh, it’s the State Board of Chiropractor Examiners.
• Yeah, and I think we have some chiropractors in the room.
• So, if you'd like to stand up to be recognized or wave, I thought we had board chiropractors here.
• Chiropractors here, I'm sorry, I mistook the white coat. All right, so we need a motion.

Bills: HB25, HB108, HB109, HB111, HB112, HB113, HB117, HB118, HB119, HB120, HB121, HB122, HB124, HB126, HB127, HB128, HB129, HB130, HB131, HB25

Keywords: emergency services, 911, local districts, joint operations, contracting, HB108, Alabama Sunset Law, sunset reauthorization, board continuation, speech-language pathology, audiology, licensing board, professional regulation, healthcare regulation, occupational licensing, speech therapist, speech pathologist, audiologist, Sunset Committee, Code of Alabama 1975

Transcript Highlights:

• The supervising doctor must be physically on site, and they must be a licensed chiropractor.
• Some consultation with that chiropractor that has more experience at some point? Yeah.
• The chiropractor, yeah.
• So the licensed chiropractor then says, okay, these are the procedures that need to...
• The licensed chiropractor is making that plan, and then the student doctor will execute it.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• Board of Chiropractors. Examiners. LBB, David Pettit, you can get going. In the meantime, Dr.
• No, I'm not a chiropractor, but I did stay at a Holiday Inn Express.
• thank you for funding the first ever chiropractic medical... ...director in the country for the chiropractors
• because we are the first chiropractic board to actually put a chiropractor on staff to review the complaints

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• The board has over 3,000 licensed chiropractors.
• Chiropractors also have the opportunity to maintain registrations in five different areas.
• The board has over 3,000 licensed chiropractors.
• Chiropractors also have the opportunity to maintain registrations in five different areas.
• I'm a chiropractor I have a lot of I'm a chiropractor I have a lot of knowledge<01:59:02.840> on

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee met on January 28, 2025, to review Governor’s budget proposals for several health-related licensing boards. The chair said no formal action would be taken and noted that final budget language was not yet available. The committee began with an overview from Bridget Anderson of the health-related licensing boards, who explained that the boards are fee-funded, operate as independent executive agencies, and handle licensing, complaints, rulemaking, and disciplinary matters. She also noted that the Board of Dentistry’s budget includes the Administrative Services Unit and criminal background check program, which can make the budget graphs appear larger than the dentistry board’s own operations. The Board of Dentistry requested funding for a new administrative staff position, estimating about $100,000 in salary, insurance, and fringe costs, to replace support lost when an administrative position was reclassified. Anderson said the board handled more than 300 complaints last year, with cases becoming more complex, especially involving surgical and implant procedures and imaging. Members asked about dental Medicaid access, but Anderson said that issue would be better directed to DHS’s Medicaid oral health division. The Board of Behavioral Health and Therapy requested a full-time position due to rapid growth in the number of regulated professionals, from about 4,000 in 2014 to nearly 10,000 now, and also sought authority to set a fee for out-of-state applicants under the Counseling Compact, with a cap of up to $100 though the board expects to charge much less. The Board of Podiatric Medicine asked to raise its fee ceiling, saying fees had not been increased since 1999 and that the board now faces a structural deficit of about $40,000 per year and declining reserves. Several senators expressed concern about “not-to-exceed” fee authority, calling it too open-ended and suggesting the legislature should scrutinize specific fee needs rather than approve broad ceilings. Similar concerns were raised during the Board of Chiropractic Examiners presentation, where the board sought $100,000 in additional spending authority and a fee increase after 32 years without an adjustment; members questioned the proposed ceiling approach and asked for more historical information before deciding. The Board of Dietetics and Nutrition Practice also discussed fee-setting authority, with the executive director explaining that the board had previously lowered fees without clear authority and later faced audit questions; she requested funding for a vacant administrative position, saying applications and revenues have increased sharply and no fee increase would be needed. The final presentation began with the Board of Pharmacy, which said it serves more than 26,000 licensees and oversees the Prescription Monitoring Program and opioid product registration. The board requested an extension of previously appropriated general fund dollars through fiscal year 2027 to continue paying legal costs tied to the insulin safety net lawsuit, emphasizing that this was not a new funding request but an extension of existing authority. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• lien-based medical bills so that you have the same codes for the same treatment, i.e., like a chiropractor
• to a health care provider that the attorney might have an interest in, i.e., your husband's a chiropractor
• and you're the attorney, and you refer your client to that chiropractor.
• to a health care provider that the attorney might have an interest in, i.e., your husband's a chiropractor
• , and you're the attorney, and you refer your client to that chiropractor.

Summary: The Assembly convened after a quorum call, prayer, and Pledge of Allegiance, then handled a series of procedural motions to re-refer bills, suspend rules, and remove items from the consent calendar. The chamber also heard guest introductions recognizing family milestones, a youth leadership program from Assembly District 13, a delegation of Japanese business leaders, and a Michoacan delegation. Later, members adopted several resolutions and consent items, including California Craft Beer Week, the Freedom Flag as a 9/11 remembrance symbol, Probation Services Week, and California Wildfire Week, along with other consent-calendar measures. The main floor debate centered on SB 417, a $10 billion housing bond for the ballot, with supporters emphasizing the state’s housing shortage, homelessness crisis, and funding for multifamily housing, supportive housing, homeownership, farmworker housing, student housing, tribal housing, infrastructure, and preservation of existing affordable units. Opponents criticized the proposal as adding debt without enough reform and objected to the use of veterans in the measure’s messaging. The Assembly passed SB 417 on urgency and on the measure, 54-7, and sent it to the Senate. Members then adopted ACA 20, which would expand and modernize the state Rainy Day Fund by increasing its cap and changing deposit rules; it passed 54-8 and was transmitted to the Senate. The Assembly also approved SB 623, a transportation-related bill addressing rideshare safety and medical lien practices. Supporters said it would curb abusive billing, restrict attorney conflicts and kickbacks, require stronger background checks for TNC drivers, and allow women riders and drivers to request women-only matches. The measure passed unanimously, 67-0. Later, the House adopted ACA 21, which removes ACA 13 from the November ballot, by 62-0, and ACA 22, which amends a ballot measure affecting taxation and local fiscal resources, by 64-0. The session concluded with an adjournment in memory of Dr. Dorothy Viola Calvin, followed by announcements, recesses, and final adjournment until the next scheduled floor session.

Transcript Highlights:

• It's commonly performed in Florida by physical therapists, chiropractors, and athletic trainers, and
• Physical therapists and chiropractors, some years ago, were given this authority by the state legislature
• But I think the actual technique is sound; physical therapists and chiropractors are already allowed

Transcript Highlights:

• I happen to be the chiropractor there, and a few of my patients and actually neighbors happened to be
• Uh, I happen to<00:02:06.560> be<00:02:06.640> the<00:02:06.799> chiropractor<00
• > there<00:02:07.600> and<00:02:08.560> the<00:02:09.360> a to be the chiropractor
• there and the a to be the chiropractor there and the a few<00:02:09.759> of<00:02:09.920>

Keywords: 1187, senate, all