Video & Transcript Research : 'interjurisdictional compact'

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AL

Alabama 2025 Regular Session

Alabama House Health Committee Mar 19th, 2025

Health

Transcript Highlights:
  • This is another of the compact bills that we do in our state, and there's a great deal of work being
  • done to try to standardize the compact process to make...
  • Standardize the compact process to make it so that each time we have something of this nature come up
  • What happened during the process, and this is about respiratory therapists for an interstate compact.
  • Therapists for an interstate compact in relation to them.
Bills: HB384, SB181, HB391
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Health Jun 21st, 2026 at 10:00 am

Joint Committee on Public Health

Transcript Highlights:
  • compact.
  • compact.
  • , or PA Compact.
  • a compact privilege.
  • compact.
Keywords: 995, all
Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.
AZ

Arizona 2026 Regular Session

01/13/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • They get six acre-feet in their compact?” “Okay. Any other questions?” “Madam Chair.” “Yes.”
  • “They had a compact.” “They had a compact that they can’t pump any more than six acre-feet.
  • “Oh, Madam Chair, just as a follow-up, so the Graham and Greenlee compact—I do, I—they’re restricted
Summary: The committee began with member and staff introductions, then heard House Bill 2024, which would expand the Water Infrastructure Finance Authority’s water supply development definition to include snowpack augmentation and related planning and facility work. Supporters argued cloud seeding and drone-based silver iodide deployment could increase snowpack and water supply at relatively low cost, while opponents raised concerns about weather modification, uncertainty in the science, and possible environmental or health effects. After debate, the committee approved HB 2024 on a 6-4 vote, with some members expressing reservations and requesting more information before floor consideration. The committee next considered House Bill 2053, which would direct the Arizona Department of Water Resources to update stormwater recharge mapping statewide and provide $100,000 for the work. The sponsor and ADWR said the bill would expand on prior state-land mapping and help identify recharge opportunities on private land; ADWR was neutral and said it could do the technical mapping but could not make legal determinations about appropriable surface water rights. Salt River Project opposed the bill’s language on surface-water rights, arguing that determinations about unappropriated water belong to the courts and that site-specific recharge projects could affect downstream rights. The committee adopted the Griffin amendment and then passed HB 2053 as amended on a 6-4 vote. Chelsea McGuire of WIFA then gave a broad presentation on the agency’s revolving funds, conservation grants, and long-term augmentation efforts, describing past investments, current grant awards, and seven potential augmentation projects under development. She said WIFA’s current budget ask was essentially for no additional cuts, while members asked about costs, project qualifications, and public-private structure. The committee then took up House Bill 2097, which would impose a six acre-feet-per-acre groundwater pumping cap in irrigation non-expansion areas, add reporting and well-measurement requirements, and set a $150 penalty for violations. ADWR said the bill could require additional staffing and that the cap and substitution provisions had technical concerns; environmental groups argued the cap was too high and could still encourage overpumping, while supporters said it would finally place a limit on INA pumping. HB 2097 passed 6-4. Finally, the committee heard House Bill 2116, which would appropriate $1 million to the Colorado River Litigation Fund; the sponsor described it as a contingency for ongoing Colorado River negotiations, and the committee moved the bill forward after brief discussion.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 2nd, 2026 at 02:11 pm

House Judiciary

Transcript Highlights:
  • And so the compact we have language in the compact that says that in order to participate in the compact
  • and all the health worker compacts.
  • Now, House Bill 33, which is the Psychology Interjurisdictional Compact.
  • House Bill 33 joins New Mexico to the Psychology Interjurisdictional Compact, expanding access to psychological
  • It was just that the original compact was written for telepsychology.
Bills: HB9, HB50
ND

North Dakota 2026 1st Special Session

House Floor Session Jan 23rd, 2026 at 09:00 am

North Dakota House Floor Meeting

Transcript Highlights:
  • These policy bills included the Presidential Physical Fitness Program, Physician Assistant Licensure Compact
Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.
ND

North Dakota 2026 1st Special Session

House Floor Session Jan 21st, 2026 at 08:30 am

North Dakota House Floor Meeting

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 13th, 2026 at 04:01 pm

Senate Health & Public Affairs

Transcript Highlights:
  • We are opposed to any amendment to the compact unless the Compact Commission itself signs off on the
  • work compact.
  • Included in the social work compact.
  • So on these compacts, Senator Hickey or Representative Thompson, if a New Mexican is using this compact
  • of the laws surrounding the compact, so to speak... ...the law surrounding the compact, so to speak,
Bills: HB10, HB12, HB34, SB130, SM21
HI

Hawaii 2026 Regular Session

Senate Floor Session 03-10-2026 9:30am

Hawaii Senate Floor Meeting

Transcript Highlights:
  • Compact.
  • the<00:21:24.520> psychology relating to the psychology relating to the psychology Interjurisdictional
  • <00:21:26.400> Compact.
  • <00:21:27.200> Is<00:21:27.400> there Interjurisdictional Compact.
  • Is there Interjurisdictional Compact. Is there any<00:21:27.880> discussion?
Keywords: 912, senate, all
Summary: The Senate convened with 24 members present and one excused, approved the prior journal, and welcomed visiting fifth-grade students from Kauai’s Island School and Laie Elementary to the gallery. The body then received and referred a series of governor’s nominations and House bills, and introduced numerous Senate concurrent and Senate resolutions for committee referral. It also took up a large consent calendar of Senate bills, approving the consent package unanimously and passing those measures on third reading. The chamber then considered many individual bills on third reading, with several floor amendments adopted to add effective dates and delay final action on measures including SB 2454, SB 2830, and SB 2397. Some bills were recommitted to the Judiciary Committee or separated from committee reports, including SB 2480 and SB 2423. The Senate also passed a number of policy bills covering motor vehicles, public safety, property insurance, elections, campaign finance, renewable energy, financial disclosures, liquor, veterans’ benefits, social media, electric energy, coastal resilience, climate planning, conservation, agriculture, education, collective bargaining, transportation, housing, land use, fishing, and natural resource management. Several measures drew reservations or no votes, but most still passed by wide margins. Notable debate centered on SB 3125, relating to income tax, where Senator Dela Cruz supported the bill as a way to preserve tax relief for working families while addressing fiscal uncertainty, Senator DeCorte opposed it as a rollback of promised relief amid Hawaii’s high cost of living, and Senator McKelvey and Senator Rhoads defended it as a responsible balance between tax relief and budget stability. SB 3125 ultimately passed third reading 23-2. Other bills also passed with recorded opposition, including SB 2009, SB 2517, SB 2721, SB 2731, SB 3071, SB 2418, SB 2568, SB 2975, SB 2100, SB 2353, SB 3062, SB 2761, SB 2003, and SB 2981.
ND
Transcript Highlights:
  • , having to do with the physician assistant licensure compact.
  • So with a compact, it does mean that the criteria have to be acceptable, Compact, it does mean that the
  • So with a compact, it does mean that the criteria have to be acceptable, compact, it does mean that the
  • , the nurses' compact, occupational therapy, physical therapy, the psychological interjurisdictional
  • compact, and social work.
Keywords: 908, all
Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.
HI
Transcript Highlights:
  • The same recommendation for JDC members on SB 2080 relating to the psychology interjurisdictional compact
  • The same recommendation for JDC members on SB 2080 relating to the psychology interjurisdictional compact
  • Unpopular take on this table, but according to the testimony, people are starting to catch on to these compact
Keywords: 912, senate, all
Summary: The committees met in decision-making sessions and considered a long list of Senate bills, with no oral testimony taken. Several measures were advanced unamended, including SB 2178 on industrial hemp, SB 2277 on hospital price transparency, SB 2387 on digital financial asset transaction kiosks, SB 2688 on compassionate release, SB 3132 on syndromic surveillance data reporting, SB 3219 on housing infrastructure growth bonds, and others. Many bills were also advanced with technical or substantive amendments, including SB 2114 on collective bargaining grievance rights, SB 2601 on procurement penalties, SB 2698 on cruise ships/transportation, SB 2757 on digital asset charters, SB 2948 on insurance fraud, SB 2002 on water governance, SB 2022 on state water code penalties, SB 2190 on inclusionary zoning, SB 3294 on wrongful imprisonment compensation, and SB 17, SB 2407, SB 2811, SB 2907, SB 2930, SB 3084, SB 3103, and SB 2808 in the later agenda segment. The committee also discussed SB 2080, relating to the psychology interjurisdictional compact, where one senator objected to interstate compacts as opening local jobs to out-of-state professionals; despite that objection, the measure was adopted. SB 3133 on preventive medicine drew amendment discussion to remove unnecessary language about committee members not being state employees and to delete an immunity subsection, while preserving ethics-code coverage and provider immunity. SB 3000 on insurance was amended to remove a savings clause, and SB 2921 on fund transfers received extensive amendments removing or revising numerous special funds and revolving accounts across agencies. Most votes were unanimous or near-unanimous, often with members present voting aye or with reservations. A few measures drew recorded no votes or reservations, including SB 2080, SB 3133, SB 2921, and SB 2401, where one member voted with reservations and the committee report was to reflect the Attorney General’s comments. In each case, the committee adopted the recommendation and moved the bills forward.
HI
Transcript Highlights:
  • compact. >> Okay.
  • compact.
  • compact.
  • already participating in the compact. already participating in the compact.
  • This next bill, SB 2080, relating to the psychology interjurisdictional compact.
Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.
NM

New Mexico 2025 Regular Session

House - Chamber Meeting Feb 3rd, 2025

Transcript Highlights:
  • It is an act relating to professional licensure, enacting the psychology interjurisdictional compact.
  • Matthews (member_13054), is an act relating to licensure, enacting the Interstate Medical Licensure Compact
  • This act provides for the appointment of New Mexico compact commissioners, requiring the filing of interstate