Transcript Highlights:

• I will be speaking about the tiered licensure process.
• We are working collaboratively with entities like PBY to reimagine our licensure system.
• So I think I look at this tiered licensure thing, and, you know, my mom's been ...
• Allow school boards to set the pay for the substitute teachers.
• The school board member said, 'Why do they need to be paid more?

Committee: Senate Education Policy

Transcript Highlights:

• The clerk will ring the bell and open the board. Thank you. Thank you.
• The clerk will close the board and tally the vote.
• I am so thrilled to see Kansas City Public Schools, parents, educators, and school board members here
• Clerk, ring the bell and open the board. Thank you. Has everyone voted? Has everyone voted? Mr.
• Clerk, close the board and tally the vote. Oh, can I still hold on?

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal by roll call vote, 114-1. Members spent a large portion of the morning introducing guests and recognizing visitors, including career and technical education students, FFA and FCCLA groups, school leaders, interns, a physician of the day, and a Black History Month personal privilege honoring inventor Alice H. Parker and her early central heating design. The chamber then took up several bills for perfection and printing. House Bill 1847, the Missouri Dental and Dental Hygienist Compact, was presented as a workforce and access-to-care measure; members cited dental shortages and broad professional support, and it was ordered perfected and printed. House Bill 1866, dealing with peace officer licensure, was presented as allowing the Department of Public Safety to deny applicants whose licenses were revoked or suspended elsewhere and to require U.S. citizenship; an amendment to allow lawful permanent residents who honorably served in the military to qualify was debated at length but failed 95-52, and the bill was then ordered perfected and printed. House Bill 1908, with a companion bill, was described by its sponsor as ending a Missouri rule that delays divorce when a spouse is pregnant; supporters framed it as a due process and safety issue, especially for abuse survivors, and it was adopted and ordered perfected and printed. House Bill 1961, creating temporary licensure and a compact for dietitians, and House Bill 2180, changing Department of Revenue notice delivery options for blind pension recipients and taxpayers to include first-class mail and electronic delivery, both drew support as workforce or accessibility measures and were ordered perfected and printed after amendments. House Bill 2591, which would let speech-language pathologists count clinical fellowship experience completed in any state toward Missouri licensure, also passed perfection and printing. The House then moved to announcements and recessed until 2 p.m.

Transcript Highlights:

• Public retirement systems; Board of Trustees; provide for educational requirements.
• , provides for the composition of the board, officers, powers and duties of the board, powers and duties
• , powers, duties of the board, procedures regarding license.
• pathways for licensure, license equivalency, insurance.
• Board, as adopted. Ms. Grisselault. The motion to table. Objection. So ordered.

Bills: HR58 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HCR32 , HB43 , HB447 , HB573 , HB1000 , HB1001 , HB1002 , HB1003 , HB1004 , HB1005 , HR46 , HR48 , HR50 , HR51 , HR52 , HR53 , HR54 , HR55 , HR56 , HR57 , HCR31 , HB20 , HB21 , HB166 , HB494 , HB710 , HB795 , HB985 , HB986 , HB987 , HB988 , HB989 , HB990 , HB991 , HB992 , HB993 , HB994 , HB995 , HB996 , HB997 , HB998 , SB128 , SB149 , SB174 , SB191 , SB205 , SB213 , SB218 , SB220 , SB229 , SB238 , SB243 , SB375 , SB379 , HB8 , HB9 , HB10 , HB15 , HB16 , HB17 , HB18 , HB19 , HB22 , HB33 , HB34 , HB35 , HB44 , HB46 , HB47 , HB48 , HB61 , HB101 , HB126 , HB135 , HB142 , HB164 , HB185 , HB215 , HB226 , HB232 , HB233 , HB242 , HB284 , HB292 , HB297 , HB301 , HB334 , HB436 , HB468 , HB548 , HB571 , HB582 , HB593 , HB594 , HB609 , HB613 , HB712 , HB722 , HB732 , HB746 , HB781 , HB827 , HB845 , HB848 , HB921 , HB923 , HB951 , HB953 , HB999 , HB129 , HB130 , HB287 , HB489 , HB545 , HB553 , HB555 , HB570 , HB854 , HB952 , HB28 , HB36 , HB50 , HB52 , HB56 , HB62 , HB68 , HB92 , HB110 , HB117 , HB119 , HB124 , HB140 , HB147 , HB171 , HB182 , HB193 , HB196 , HB203 , HB228 , HB234 , HB260 , HB268 , HB271 , HB285 , HB289 , HB351 , HB400 , HB413 , HB469 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB842 , HB850 , HB919 , HB149 , HB733 , HB875 , HB868 , HB901

Transcript Highlights:

• In fact, I've been involved with child care for a long time, as a board member and otherwise.
• </c> certification and licensure. certification and licensure.
• </c><00:15:48.240><c> Um</c><00:15:48.440><c> but</c> teacher licensure in some cases.
• Um but teacher licensure in some cases.
• </c><00:22:57.560><c> of</c> S. 206, an act relating to licensure of S. 206, an act relating to licensure

Transcript Highlights:

• And I really just want to highlight this for the rest of this board.
• And I really just want to highlight this for the rest of this board.
• That is a registration fee, not a true licensure fee, that would go to $10,000.
• It's more than the institution is paying for full licensure in their home state.
• So it's more than the institution is paying for full licensure in their home state.

Transcript Highlights:

• And I really just want to highlight this for the rest of this board.
• Do you guys track the actual John Smith and Jane Smith and make sure that if they are part of a board
• Why does Oregon charge $5,700 for a non-SERA licensure and we're proposing to charge 10?
• $5,700 for a non-SERA licensure and we're proposing to charge $10,000?
• So it's more than the institution is paying for full licensure in their home state.

Summary: The joint Sunset Review Oversight Hearing focused on the Bureau for Private Post-Secondary Education (BPPE) and its reauthorization, with committee chairs and members emphasizing the Bureau’s role in protecting students, overseeing private postsecondary schools, and responding to a changing federal higher education landscape. BPPE and the Department of Consumer Affairs reported that the Bureau has modernized data systems, improved enforcement, increased citations and inspections, reduced pending complaints, and is now meeting its statutory inspection mandate. They also said the Bureau faces a structural budget deficit and has reduced costs through staffing cuts, streamlined inspections, and shifting some student-relief functions to the Student Tuition Recovery Fund (STRF).

Transcript Highlights:

• Not eligible by the State Board of Education.
• Those tests are set by the American Board.
• American Board.
• One is that apprenticeships directly align paid work experience with those licensure requirements.
• One is that apprenticeships directly align paid work experience with those licensure requirements.

Committee: House Elementary and Secondary Education

Transcript Highlights:

• tier three licensure amendments crafted by<00:25:02.559><c> broad</c><00:25:03.039><c> stakeholders<
• I'm also part of the executive board for the League of Latinx Educators.
• </c> program completion and licensure program completion and licensure attainment<00:58:13.040><c> for
• </c><01:02:01.920><c> costs</c> as well as helping with licensure costs as well as helping with licensure
• Bailey from the Professional Educators Licensing and Standards Board. Ms.

Committee: House Education Finance

Summary: The Education Finance Committee met remotely on February 16, 2022, with a quorum present and approved the minutes from the previous day by voice vote. Chair Dabney said the committee was spending the week on public school staffing shortages, especially efforts to increase and retain BIPOC teachers, and introduced testimony on the Collaborative Urban and Greater Minnesota Educators of Color Grant Program (CUGMEC) and the broader Increasing Teachers of Color Act. Testifiers from St. Thomas, Augsburg, and Hopkins described the history and impact of the legacy educator-of-color programs. Kathleen Campbell said the original Q program was created to address underrepresentation, remove financial barriers, and provide mentorship and culturally relevant support; she argued that when the grant became competitive in 2017 without additional funding, support was spread too thin and student capacity dropped. Audrey Lensmeyer described Augsburg’s East African Student-to-Teacher Program, rooted in community advocacy in Cedar-Riverside, and said it has produced strong completion and licensure outcomes. Keenan Jones shared his path from paraprofessional to teacher and district leader, emphasizing the importance of scholarships, mentorship, and outreach to high school students, including a statewide co-enrollment Intro to Teaching course. Representative Hassan then presented House File 3079, saying the bill aims to attract, prepare, complete, and retain more teachers of color and American Indian teachers through several grant and program changes, including Closing the Educational Opportunity Gap grants, Cook Mac funding, teacher mentorship and retention updates, and revisions to CUGMEC. He said the bill responds to a severe shortage of BIPOC teachers and that the requested investment is small relative to the state surplus. Student and educator testimony followed, including a third-grade student from Crookston and Ava Roots, both of whom described the importance of having teachers who reflect students’ cultures and experiences. Natalia Benjamin, the 2021 Minnesota Teacher of the Year, also testified about retention challenges for educators of color and racialized workplace treatment. The committee indicated it intended to lay over HF 3079 for possible inclusion in a future omnibus bill, and Representative Richardson moved the bill to be laid over for further consideration.

Transcript Highlights:

• DESE to amend their teacher licensure regulations as needed to make sure teachers know how to include
• so that teachers who teach children with severe and moderate disabilities are required in their licensure
• So this would direct DESE to do their own review and determine which teacher licensure regulations need
• There also is a part of the bill that would expand the re-licensure to potentially include this population
• and to limit the involvement of law enforcement. ...ensure the safety of those on board and to limit

Committee: Joint Joint Committee on Education

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with most testimony focused on two main topics: improving access to augmentative and alternative communication (AAC) for students with disabilities, and raising educator pay statewide. On the AAC bills (House 514/Senate 418), parents, advocates, and attorneys described how AAC devices and communication books help nonverbal or minimally verbal children communicate, participate in class, and reduce frustration and behavioral issues. Testimony emphasized that while districts are generally required to provide devices, many teachers and school staff lack training to use them effectively; the bill would direct DESE to update licensure and training requirements so newly licensed teachers are prepared to support AAC users. Committee members asked about current teacher-prep practices, implementation, and whether DESE could act without legislation, and witnesses said the proposal was intended as a long-term solution and had previously received some support and compromise language. The committee also heard extensive testimony on House 733/Senate 370, which would set a statewide minimum salary of $70,000 for teachers and $55,000 for education support professionals (ESPs/paras), with inflation adjustments and a phase-in structure that would shift costs over time from the state to municipalities. Supporters, including the bill sponsor, MTA leaders, and school employees from several districts, argued that current pay is not a living wage, contributes to staffing shortages and turnover, and forces many educators to work multiple jobs or rely on public assistance. They said the bill would help recruit and retain staff and better reflect the importance of the work. Committee members raised questions about how the state would fund the mandate, how it would interact with Chapter 70 school aid and local budgets, whether other states have similar mechanisms, and whether the proposal could create disincentives for districts already paying above the floor. Witnesses pointed to the Student Opportunity Act, the Fair Share Amendment, and the need for a broader school funding formula review as possible parts of the solution. The committee also briefly heard and discussed Senate Bill 435/House Bill 736, which would require de-escalation training for school bus operators, with the training paid for by employers. The sponsor and a parent advocate said the bill was prompted by a school bus incident involving a child with cerebral palsy and epilepsy and would improve safety and reduce reliance on law enforcement. Members asked whether the bill should also cover bus monitors and other transportation staff, and whether private contractors and public operators currently provide similar training. At the end of the hearing, the chairs closed testimony on the full list of bills and adjourned the hearing without taking any votes.

Transcript Highlights:

• I'm the director for the Arkansas Board of Examiners and Counseling.
• This is the rule change for the Board of Hearing Instrument Dispensers.
• This is the rule change for the Board of Hearing Instrumenters.
• Meredith Rogers, Director of the Arkansas State Board of Dental Examiners.
• He had a general question about rules regarding licensure in the state compared to licensure required

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• </c> when uh assisted living licensure when uh assisted living licensure um<00:30:56.920><c> was</c><
• So, the restraints language is actually because when the assisted living licensure was enacted in 2019
• Yeah, I'm just coming from my school board experience of 16 years.
• was um enacted in 2019, the licensure was um enacted in 2019, the current<00:36:07.880><c> statute</
• </c> I'm just coming from my school board I'm just coming from my school board experience<00:37:34.680

Committee: Senate Human Services

Transcript Highlights:

• </c> top of their licensure and training. top of their licensure and training.
• </c> building code review board. building code review board.
• Um, board, so we only meet once a month.
• Sherman from the Building Code Review Board. Second it.
• </c> residential ratepayer advisory board. residential ratepayer advisory board.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• The clerk will ring the bell and open the board. Thank you. Thank you.
• The clerk will close the board and tally the vote.
• Clerk, ring the bell and open the board. should be a requirement of U.S. citizenship.
• Clerk, ring the bell and open the board. Thank you. Has everyone voted? Has everyone voted? Mr.
• Clerk, close the board and tally the vote. Oh, can I still hold on?

Transcript Highlights:

• Catherine Bryce, Briceley, board members Terry Hammett, Matt Diaz, Board members Terry Hammett, Matt
• Catherine Bryce, Briceley, board members Terry Hammett, Matt Diaz, Briceley, board members Terry Hammett
• , to authorize school boards, who in...
• buildings, powers of local school boards, to authorize school boards to enter into certain cooperative
• of the service board, reported from Health and Welfare favorably.

Bills: HR46 , HR47 , HR48 , HR49 , HR50 , HR51 , HR52 , HR53 , HR54 , HR55 , HR56 , HR57 , HCR31 , HB20 , HB21 , HB166 , HB494 , HB710 , HB795 , HB985 , HB986 , HB987 , HB988 , HB989 , HB990 , HB991 , HB992 , HB993 , HB994 , HB995 , HB996 , HB997 , HB998 , HR42 , HR43 , HR44 , HR45 , HCR22 , HCR23 , HCR24 , HCR25 , HCR26 , HCR27 , HCR28 , HCR29 , HCR30 , SCR13 , HB894 , HB983 , HB984 , SB19 , SB23 , SB26 , SB30 , SB39 , SB45 , SB46 , SB50 , SB51 , SB55 , SB69 , SB71 , SB73 , SB84 , SB85 , SB89 , SB96 , SB98 , SB101 , SB110 , SB148 , SB150 , SB160 , SB164 , SB303 , SB340 , HB28 , HB36 , HB50 , HB52 , HB56 , HB62 , HB68 , HB92 , HB110 , HB117 , HB119 , HB124 , HB140 , HB147 , HB160 , HB171 , HB174 , HB182 , HB193 , HB196 , HB198 , HB203 , HB228 , HB234 , HB237 , HB260 , HB268 , HB271 , HB285 , HB289 , HB316 , HB351 , HB393 , HB400 , HB413 , HB446 , HB469 , HB486 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB807 , HB842 , HB850 , HB919 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB129 , HB130 , HB287 , HB489 , HB545 , HB553 , HB555 , HB570 , HB854 , HB952 , HB221 , HB148 , HB331 , HB149 , HB901

Summary: The House convened with prayer, the pledge, leave granted for one member, and several ceremonial recognitions, including Women Shaping Industry Day, Louisiana Agriculture Week, and CODOFIL Day at the Capitol. The chamber also received Senate messages concurring in several House concurrent resolutions and adopting SCRs 14 and 15, which designated Flood Awareness Month and recognized the bond between Quebec and Louisiana. Numerous resolutions and bills were introduced and referred, including measures on retirement systems, juvenile justice districts, carbon sequestration in St. Helena Parish, tax administration, election procedures, education, criminal justice, and state property transfers. The House adopted several resolutions without objection, including commendations for Thrive Academy, Bishop Lonnie Welder, Pastor Aaron Holloway, World Down Syndrome Day, and others. Members also heard committee reports on a wide range of bills, with many reported favorably or with amendments. In morning hour, the House discharged and withdrew two bills from committee, and later returned some bills to the calendar with notice to call them on later dates. The chamber then took up a series of floor bills, passing HB 474 to create an income tax checkoff for the Grambling State University National Alumni Association, HB 487 on penalties for unsafe red-light passing maneuvers, HB 503 on utility terrain vehicles in Golden Meadow, HB 606 on personal delivery devices, HB 633 on estimated income tax filing timing, HB 707 on the Liquefied Petroleum Gas Commission Advisory Board, HB 970 on tacit dedication of public roadways, HB 728 on out-of-state tow truck requirements, HB 846 on license plate coverings, HB 852 on a domestic violence donation checkoff, HB 856 on DOTD indefinite delivery/indefinite quantity construction contracts, HB 221 naming the proposed Mississippi River bridge the President Donald J. Trump Expressway, HB 148 designating a highway memorial, and HB 331 creating a Louisiana GOP specialty plate. Most of these bills passed with little or no opposition, though HB 221 drew debate and passed 68-26. The House adjourned after announcing committee meetings for the following day.

Transcript Highlights:

• Aloha, I’m Leam Menon, the board president for Midwives Alliance of Hawaii.
• Aloha, I’m Leam Menon, the board president for Midwives Alliance of Hawaii.
• I am a board-certified OBGYN. I offer strong support for HB 1194.
• It also gives us more options for licensure and is more realistic per konaka.
• after January 1st, 2020, in states with new licensure laws.

Committee: Senate Health and Human Services

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• ; to provide for licensure by endorsement; to provide that practicing without a license shall be a felony
• of Medicine; to revise the definition of the Board of Medicine; to make technical corrections; to amend
• To provide that licensure is a prerequisite to practice, to establish powers and duties of the State
• Board of Medicine, to establish provisions regarding application, examination for license, to provide
• , to provide for licensure by endorsement, to provide that practicing without a license shall be a felony

Transcript Highlights:

• This bill corrects that omission by allowing school social workers who have passed the ASW board national
• . ...pass a national clinical examination and maintain state licensure.
• The LCSW is the highest level of clinical licensure in Delaware.
• It ensures school social workers with advanced clinical licensure are treated consistently with other
• Percent for school social workers who have earned advanced clinical licensure.

Bills: SB231

Committee: House Administration

Summary: The House Administration Committee met and first considered Senate Bill 231, which would extend the existing 6% salary supplement for school-based mental health professionals with advanced credentials to school social workers who hold licensed clinical social worker credentials and have passed the national exam. The bill sponsor and multiple witnesses described school social workers as essential to student mental health, crisis response, attendance, and family support, and argued the measure corrects an oversight and inequity in the current salary supplement structure. Public testimony was uniformly supportive, and the committee voted to release the bill. The committee then heard Senate Substitute 1 for Senate Bill 212, a constitutional amendment to protect the rights to hunt, fish, and trap. Supporters, including sportsmen’s groups and individual residents, said the amendment would preserve longstanding traditions, support wildlife management, and guard against future threats to hunting and trapping. An opposing witness argued there was no current threat in Delaware and said the Constitution should not be used to protect trapping or elevate hunting and trapping over other wildlife management approaches. Despite the opposition, the committee voted to release the substitute bill. Finally, the committee took up Senate Substitute 1 for Senate Bill 284, the First State Emergency Response Act, which would create a 25-foot buffer around first responders at emergency scenes after warning, with misdemeanor penalties for knowingly entering or remaining in the zone to interfere with duties. Supporters said the bill would protect police, firefighters, EMTs, and paramedics from interference, while opponents from the ACLU and the Office of Defense Services raised concerns about vague terms, potential First Amendment impacts, enforcement clarity, and jurisdictional issues. Committee members also questioned how the buffer would be marked and enforced. The sponsor and staff said they would continue working on the language, and the committee voted to release the bill.

Transcript Highlights:

• and medical board oversight.
• Health and safety through physician licensure and medical board oversight.
• The New Mexico Medical Board stands in opposition.
• rather than the Medical Board.
• rather than the medical board.

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.

Transcript Highlights:

• So House Bill 4010 establishes the Board of Genetic Counselors, administered through the Arizona Board
• The board is subject to sunset review in 2034.
• Genetic counseling licensure matters because it protects patients.
• The board is also proposing an amendment to appropriate a sum of $85,000 from the Board of Nursing fiscal
• fund to the Arizona State Board of Nursing to implement this act.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• This bill, you recall, is an effort by the interior designers to be included in the Board of Registration
• All of the existing professions on the board have a scope of practice.
• This is the purpose of the board.
• The purpose of the board is to protect the health, safety, and welfare of the residents of the state
• of licensure is to protect the public's interest.

Committee: House Professional Registration and Licensing