Video & Transcript Research : 'multistate practice'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- For decades, institutionalization was regarded as best practice.
- In my nursing practice, I have In my nursing practice, I've witnessed several individuals with a history
- This practice is condemned by a vast majority of the world.
- In my practice, this issue of unmet health needs certainly rings true.
- In practice, this means families will not face financial burdens.
Summary:
The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles.
The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions.
Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.
FL
Florida 2025 Regular Session
Transportation Jan 14th, 2025
Transcript Highlights:
- Best practice is to support the vision for customer focus.
- and to retain retention practices.
- So those are kind of some other practices that are helping.
- And then we looked at what is that to practice in Florida?
- And if that any best practices that on something that's even best practices.
FL
Florida 2025 Regular Session
March 20, 2025 - 02:00 PM
Transcript Highlights:
- I work in a multi-doctor, multi-location practice.
- I practice in Tavares, Florida with my wife, Dr. Jana Lansaw.
- I live and practice in Jacksonville, My name is Dr. Brian Stam.
- I live and practice in Jacksonville, Florida.
- that we see in our practice every day.
Summary:
The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably.
HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably.
The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably.
Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.
HI
Hawaii 2025 Regular Session
House Chamber - Tue Mar 4, 2025, 9:00 AM HST - Day 25
Hawaii House Floor Meeting
Transcript Highlights:
- <01:32:14.960>
and this bill is both practical and this bill is both practical and necessary - to use um the pet Pathway to practice to use um the pet Pathway to practice moving<03:47:18.920>
- <03:48:40.560>
and better practice and better practice and apprenticeship<03:48:42.479> - and customary native Hawaiian practices and customary native Hawaiian practices as<04:18:34.000>
- cultural and spiritual birth practices cultural and spiritual birth practices are<04:21:22.319><
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (03/25/2025)
Transcript Highlights:
- From various areas of practice.
- repeatedly regular as part of practice repeatedly regular as part of practice who<00:18:30.400><
- children in their regular uh practice children in their regular uh practice because<00:43:38.520
- Pediatrics uh American Family Practice Pediatrics uh American Family Practice Association<00:44:
- since the mid90s and they practice since the mid90s and they practice Primary<00:50:35.079>
Care
Summary:
The committee opened a public hearing on House Bill 493, a proposal to require physicians, nurse practitioners, and physician assistants to complete child abuse and neglect training as part of licensure and continuing education. The bill’s sponsor and supporters said the measure addresses a gap in provider training, especially because abuse can be difficult to recognize and voluntary training has had low participation. They described a free Dartmouth online course and argued that mandatory, repeated education would help providers identify signs of abuse, know when to involve specialists or DCYF, and improve child safety. Supporters also noted the bill was amended to clarify coverage for nurse practitioners, physician assistants, and nursing hours, and to address language concerns raised by the Office of Professional Licensure and Certification.
Committee members and OPLC counsel raised implementation questions, including whether the bill would apply to all physicians regardless of specialty, whether it created a new licensure condition rather than only a continuing education requirement, how often the training would need to be repeated, and whether the accreditation language fit nursing rules. OPLC also noted that psychiatrists would be covered as physicians, while psychologists would not. A child abuse pediatrician testified that in his experience, children were sometimes seen by providers who missed early signs of abuse, leading to worse outcomes, and that mandatory education was needed because voluntary programs had poor uptake.
The New Hampshire Hospital Association opposed the bill, saying health care professionals already have reporting duties and that the legislature should not single out one training mandate when similar requirements are generally left to licensing boards. The Office of the Child Advocate supported the bill, citing cases from 2023 involving non-ambulatory infants with fractures, conflicting medical testimony in court, and a low completion rate for the existing free online course. The Child Advocate said the bill should be mandatory and recurring so providers stay current on evolving science and law. No vote was taken in the portion of the hearing provided.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (10/21/2025)
Health and Human Services
Transcript Highlights:
- <00:11:09.519>
is back at what the standard of practice is back at what the standard of practice - <00:20:13.440>
and going to obviously be practical and going to obviously be practical and - practice can be problematic.
- The other practice is the practice of white bagging.
- we heard in testimony that the practice we heard in testimony that the practice of<00:31:52.399>
TX
Texas 89th Regular
Senate Committee on Health and Human Services May 14th, 2025
Health & Human Services
Transcript Highlights:
- I mean, we had a scope of practice bill last session with ...
- Tommy Lucas. ...and I'm an optometrist practicing in Killeen, Texas.
- independent optometry practices and manages their plans.
- Kate Walters, and I'm an optometrist practicing in Brenham, Texas.
- I started my optometry practice in Burnaby.
Bills:
HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107
Keywords:
sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records
FL
Florida 2025 Regular Session
October 7, 2025 - 01:30 PM
Transcript Highlights:
- source requirements, contract requirements, advertising disclosures informed consent prohibited practices
- Revised the mobile licensure requirements related to act as active practice requirement and adverse action
- Specifically the active practice requirement was amended from 3 here to to your requirement and provided
- This tells us that while mobile licensing is a technically open to all professions in practice, it is
- They estimate the proof to the Board of Pharmacy of their written collaborative practice agreement.
MN
Minnesota 2025-2026 Regular Session
Education Policy Committee hearing on HF1999 3/26/25
Transcript Highlights:
- Um, I've within the data practices act.
- of opinion uh data practices opinions of opinion uh data practices opinions and<00:08:18.720>
guidance - It's even mentioned. data practices act, I was asking many data practices act, I was asking many questions
- know, this has been the data practices know, this has been the data practices act<00:19:53.919><
- Um in the bulk of the data practices Um in the bulk of the data practices act,<00:22:07.760>
Summary:
The committee heard House File 1999 informationally only, with no formal action taken. Representative Green explained that the bill addresses large and sometimes anonymous data requests made to school districts and other government entities, arguing that while public access to data is essential, some requests create significant staff and cost burdens when requesters do not follow through. She described examples from districts that spent thousands of dollars preparing data that was never inspected, and said the bill aims to add accountability while preserving open government and press access.
Testifiers largely supported the bill’s goals but discussed technical changes. Matt Eling of Minnesotans for Open Government said the amendment largely codifies existing guidance on handling large requests by breaking them into components and allowing inspection or copying in stages. Superintendent Jeff Felson of Owatonna Public Schools said his district had received 12 anonymous requests in three years, nine of which were abandoned, costing about $40,000, and one large request cost more than $400,000 and required significant staff time. Rich Newmeister also supported the effort but raised concern about language referring to providing data on a “rolling basis,” suggesting training and clearer guidance for districts instead.
Members asked whether school districts already set their own data-request policies, whether anonymous requests must be answered, and how the bill would affect private personnel data. Representative Green said districts do have their own policies, anonymous requests are allowed under current law, and the bill is meant to provide clearer statutory guidance. She also said she was open to removing the “rolling basis” language after feedback. The discussion ended with general support for the bill’s intent and a reminder from the chair that the hearing was informational only.
NV
Nevada 2025 Regular Session
Assembly Committee on Health and Human Services May 30th, 2025 at 12:00 pm
Transcript Highlights:
- under the direct supervision of a provider of health care listed previously who practices in the same
- That's when I started practicing orthopedic surgery. It was in 1980.
- Scope of practice is a legal term of art. It is used 126 times already throughout the NRS.
- So also within the practice outside of their scope and can be enjoined.
- Scope of practice is your license, but is also your education, training, and experience.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/18/25
Judiciary Finance and Civil Law
Transcript Highlights:
- <00:45:50.040>
Act Minnesota Government data Practices Act Minnesota Government data Practices - is just one type of restorative practice is just one type of restorative practice but<01:37:43.400
- restorative practice.
- restorative practice.
- restorative practice.
Keywords:
veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, foreclosure
TX
Transcript Highlights:
- They’ve been practicing for years, they come here, and they want to practice, but it’s basically like
- But he's not practicing medicine.
- Yeah, I mean, I think that having a mechanism to allow the physician graduates to practice... ...practice
- The states to practice.
- This practice here in Texas.
Bills:
HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246
Keywords:
HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care
Summary:
The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Feb 2nd, 2026 at 08:33 am
House Health & Human Services
Transcript Highlights:
- Thibodeau, practicing optometrist in Santa Fe.
- And when students are looking for places to practice, they want to be able to practice to their fullest
- I'm a practicing optometrist down there.
- To say that they're going to implement these practices.
- Putting evidence-based practices in statute is the point.
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (04/01/2026)
Executive Departments and Administration
TX
Transcript Highlights:
- Stop what practices. OK. They're discriminatory.
- I just don't know how this is practical. Sure.
- This practice has devastating consequences.
- Pre predatory practice.
- Our office, I practice, I'm a lawyer.
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Apr 29th, 2026 at 09:30 am
Professional Registration and Licensing
Transcript Highlights:
- The first piece would require an active RRT, registered respiratory therapist, credential to practice
- Currently, someone can practice with either a CRT, certified respiratory therapist, or an RRT credential
- So you can practice in Missouri without having passed any simulation exam.
- to practice.
- Senate Bill 991 allows licensed interior designers to practice to the full extent of their training and
Summary:
The Committee on Professional Registration and Licensing held a public hearing and then executive session on Senate Substitute for Senate Bill 1083. The bill, as explained by the sponsor, would require respiratory therapists in Missouri to hold an active RRT credential rather than a CRT, while grandfathering current CRT licensees, and would also add random renewal audits to confirm licensees maintain active credentials. The Senate substitute also included provisions affecting interior designers, physician licensure background checks and disclosure requirements, social worker supervision experience, and speech-language pathologist clinical fellowship supervision requirements.
Testimony was generally supportive of the respiratory therapy, speech-language pathology, and social work provisions, with witnesses saying the changes would improve patient care, reduce barriers to licensure, and help address workforce shortages, especially in rural areas. The interior design portion drew the most discussion, with Representative Nolte disputing the sponsor’s claim that the relevant board was in full agreement and saying the board had concerns; the interior designers’ witness responded that they had negotiated changes with board representatives and made additional revisions. One witness also asked the committee to consider adding language from House Bill 2300 and Senate Bill 895.
In executive session, the committee adopted an amendment that added or clarified language on residential care and assisted living facility accreditations, a three-year work-experience requirement for temporary licensure language, cleanup language regarding an osteopathic college, and a speech-language pathology fix clarifying supervision could be from any state. The committee then rolled the amendment into the substitute and voted do pass on House Committee Substitute for Senate Substitute for Senate Bill 1083 by a vote of 21-1, with Representative Nolte voting no.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - Part 1 - 04/24/26
Judiciary and Public Safety
Transcript Highlights:
- matters. data practices act that governs the OAG, data practices act that governs the OAG, has<01:31
- experts on data practices at our office. experts on data practices at our office.
- different parts of the data practices different parts of the data practices act,<02:15:47.040>
- practices act later. practices act later.
- do with data practices. do with data practices.
MS
Mississippi 2026 Regular Session
Public Health - Room 216, 27 January, 2026; 3:00 PM
Public Health and Human Services
Transcript Highlights:
- practice practice throughout<00:14:39.760>
the <00:14:40.000>state <00:14:40.240>in - the practical aspect um people being the practical aspect um people being able<00:57:29.520>
to actually proctor the uh practical actually proctor the uh practical examinations<00:59:32.640>- proctoring of those practical proctoring of those practical examinations<00:59:45.920>
to - to come to Mississippi to practice to come to Mississippi to practice medicine.<01:04:16.559>
- proctoring of those practical proctoring of those practical examinations<00:59:45.920>
Summary:
The committee first took up House Bill 3, a Medicaid and certificate-of-need measure described as a revised version of a bill vetoed by the governor the previous year. The bill would remove a prohibition on a psychiatric residential treatment facility in one county from Medicaid participation, add 20 beds for a Madison County facility, allow crossover status for a Harrison County hospital, require MC to obtain a certificate of need for facilities outside the original Jackson campus area, increase capital expenditure limits, and remove the provision the governor had objected to. Members discussed whether the bill was really a study item or a substantive new requirement, especially a provision tied to acute adult psychiatric units treating uninsured patients or paying a fee. The chair explained the policy concern as preventing “cherry-picking” of insured patients and shifting more uncompensated care to public facilities. The committee voted that the title was sufficient and the ayes appeared to have it, then voted to rise and report.
The committee then heard Senate Bill 2453, a clarifying bill on window tinting/glazing exemptions. The sponsor explained that current law requires a physician’s affidavit for an exception, and the bill would clarify that licensed optometrists, along with physicians, may sign the affidavit for people whose eyes are sensitive to light. After brief questions, the committee again voted that the title was sufficient and the ayes appeared to have it. The chair said the two bills were being moved quickly to the docket room for processing and that the committee would reconvene immediately afterward.
The final portion of the meeting was a hearing on Senate Bill 2566 involving the Board of Cosmetology and Barbering. The chair explained that the hearing was prompted by complaints from last session about inspectors being overly aggressive, fines for technical violations, and delays or problems with licensing. Board representatives said the newly appointed board had met for the first time, elected officers, and intended to focus on workforce development, easing burdens on the industry, and protecting public health and safety. They said the board had already restored prior passing scores for exams, adjusted work-permit timing to help students, reviewed contracts and staffing, and planned further meetings. Members and the chair discussed possible legislative changes, including mobile barber establishments, reducing fines, and extending license terms from two years to three years, with the chair asking the board to work with Senator Johnson on amendments before the deadline.
CA
Transcript Highlights:
- We need to maintain the practices already put in place in my office to address the observed disparities
- , and his well-established legal practice, and, you know, not violating the Constitution himself.
- Another area I wanted to ask you about was unauthorized practice of law.
- And in more extreme cases, where it continues and where we see a repeated practice, we can go to the
- Superior Court and get an injunction order to basically close down their practice, seize their files,
Summary:
The Senate Rules Committee first established a quorum and then approved several non-appearing gubernatorial appointments, including Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D. and Gerald Talbert, M.D. to the Medical Board of California. The committee also approved reference of bills to committees and floor acknowledgments, with all of those items receiving unanimous 5-0 votes.
The main public business was the confirmation hearing for George Cardona, reappointed as Chief Trial Counsel of the State Bar of California. Cardona described reforms made in response to the Girardi scandal, including stronger conflict-of-interest and gift rules, improved auditing and investigative procedures, efforts to reduce discipline disparities, and steps to address a growing backlog amid staffing vacancies and rising complaints. Senators questioned him about Girardi-related safeguards, backlog and funding pressures, discipline disparities affecting Black and Latino attorneys, unauthorized practice of law by notarios, and the State Bar’s use of AI; public witnesses from the State Bar, SEIU Local 1000, and others testified in support. The committee advanced Cardona’s appointment to the full Senate on a 3-1 vote, with Senator Jones withholding support.
The committee then heard Laura Enderton Speed’s confirmation as Executive Director of the State Bar. She emphasized fiscal stability, public trust, and operational improvements, and said the Bar is addressing the troubled February 2025 remote bar exam through audits, internal investigations, and a forthcoming recommendation to the Supreme Court on the exam’s future. Senators asked about the budget deficit, the bar exam failures, conflict-of-interest safeguards after Girardi, and how the Bar is preparing for future fee and staffing pressures. Supporters from the State Bar Board of Trustees, SEIU Local 1000, the California Defense Counsel, and a colleague testified in favor, and the committee approved her appointment to the full Senate on a 5-0 vote. The meeting concluded with thanks and a farewell to Senator Jones, who was leaving the committee, followed by a cake presentation and adjournment of the public portion.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Jan 21st, 2026
House Health & Human Services
Transcript Highlights:
- They don't know who's practicing.
- I have nurses crossing the border, our New Mexico border, to practice here.
- The network is comprised of 30 independent private practices throughout the state.
- I mean, there are practice standards, and to be perfectly honest.
- We should not inadvertently exclude LMSWs or force them out of practice.