Transcript Highlights:

• Chairman, to clarify, I believe that the rules changed, or the practice changed somewhere along the line

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs met with a quorum present and considered several pending measures. On Senate Bill 1868, Senator Perry explained a committee substitute that would keep kratom in its natural state legal while continuing to ban 7-OH and other synthetic derivatives, and would also add three synthetic opioids from another bill. The substitute was adopted, and SB 1868 was reported favorably to the full Senate and certified for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Joint Resolution 39, Senator Birdwell’s proposed constitutional amendment related to veto overrides after a regular session, and reported it favorably to the full Senate; members noted a floor amendment would also be offered later. The committee then considered Senate Bill 1184, relating to the age of wine authorized to be sold by a wine collection seller, and reported it favorably to the full Senate. After some procedural discussion and a revote to clarify members’ positions, SB 1184 was also certified for the local and uncontested calendar. Senate Bill 1194 was likewise certified for the local and uncontested calendar without objection, though the transcript does not include its substantive discussion. Senate Bill 1577, relating to the temporary sale of alcoholic beverages at certain racing facilities, was reported favorably to the full Senate and then certified for the local and uncontested calendar. Finally, Senate Concurrent Resolution 42, by Chairman Hughes, was reported favorably to the full Senate on an 8-1 vote. The committee then recessed until called back by the chair.

Transcript Highlights:

• And that is how bills like this can change lives.
• Interior to rename the Gulf within all federal documents, from maps to contracts, to reflect this change
• The changes in the committee substitute, it makes it applicable; the applicability of the chapter now
• The bill analysis suggests that National Change of Address data maintained by USPS would satisfy this
• And there are some conveniences to elections that we may have to change or may have to give up.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• The original bill had the effective date listed as 2025, so we've had to change that to 2026.
• The amendment basically changes some dates to bring this up to date.
• The goal, though, is the half-pay provision is changed or removed so that newer recruits get the full
• month because they hadn't got the automatic COLA that they had back then, which they lost when we changed

Bills: HB1784, HB1245, HB1268, HB2116, HB2193, HB2206, HB1739, HB1889, HB1904, HB3172, HB4225, HB4352, HB3625, HB4263

Keywords: education reform, local control, student outcomes, curriculum changes, school funding, retirement, pension, public employees, Oklahoma Public Employees Retirement System, benefits, survivorship, contribution rates, disability retirement, deferred option plan, service credit, contributions, distributions, HB2116, Oklahoma Law Enforcement Retirement System, OLERS

Transcript Highlights:

• This changes the makeup of the board of trustees of the University of South Alabama.
• Uh, so that really that aspect of it isn't changing.
• And so there is a way that they can do that, but we have to change the law.
• You bring a good point, but they did not change that in this bringing this part forward.

Bills: HB442, HB459, HB90, HB91, HB461, HB481

Keywords: codification, Code of Alabama 1975, cumulative supplement, replacement volume, technical corrections, code cleanup, state code update, local laws, Secretary of State, Code Commissioner, Thomson Reuters, boating violation, scrivener's error, typographical correction, clerical correction, legislative housekeeping, 2024 Regular Session, 2025 session statutes, county local laws, official code publication

Transcript Highlights:

• And that is how bills like this can change lives. Chairman Hughes, I mean.
• We pass a lot of bills around here, but rarely do we pass things that can help change lives and improve
• The changes in the committee substitute make it applicable.
• They took the National Change of Address list and found several...
• And there are some conveniences to elections that we may have to change or may have to give up.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• Now, Chairman, to clarify, I believe that the rules changed or practices changed somewhere along the

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• and ended up substituting it of changes and ended up substituting it up<00:13:04.639> here.
• This is the uh changing the arson law and line 20.
• And again, we're not taking away judicial discretion in any of these changes.
• Another major change was we tightened up the access language.
• Another major change was we programs.

Bills: HB227, HB454, SB323, HB266, SB52, SB53, SB296, HB37, HB429, HB93, HB249, HB328, HB111, HB132, HB26, SB261, HB227, HB454, SB323, HB266, SB52, SB53, SB296, HB37, HB429, HB93, HB249, HB328, HB111, HB132, HB26, SB261

Keywords: firefighter benefits, occupational disease, line of duty, disability pension, death benefits, retirement benefits, hypertension, heart disease, respiratory disease, cancer presumption, HIV, hepatitis, municipal firefighters, state firefighters, fire districts, workers' compensation, public safety employees, post-retirement benefits, benefit eligibility cutoff, occupational illness

Transcript Highlights:

• "These changes are practical, supported, and urgently needed.
• The bill definitely includes those changes, which we support, as Ryan stated.
• This is a bill, and an amendment would change the bill.
• make changes on the floor.
• And so this doesn't change any of that.

Bills: SB1071, SB1315, SB1317, SB1416, SB1493, SB1537, SB1542, SB1584, SB1626, SB1740, SB1751, SB1804, SCR1047, SCR1049

Keywords: Arizona Rangers, statutory repeal, security, state law, regulatory changes, school safety, interoperable communications, law enforcement, emergency response, funding, reentry programs, criminal justice, grants, recidivism, attorney general, missing children, kidnapping, reporting requirements, child safety, training

Summary: The committee first took up SB 1071, which would repeal the statutory framework for the Arizona Rangers. The sponsor argued the bill was about accountability and transparency, citing concerns about missing training and firearms qualification records; Arizona Rangers representatives and several sheriffs opposed the bill, saying the Rangers provide valuable volunteer support and that the real issue was adding oversight rather than eliminating protections. After discussion, the committee voted 4-3 to give SB 1071 a do pass recommendation, with members noting they expected amendments later. The committee then heard SB 1315, requiring school districts and charter schools to maintain interoperable emergency communications with law enforcement and to submit annual affidavits confirming testing and compliance. Testimony from school safety officials and sheriffs emphasized the value of real-time communication during emergencies and the need for secure sharing of campus maps and floor plans; concerns about cost and information security were addressed by supporters. The bill passed unanimously, 7-0. The committee also advanced SB 1317, which appropriates opioid settlement funds for county reentry planning programs; sheriffs and association representatives supported it, citing reduced recidivism and jail populations, and it passed 7-0. Several public safety and missing-children measures were considered next. SB 1416, as amended, revises missing child reporting requirements, adds runaway children back into reporting, requires faster photo and information sharing, and expands training requirements; advocates for missing children and law enforcement supported the compromise language, and the bill passed 7-0. SB 1740, which updates Turquoise Alert training and procedures, was also advanced 7-0 after discussion about statewide versus geographically targeted alerts and the need to keep alerts effective. Later, SB 1493, a strike-everything amendment affecting police officer termination appeals and fee shifting when an employer rejects a favorable administrative ruling, passed 5-2 despite opposition from chiefs’ representatives. SB 1537, renaming the Peace Officer Training Equipment Fund and repealing its advisory commission, passed 5-2. The committee also approved SB 1751 and SCR 1049, which expand execution methods to include lethal gas and firing squad and make firing squad mandatory in certain cases involving the murder of a law enforcement officer; opponents raised constitutional, ethical, and practical concerns, while supporters framed the measures as aligning Arizona with other states and providing additional options. Both measures passed 4-3. Finally, SB 1542, which would create a framework and funding for MDMA research and treatment for PTSD in first responders and peace officers contingent on FDA approval, was heard with testimony describing promising clinical trial results and the need for Arizona research; the bill was then moved forward, though the transcript cuts off before the final roll call result is fully shown.

Transcript Highlights:

• It does change it, right? It shifts it? No.
• Saying is this bill doesn't change what is the burden of proof.
• I am not changing the term, I'm not changing the definition, I'm not changing the intent, I'm not changing
• My bill doesn't change any of that. OK.
• In changing the social impact of certain practices. And that's, it's in its founding.

Bills: HB4922, HB4713, HB4256, HB872, HB1571, HB4266, HB4559, SB251, SB441, SB1719

Keywords: healthcare liability, emergency medical care, standard of proof, negligence, legal reforms, Texas General Arbitration Act, arbitration, binding arbitration, statute of limitations, limitations period, tolling, Civil Practice and Remedies Code, Section 16.073, alternative dispute resolution, ADR, civil procedure, lawsuit filing, court jurisdiction, Judiciary & Civil Jurisprudence, procedural law

Transcript Highlights:

• That change public improvement projects.
• Does it actually change these projects.
• as our society has changed and as the way we think about human resources management has changed.
• . change. change.
• whether to make that change. whether to make that change.

Bills: HF4348, HF4186, HF4202, HF4455, HF3884, HF3883, HF3882, HF3881, HF2688, HF3295, HF3862, HF3362, HF4242, HF3798

Keywords: HF4186, Minnesota local government finance, housing and redevelopment authority, HRA, public investment authority, qualifying government, State Board of Investment, SBI, index mutual fund, multifamily housing development, long-term equity investment, investment-grade fixed income, federally insured securities, government-sponsored entities, municipal investing, local government investments, housing finance, public funds, investment policy, risk of loss

Transcript Highlights:

• Members, for the opportunity to explain the changes in the committee substitute.
• Due to recent regulatory changes and important necessary changes in the license plate system that this
• How do we change that statute? You can do that right here.
• That's why the change to the statute here. And I disagree slightly.
• The committee substitute makes three clarifying changes.

Bills: SB1113, SB1117, SB1206, SB1460, SB1802, SB1906, SB1917, SB2340, SB2455, SB2680, SB2690, SB705, SB748

Keywords: SB 1113, converter's license, converter license, motor vehicle dealer, auto dealer, vehicle conversion, converted vehicles, direct sales, retail sales, trailer, semitrailer, manufactured trailer, chassis, manufacturer's statement of origin, MSO, Occupations Code, Transportation Code, Texas Department of Motor Vehicles, dealer licensing, general distinguishing number

Summary: The committee took up pending business first and reported several bills favorably, including SB 2139, SB 2610, SB 1856, SB 2530, SB 2401, SB 2858, and SB 3016, with most of those measures moving out on committee substitutes and being sent to the local and uncontested calendar or to the full Senate. The committee also heard SB 1906 on expanding Chapter 342E consumer lending rates; supporters argued it would modernize Texas law and expand access to safe, regulated credit, while opponents from Texas Appleseed and AARP warned it would raise costs on already expensive loans and worsen debt burdens. SB 1906 was left pending after testimony. The committee also reconsidered and re-voted SB 1856 after a procedural issue, with the substitute ultimately adopted and the bill reported favorably. The committee then heard SB 1113, which would clarify that certain vehicle converters, including a Texarkana business, do not need an additional dealer license to sell converted vehicles. The bill’s supporters described a long-standing business model and said the new metal license plate rules had created problems, while the Texas Automobile Dealers Association opposed the bill in its current form and said it could be resolved through DMV action or narrower changes. DMV said it was still researching a possible administrative fix, and SB 1113 was left pending. The committee also heard SB 2680, a Public Information Act cleanup bill dealing with emergency deadlines, business-day exclusions, and litigation timing; broadcasters and other open-government advocates argued the issues were already addressed by prior law and court rulings, while the Attorney General’s office said the bill would help with catastrophe notices and timing conflicts. SB 2680 was left pending. Other bills heard included SB 1117, which would allow any Texas-licensed dentist to administer botulinum toxin neuromodulators for aesthetic purposes in the oral and maxillofacial region; the author and dental witnesses said it would clarify scope and improve access, and the bill was left pending. SB 2340 would clarify the Attorney General’s investigative authority over Texas corporations, including pre-suit depositions and sworn written questions; opponents raised due process and separation-of-powers concerns, and the bill was left pending. The committee also heard SB 705 and SB 748, both TDLR cleanup bills, and SB 1206, which would impose timelines and notice requirements on municipalities reviewing transmission projects; SB 1206 was supported by an electric cooperative and left pending. SB 1460, creating an ethics violation registry tied to licensing consequences, drew constitutional and due-process objections from several witnesses and was also left pending. After a recess, the committee heard SB 1802 on landlord duties to repair mobility assistance devices like elevators and ramps in rental housing, with the author describing prolonged outages affecting seniors; the bill was left pending. Finally, SB 2455, creating an Energy Waste Advisory Committee to coordinate efficiency and demand-response programs, drew support from energy-efficiency and environmental witnesses and was left pending, and SB 2690, targeting deceptive business-certification solicitations, was laid out and opened to testimony before the transcript ended.

Transcript Highlights:

• Chairman, members for the opportunity to explain the changes in the committee sub.
• Due to recent regulatory changes and important necessary changes in the license plate system that this
• That's why the change to the statute here. And I disagree slightly.
• The committee substitute makes three clarifying changes.
• It doesn't change what the TCEC does.

Bills: SB 1113, SB 1117, SB 1206, SB 1460, SB 1802, SB 1906, SB 1917, SB 2340, SB 2455, SB 2680, SB 2690, SB 705, SB 748

Keywords: SB 1113, converter's license, converter license, motor vehicle dealer, auto dealer, vehicle conversion, converted vehicles, direct sales, retail sales, trailer, semitrailer, manufactured trailer, chassis, manufacturer's statement of origin, MSO, Occupations Code, Transportation Code, Texas Department of Motor Vehicles, dealer licensing, general distinguishing number

Summary: The meeting of the Senate Business and Commerce Committee was marked by discussions on several significant bills, with a keen emphasis on legislative updates and committee substitutes. Notably, Senator Blanco presented a new committee substitute for SB2610, which modifies the employee cap from 100 to 250 and extends the update timeline for cyber security programs for small businesses. This substitute was adopted unanimously, reflecting a collaborative agreement among the committee members. Additionally, there were discussions surrounding SB1856 as Senator Crayton provided insights into how stakeholder feedback influenced the bill's committee substitute. The committee ultimately voted in favor, pushing it towards the local and contested calendar, indicating the bill's progression through legislative channels.

Transcript Highlights:

• What rules are being changed with regard to summary judgment?
• This bill has many substantive changes in the law.
• substantial change.
• So we're not changing that. That's one example.
• What we're doing is we're not changing Chapter 143.

Bills: HB17, HB16, SB 10, HB27, HB23, SB 15, SB 18, HB 17, HB 16, SB 10, HB 27, HB 23, SB 15, SB 18

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support

Bills: HB17, HB16, SB 10, HB27, HB23, SB 15, SB 18, HB 17, HB 16, SB 10, HB 27, HB 23, SB 15, SB 18

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support

Transcript Highlights:

• My question is about the change order.
• The change... Change order. Yes.
• amount of all changes that are not allowed to exceed the cap, or are individual change orders restricted
• Okay, so she can change that one instead of re-registering?
• They changed it to the responsibility.

Bills: HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356

Keywords: construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million

Transcript Highlights:

• They're going to change the ordinances.
• then, literally, out of, I think, frustration with how all of it arose and went through, he actually changed
• This change would be consistent with current law by authorizing local government entities to offer support
• That would be one change we'd suggest.
• Essentially the same, the same plan where every year we're looking to make benefit design changes that

Bills: HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356

Keywords: construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million

Transcript Highlights:

• This amendment also provides conforming changes to related statutes. That is the amendment.
• We don't change any of those.
• The bill doesn't change current law.
• It doesn't change any of the statutes. It doesn't change any of our laws.
• I don't think Jordan changed the name.

Bills: S0212, S0218, S0442, S0460, S0532, S0554, S0644, S0686, S0692, S1054, S1106, S1128, S1134, S1138, S1338, S1434, S1506, S1620, S1748

Keywords: sexual offender, sexual predator, sex offender registry, child protection, residency restriction, loitering, proximity restriction, public swimming pool, school safety, child care facility, day care center, park, playground, conditional release, probation, community control, warrantless arrest, background check, registry screening, minor victims

Summary: The committee first considered SB 1434 on infill redevelopment. A late-filed strike-all amendment narrowed eligibility criteria, including environmental and adjacency requirements, density and intensity limits, and exclusions for certain lands and military areas. The amendment was adopted without opposition, and the bill then passed favorably on an 8-0 vote, with testimony both for and against from advocacy groups. Members then heard several bills related to criminal justice, land use, and local government operations. SB 212 on sexual offenders and sexual predators was amended to add public swimming pools and related restricted-location provisions; the committee heard extensive opposition testimony arguing the bill lacked empirical support and could worsen homelessness and burden families, while supporters said it would reduce temptation and improve safety. The amended bill passed 8-1. SB 686 on agricultural enclaves also received a strike-all amendment clarifying development allowances near interstates and protected-area non-preemption; after opposition from a county Republican committee and support from housing and business groups, it passed 10-0. SB 554 updating nonprofit corporation law, SB 1338 on charitable giving and endowment restrictions, SB 532 on court fee retention by clerks, and SB 218 on land use regulations after hurricanes all passed favorably, each with little or no opposition. The committee also approved SB 692 on cybersecurity standards and liability after debate over whether the bill created enough compliance incentives and whether its liability presumption should apply retroactively; supporters said it would encourage adoption of cybersecurity frameworks, while opponents warned it could weaken local standards and create litigation issues. The bill passed 9-2. SB 1138 on qualified contractors was amended to preserve local government authority while allowing licensed professionals to conduct limited pre-application reviews, and it passed 11-0. Finally, SJR 1104 on religious expression in public schools passed 8-3 after extensive public testimony and debate, with supporters saying it would enshrine existing protections in the Constitution and opponents warning it would favor majority religions and increase bullying and litigation. The committee then took up SB 1106 on requiring state agencies and instructional materials to use “Judea and Samaria” instead of “West Bank,” with the sponsor arguing it reflected historical truth and opponents saying it erased Palestinian identity and inserted the state into an international naming dispute; the transcript ends during public testimony on that bill before any vote is shown.

Transcript Highlights:

• potential change requests to this bill. potential change requests to this bill.
• Changing the law does.
• Or would you demand change? loopholes? Or would you demand change?
• changes. This is not optional. changes. This is not optional.
• The<01:37:01.200> next<01:37:01.600> change The next change The next change item<01:37:

Bills: SF1750, HF2700, HF1606, HF3356, HF3946, HF3970, HF3658, HF3875, HF2627, SF856, HF1268, HF1338

Keywords: common interest community, CIC, homeowners association, HOA, condominium, planned community, cooperative, unit owner, association board, declarant, declarant control, special declarant rights, assessment lien, foreclosure, late fees, fines, attorney fees, resale disclosure, annual report, maintenance plan

Transcript Highlights:

• Are there any members wishing to change their vote?
• Are there any members wishing to change their vote?
• Can you kind of maybe summarize the changes in this bill and who...
• Or we could change the shall to a may?
• Are there any members wishing to change their vote?

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• This is a substantial change in your wording to have just come down.
• Are there any members wishing to vote or change your vote?
• This is not changing their plan design.
• Are there any members wishing to vote or change your vote?
• Any members wishing to vote or change your vote? Any members wishing to vote or change your vote?

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure