Transcript Highlights:

• This systemic effort will ensure best practices which allow for engagement in high-quality math learning
• This work has included on-site professional development, communities of practice, and classroom visits
• We focus on helping educators Both their knowledge and their practical application in the classroom.
• , inclusive practices, and behavior interventions.
• Less seclusionary practices.

Transcript Highlights:

• For practical purposes only, this bill defines an infant as a child younger than 18 months.
• elements and then develop a program improvement plan to improve all of that practice.
• AB 2247 represented an important shift toward trauma-informed child welfare practice.
• I think everything that we strive to do is our best practices.
• But best practices run into resources and limitations on time and facilities.

Committee: House Human Services

Transcript Highlights:

• Areas as their practice destination.
• I am a practicing primary care physician trained in internal medicine.
• A typical concierge practice, someone who goes into concierge practice has been practicing for a few
• Yeah, and I think just also where people are practicing, right?
• Like I said, I also practice in an urgent care setting.

Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.

Transcript Highlights:

• We have practice-based evidence, you know.
• So can we include best practices or, you know, some...” “...best practices or, you know, something along
• I just...” “...promising and evidence-based practices.
• best, promising best practices or something?
• Practices from below. Okay. Okay. Okay. Anyone else have thoughts on this one?

Summary: The committee met for its final session before submitting a report to the governor and legislature, with introductions from state officials, legislators, advocates, providers, and facilitators. Staff explained that the meeting would focus on finalizing the committee’s strategic priorities and recommendations for a five-year behavioral health plan centered on prevention, early intervention, and community-based services. Members reviewed the draft overarching priorities, including the need for a statewide behavioral health vision and an executive-level role to coordinate behavioral health across agencies, and discussed how those priorities should reflect people with lived experience, families, and community voice. A substantial portion of the meeting focused on the draft recommendations and how they should be organized and worded. Members raised concerns that the document was too aspirational and not specific enough, and several suggested moving more detailed actions under the broader priorities rather than leaving them in a separate section. There was also discussion about the use of the term “evidence-based,” with tribal representatives and others asking for language that also recognizes practice-based evidence, promising practices, cultural specificity, and flexibility in funding and implementation. Members also discussed clarifying “early intervention,” adding examples such as universal screening, outpatient access, primary care integration, and home visiting, and ensuring the plan reflects accountability and community feedback. Other edits included clarifying credentialing recommendations to distinguish between licensure and payer credentialing, adding mentorship as a workforce retention strategy, and broadening Medicaid-centric language to include carriers and insurers more generally. Staff noted the report would be revised and sent back out for review by May 22, with comments due by May 27, in order to meet the June 1 submission deadline. No public comment was offered, and the meeting ended with thanks to members and facilitators for their work.

Transcript Highlights:

• Other functions of the collaborative also include recommending funding strategies and best practices,
• He is the managing physician for internal medical faculty practice.
• He is the managing physician for internal medical faculty practice.
• I live and practice in the gap. Every day I go to the hospital. Every day.
• And I practice in the gap, the huge gap.”

Committee: Senate Health Policy

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• ARE PROVEN TO IMPACT TEACHER PRACTICE AND STUDENT LITERACY ACHIEVEMENT.
• ALIGNED TO THE BEST STANDARDS INCLUDING EVIDENCE-BASED PRACTICES TO REALLY ENSURE WHAT IS HAPPENING IN
• , THEY ARE CONSTANTLY SHARING THOSE BEST PRACTICES AND PRACTICES, THEY ARE CONSTANTLY SHARING THOSE BEST
• PRACTICES AND WHAT SPECIFIC SUPPORT THEY ARE PROVIDING TO THOSE SCHOOLS, SHARING THEM WITH THE OTHER
• IS THERE BEST PRACTICES THAT MAY HAVE BEEN USED IN THE EARLY 20S, 2000.

Transcript Highlights:

• And to have to just all of a sudden build that relationship and trust with another physician and practice
• And finally, additional safety hazards in the home setting and evidence-based safe bathing practices.
• And that way, our nurses will be educated before they go actually out and practice.
• The bill does not guarantee ACN health care providers get a certificate to practice, as the Board of
• It simply creates a pathway for the continuation of their practices to protect patients.

Bills: S0068 , S0096 , S0340 , S0428 , S0606 , S1480 , S7018

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• I've practiced acupuncture for almost 40 years.
• I've practiced acupuncture for almost 39 years.
• That instability if Especially for small independent practices.
• Angelica Fasio, office manager at a private practice, in support.
• Haley McNair, private practice OB-GYN, in support.

Committee: Senate Health

Summary: The Senate Health Committee heard several bills focused on health care access, research funding, consumer protection, and insurance administration. SB 895 by Sen. Wiener would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support scientific and health research in California; supporters from UC, labor, and patient groups said it would protect jobs, public health, and the state’s research leadership amid federal funding cuts, while the committee later voted 6-0 to pass it as amended and re-refer it to Natural Resources and Water. SB 944 would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds; acupuncture providers, patients, health systems, and API community advocates testified in strong support, and the committee voted 6-0 to pass it as amended and re-refer it to Appropriations. The committee also considered SB 987, which would create a California Health Access Fund to capture state savings if federal Medicaid changes under H.R. 1 reduce Medi-Cal enrollment and redirect those funds to care for people who lose coverage and to reimburse safety-net providers. Support came from disability, consumer, family physician, emergency physician, hospital, and reproductive health groups; members discussed prioritizing indigent care, prevention, and safety-net needs, and the bill was moved on a unanimous vote to Appropriations. SB 964 would let a licensed provider adjust the dose or frequency of an already covered medication up to two times without prior authorization when clinically appropriate, with Crohn’s and Colitis advocates describing delays that harmed patients and insurers warning about safety and cost concerns; after committee discussion about off-label use and clinical safeguards, the bill passed 11-0 and was sent to Appropriations. Later, SB 1099 clarified local governments’ authority to provide state or local public benefits to all residents under PRWORA, with city and county counsel and local officials saying it would preserve flexibility for homeless outreach, street medicine, crisis lines, and other low-barrier services; it passed 11-0 and was re-referred to Human Services. SB 1033 would require protein product manufacturers to test for heavy metals and disclose results, prompted by Consumer Reports findings and supported by consumer, health, and women’s health groups; industry witnesses asked for narrower scope and source-level testing, and the committee voted 11-0 to pass it as amended and send it to Environmental Quality. The committee then began SB 1049, which would give providers a 90-day window after a plan’s latest action to correct certain claim errors and prevent denials based solely on missed filing deadlines; the author said it would address honest billing mistakes and recoupments, and the bill was introduced with support from medical groups and ongoing discussions with health plans.

Transcript Highlights:

• Especially for small independent practices.
• Angelica Fasio, office manager at a private practice, in support.
• Angelica Fasio, office manager at a private practice, in support. Dr.
• Haley McNair, private practice OBGYN, in support.
• those, especially in smaller private practices.

Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.

Transcript Highlights:

• go to say unhealthy practices.
• go to say unhealthy practices.
• go to say unhealthy practices.
• That is not typical practice.
• We know that this practice is not only painful for waterfowl...

Summary: The House Agriculture and Natural Resources Committee met on February 4, with public hearing and executive action on several bills. The main public hearing was on House Bill 2668, as proposed substitute, which would direct the Department of Fish and Wildlife to identify and pursue relocation of the Bob Oak Game Farm and to plan remediation of the current site. Testimony from the bill sponsor, Centralia city officials, Lewis County public health staff, a tribal member, and residents strongly supported relocation, citing nitrate contamination in a sole-source aquifer, risks to drinking water for Centralia and nearby households, and the need for long-term public health protection. The committee also heard that interim mitigation measures such as point-of-use filters and water/sewer extensions were underway, but witnesses said relocation was the only durable solution. The bill was added to the day’s executive session as an unusual late addition, then later passed out of committee on a voice vote with a due pass recommendation. During executive session, the committee also acted on House Bill 2598, creating a Salmon Advisory Commission; House Bill 2619, creating a legislative task force to reduce regulatory stress in agriculture; House Bill 2199, dealing with derelict vessels and disposal timelines; House Bill 2463, which revises agricultural donation and farm-to-food pantry programs; and House Bill 1735, which prohibits force-feeding birds and related foie gras sales. Amendments were considered on several bills, including a DNR amendment to the vessel bill and a narrowing amendment to the force-feeding bill, which failed. The committee approved House Bill 2598 by a 6-5 vote, and House Bill 2619, House Bill 2199, House Bill 2463, House Bill 1735, and House Bill 2668 all received due pass recommendations, with some on voice votes and others by recorded roll call. The chair noted that moving House Bill 2668 in executive session the same day as public hearing was highly unusual and done because of the bill’s urgency and bipartisan support.

Transcript Highlights:

• . ...separation and rehiring practices that have come to our attention and which I believe are exploiting
• This practice can't go on.
• This practice can't go on any longer and must be studied now because these workers need equal pay and
• But when we have this kind of practice, and it's not just working 364 days, it's not that practice, it's
• If we had a retired doctor, you know, he's not practicing now, he doesn't have to take care of his practice

Summary: The House Labor, Veterans and Military Affairs Committee met and first heard House Memorial 7, which asks Legislative Council Service, the State Personnel Office, DFA, and GSD to study the use of temporary, term, seasonal, casual, on-call, and other non-regular classifications in state government. The memorial was presented as a response to concerns that some workers are repeatedly terminated and rehired, sometimes after a one-day break, to avoid regular status and associated benefits. Testimony from CWA and AFSCME described long-term temporary workers at the National Hispanic Cultural Center and other agencies who allegedly do full-time work without health insurance, retirement, leave, or consistent pay progression, and who in some cases were denied union coverage. Committee members questioned the scope, definitions of temporary employment, and whether the issue should instead be referred to the state auditor; the sponsor said the study would gather data and recommendations first. The committee voted due pass, and House Memorial 7 passed unanimously. The committee then heard House Bill 177, which appropriates funds to the Veterans Services Department to contract for shelter and care of service and companion animals so veterans can access housing, medical care, and other services without fearing separation from their pets. Support came from the Veterans Services Department, Animal Protection New Mexico, and the Veterans and Military Families Caucus/Veterans Integration Center, all of whom said pets are often a barrier to veterans seeking care and that existing community-based animal boarding models could be used. The bill received no opposition, and the committee voted due pass with no opposition. Finally, the committee heard House Bill 43, a PERA cleanup bill intended to update and clarify the Public Employees Retirement Act and align it with administrative practice. Testimony focused on a provision allowing PERA to use licensed physicians, including out-of-state physicians who can be licensed in New Mexico, to serve on the disability review process when needed so disability cases are not delayed. Committee members raised concerns about ensuring medical expertise and avoiding abuse of the licensing flexibility, but PERA explained the change was meant to address recruitment difficulties and maintain timely review. The committee voted due pass on House Bill 43.

Transcript Highlights:

• I represent veterinarians in my law practice, and I don’t think this does that at all.
• If you want to, I categorize it sometimes as an animal husbandry practice because owners can do it at
• It’s against the law to practice medicine without a license, just like it’s against the law to practice
• Talip and his group about non-veterinary dental practice.
• <00:09:02.399><c> uh</c><00:09:02.560><c> non-veterinary</c><00:09:03.200><c> Dental</c> practice uh

Summary: The Senate Agriculture Committee met to continue discussion of a committee substitute for a bill dealing with non-veterinary equine dental practice. The chair first addressed a procedural issue, saying any handouts distributed without the chair’s approval were improper and would not be part of the official record. The committee then reintroduced and approved the committee substitute by motion and second, before moving into member questions rather than hearing additional public testimony that morning. Senator Reed asked what testing would be required for state approval and about the bill’s timeline. The response said the bill would rely on an internationally recognized testing model, with education and continuing education requirements, and that the measure included an 18-month period to allow existing practitioners time to comply. Senator Deneen then raised concerns about the grandfather clause, the five-year lookback, and whether the bill could set a precedent that would further encroach on veterinary practice. In response, supporters said the bill was intended to create a structure for a practice that already exists, with training, insurance, a registry, and a grievance process to weed out bad actors while preserving access and affordability for horse owners, especially in rural areas where veterinarians may be scarce or unavailable. The discussion also included historical context, with members noting the issue had been considered during earlier veterinary modernization efforts and had been worked on through open work groups, surveys, stakeholder meetings, and multiple drafts. Supporters argued that without a regulated framework, some horse owners might not be able to afford veterinary care, which could leave horses untreated. No final vote on the bill itself was described in this portion of the meeting beyond approval of the committee substitute.

Transcript Highlights:

• in practices that are...
• Working in independent practices or in practices that are stand-alone with, say, a physical therapist
• So there is a broad area that athletic trainers practice in.
• I've practiced rheumatology for 35 years.
• And so what happens practically is if I'm on a $2,000 a month medication that I need for a year to Practically

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• That was a practice unique to New Mexico, unique to Bernalillo County.
• So we're asking for legislation that bans that practice. ...Mexico, unique to Bernalillo County.
• So we're asking for legislation that bans that practice permanently.
• Nearly 60% of doctors... ...strongest predictor of where physicians choose to practice.
• for three of those years... ...practiced for three of those years.

Bills: SB5 , SB6 , SB8

Committee: Senate Senate Health & Public Affairs

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer

Transcript Highlights:

• , which include nine governance pieces to our practice.
• If we do not have full practice authority, which this bill will remove full practice authority from Utah
• If we do not have full practice authority, which this bill will remove full practice authority from Utah
• hours and minimum practice hours required for licensure.
• Adding regulations to practice hours and minimum practice hours required for licensure in the state is

Committee: Joint Business and Labor Interim Committee

Transcript Highlights:

• . practice. practice.
• </c> ethical practice in the profession. ethical practice in the profession.
• </c> left practice for a variety of reasons. left practice for a variety of reasons.
• </c> are seeking to return to practice. are seeking to return to practice.
• </c> codify this practice. codify this practice.

Committee: Senate Health and Human Services

Transcript Highlights:

• So we offer this for current teachers, in-service teachers, to continue to improve their practice to
• works, what doesn't, and what guardrails are needed, and will help us to shape future policy and practice
• There's ever-evolving research, there's ever-evolving practice.
• There's ever-evolving research, there's ever-evolving practice.
• There's ever-evolving research, there's ever-evolving practice that we want to ensure that our teachers

Committee: House Education

Transcript Highlights:

• Their scope of practice is already clearly defined in law.
• As a result, acupuncture exists on paper but not in practice.
• As a result, acupuncture exists on paper but not in practice.
• This approach is thoughtful and practical.
• This bill is an effective, practical approach to helping people avoid ultra-processed foods.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• </c> residency in Kentucky go on to practice residency in Kentucky go on to practice out<00:20:10.559
• And this will practice in Kentucky now.
• I'm also a practicing pulmonologist and intensivist.
• Our goal is for them to want to continue to practice in those areas.
• Our goal is for them to want to continue to practice in those areas.

Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.

Transcript Highlights:

• We need to maintain the practices already put in place in my office to address the observed disparities
• Another area I wanted to ask you about was unauthorized practice of law.
• We just did one last week of a practice up in, I believe, the Livermore area. of law.
• We just did one last week of a practice up in, I believe it was in the Livermore area.
• One last week of a practice up in, I believe it was in the Livermore area, of a woman who was practicing

Committee: Senate Rules

Summary: The Senate Committee on Rules first took up several governor’s appointments not required to appear, 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 roll calls on each item showing unanimous support from members present and the items left open for additional votes before final tallying. The main public business was the confirmation hearing for George Cardona, J.D., for a second term as Chief Trial Counsel of the State Bar of California. Cardona described reforms made since taking office, including new conflict-of-interest and gift rules, stronger investigative requirements, efforts to reduce backlog and improve efficiency, and monitoring of discipline disparities identified in prior studies. Senators questioned him about safeguards after the Girardi matter, the John Eastman discipline case, racial and ethnic disparities in attorney discipline, unauthorized practice of law by notarios, staffing shortages, and the use of AI in filings. Public witnesses from the State Bar, SEIU Local 1000, and others spoke in support. The committee voted 3-0 to advance Cardona’s appointment to the full Senate. The committee then heard Laura Enderton Speed, J.D., for Executive Director of the State Bar. She said her priorities would be restoring public trust, improving the discipline system, addressing the February 2025 bar exam problems, and strengthening fiscal stability and internal controls. Members asked about the State Bar’s structural budget deficit, the remote administration failures in the February exam, safeguards against undisclosed gifts and conflicts, and the status of audits and investigations. Supporters from the State Bar, the civil defense bar, SEIU Local 1000, and a longtime colleague testified in favor. The committee approved her appointment 5-0 to move to the full Senate. At the end of the meeting, members also approved the remaining governor’s appointments and procedural items, and the chair thanked Senator Jones for his service on the committee before adjourning the public portion.