Video & Transcript Research : 'multistate practice'
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TX
Transcript Highlights:
- SB1373 does not expand provider scope of practice or limit hospitals' ability to set high standards or
- This is not an expansion of our scope of practice. That ship has sailed. It has been settled.
- Scope of practice is a settled matter.
- Some personal issues may adversely impact their ability to practice medicine.
- This bill endangers civil liberties and expands coercive practices under the guise of care.
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Transcript Highlights:
- It also codifies some longstanding practices.
- In practice, this means...
- Only Texas law sets the scope of practice.
- The issue is not a shortage of dentists or dental hygienists, but where they choose to practice. to practice
- CODA accreditation requires years of in-the-mouth practice.
Bills:
HB111
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Nov 20th, 2025
Transcript Highlights:
- And do teacher candidates get the same clinical practice experience at all EPPs?
- With clinical practice and considerations for the committee. Thank you. Thank you, Evan.
- and clinical practice hours observing instruction in a classroom that includes diverse learners.
- I don't deal with kids Why the huge discrepancy in hours when preclinical practice is a best practice
- And something our teachers who are already teaching lack best practices.
MN
Minnesota 2025 1st Special Session
Conference Committee on H.F. 2432 - Judiciary Omnibus - 05/10/25
Transcript Highlights:
- So it doesn't change or affect the practice.
- So it doesn't change or affect the practice.
- <00:20:24.400>
for is modeling uh the best practices for is modeling uh the best practices - This section codifies that prior practice permanently.
- section codifies that prior practice section codifies that prior practice permanently.<00:24:46.880
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (03/04/2026)
Executive Departments and Administration
Transcript Highlights:
- This is a bill that modifies the scope of practice for licensed practical nurses.
- For licensed practical nurses.
- practice statute. practice statute.
- This regulates practice. Practice has always been the domain of the states.
- This regulates practice. Practice has always been the domain of the states.
MN
Transcript Highlights:
- Budget rules are used to convey best budget practices to the executive branch and organizations that
- Budget rules are used to convey best budget practices to the executive branch and organizations that
- <00:22:47.960>
for rules establish a budget practice for rules establish a budget practice - >
would come from the better practice I would come from the better practice I would hope<00:29 - Chair, Senator, I would also add that this rule is somewhat rooted in best budgeting practices.
Summary:
The Finance Committee met for its first 2025 meeting, with co-chairs Senator Marty and Senator Pratt opening the session and members and staff introducing themselves. No bills were heard; the meeting was focused on orientation and on reviewing the committee’s budget rules for the new biennium. Committee members and staff from both caucuses, Minnesota Management and Budget (MMB), and legislative fiscal offices were introduced before the presentation began.
MMB fiscal staff Brian D. and committee fiscal staff explained that budget rules are a nonbinding agreement between MMB and House and Senate fiscal staff that guides how fiscal proposals are tracked and understood. They reviewed the history of the rules, noting that the current document reflects the most substantial update since the rules were first adopted in the early 2000s, and that the 2025 version was reorganized into eight sections after extensive interim work by House, Senate, and MMB staff. The presenters emphasized that the rules are updated annually, are intended to promote consistent fiscal tracking and transparent communication, and are used as guidance for budget bills rather than as law.
The presentation highlighted several substantive rule areas: general tracking rules and comparison points for budget documents; appropriation drafting guidance; treatment of transfers, revenues, and inflation; planning estimates and “budget tails”; and rules for extending, canceling, or reappropriating existing appropriations. Staff also described new or revised provisions, including guidance on understanding current-law changes, using Department of Revenue estimates for tax revenue, and treating inflation in the forecast as a general pressure estimate rather than appropriated dollars. The committee was asked to review the updated rules, but no vote or formal action was taken during the portion of the meeting provided.
VT
Transcript Highlights:
- practice satisfaction. practice satisfaction.
- to the practice.
- in that practice.
- . participating practices.
- added in if practicable after shall. added in if practicable after shall.
Summary:
The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment.
The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith.
The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Health
Transcript Highlights:
- It will increase the penalties for unlicensed practice.
- No new scope of practice is added under this legislation.
- I currently practice at South Shore Hospital.
- or updating scope of practice will improve patient... ...optimal care, and expanding the scope of practice
- or updating scope of practice will improve patient care.
Summary:
The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people.
Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers.
On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law.
The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Mar 24th, 2025
Transcript Highlights:
- Yeah, it's a practice. Thank you. Thank you. Okay. Thank you. Thank you. Thank you. Thank you.
- I missed so out of practice because we haven't, this is our first committee.
- So again, our kind of focus is kind of turning away from requirement into the best practice.
- We'd want it to work in practice. You have my commitment. Thank you. Thank you.
- It was just common practice.
Summary:
The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations.
The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information.
AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Racial Equity, Civil Rights, and Inclusion Jun 21st, 2026 at 01:00 pm
Joint Committee on Racial Equity, Civil Rights, and Inclusion
Transcript Highlights:
- Inclusive work is by definition best practice for all students.
- We should also be home to the most equitable admissions practices in the country.
- Quantitative and qualitative data inform us and direct policy and practice.
- Quantitative and qualitative data inform us and direct policy and practice.
- Inform us and direct policy and practice.
Summary:
The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on “Protecting Equity in Higher Education” and emphasized that no bills were being heard. Members and witnesses focused on the effects of recent federal actions on DEI, admissions, financial aid, student loans, international students, and campus equity efforts in Massachusetts. Opening remarks from the co-chairs and the chair of Higher Education highlighted Massachusetts’ investments in free community college, expanded financial aid, and early college programs, while warning that federal policy changes could undermine those gains.
Testimony from BU law professor Jonathan Feingold argued that many DEI practices remain legally defensible after Students for Fair Admissions v. Harvard, and that the decision did not end all race-conscious or equity-oriented efforts. He said the Trump administration’s anti-DEI actions and funding threats were legally suspect and had created confusion and a chilling effect. Bahar Akman-in-Boden of the Hildreth Institute testified that proposed federal cuts to TRIO, Gear Up, Pell Grants, SEOG, work-study, and student loan programs would disproportionately harm low-income, first-generation, Black, Latino, and other underserved students, and urged the state to prepare hold-harmless and advising supports using Fair Share revenue.
Commissioner Noe Ortega described Massachusetts’ long history of equity in higher education and said the state has expanded aid, success programs, and early college, but still has work to do on attainment and completion. He said the state responded to SFFA by creating ACARE and continuing to defend equity practices, while also warning that federal disruptions and “dear colleague” letters have created uncertainty. In the second panel, state university leaders and campus officials said federal threats to Pell, DEI grants, Medicaid, and international student policies could affect access, campus operations, and the economy; they stressed that most state university graduates stay in Massachusetts and that institutions are continuing their equity practices despite federal pressure. Roxbury Community College’s president said RCC remains committed to open access and inclusion, noted enrollment growth, and said executive orders do not change existing law or the college’s obligations.
TX
Transcript Highlights:
- And at this point, I would love to move to another state and practice.
- Other state and practice.
- Scope of practice, and I had no qualms about it. And, you know, of course.
- So, like I said, this was something that was in my scope of practice.
- I practice in Houston, Texas, but I also see patients in Galveston County.
Bills:
SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422
Keywords:
healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care
Summary:
The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed.
The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending.
Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending.
Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- I'm a physician; I practice in Houston, Texas, for nearly 30 years.
- How did this practice shift?
- So the chair recognizes Senator Cook for some more practice.
- If someone's practicing medicine outside their scope of practice, the Texas Medical Board is the best
- within their scope of practice. practice or actions were correct or not.
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (2-25-26)
Transcript Highlights:
- 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.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Jan 26th, 2026 at 01:45 pm
Senate Health & Public Affairs
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.
UT
Utah 2025 Regular Session
Business and Labor Interim Committee - November 19, 2025
Business and Labor Interim Committee
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
WA
Washington 2025-2026 Regular Session
Joint Legislative and Executive Committee on Behavioral Health May 19th, 2025
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.
NM
New Mexico 2026 Regular Session
IC - Legislative Education Study Apr 30th, 2026
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.
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Licensing, Occupations, & Administrative Regulations.(6-18-26)
Licensing, Occupations, & Administrative Regulations
Transcript Highlights:
- our states. deceit, or fraud in the practice of deceit, or fraud in the practice of teaching<00:15:09.000
- <00:16:52.560>
and moving away from archaic practices and moving away from archaic practices - <00:33:47.080>
exam, <00:33:47.520>both well as a practical exam, both well as a practical - 17.880>
skilled <00:53:18.200>trade practical pathway into skilled trade practical pathway - That are practicing in our state. I mean, I think it's important that we do. I love the idea.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Jan 21st, 2026 at 09:02 am
House Health & Human Services
Transcript Highlights:
- So, it basically makes the practice of medicine kind of nationwide, instead of just each little state
- I understand that we're kind of out of practice, and so thank you for being the first.
- 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.
- Well, the state licensing board is responsible for PTs or whoever practicing in New Mexico.
HI
Transcript Highlights:
- Has DOH, through IMS, complied with chapter 183D and chapter 386, and are their practices harming access
- Has DOH, through IMS, complied with chapter 183D and chapter 386, and are their practices harming access
- reveal any medical billing practices reveal any medical billing practices from<00:29:36.840>
- We really see these resolutions as a practical step forward, something that has durability and begins
- We really see these resolutions as a practical step forward, something that has durability and begins
Keywords:
automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care