Video & Transcript : 'supervisory practices' :
Page 42 of 500
VA
Transcript Highlights:
- He returned to Danville, where he’s been practicing in private practice ever since.
- He has a wide practice experience. He brings to the table. He has a wide practice experience.
- So I've been practicing— So I've been practicing now for almost 23 years.
- Again, it's not the area I practice in, so we don't practice against each other.
- I could practice here.
Committee:
House Courts of Justice
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 01:00 pm
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
- So licensing this practice would be like regulating somebody's prayer or religious practice.
- So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
- So licensing this practice would be like regulating somebody's prayer or religious practice.
- However, many of our practices, if they are practiced consistently, things like yoga, Tai Chi, Reiki,
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day.
A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure.
The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 03/04/25
State and Local Government
Transcript Highlights:
- So right now, if you are a practicing physician in another country, you may have practiced for 20 years
- So right now, if you are a practicing physician in another country, you may have practiced for 20 years
- </c> preventing people from practicing preventing people from practicing medicine<00:02:21.959><c> uh
- </c><00:02:33.280><c> medicine</c> Minnesota who cannot practice medicine Minnesota who cannot practice
- physician will practice the practicing physician will practice generally<00:09:41.320><c> under</c><
Committee:
Senate State and Local Government
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 03/05/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- </c><00:03:06.159><c> that</c> benefits of farming practices that benefits of farming practices that
- </c><00:03:25.319><c> and</c> the adoption of protective practices and the adoption of protective practices
- </c><00:03:40.200><c> that</c> are just some of the uh practices that are just some of the uh practices
- </c> engage farmers and Implement practices engage farmers and Implement practices is<00:10:30.800><c
- practices equipment to implement these practices it<01:10:27.320><c> sing</c><01:10:27.719><c> it</c
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (04/15/2026)
Executive Departments and Administration
Transcript Highlights:
- </c> on practice setting. on practice setting.
- . practices. practices.
- . practice. practice.
- > practice under a collaborative practice practice under a collaborative practice agreement<03:27:19.200
- </c> internal in in my practices. internal in in my practices.
WA
Washington 2025-2026 Regular Session
Committee to Hear SAO Performance Audits Dec 3rd, 2025
Transcript Highlights:
- As you can see, the schools we reviewed adopted most of these practices.
- We would like to go through three of the practices in more detail.
- Practice one: small groups, because it's a straightforward example to describe.
- We saw various culturally responsive practices at all of the schools that we visited.
- Two of the practices that stand out to me that I've seen firsthand.
Summary:
The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings.
The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints.
Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Care Management Committee June 10th Meeting Jun 10th, 2026
Transcript Highlights:
- New practice sites or from our new practice sites.
- So we continue to get practices, newer practices or practices that aren't ready, that are ready now to
- practices.
- Different practices.
- This is the breakdown of internal medicine and family practice. Practice and PCP practices.
Summary:
The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures.
The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong.
Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.
MO
Missouri 2026 Regular Session
Health and Mental Health Mar 12th, 2026 at 08:00 am
Health and Mental Health
Transcript Highlights:
- Practices Act under this chapter.
- Practice under the Missouri Merchandising Practices Act under this chapter.
- I had an outpatient practice.
- Jen, and I practice in rural Missouri from—I practice out of Callaway County.
- their practice that they left.
Committee:
House Health and Mental Health
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 24th, 2025
Transcript Highlights:
- in California under existing interstate practice mobility provisions.
- in California under existing interstate practice mobility provisions.
- Steven Abelowitz, and I've been working as a practicing pediatric physician for almost 30 years.
- help me grow my practice to reach more patients and provide better care.
- help me grow my practice to reach more patients and provide better care.
Summary:
The Assembly Business and Professions Committee heard several bills, including SB 788 by Senator Niello, which clarified that CPAs and CPA firms, including employees and out-of-state CPAs authorized to practice in California, are regulated by the California Board of Accountancy rather than subject to Tax Preparation Act registration requirements. Supporters said the bill would reduce duplicative regulation and confusion; there was no opposition, and the bill passed to Appropriations.
The committee also heard SB 351 by Senator Cabaldon, aimed at strengthening enforcement of California’s corporate practice of medicine rules as they relate to private equity and hedge fund involvement in medical and dental practices. The author and physician supporters argued that private equity can interfere with clinical decisions and patient care, while opposition from the American Investment Council said the bill could sweep in legitimate business practices and requested a narrow amendment. The bill passed to Judiciary.
SB 312 by Senator Umberg was heard next and would require health certificates for imported dogs sold in California to be submitted to CDFA and made publicly available, with supporters describing it as a transparency and consumer protection measure to combat puppy mills and misleading online sales. There was no opposition, and the bill passed to Agriculture. The committee also approved a consent calendar containing SB 291, SB 387, SB 517, SB 602, and SB 773, all moving to their respective committees. The meeting ended after additional roll calls and adjournment.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/11/26
Health and Human Services
Transcript Highlights:
- This practices act just hasn't coming.
- Uh the throughout the practices act.
- </c> Updating the athletic training practice Updating the athletic training practice act<00:08:49.080
- . practice. practice.
- </c> before practicing independently. before practicing independently.
Committee:
Senate Health and Human Services
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- What they do is facilitate two-way practice.
- These are considered the practice of medicine.
- I work in the context of a private practice. As Dr.
- in the faculty practice.
- If they can work as faculty members, practice in faculty practice, and practice in health centers, they
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards.
The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation.
Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
House health panel hears HF1010 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- </c><00:03:17.840><c> for</c> the Midwifery scope of practice for the Midwifery scope of practice for
- </c> certified nurse midwives practice certified nurse midwives practice nursing<00:05:01.560><c> for
- Midwifery practice means says certified Midwifery practice means managing<00:18:16.159><c> diagnosing
- </c> have this as our scope of practice have this as our scope of practice because<00:21:18.559><c> I
- in traditional practice.
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Mar 4th, 2026
Professional Registration and Licensing
Transcript Highlights:
- I'm an ophthalmologist practicing in St. Louis.
- “So we, as you might imagine, as a practicing ophthalmologist…” “So we, as you might imagine, as a practicing
- access, or a scope-of-practice expansion?
- I practice in my private practice, and I also am employed as an independent contractor for Freeman, the
- So this statute wouldn't change scope of practice or anything like that, or even practice patterns.
Summary:
The committee first took up House Bill 3111, which concerns bail bonds oversight. Representative Phelps offered a committee substitute that moved bail bondsmen into the existing Board of Private Investigators, Private Fire Investigators, and Professional Surety Bail Bonds to avoid a fiscal note. An amendment was adopted to remove fee caps in the substitute, and the committee then adopted the revised substitute and voted it do pass 21-0.
The committee then heard Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill, along with related provisions for social work supervisors and speech pathologists. Senator Trent and supporters from the Missouri Society of CPAs, the speech-language association, the social work community, and the State Auditor’s Office said the bill would address CPA shortages by creating a new licensure path based more on experience, while preserving exam standards and adding reciprocity. No opposition was offered, and the hearing concluded without a vote.
House Bill 2999 on optometry scope of practice drew extensive testimony and debate. The sponsor and ophthalmology witnesses described the bill as a negotiated compromise that would codify specific procedures optometrists may perform, while opponents from optometry argued it would freeze scope in statute, limit modernization, and require repeated legislative action as standards change. Witnesses disagreed sharply over whether the bill improved patient safety and access, whether the procedures were already within current practice, and whether surgical procedures such as lasers should be included. The bill was heard but no committee action was taken in the transcript.
Finally, the committee heard House Bill 2957 on respiratory therapist licensure. Representative Castile and respiratory care witnesses said the bill would phase out the CRT as the entry credential for new applicants in favor of the higher RRT standard, while grandfathering current CRTs and adding renewal audits to confirm active credentials. Supporters said the change reflects current training standards and would raise patient-care quality without reducing workforce numbers. No opposition testimony was presented, and the hearing adjourned without a vote.
MO
Transcript Highlights:
- Practices Act under this chapter.
- I had an outpatient practice.
- She has, she's in practice, private practice, and they employ these kinds of covenants not to compete
- Jen and I practice in rural Missouri. I practice out of Callaway County.
- miles of where the practice was left.
Committee:
House Health and Mental Health
Summary:
The committee first met in executive session and adopted a House committee substitute combining House Bills 1850 and 1975, which was then voted do pass by a 16-0 roll call. The substitute was described as incorporating federal PBM-related transparency and audit provisions, including requirements intended to ensure fair audits, greater transparency for employers and patients, and protections for pharmacies so they are not reimbursed below drug cost and receive a fair fee. Members said the package was a compromise and a needed step because pharmacies are closing.
The committee then heard House Bills 2318 and 2368, related to artificial intelligence and mental health. The sponsors said the bills are aimed at truth in advertising, barring AI platforms from marketing themselves as mental health professionals or therapy providers, while not banning AI use in health care generally. Testimony from supporters emphasized concerns about minors and adults relying on chatbots for mental health guidance and the need to protect consumers from misleading claims. The committee adopted an amendment adding social workers to the bill string, rolled it into a substitute, and voted the combined House committee substitute do pass 14-0.
Next, House Bill 3313, described as an AOT bill from the prior week, was voted do pass 14-0 without discussion. House Bill 2745 was then amended and passed 14-0; the sponsor explained the changes would require a prompt physical exam for children entering foster care, allow a physician or nurse practitioner to perform it, try to continue existing developmental, behavioral, or emotional care when possible, and require biological parental consent before updating vaccines at the initial visit. House Bill 2463 also received a substitute to close a loophole involving referral payments when a prospective resident or legal representative cancels a contract, and the committee voted the substitute do pass 14-0.
The committee also heard House Concurrent Resolution 28, which would designate the last full week of April as Infertility Awareness Week in Missouri. The sponsor linked the resolution to broader efforts to expand fertility access, and supporters, including a patient sharing her infertility experience, spoke about the emotional and physical toll of infertility and the value of awareness. Finally, House Bill 2979, the Rural Missouri Rural Doctors Act, drew extensive testimony. The sponsor and supporters argued it would limit physician non-compete agreements to one year and five miles for nonprofit employers to improve rural access and physician mobility, while opponents from hospitals and health systems said the bill would weaken recruitment, hurt financially stressed rural hospitals, and create uneven treatment between nonprofit and for-profit employers. No vote was taken on HB 2979 in the portion provided.
NM
New Mexico 2026 Regular Session
IC - Revenue Stabilization and Tax Policy Dec 15th, 2025
Transcript Highlights:
- It's very rewarding, but about 10 years ago, I took over my father's practice, who had practiced in New
- So he put his practice up for sale.
- This isn't the state to practice in, which as my home state, as the state that I chose to practice in
- This isn't the state to practice in, which as my home state, as the state that I chose to practice in
- The physician daughter practices in Texas, and the attorney daughter practices in New Mexico.
Summary:
The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion.
The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care.
The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Women and Children’s Health Committee June 8th Meeting Jun 8th, 2026
Transcript Highlights:
- ...certified in their practice to do this.
- , outreach to dental practices, surveying dental practices to see if they would treat pregnant patients
- We are able to pull by practice and their practice name how many live births they had and their percentage
- So this is an example of a practice.
- It’s just the gap between practice to practice. Okay. Yeah.
Summary:
The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas.
A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models.
Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Feb 4th, 2026
Professional Registration and Licensing
Transcript Highlights:
- of practice.'
- I practice with Davis-Pathuna Jones.
- This is not an expansion of scope of practice law.
- It's just about access to practice, and they'd still be... Access to practice.
- I've practiced in Springfield. I've practiced in Lamar.
Summary:
The Committee on Professional Registration and Licensing met with a quorum present and first took up House Bill 1797, a public accounting bill. The committee adopted a substitute that was described as clarification language to mirror the Senate version, then voted the House Committee Substitute do pass by unanimous roll call. The committee also considered House Bill 2974, adopted Amendment 0.01H adding clarifying scope-of-practice language, rolled the amendment into a committee substitute, and then voted the House Committee Substitute do pass unanimously.
The committee then heard testimony on House Bill 1623, which would add massage therapists and chiropractors to the list of health care professionals subject to emergency disciplinary action through the Administrative Hearing Commission. The sponsor said the bill is intended to protect patients and give licensing boards faster authority to act against bad actors in vulnerable settings. Supporters included a trial lawyer who described sexual assault cases involving massage parlors and a lobbyist for the Missouri Chiropractic Physicians Association, who said quicker action would improve public safety and professional integrity. No opposition was presented.
Next, the committee heard House Bill 309, which would provide clarity for nonprofit pharmacies serving low-income and underserved patients in emergency situations, inspired by access problems after the St. Louis tornadoes. The sponsor and an RX Outreach representative said the bill would help pharmacies transfer or dispense needed medications during emergencies without reducing oversight, and they discussed limits on quantities and controlled substances. Members asked why the bill was limited to nonprofit pharmacies and whether it applied outside Missouri; the witnesses said they were open to amendments and clarified the bill was aimed at Missouri emergencies.
Finally, the committee heard House Bill 3129, the Physician Assistant Compact. The sponsor said the compact would improve access to care, especially in rural areas, by allowing reciprocal practice across participating states without changing Missouri scope-of-practice law. A PA testified in support, saying it would help retain and recruit PAs and improve flexibility near state borders. The Missouri State Medical Association opposed the bill, arguing it could affect scope of practice, give compact commission rules too much authority, and weaken Missouri’s regulatory control; the Division of Professional Registration supported it, saying it fits rural health transformation goals and that compact participants would still have to follow Missouri scope laws. A nonprofit workforce group also testified in support. No votes were taken on the hearing bills before adjournment.
MN
Minnesota 2025-2026 Regular Session
Nurse Licensure Compact discussion 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- </c> different practice laws. different practice laws.
- This talks about the nurse's practice.
- This talks about the nurse's practice.
- </c> state has to match the practice state has to match the practice requirements<00:36:59.280><c> that
- nurses under our for more practicing nurses under our practice<00:37:25.200><c> requirements</c><00:
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- I see this every day in my practice.
- today or even how we practiced decades ago.
- I've been in private practice in Newton Center for 35 years.
- I've been in private practice in Newton Center for 35 years.
- I have practiced as a pediatric dietitian for nearly seven years.
Committee:
Joint Joint Committee on Public Health
Summary:
The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program.
Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing.
On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Mar 23rd, 2026
Joint Committee on Public Health
Transcript Highlights:
- I see this every day in my practice.
- today or even how we practiced decades ago.
- I've been in private practice in Newton Center for 35 years.
- I have practiced as a pediatric dietitian for nearly seven years.
- Second, the bill does not adequately reflect modern scope of practice.
Committee:
Joint Joint Committee on Public Health
Keywords:
celiac disease, gluten intolerance, autoimmune disorder, pediatric screening, child health, public health, screening pilot, early detection, 12-year-olds, cholesterol screening, lipid screening, health care providers, Department of Public Health, patient advocacy, family support, Massachusetts, preventive care, diagnostic screening, nutrition, gastroenterology