Transcript Highlights:

• Uh, scope of practice and the committee.
• </c> and the committee. uh scope of practice and the committee. uh scope of practice with<00:09:11.839
• 06.080><c> years</c><00:10:06.560><c> and</c> practiced optometry for 38 years and practiced optometry
• Our current scope of practice labs.
• So I believe not in clinical practice.

Transcript Highlights:

• Among UMSL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• Among UMZL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• want to limit their scope of practice that's already defined, or are you okay with them practicing within
• their scope of practice?
• That is practical.

Summary: The committee continued a public hearing on House Bill 2897, which would expand optometrists’ scope of practice. Supporters, including Dr. Kelly Deering, said optometrists are trained to perform the listed office-based procedures, that rural Missouri lacks access to ophthalmologists, and that the bill would reduce wait times, travel burdens, and costs while helping retain students and practitioners in the state. Opponents, including representatives of the Missouri Association of Osteopathic Physicians and Surgeons, argued the bill does not guarantee rural access and said the procedures should remain within the medical/surgical training of physicians. Members also questioned training on live human eyes and how suspicious lesions would be handled. No vote was taken, and the hearing on HB 2897 was closed. The committee then heard House Bill 2353, which would create a licensing and sign-and-seal framework for interior designers and move oversight to the board that includes architects, engineers, land surveyors, and landscape architects. Sponsor Rep. Sherri Gallick and supporters said the bill modernizes regulation, recognizes accredited education and NCIDQ testing, and would let licensed interior designers take responsibility for non-structural interior design work without hiring an architect to stamp plans. Opponents from the Missouri Society of Professional Engineers and others said they were still negotiating but remained concerned about scope-of-practice language, especially phrases like “all interior design of buildings” and “publicly occupied buildings,” which they said could create overlap with architecture and engineering or unintended obligations for public entities. Testimony also focused on whether unlicensed interior designers would still be allowed to work under carve-outs. No final action was taken. Finally, the committee heard House Bill 2241, which would create a separate framework for certain faith-based residential child care facilities to operate without a state license while registering with the state and meeting background-check, reporting, and oversight requirements. Sponsor Rep. Jamie Gregg and MACA representatives said the bill is intended to expand foster placement capacity for children in need while preserving the religious mission of Christian homes, and they cited federal and state initiatives encouraging partnerships with faith-based providers. Opponents argued the bill would create a two-tier system, weaken state licensing protections, and risk placing vulnerable children in facilities without the same direct oversight, inspections, and reunification safeguards as licensed foster homes. Members raised concerns about abuse history at some faith-based homes, the role of the proposed board, and whether religious practices or other mission-based rules would conflict with child welfare standards. The hearing continued with additional testimony; no vote was reported.

Transcript Highlights:

• We are all doing the same practices.
• </c> practices these there are practice practices these there are practice standards<00:08:08.240><c>
• </c> Waterway be it any number of practices Waterway be it any number of practices uh<00:08:14.400><c
• <00:08:18.159><c> totaling</c><00:08:18.680><c> over</c> practices totaling over practices totaling over
• :21.520><c> on</c><00:08:21.720><c> farms</c> 7,000 uh practice interventions on farms 7,000 uh practice

Committee: House Taxes

Transcript Highlights:

• It is a cruel practice, and you'll hear from experts, certainly behind me.
• So just to clarify, but midwife is still an advanced practice provider.
• So I'm a small animal veterinarian, practicing in Federal Way, Washington.
• an assistant and technician and a practice manager.
• an assistant and technician and a practice manager.

Bills: HB1904 , HB2106 , HB2211 , HB2247 , HB2329 , HB2339

Committee: House Health Care & Wellness

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Transcript Highlights:

• registration, specifying the scope of practice, and establishing prohibited practices.
• interior design unless registered and lists prohibited practices.
• But is this consistent with practices in other states as well?
• We will still be practicing as we are practicing today.” “...with our groups.
• We will still be practicing as we are practicing today.

Bills: HB2721 , HB2616

Committee: House Consumer Protection & Business

Keywords: commercial interior designer, interior design licensure, registered interior designer, NCIDQ, Washington State Board for Architects, professional regulation, title protection, firm registration, seal and signature, continuing education, building code, nonstructural interior design, space planning, interior architecture, design profession, public safety, occupational licensing, architects, engineering scope, permit review

Transcript Highlights:

• Through supervised practice as an alternative to the bar exam.
• They are licensed to practice under Rule 9 for this program.
• to practice in public defense.
• Support that makes it more practical to practice in public defense.
• But they are a defense best practice.

Committee: House Civil Rights & Judiciary

Summary: The work session began with testimony on expanding opportunities in the legal profession, especially in response to rural attorney shortages and public service recruitment. Washington State Bar Association Executive Director Tara Nevitt described a growing but aging attorney workforce, noted that younger attorneys have declined, and outlined efforts including supervised practice as an alternative to the bar exam, reduced admission-by-motion experience requirements, expansion of the law clerk program, rural job fairs and grants, and a pilot program for innovative legal service delivery. Members asked about bar passage standards, loan repayment assistance, and the former limited license legal technician program. Representatives from the University of Washington, Seattle University, and Gonzaga discussed law school pipelines into public service and rural practice. They described early outreach to students, loan repayment assistance and scholarships, public service stipends, clinics and externships, and partnerships that place students in government, nonprofit, prosecution, and defense roles. Seattle University highlighted its Flex JD and hybrid hub model in rural communities; Gonzaga presented data showing many graduates remain in Washington and enter public interest work; and UW emphasized that unpaid internships and debt remain barriers. The Washington Association of Prosecuting Attorneys and the Office of Public Defense both testified that prosecutor and defender vacancies are severe in rural counties, and that salary, hiring bonuses, housing support, internships, and loan repayment programs are important tools. The Office of Public Defense said its new recruitment and retention program, funded by SB 5780, has already placed interns in underserved counties and helped some commit to future jobs there. The Washington State Bar’s law clerk program was also described as a pathway that helps people train and remain in their home communities. The committee then shifted to family law, guardians, and guardianships. On guardian ad litem practice in Title 26 cases, Northwest Justice Project and private family law practitioners said training has improved since 2018, but concerns remain about inconsistent investigations, bias, inadequate domestic violence training, lack of oversight, high costs, and uneven county practices. They suggested more robust training, better accountability, and possible use of mental health professionals for custody evaluations. For minor guardianships under the Uniform Guardianship Act, a Superior Court judge said filings have increased and courts struggle to find qualified attorneys and court visitors, while the Administrative Office of the Courts said its $3 million annual reimbursement program for local courts is running out earlier each year and that minor guardianship costs make up most of the spending. The Office of Public Guardianship reported rising demand for adult guardianship services, noting that recent legislation expanded its caseload capacity and added a navigator role, but that referrals and active cases continue to grow statewide.

Transcript Highlights:

• for advanced practice nurses.
• Gail Harrell, Doctor of Nursing Practice, invites you to her practice.'
• So a Doctor of Nursing Practice, if I say I'm a Doctor of Nursing Practice, I'm using my title appropriately
• I am a doctor of nursing practice.
• I am a Doctor of Nursing Practice.

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• So we want to study that and see if there's better practices.
• So we want to study that and see if there's better practices.
• They're straight out of practice.
• on their own, or go join another practice.
• They may be unhappy in the corporate practice they're in.

Committee: Senate Health Policy

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• For almost 25 years, we've been using a restorative practice called Circle.
• </c> is just one type of restorative practice is just one type of restorative practice but<00:04:41.800
• restorative practice.
• restorative practice.
• restorative practice.

Transcript Highlights:

• registration, specifying the scope of practice, and establishing prohibited practices.
• interior design unless registered and lists prohibited practices.
• But is this consistent with practices in other states as well?
• We will still be practicing as we are practicing... ...with our groups.
• We will still be practicing as we are practicing today.

Summary: The Consumer Protection & Business Committee held public hearings on two bills. House Bill 2616, described as an agriculturally resilient markets act, would create a broad package of agriculture-related policies and appropriations, including a strategy to expand state purchasing of Washington-grown food, temporary packaging and emissions exemptions for certain agricultural uses, changes to labor notice rules for agricultural and dairy layoffs, several grant and study programs, a transfer of cannabis production/processing/testing oversight to the Department of Agriculture, and an appropriation for the tree fruit leadership program. Representative Christine Reeves said the bill was intended as a state-level “farm bill” to address farm losses, food security, and regulatory burdens, and she emphasized stakeholder input and the need to support family farms and farmworker well-being. Testimony on HB 2616 was overwhelmingly supportive, with growers, commodity groups, dairy and potato representatives, and other agricultural stakeholders arguing that Washington farms face low margins, high regulatory and labor costs, refrigeration and processing challenges, and competition from foreign producers. Several speakers said the bill’s exemptions, grants, and studies would help keep farms viable and preserve local food production. Committee members asked about stakeholder outreach, the role of Washington State University and commodity commissions, the impact of federal versus state policy, and possible ways to reduce compliance burdens. The hearing ended without a vote, and the chair noted the bill was after cutoff and would not move this year, but that stakeholder meetings would continue over the summer. The committee then heard House Bill 2721, which would create a registration system for commercial interior designers, expand and rename the Board of Architects, set education, examination, and experience requirements, define the scope of practice, require seals and technical submission attestations, and establish penalties and a fee account. Supporters from interior design organizations said the bill would recognize a profession already performing code- and safety-related work in commercial spaces, align Washington with other states and national model law standards, and remove barriers to ownership and advancement, especially for women. Testifiers also said the bill would clarify responsibility for life safety, accessibility, and non-structural interior construction in schools, health care, and public buildings. The committee heard only supportive testimony, but members raised questions about how the profession compares with architecture, the impact of delaying the bill until 2027, and demographic diversity in the field. The chair closed the hearing noting the bill would not advance this session and that further interim work would be needed.

Transcript Highlights:

• But about 10 years ago, I took over my father's practice, who had practiced in New Mexico. in Las Cruces
• This isn't the state to practice in," which is my home state, the state that I chose to practice in.
• So we're aware of that when we practice in New Mexico.
• So, we've done... things to drive people out of private practice, to drive doctors out of private practice
• Physician daughter practices in Texas, and the attorney daughter practices in New Mexico.

Committee: Joint Revenue Stabilization & Tax Policy Committee

Transcript Highlights:

• I don't practice. I never intended to practice. I wanted to be an organizer for my community.
• I don't practice. I never intended to practice. these things I always forget. I don't practice.
• In practice, C.B... intended to exclude victims.
• HB 213 moves the practice of this surgery outside of the Medical Practice Act.
• I'm a practicing optometrist in Gallup, New Mexico.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, a medical malpractice reform measure. Sponsor Chair Chandler and Minority Leader Armstrong described months of stakeholder negotiations aimed at balancing patient compensation with concerns from physicians, hospitals, and insurers about litigation costs, punitive damages, and access to care. The committee substitute kept the existing monetary damage caps but changed several provisions, including definitions of “occurrence” and “value of medical care,” treatment of future medical expenses, a higher clear-and-convincing standard for punitive damages, a two-step process before punitive damages can be pled, and a lower punitive-damages cap for smaller providers versus a higher cap for large hospital systems. Supporters said the bill would help recruit and retain doctors and stabilize the malpractice market; opponents argued it weakens accountability, especially for corporate and out-of-state hospital systems, and several speakers urged a stronger amendment to preserve patient rights. After debate, the committee voted 10-0 to give the House Judiciary Committee substitute for HB 99 a do-pass recommendation. The committee then heard House Joint Resolution 5, which would amend the state constitution to allow legislative compensation. Sponsors and supporters said paying legislators would make service more accessible to working people, parents, rural residents, and others without independent wealth, and would broaden representation. Several advocacy groups and individual commenters backed the proposal, while members raised questions about the pay formula, with the resolution tying compensation to the state median income. Some members supported the idea but preferred a salary commission or a different mechanism. The committee approved HJR 5 on a 7-3 vote. Finally, the committee began hearing House Memorial 39, which calls for a task force to study the current state of sexual assault examination kits and report on backlog progress. Sponsor Rep. Ferrari and the New Mexico Coalition of Sexual Assault Programs explained that a prior task force a decade ago found more than 5,000 untested kits and led to policy changes, including the Sexual Assault Survivors Bill of Rights and a statewide tracking system. The memorial is intended to reassess whether backlogs remain and recommend further fixes.

Transcript Highlights:

• Practicing in a community health center is different from practicing in a hospital.
• Where are you practicing?
• I'm a general practice law practice. I love everything I do, but I don't do probate.
• But if they could earn in primary care practices what they earn in specialty practices, they would come
• Private practices don't have those same requirements.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• So, um, we said modern data privacy best practices, but it's really modern data practices best practices
• So, um, we said modern data privacy best practices, but it's really modern data practices best practices
• So, um, we said modern data privacy best practices, but it's really modern data practices best practices
• So, um, we said modern data privacy best practices, but it's really modern data practices best practices
• So, um, we said modern data privacy best practices, but it's really modern data practices best practices

Summary: The committee approved the October 15, 2025 minutes and then held a broader discussion on current challenges with data retention and government transparency. Judy Randall of the Office of the Legislative Auditor said historical data is essential for post-audits, which often look back three to five years, and that retention decisions must balance audit needs with the burden of separating public and nonpublic data. She described the records-retention panel process as informal and largely based on individual judgment, noting she had objected to a proposed 60-day email retention period and generally uses a three-year guideline, though she said that standard is not grounded in a formal rule. Members discussed whether auditing standards should set retention periods, with Randall saying auditing is a good starting point but other offices, including the attorney general, also have needs, and that some agency discretion is unavoidable because of the gray area between official records and non-records. Representative Elkins raised the related principle of data minimization, arguing that government should not keep data longer than needed and citing a University of Minnesota legacy data warehouse breach as an example of the risks of retaining unnecessary sensitive information. Randall agreed that data no longer needed is a liability and said her office purges workpapers after five years. Representative Scott pressed whether three years is enough for fraud investigations and financial records; Randall responded that a reasonableness standard is needed and that longer retention can produce diminishing returns, though she said she would follow up on whether financial records should be treated differently. Tanya Tacker of the Rum River Special Education Cooperative testified in support of updating Minnesota’s data-retention laws for schools. She said districts want to protect student information and maintain transparency, but the current general retention schedule dates to 1985 and 2000 and does not reflect digital records, modern systems, or the volume of special education data. She urged modernizing the schedule, clarifying what must be kept in paper versus digitized form, aligning state rules with IDEA and other federal requirements, and providing practical guidance and tools. Members praised the specificity of her recommendations. Dr. BB Newman testified that retention failures in St. Anthony Village have made it difficult to obtain routine municipal and police data, with records delayed, missing, or inconsistently produced and no clear explanation of what systems were searched or whether records were destroyed. Newman argued these gaps undermine statutory access rights and force residents into costly litigation, and recommended stronger retention auditing, documentation of destruction, mandatory disclosure of systems searched, and consequences for noncompliance. In response to questions, Senate counsel said there is generally no direct penalty, but affected parties may seek mandamus, Data Practices Act claims, or informal mediation/opinions from the Data Practices Office. The discussion closed with calls for clearer standards and possible legislative updates to improve compliance and transparency.

Transcript Highlights:

• It was created by the court to assist with admissions of lawyers into the practice of law.
• These sections are paid for entirely by voluntary dues and are organized by legal practice area.
• Engage in the unlicensed practice of law, and they harm consumers by doing so.
• They issue formal advisory opinions on the unlicensed practice of law as well.
• of law, or the entity, because sometimes it's an entity that's engaged in the practice of law.

Committee: Senate Judiciary

Summary: The Judiciary Committee met with a quorum present and Senator Thompson excused. The committee first considered Senate Bill 48 by Senator Garcia on judicial sales and procedures. Garcia explained a delete-all amendment that would create clearer statewide procedures for alternative judicial sales, increase transparency, remove bidding credits, extend sale timelines, and add oversight for auctioneers and escrow agents to prevent fraud and collusion. After no questions or opposition, the amendment was adopted, Senator Pasadoma said the rewrite addressed many of his concerns, and the committee then voted CS for SB 48 favorably with unanimous yes votes from members present. The committee then received a presentation from the Seminole County Sheriff’s Office on the effectiveness of Florida’s recent anti-squatting law, House Bill 621/SB 888. Presenters described several cases in which deputies used the new process to remove unlawful occupants, including a false landlord report, a long-term fake lease situation, and a more recent unlawful occupancy case. They said the law has helped protect property owners and potential victims, but suggested technical changes: clearer authorization for deputies to enter and use force if needed, and a fix to the affidavit penalty provision because false statements are currently being charged as false reports rather than perjury under the existing wording. The Florida Bar also presented on its role in regulating lawyers, lawyer advertising, and the unlicensed practice of law. Bar leaders explained that the Bar operates under the Florida Supreme Court’s authority, is funded by member fees, and handles complaints through a multi-step process involving intake, branch offices, grievance committees, referees, and final Supreme Court review. They described advertising review procedures, discipline statistics, consumer assistance, the Clients’ Security Fund, and enforcement against unlicensed practice. Senators asked about the Legislature’s authority over lawyer advertising, the prevalence of legal ads, the role of public members on grievance committees, and how those members are selected and used.

Transcript Highlights:

• Among UMSL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• Among UMZL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• How long have you been practicing again? Since 2020.
• to limit their scope of practice that's already defined, or are you okay with them practicing within
• their scope of practice?

Summary: The committee first continued the public hearing on House Bill 2897, which would expand optometrists’ authority to perform certain office-based procedures. Supporters, including an optometrist from rural Missouri, argued the bill would improve access to care in counties without resident ophthalmologists, reduce wait times and travel burdens, and better align scope of practice with optometry training. Opponents, including representatives of osteopathic physicians, raised concerns about patient safety, the lack of live-human-eye training in Missouri, and whether the bill would actually direct services to rural areas. The hearing then closed on HB 2897 without a vote. The committee next heard House Bill 2353 on interior designers’ licensure and sign-and-seal authority. The sponsor and supporters said the bill modernizes the profession, moves oversight under the state’s architecture/engineering board, and would let licensed interior designers stamp their own non-structural work after education, testing, and experience requirements. Supporters emphasized workforce retention, consumer savings, and that interior designers are trained in fire/life safety, ADA, and code compliance. Opponents from engineering groups said they were still negotiating language but objected to provisions that could be read to require interior designers for broad categories of buildings or blur boundaries with architecture and engineering; they asked for clearer scope language and continued collaboration. No final action was taken. Finally, the committee heard House Bill 2241, which would create a framework for certain faith-based residential child care facilities to operate outside the standard foster care licensing system under a new oversight board. The sponsor said the bill is intended to address a shortage of foster placements while allowing Christian homes to maintain their religious mission, with background checks, inspections, and reporting still required. Supporters from Christian child care agencies said the bill would preserve religious freedom and expand placement capacity. Opponents, including child advocacy and child abuse prevention groups and several legislators, argued the proposal would create a separate, less accountable system for vulnerable children, weaken state oversight, and risk repeating past abuse scandals; they said existing licensing rules already allow faith-based providers to participate. The discussion was extensive, but no vote was taken in the portion provided.

Transcript Highlights:

• When I practiced law, I practiced bankruptcy.
• the way she intended to practice.
• We practice against larger firms.
• And as a small business, we practice against draft people. We practice against small business.
• We practice against larger firms.

Committee: House Business

Transcript Highlights:

• They're just not very big as a practice matter in the real world.
• Whereas other practices and specialties are in the hundreds of thousands.
• These are all things that are not part of the practice.
• None of them represent investment in the future of the practice.
• Private equity firms have shown particular interest in assets with defined billing practices or practices

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Adequately prepare students for nursing practice in accordance with Florida laws.
• at all levels, utilizing that in our data to then build best practices.
• , effective evaluation methods, clinical practice.
• , effective evaluation methods, clinical practice.
• Well, I think it's a lot of the same best practices we've heard.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• I'm a practicing optometrist in Santa Fe, now for over 30 years.
• I practiced in Albuquerque for over 40 years.
• So HB 213 is not just a minor adjustment in scope of practice.
• HB 213 moves the practice of surgery outside the Medical Practice Act.
• HB213 moves the practice of surgery outside the Medical Practice Act.

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.