Transcript Highlights:

• Jennifer Wendhold, who's the Director of Medical Quality Assurance; Ms.
• The implementation of the interstate medical legislation applications.
• The Interstate Medical Licensure Compact, those numbers have even changed.
• The Interstate Medical Licensure Compact has taken off.
• I know this is a medical program, but it's impossible to ignore that.

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• George Sorries with the California Medical Association.
• And protection of medically fragile Californians.
• The current certification framework supports that work.
• You're not qualified; you can't get our certification?
• We fall under the Medical Board of California.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• In California, adoptees do not have access to their original birth certificate because the certificate
• “Medical information.
• The only change will be that we get our birth certificate.
• “Well, no birth certificate with the name. With no original birth certificate would be given.”
• They have a copy of their amended birth certificate.

Summary: The committee first took up SB 490 by Senator Umberg, which would require the Department of Health Care Services to investigate allegations of unlicensed sober living or residential recovery facilities within set timelines, issue notices promptly, and conduct follow-up site visits. Supporters, including a Garden Grove councilmember and the League of California Cities, said the bill would improve public safety, clarify enforcement, and address complaints about illegal operations in neighborhoods. County behavioral health representatives opposed the bill, arguing counties lack jurisdiction over these private facilities, could face liability and unfunded workload increases, and should not be pulled into enforcement responsibilities that belong to the state. After extensive discussion about whether the bill creates a county role or merely a pathway for local assistance, the committee passed SB 490 on an 8-0 vote and placed it on call for missing members. The committee then heard SB 381 by Senator Wahab, which would allow adult adoptees, and in some cases descendants of adoptees, to obtain their original birth certificates, create a contact preference form for birth parents, and remove current limits that omit certain birth information from amended certificates. The bill drew strong support from adoptees, birth parents, and advocates who said access to original records is a matter of identity, dignity, and health because it can reveal family medical history and cultural background. Several committee members expressed support for the goal but raised concerns about privacy, the potential emotional impact on birth parents, and whether the contact preference form adequately protects confidentiality. The author and supporters said the bill is narrowly tailored, that the form is nonbinding, and that many birth parents are open to contact; they also noted the bill had been amended to delay implementation and allow public notice. The transcript ends amid continued debate, with members indicating the bill would continue moving forward with further work, but no final vote is shown in the excerpt.

Transcript Highlights:

• These medications are over the counter.
• It's not a medical issue. A refill. Yes, that was a refill. It's not a medical issue. A refill.
• You wouldn't list the medication.
• current board certification.
• Again, certification is not required.

Bills: SB331 , SB883 , SB926 , SB1137 , SB1138 , SB1144 , SB1151 , SB1236 , SB1270 , SB1522 , SB1869 , SB2207 , SB2422

Committee: Senate Health & Human Services

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.

Transcript Highlights:

• These things and more are all possible with alternative medical transport.
• for an ambulance service that fails to comply with the certificate of necessity requirements.
• for an ambulance service that fails to comply with the certificate of necessity requirements.
• The medical director of the department must identify prisoners who need...
• Joseph's and was finally diagnosed with schizophrenia and stabilized on medications.

Committee: Senate Senate Public Safety Committee of Reference

Summary: The Committee on Public Safety met to hear several presentations and bills. First, the Arizona Department of Corrections, Rehabilitation and Reentry presented on its K-9 program, describing staffing, specialized detection and trailing teams, and the need to replace retired dogs and modernize an aging, high-mileage vehicle fleet used to transport canines. The committee also heard a presentation from Biometrica on a privacy-focused facial recognition and sensor system designed to identify missing persons and known offenders using law-enforcement-only data; the presenters emphasized that the system does not store video or audio and is intended to balance public safety with privacy. The committee then considered HB 2134, which would prohibit Arizona governmental entities and critical infrastructure providers from contracting for critical infrastructure equipment or software from Chinese companies or the PRC. Supporters, including the sponsor and a national security witness, argued the bill would protect communications and other critical systems from foreign adversary access; concerns were raised about costs and implementation, but the bill was amended to be prospective and to rely on self-certification and risk-based audits. The committee passed HB 2134 with a due pass recommendation by a 4-3 vote. HB 2404, which would shift most inter-facility transport of behavioral health patients from peace officers to authorized transporters, drew support from law enforcement and police association witnesses who said officers are not the right personnel for these transports; it passed unanimously, 7-0. HB 2402, dealing with ambulance certificate-of-necessity rules for small or underserved areas, was presented as a compromise measure after work with ambulance stakeholders and firefighters. The bill and a 15-page amendment would require the Department of Health Services to issue certificates in certain small-population areas, streamline applications, add reporting requirements, and address GPS coverage issues; it passed as amended, 7-0. HB 2673, which originally proposed mental health screening and treatment requirements for jail and prison inmates, was narrowed by amendment to create only a study committee on inmate mental health services; family members testified about tragic failures in the system, and the bill passed as amended, 6-0 with one not voting. HB 2253, protecting public employees from retaliation or obstruction when testifying in law enforcement disciplinary appeals, passed 5-0 with two not voting. HB 2270, expanding county protections over seals, logos, and sheriff’s posse naming rights, passed 6-0 with one not voting. Finally, HB 2941, which would treat certain unsafe motorcycle lane-splitting or passing behavior as reckless driving while preserving legal lane filtering, drew both support and concern about overbreadth; after testimony from the sponsor and members of the public, it passed 5-1 with one not voting, and the committee adjourned.

Transcript Highlights:

• AB 583 will authorize nurse practitioners to sign death certificates.
• It gives nurse practitioners the ability to sign death certificates.
• Kevin Guzman with the California Medical Association.
• The bill would also expand the antiquated medical necessity definition in the medical provider manual
• Kevin Guzman with the California Medical Association.

Committee: House Health

Summary: The Assembly Health Committee heard and advanced a series of health-related bills. Early items included AB 583, which would allow nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery treatment facilities are licensed; and AB 280, which would require health plans to improve the accuracy of provider directories through annual verification, enforceable benchmarks, and penalties. Supporters for AB 280 described serious access problems caused by inaccurate “ghost networks,” while health plans and insurers opposed the bill as placing too much responsibility on plans without enough provider participation. AB 636, expanding Medi-Cal coverage for medically necessary diapers for children, also moved forward with support from food banks and anti-poverty advocates. AB 1041, streamlining physician credentialing with a uniform form and deadlines, and AB 787, requiring health plans to help members find in-network providers more quickly, likewise passed out of committee. The committee also approved AB 4, which would allow income-eligible Californians regardless of immigration status to buy coverage through Covered California, and AB 29, which would authorize community health workers and doulas to receive Medi-Cal reimbursement for ACEs screenings. Both bills drew broad support from immigrant-rights, health access, and community-based organizations. AB 416, allowing emergency physicians to place 5150 holds in certain circumstances, passed after supporters argued it would reduce emergency department bottlenecks and opponents warned it could increase unnecessary involuntary hospitalization and transfers to locked psychiatric facilities. Members raised questions about county oversight and training, but the bill advanced on a unanimous vote. Finally, AB 460, modernizing radiology supervision rules to allow real-time remote physician supervision for contrast administration with on-site staff available for emergencies, was approved with no opposition. Across the hearing, committee members repeatedly emphasized access to care, administrative simplification, and consumer transparency, while opponents generally raised concerns about implementation, provider participation, oversight, and unintended consequences. Most measures were reported out on party-line or near-unanimous votes and sent to Appropriations or Judiciary as noted.

Transcript Highlights:

• I earned my certification in 2007.
• Grant Miller, on behalf of the American Veterinary Medical Association, California Veterinary Medical
• Association, Sac Valley Veterinary Medical Association, and Southern California Veterinary Medical Association
• Grant Miller, on behalf of the American Veterinary Medical Association, California Veterinary Medical
• Association, Sac Valley Veterinary Medical Association, and Southern California Veterinary Medical Association

Summary: The committee heard several bills, beginning with AB 1921 on video game shutdowns. The author and Consumer Reports supported requiring game operators to give 60 days’ notice before ending server support and to offer a menu of remedies, including refunds or playable/offline alternatives, while the Entertainment Software Association opposed the bill as an unwarranted new standard for digital products and raised safety and legal concerns about community servers. Members questioned the scope of refunds, copyright, and community-server issues, and the author said he was open to further amendments. The bill was moved on a due-pass motion to Senate Appropriations and placed on call. AB 1965, dealing with cannabis testing, was presented as a measure to strengthen the Department of Cannabis Control’s authority over testing labs and improve product safety and transparency. The California Cannabis Operators Association supported the bill, saying it would help ensure consistent standards and protect consumers in a market with a large illicit component. There was no opposition, and the bill was moved on a due-pass motion to Senate Appropriations and placed on call. The committee also heard AB 2141, which would allow the Board of Pharmacy to resolve certain disciplinary matters through a voluntary pre-accusation settlement process. The author and a supporting pharmacist said it would speed resolution of smaller, technical cases and reduce costs, while a member raised concerns about transparency and whether the public would have less information about licensee misconduct. The bill passed the committee on a due-pass motion to Senate Appropriations, with Senator Menjivar voting no, and was placed on call. AB 2163, creating strategic clean energy and critical mineral development zones, was supported by the author and Imperial County as a way to prioritize geothermal and lithium development in areas like the Salton Sea region; it passed on a due-pass motion to Senate Appropriations and was placed on call. Later, AB 1990 on compounded weight-loss drug advertising drew significant debate. Supporters argued it would curb misleading ads and require disclosures about risks and non-FDA approval, while opponents from the compounding pharmacy community said it would create burdens, duplicate existing false-advertising law, and could harm patient access. Members questioned whether the bill actually addressed targeting minors and whether it would force use of FDA-approved labeling; the author said the bill was meant to add specificity and guardrails. The bill was moved on a due-pass motion to Senate Judiciary, with some no votes, and placed on call. The committee also heard AB 2783 on court reporters, which would add a national certification pathway and extend a remote reporting pilot; it drew support from court reporting stakeholders and passed unanimously on a due-pass motion to Senate Appropriations, placed on call. Finally, AB 2771, the Bureau for Private Postsecondary Education sunset bill, and AB 2772, the interior design certification sunset bill, were presented and heard with mixed testimony: AB 2771 received support from student and borrower advocates and was moved to Senate Education, while AB 2772 drew both support and strong opposition over CCIDC governance and accountability, with the committee hearing extensive public comment before the transcript ended.

Transcript Highlights:

• So things like a CMS certification or an accreditation inspection.
• It allows employment while certification and licensure are still finalized.
• It allows employment while certification and licensure are still finalized.
• I am Associate Medical Director for DoxyCare Northwest.
• emergency medical care under the responsible supervision and direction of an approved medical program

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• Members, this streamlines the single certification process for water and sewer service.
• This is the creation of the Tarleton Medical School and I move passage.
• HB 171 by Guillen relating to the certificate of medical examination for chemical dependency and the

Bills: HB 118 , HB388 , HB 114 , HB205 , HB2789 , HB2791 , HB499 , HB2960 , HB3163 , HB3135 , HB2427 , HB1618 , HB1672 , HB1722 , HB1338 , HB787 , HB2618 , HB879 , HB 1126 , HB4134 , HB3513 , HB718 , HB1536 , HB1445 , HB1640 , HB1893 , HB1734 , HB3229 , HB3306 , HB 1276 , HB3272 , HB3276 , HB3516 , HB4145 , HB1585 , HB4810 , HB2989 , HB2558 , HB3014 , HB2742 , HB1695 , HB29 , HB 125 , HB145 , HB171 , HB255 , HB50 , HB363 , HB 116 , HB491 , HB1495 , HB368 , HB 1285 , HB1905 , HB2002 , HB917 , HB2723 , HB2067 , HB 1238 , HB745 , HB 1188 , HB1606 , HB2003 , HB2147 , HB2355 , HB2546 , HB2495 , HB2818 , HB2249 , HB3228 , HB3240 , HB1507 , HB658 , HB1748 , HB1851 , HB1922 , HB2798 , HB 107 , HB1587 , HB3684 , HB 118 , HB388 , HB 114 , HB205 , HB2789 , HB2791 , HB499 , HB2960 , HB3163 , HB3135 , HB2427 , HB1618 , HB1672 , HB1722 , HB1338 , HB787 , HB2618 , HB879 , HB 1126 , HB4134 , HB3513 , HB718 , HB1536 , HB1445 , HB1640 , HB1893 , HB1734 , HB3229 , HB3306 , HB 1276 , HB3272 , HB3276 , HB3516 , HB4145 , HB1585 , HB4810 , HB2989 , HB2558 , HB3014 , HB2742 , HB1695 , HB609 , HB630 , HB420 , HB767 , HB1708 , HB1404 , HB2457 , HB140 , HB227 , HB913 , HB2198 , HB2763 , HB 1261 , HB 1135 , HB1318 , HB2358 , HB2765 , HB2735 , HB3307 , HB 1242 , HB2842 , HB333 , HB201 , HB694 , HB2415 , HB155 , HB272 , HB405 , HB519 , HB 1136 , HB 1275 , HB1437 , HB1532 , HB1675 , HB1868 , HB1888 , HB1990 , HB2286 , HB2523 , HB3129 , HB3251 , HB3354 , HB3479 , HB3803 , HB3804 , HB3805 , HB3806 , HB3887 , HB4163 , HB4238 , HB 1240 , HB1842 , HB2029 , HB2622 , HB3255 , HB654 , HB4643 , HB4945 , HB3611 , HB3724 , HB3623 , HB3810 , HB4127 , HCR78 , HCR12 , SB767

Keywords: HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan

Transcript Highlights:

• George Sorries with the California Medical Association.
• The current certification framework supports that work.
• You can't get our certification?
• We fall under the Medical Board of California.
• We fall under the Medical Board of California.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.

Transcript Highlights:

• Emergency medical response.
• Associate of Arts, Associate of Science degrees, and industry certification.
• fields, especially related to medical science.
• Typically, authors in these journals are medical doctors and PhDs.
• We want to make sure that the student is mature enough to enter medical school.

Committee: Senate Education Postsecondary

Summary: The Senate Committee on Education Postsecondary met to receive an update from Florida developmental research lab schools on articulated health care programs created under the Live Healthy initiative and Senate Bill 76. Chair Calatayud opened the meeting, confirmed a quorum, and heard presentations from P.K. Young/University of Florida, Florida State University Schools, FAMU Developmental Research School, and Florida Atlantic University Laboratory School. Each school described efforts to build K-12-to-postsecondary health care pathways, expand dual enrollment and industry certifications, and share replicable curriculum models with other districts. FSU Schools highlighted its HERO program, including CNA and food manager certifications, dual enrollment growth, reserve seating at colleges, and a paid internship with the Department of Health tied to emergency shelter operations. P.K. Young described its Healthy Lives Blueprint, which combines K-8 wellness experiences, a new high school health and human performance pathway, AP and science course expansion, a planned gymnasium redesign, and partnerships with Santa Fe College and UF. FAMU DRS reported growing dual enrollment, partnerships with FAMU, Tallahassee State, and Lively, and a goal of serving at least 100 students and 40 staff through health career exposure, certifications, and AA/AS pathways. FAU Lab School described a more advanced model that integrates elementary through high school research and health science experiences, including biotechnology, bioengineering, and partnerships with health and research institutions. The school reported 87 peer-reviewed student publications, more than $350,000 in student grants, six patents, and pipelines into FAU’s medical and nursing programs, including a Med Direct pathway and a National Merit Scholar pipeline. Committee members asked about student readiness for nursing programs, dual enrollment, articulation with state colleges, and how the lab school models could be disseminated statewide. The meeting concluded with praise for the programs and a motion by Senator Fine to adjourn, which was adopted without objection.

Transcript Highlights:

• emergency medical technicians, or EMTs.
• another medical facility.
• another medical facility.
• You know, one state might have a certification process.
• Requiring a nurse to have an EMT certification is burdensome.

Bills: HB2340 , HB2155 , HB2531

Committee: Senate Health & Long-Term Care

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Transcript Highlights:

• . birth certificate.
• In that process, we helped her get her birth certificate and her ID.
• Excuse me, but that's not necessarily how it's defined medically.
• Our state certification process requires federal certification before a vendor can even come to the state
• , and we require that federal certification in order to stay certified.

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

Committee: Senate State Affairs

Transcript Highlights:

• Traditionally have less medical professionals across the board.
• George Sorries with the California Medical Association.
• The current certification framework supports that work.
• You're not qualified; you can't get our certification?
• We fall under the Medical Board of California.

Transcript Highlights:

• Traditionally have less medical professionals across the board.
• George Sorries with the California Medical Association.
• The current certification framework supports that work.
• You're not qualified; you can't get our certification?
• We fall under the Medical Board of California.

Transcript Highlights:

• Kevin Guzman with the California Medical Association.
• The bill would also expand the antiquated medical necessity definition and medical provider manual, which
• Kevin Guzman with the California Medical Association.
• Agnes Medical Center, in support.
• Agnes Medical Center, in support.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• I am the executive director of the Kentucky Podiatric Medical Association.
• </c> podiatric Medical podiatric Medical Association<00:29:13.200><c> hi</c><00:29:13.399><c> my</c><
• I think it's important to note that every medical profession has their scope of practice.
• If I'm in the operating room with a medical doctor, I know what my scope of practice is.
• This is how the medical community operates.

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• It does not have to align with their national certification.
• So the national certification is done at a population foci level.
• The second issue is that the federal government has limited the number of certificates, certifications
• The second issue is that the federal government has limited the number of certificates, certifications
• George Sories with the California Medical Association.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with chairs emphasizing oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are functioning efficiently. BRN leadership reported major process improvements since the last sunset review, including faster license processing, streamlined enforcement, improved consumer satisfaction, and growth in nursing education enrollment. Members questioned the board extensively about nurse practitioner scope and supervision, international licensure, online nursing programs and clinical placements, military pathways, the 30-unit LVN-to-RN option, workforce shortages, diversity in nursing, and retention of new graduates. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, clinical hour standards, and its role in approving programs and assigning nursing education consultants. Public testimony on the BRN was mixed: nurse practitioner, nurse midwife, and nurse anesthetist groups largely supported the sunset report and especially the proposed APRN-to-RN delegation language, while physician and hospital stakeholders raised concerns about out-of-state NP practice, specialty delegation, ratios, and the need for regulatory parity and clearer standards. Higher education representatives urged reduced duplication in documentation, more flexible clinical placement rules, and better coordination to address bottlenecks in placements and faculty hiring. The committee did not take a vote during the excerpted BRN discussion. The hearing then moved to the Physical Therapy Board of California, where the board’s president began an overview of the board’s mission, structure, vacancies, and public-protection role under the Physical Therapy Practice Act. The transcript excerpt ends before substantive questioning, testimony, or any action on the physical therapy item is shown.

Transcript Highlights:

• It does not have to align with their national certification.
• So the national certification is done at a population foci level.
• The second issue is that the federal government has limited the number of certificates, certifications
• The second issue is that the federal government has limited the number of certificates, certifications
• George Sories with the California Medical Association.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• , and there is a concurring medical opinion approving the medication.
• opinion for involuntary medication under an LRA order.
• Specifically on the medication, the forced medication pieces and things like that. Thanks.
• We are all under a collaborative drug therapy agreement with our medical director or our chief medical
• A pharmacist's top priority is medication safety.

Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate for profit” schemes by extending the waiting period before a “suitable person” can be appointed, limiting non-intervention powers and repeat appointments, tightening venue rules, and restricting self-dealing by estate administrators. The sponsor and Attorney General’s Office described cases in which strangers used probate loopholes to control estates, sell property, and profit from heirs; the Northwest Justice Project and other witnesses strongly supported the bill. Members raised questions about whether the bill would complicate probate for laypeople and about the timeline changes, and the sponsor said she was open to amendments. No vote was taken. The committee also heard House Bill 2386, which would replace a statutory garnishment answer form with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form causes calculation errors, especially for fluctuating wages, and that the change would make garnishments more accurate and transparent. A collectors’ association supported updating the form but asked for a longer implementation period and flexibility for employers to use their own forms; the judge said a rollout period would not be a problem. The bill was heard but not voted on. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private relators to pursue fraud against state programs, with treble damages, civil penalties, and whistleblower protections. Supporters said it would recover stolen public dollars and deter fraud in areas such as wages, housing, education, and environmental programs. Contractors warned that the bill could sweep in good-faith construction change orders, and a wireless industry group asked for a tax exemption; the Attorney General’s Office said it supported the concept but would provide technical and substantive feedback. The bill was heard without action. Finally, House Bill 2590 would exempt limited equity cooperatives from the Washington Uniform Common Interest Ownership Act unless they elect coverage, while keeping the tax exemption framework for those cooperatives. The sponsor and housing advocates said WUCIOA imposes requirements that do not fit cooperative ownership and can hinder permanently affordable housing, while lenders already impose appropriate reserve and governance standards. Witnesses from cooperative development organizations and community land trusts supported the bill, and committee members asked about resale limits, reserve obligations, and who benefits from appreciation. The hearing concluded without a vote. The committee also heard House Bill 2453, which would allow board-certified psychiatric pharmacists to participate in certain involuntary treatment proceedings and provide concurring medical opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care; opponents argued it could weaken civil-liberty protections and that pharmacists lack authority for diagnosis and treatment. The hearing ended with no final action on the bill.