Video & Transcript : 'interjurisdictional practice' :

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HI

Hawaii 2025 Regular Session

WAL Public Hearing - Thu Apr 10, 2025 @ 9:30 AM HST

Water & Land

Transcript Highlights:
  • So, to develop these interjurisdictional concerns and to enhance safety for users, including swimmers
  • So to develop these interjurisdictional<01:32:54.480><c> concerns</c><01:32:54.960><c> and</c><01:32:
  • 55.199><c> to</c> interjurisdictional concerns and to interjurisdictional concerns and to enhance<01:
Committee: House Water & Land
Summary: The committee heard testimony on several shoreline easement resolutions and a water-supply study resolution. For the easement measures, the Department of Land and Natural Resources supported each item, and testimony also came from affected landowners and community members. Members asked about why some easements were granted gratis to public agencies, with DLNR explaining that those cases involved public infrastructure such as stormwater management and did not require bonds or rent. For private properties, DLNR described the standard process of monthly rent during the legislative approval gap, followed by a one-time appraised payment for a 25-year easement once the appraisal is completed. A substantial portion of the discussion focused on shoreline erosion and whether hardened shoreline structures or seawalls were contributing to beach loss. On one measure, DLNR explained that a large sandbag shoreline structure was tied to a nearby boat harbor that had altered sand movement over time, causing flanking erosion on adjacent unarmored property. On another, DLNR said a wall built under a valid 1960s permit was originally a boundary or landscaping wall, but now functions as a seawall as the shoreline has migrated landward. Members raised concerns about fairness, public beach access, and whether adjacent owners should share costs, and DLNR responded that shoreline matters are handled parcel by parcel under existing statute. The committee also heard support for a resolution creating a task force or study on desalination. DLNR’s Commission on Water Resource Management supported the intent but asked for more time to complete a comprehensive report, noting the work would require substantial staffing and coordination. The Board of Water Supply and CARES also testified in support, with CARES emphasizing future water-supply needs, cultural and historic preservation concerns, and the importance of coordinating with other agencies. DLNR said it would rely on existing studies and work with county agencies and the Department of Health. No votes or final committee actions were taken during the portion of the hearing provided.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 13th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • Some of the key points: there’s no change from existing practice in many of our hospitals.
  • I am a PA practicing in rural emergency medicine here in Washington State.
  • Where advanced practice providers are essential to health care infrastructure.
  • For instance, I practice in Seattle.
  • For instance, I practice in Seattle.
Bills: HB2110 , HB2113 , HB2122 , HB2152 , HB2168
TX

Texas 89th Regular

Insurance Apr 30th, 2025

Insurance

Transcript Highlights:
  • ensure compliance and agree to the terms of the existing agreement with the already credentialed practice
  • The insurer is entitled to payment from the provider and/or their practice to cover the difference from
  • I am a chiropractor that practices in New Braunfels, Texas.
  • When a chiropractor hires a new doctor to join their practice, the new doctor must go through a lengthy
  • Even if joining a practice that's already in network, this process can take many months.
Committee: House Insurance
TX

Texas 89th Regular

Insurance Apr 30th, 2025

Insurance

Transcript Highlights:
  • This bill is a step towards restoring trust, reining in harmful PBM practices, and putting patients first
  • As a practicing clinician, I have had only one patient for whom IUD placement was minimally painful.
  • Number two, the physicians must be licensed to practice in Texas and must have a physical office located
  • With it, the department before this hearing, a pretty standard practice was you file them in September
  • There's one reason: it's a best practice.
Committee: House Insurance
LA

Louisiana 2026 Regular Session

House of Representatives Apr 14th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • HB 486 is relative to the psychology interjurisdictional compact, which will provide increased access
  • And so it's basically just allowing the independent review process to be standard best practice, and
  • That's their basically their redfish, and it's become practically decimated, and they're blaming the
  • That's their basically their redfish, and it's become practically decimated, and they're blaming the
  • What's the practical effect?
Bills: HR133 , HR134 , HR135 , HR136 , HR137 , HR138 , HR139 , HR140 , HR141 , HR142 , HR143 , HR144 , HR145 , HR146 , HR147 , HR148 , HR149 , HR150 , HR151 , HR152 , HR119 , HR120 , HR121 , HR122 , HR123 , HR125 , HR126 , HR127 , HR128 , HR129 , HR130 , HR131 , HR132 , HCR53 , HCR54 , HCR55 , HCR56 , SCR3 , SCR22 , SB4 , SB18 , SB66 , SB106 , SB201 , SB256 , SB274 , SB292 , SB326 , SB386 , SB406 , SB422 , SB423 , SB456 , SB475 , HCR3 , HB1 , HB3 , HB27 , HB71 , HB214 , HB225 , HB241 , HB244 , HB306 , HB312 , HB313 , HB314 , HB345 , HB366 , HB383 , HB446 , HB473 , HB511 , HB514 , HB655 , HB730 , HB743 , HB836 , HB983 , HB1027 , HB1037 , HB1043 , HB1082 , HB1091 , HB1096 , HB1103 , HB1126 , HB1167 , HB1174 , HB1175 , HB1230 , HB1237 , HB1238 , SB162 , SB349 , SB350 , SB382 , SB383 , HB76 , HB132 , HB181 , HB210 , HB250 , HB265 , HB275 , HB291 , HB322 , HB342 , HB475 , HB486 , HB616 , HB635 , HB639 , HB690 , HB740 , HB757 , HB761 , HB774 , HB808 , HB855 , HB872 , HB883 , HB886 , HB903 , HB949 , HB962 , HB996 , HB1003 , HB1036 , HB1054 , HB1071 , HB1076 , HB1078 , HB1113 , HB1132 , HB1146 , HB1232 , HB1233 , HB21 , HB24 , HB29 , HB31 , HB39 , HB45 , HB77 , HB136 , HB150 , HB263 , HB273 , HB299 , HB315 , HB376 , HB377 , HB431 , HB444 , HB450 , HB519 , HB533 , HB538 , HB559 , HB562 , HB663 , HB664 , HB715 , HB717 , HB805 , HB822 , HB823 , HB834 , HB864 , HB867 , HB1017 , HB1018 , HB1068 , HB1134 , HB1137 , HB1234 , HB1235 , HB1236 , HB961 , HB399 , HB868 , HB905 , HB180 , HB192 , HB284 , HB476 , HB915 , HB952 , HB1006 , HB401 , HB51 , HB58 , HB140 , HB982 , HB1010 , HB750 , HB911 , HB977 , HB901 , HR20 , HR74 , HB9 , HB151 , HB193 , HB310 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB615 , HB682 , HB733 , HB773
Summary: The House met with a quorum and spent much of the day on personal privileges, recognizing visiting groups and designating several commemorative days, including Sigma Gamma Rho Day, Alpha Kappa Alpha Day, Italian Festival royalty, Acadiana’s Red and White Day, and Louisiana Automobile Dealer Day. Members also welcomed students, civic leaders, former legislators, a state pageant titleholder, and a visiting African law enforcement delegation focused on combating human trafficking. The chamber received Senate bills and committee reports, and several resolutions were adopted without objection, including condolences resolutions and commendations for schools, festivals, and public service organizations. The House then took up a long series of bills, with many passing on final passage after brief debate or technical amendments. Measures addressed topics such as notification of inmate releases from parish jails and DOC facilities (HB 76), ethics and financial disclosure, video voyeurism involving deceased persons (HB 265, renamed the Jacob Carter Dignity and Death Act), health insurance claim practices (HB 291), victim access to parole testimony without fees (HB 32), special education due process burden of proof (HB 342), AI disclosure in medical settings (HB 475), the psychology interjurisdictional compact (HB 486), homelessness provider oversight (HB 616), AI disclosure in campaign calls (HB 639), Medicaid managed care claim review (HB 740), menhaden fishing restrictions (HB 757 and HB 855), HIV exposure law modernization (HB 808), and rare cancer treatment advisory board changes (HB 761). Most of these bills passed with strong support; HB 342 passed 98-3, HB 639 passed 86-9, HB 808 passed 99-0, and HB 855 drew the most extended debate, with supporters citing science-based conservation and opponents warning about harm to the menhaden industry and coastal jobs. The House also adopted committee amendments and set several major fiscal measures as special orders for April 16, including HB 1, HB 2, HB 3, HB 313, HB 383, HB 983, and HB 1126. Additional bills were advanced to third reading from committee reports, and the chamber returned some measures to the calendar for later consideration. Overall, the meeting was marked by ceremonial recognitions, a heavy legislative agenda, and multiple substantive policy votes across education, health, criminal justice, transportation, ethics, and natural resources.
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Feb 25th, 2026 at 08:00 am

Civil Rights & Judiciary

Transcript Highlights:
  • aligned with other sections in the policy in front of us so that it maintained consistency of current practice
Bills: HB2735 , SB5868 , SJM8006
OK

Oklahoma 2026 Regular Session

Rules REVISED: Start time delayed to 1:45 PM

Rules

Transcript Highlights:
  • We were just having a bit of a sidebar discussion here about the practical reality of the way it's written
  • You're required to have to be a practicing attorney, but You don't necessarily have to have been practicing
  • The way this is worded, it says Practicing law.
  • That's you meet certain residency requirements but hasn't never practiced here.
  • Yeah, they could practice down in Texas.
Bills: HJR1074 , HB3501 , HJR1070
Committee: House Rules
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 23rd, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • I've been practicing before I went to ADF.
  • He also has a law practice in Collin County. He does a lot of probate law.
  • So would this bill prevent him from practicing probate law in Collin County? Yes.
  • I'm a practicing litigator in state and federal courts.
  • ’t have a First Amendment practice.
Summary: The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 23rd, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • The committee substitute for House Bill 5624 adds Chapter 75E to the Texas Civil Practice and Remedies
  • It's only for any practice days we choose to have, but we are not covered outside of that.
  • And so what we're seeking to do with this bill is to address the fact that somebody who's practicing
  • House Bill 4202 corrects this inconsistency by changing the Civil Practices and Remedies Code to allow
  • The underlying statute, Texas Civil Practice and Remedies Code section... 1.02 was enacted in 1979.
HI
Transcript Highlights:
  • So what we are left to discuss is: is it possible or practical?
  • Well, that MLR we possible or practical?
  • </c><01:13:44.640><c> and</c> the office of information practices and the office of information practices
  • And first interjurisdictional compact.
  • Uh, House Bill 1704 relating to the psychology interjurisdictional compact.
Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.
OK

Oklahoma 2026 Regular Session

Health and Human Services 2ND REVISED Feb 16th, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • There was some question when they were applying for their independent practice, independent prescriptive
  • So, we felt like that was unfair because they had already taken those courses and have been in practice
FL

Florida 2026 Regular Session

Health Policy Feb 11th, 2026

Health Policy

Transcript Highlights:
  • services or education provided by hospitals, birth centers, or obstetrics and gynecology physician practices
  • The bill also prohibits unlicensed practice and protects The bill also prohibits unlicensed practice
  • I think the safety record of the naturopathic doctors who practice in the 26 other jurisdictions that
  • I am a practicing podiatrist in Fort Pierce, Florida.
  • In practice, however, the 5 to 10% range had not been shared as evenly as we had intended.
Bills: S0688 , S1414 , S0186 , S0902 , S0196 , S1574 , S0878 , S1092 , S1032 , S1684 , S1686 , S1760
AL

Alabama 2025 Regular Session

Alabama Senate Healthcare Committee Mar 19th, 2025

Healthcare

Transcript Highlights:
  • appointment of nurse practitioners on the Joint Committee that makes recommendations for collaborative practices
  • But each of the parties have Practices, but each of the parties have signed off.
  • This is centered around the ability which is now granted for Midwifery practice to be able to do the
  • However, it does not expand the scope of practice to other types of examination of the...
  • little misinformation going on about this, and I had to... ...going on about this, and I had to practice
Bills: HB194 , SB87 , SB237
Committee: Senate Healthcare