Transcript Highlights:

• Ansel, as he said, is trying to, is actively, and actually working with judges internationally to develop
• I'm a licensed acupuncture physician here in Tallahassee, but I'm also a naturopathic doctor.
• Tegan Fiedler, and I met and married while training in naturopathic medical school in Chicago.
• But since we each have dual degrees, he's a chiropractic physician and I'm also an acupuncture physician
• According to the American Academy of Family Physicians, naturopathic education and training don't prepare

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• But there was one aspect related to how we determine the competencies of internationally trained dentists
• We're like physicians, or they're like physicians.
• Yes, they do get training.
• Every hygienist get training?
• just a one-time training.

Keywords: 908, all

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.

Transcript Highlights:

• have been trained uh live and in person. have been trained uh live and in person.
• have or teachers that have been trained have or teachers that have been trained how<00:24:52.000
• I'm a physician on faculty at JABSOM.
• We also have Physicians in support.
• educational specialists provide training educational specialists provide training for<02:08:53.840

Keywords: 910, house, all

Summary: The joint Education and Higher Education committees met on February 10, 2026, first hearing HB 1676, which would create an AI and education task force, require documentation from AI vendors before procurement or use, and appropriate funds. The Department of Education, Public Charter School Commission, and University of Hawaii all supported the bill’s intent and described existing AI literacy efforts, teacher training, guidance for students and staff, and privacy/monitoring safeguards. DOE said it had already convened an AI task force, produced a report, trained over 10,000 educators, and embedded AI into computer science and broader curricular guidance. Members questioned DOE about student privacy, harmful content monitoring, personal devices, cell phone policy, teacher training, and whether AI literacy should extend beyond computer science into all subjects and across rural schools. After discussion, the chair announced HB 1676 would be deferred to Friday, February 13, and that a HD1 draft would be prepared. The chair said the committee would revisit the task force composition and procurement standards, with possible elimination of the procurement section, and circulate the revised draft before the next hearing. The committee then recessed and later reconvened for HB 1811, a student loan repayment program for educators. Testimony from the Department of Education, Public Charter School Commission, University of Hawaii, Hawaii Teacher Standards Board, HSTA, and the Democratic Party of Hawaii Education Caucus was generally supportive, with HSTA and the Teacher Standards Board emphasizing teacher recruitment and retention, student loan burden, and the need to address the teacher shortage. In decision-making on HB 1811, the committees adopted the chair’s recommendation to pass the bill with amendments. The main amendment collapsed the repayment structure into a single disbursement of up to $25,000 after five years of service, with technical/non-substantive changes and a corrected effective date. Both the Education and Higher Education committees voted unanimously in favor. Later in the meeting, the Education Committee began hearing HB 1561 on student meals, which drew broad support from the Public Charter School Commission, Department of Health, HSTA, Hawaii Appleseed, Hawaii Children’s Action Network, and many individuals. Appleseed requested amendments to ensure charter schools are treated the same as other public schools if eligibility expands and to address reimbursement issues for schools already participating in the federal Community Eligibility Provision; members discussed those concerns but no action was taken in the portion of the transcript provided. The committee then moved on to HB 779, on expanding student meal coverage, where DOE supported the intent but said it could not support the bill in its current form because of fiscal constraints.

Transcript Highlights:

• requirements, require internationally requirements, require internationally licensed<00:03:14.080
• administering, regulate and set training administering, regulate and set training amounts<00:03:
• that an initial training program seeking board<00:07:44.120> approval<00:07:44.520> need
• requirements, and driver training requirements, and driver training requirements.<00:10:05.840><
• Replace the term physician with provider.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• Physician assistants are very well-trained, qualified individuals within the scope of their practice.
• Physician assistant that is inconsistent with New Mexico law.
• There are currently 19 states that are members of this physician assistant compact.
• Physician assistant, excuse me, I didn't say physical therapist, so that's better.
• So, Madam Chair, no, we're talking about physicians. There are.

Bills: HB10, HB12, HB34, SB130, SM21

Keywords: physician assistants, interstate compact, medical services, licensure, cross-state practice, military families, regulatory authority, physical therapy, licensure compact, interstate practice, healthcare, military spouses, criminal background check, HB34, school nurse, school nurses, nurse licensure, charter school, charter schools, school district

Transcript Highlights:

• I'm a board certified family physician.
• many local physicians to assist in serving our transgender community.
• Megan Bates on behalf of California Chapter of the Family Physicians here in support. Thank you.
• Aston D'Odrio on behalf of the California Academy of Family Physicians here in support. Thank you.
• She could not complete her clinical training and could not graduate. Thank you President.

Keywords: 988, house, all

Transcript Highlights:

• I'm a licensed acupuncture physician here in Tallahassee, but I'm also a naturopathic doctor.
• Tegan Fiedler, and I met and married while training in naturopathic medical school in Chicago.
• But since we each have dual degrees, he's a chiropractic physician and I'm also an acupuncture physician
• According to the American Academy of Family Physicians, naturopathic education and training don't prepare
• The additional three to seven years of postgraduate training required of medical doctors...

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• The Texas Department of Licensing regulations require administering all train vehicle and off-highway
• HB 4767 abolishes the TDLR ATV and off-highway vehicle training program.
• Outpaced the ability to find and recruit physicians.
• of protection from liability is the most cited reason for the lack of physician participation.
• HB 5506 would provide legal immunity to ringside physicians assigned to the events.

Bills: HB 1301, HB2278, HB2776, HB2820, HB3848, HB3920, HB4172, HB4215, HB4284, HB4285, HB4463, HB4517, HB4690, HB4765, HB4766, HB4767, HB4768, HB4769, HB4773, HB4830, HB5506

Keywords: alcohol, beverages, winery permit, restaurant, malt beverages, Texas Alcoholic Beverage Code, alcohol production, home brewing, family use, craft beverages, massage therapy, licensing, criminal offenses, sexually oriented businesses, public safety, bingo, charitable gaming, operating capital, regulation, funding

Transcript Highlights:

• But they also have to be trained.
• beyond just physicians.
• or their training.
• when they weren't a physician.
• Hopefully, it would bring more physicians into the space to clear up some of the physician shortages

Bills: HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Transcript Highlights:

• So, we have 18 states that allow qualifying internationally trained physicians to gain full licensure
• For this bill, we are looking at what's called a foreign trained or international trained physician This
• But if we have a foreign trained physician that maybe came from Nigeria, maybe or another country that
• And so we need to really carefully evaluate whether We would have to determine if a foreign-trained physician
• I'm a family physician. I trained at UNM.

Keywords: 996, all

Transcript Highlights:

• Do we have physicians in this state who would not treat someone diagnosed with cancer just because they
• At some point, you know, we can't expect the physicians to just do everything pro bono.
• I'm trying to figure out if we have physicians in this state who see a diagnosis of cervical cancer,
• , almost all the money that we send into uncompensated care goes to hospitals; it doesn't go to physicians
• U.S. programs that are trying to increase health literacy and internationally as well.

Bills: HB321, HB 1027, HB 1295, HB1782, HB2295, HCR29, HCR56

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• While the state has made progress in strengthening workforce pipelines, additional training opportunities
• HB 4767 abolishes the TDLR ATV and off-highway vehicle training program.
• I may back up and say this bill is relating to the immunity for ringside physicians.
• An investigation into why physicians are reluctant to sign up for these events has shown the lack of
• protection from liability is the most cited reason for the lack of physician participation.

Transcript Highlights:

• ><00:25:41.919> our a physician referral, connect our a physician referral, connect our doctors
• And so it is very well trained.
• And so it is very well trained.
• And so it is very well trained.
• And so it is very well trained.

Keywords: 958, all

Summary: A presenter from Fast Health Corporation described a proposed Kentucky Health Command System tied to Senate Bill 175, which would create a state-sanctioned AI platform for rural hospitals and telehealth. The company said the system would help rural residents get health information remotely, triage minor issues, and escalate more serious cases to Kentucky providers, with use cases including blood pressure, diabetes, maternity care, smoking cessation, and other preventive-care topics. The presenter argued the system would help rural hospitals compete with out-of-state telehealth companies and keep patients connected to local care. The presentation also emphasized a commercial model the sponsor said would generate new revenue through ads and branded interactions, with the bill reportedly directing 80% of that revenue to rural hospitals and 20% to the state to maintain the system. The presenter said the technology would augment, not replace, doctors and nurses, and claimed it could improve access and convenience in underserved areas. Committee members raised concerns about liability, whether the AI could provide medical advice, and whether there was evidence it had reduced emergency room visits; the presenter said the system could not give medical advice and acknowledged the technology is still very new. The sponsor of the bill said the goal was to help transform rural health care, reduce unnecessary ER use, and capture revenue that would otherwise go to commercial search engines and out-of-state companies. No vote or final action was taken during the portion of the meeting provided, and the discussion ended with questions about branding, loyalty, and the legal limits of the AI system.

Transcript Highlights:

• Um, as you will recall, this bill is about licensure for internationally trained physicians and medical
• So within the trained uh outside the US.
• is in place for medical doctors trained is in place for medical doctors trained outside<01:39:17.119
• trained physicians once they have a provisional or permanent license. the work that's come back to us
• <01:40:03.199> trained working with internationally trained working with internationally trained

Keywords: 927, senate, all

Transcript Highlights:

• Um, the second concern that I want to raise is physician training, pharmacist training, both comprehensive
• <02:58:53.280> training,<02:58:54.080> pharmacist<02:58:54.560> training, physician
• training, pharmacist training, physician training, pharmacist training, both<02:58:56.120> comprehensive
• Um, the physician training is largely diagnosis.
• So, I think that may be the critical difference in the training that physicians and pharmacists receive

Keywords: 1189, house, all

Transcript Highlights:

• I guess, I mean, it still means that they're getting that training and they may get some hands-on training
• The training was conducted on-site.
• They attended about 144 hours of training a year.
• I did training. They did not tell me that.
• Physicians do commonly, you know, they’ll ask, patients will ask their... physicians, who should I pick

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Transcript Highlights:

• . ...at a facility that also provided training to residents, but they would not have to enter a formal
• So this is lowering the fee and making it a little bit more accessible for out-of-state physicians to
• So currently, if you are, you could be an internationally licensed physician that's practicing in a different
• Just briefly, so they have this additional training, and then do they still have to take a test to be
• So it's not a formal residency program, but they would be able to evaluate the physicians and make a

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Well, I'm a physician.
• But she's internationally known.
• <03:38:02.000> and introduced it had physicians and introduced it had physicians and physicians
• 16.000> assistance<03:52:16.399> was physicians to physicians assistance was physicians
• from primary care or other physicians. from primary care or other physicians.

Keywords: 1189, house, all

Transcript Highlights:

• They're trained on what we know now to solve a problem or to work forward.
• They're trained on what historical data.
• to maximize profit by denying physician to maximize profit by denying physician ordered<01:11:52.080
• IWF's internationally recognized work focuses on stopping child sexual abuse online.
• :30:03.840> work IWF's uh internationally recognized work IWF's uh internationally recognized

Bills: HF357, HF3389, HF1434, HF2500, HF1606

Keywords: HF357, hasenpfeffer, card games, social skill game, Minnesota gambling law, tournament, contest, prize limit, low-stakes gaming, card game exemption, gambling exemption, cribbage, bridge, euchre, pinochle, Texas hold'em, whist, skat, sheepshead, gin

Transcript Highlights:

• While I come here officially as a physician and a doctor, I'm not just a scientist; let me say that I
• I'm a physician, a neurologist, and a scientist.
• Grouper Clinic, which is an internationally recognized center for preventing and ameliorating disease
• That's why we believe that education for the public, but also for physicians, is crucial.
• Our research program partners not only with physicians and other clinical researchers.

Bills: SB5, SJR3, SB 5, SJR 3

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, district apportionment, legislative rules