Transcript Highlights:

• We are now going to hear a panel of what looks like maybe physicians—looks like a lot of doctors: Dr.
• Across community health centers, hospitals, and medical practices of all kinds, physicians share with
• I am a family physician.
• I am a family physician and a clinical instructor at Harvard Medical School.
• I have been pulled in on cases of a three-year-old patient who was not being adequately treated for a

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses. Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role. Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.

Transcript Highlights:

• This obviously includes physicians, but also... ...of health professionals.
• The loan amount for a physician average can be $250,000 to $350,000.
• The loan amount for a physician can average $250,000 to $350,000.
• My assumption would be the court would treat it like...
• And this is my plea to everyone here in this chamber: to treat the land... ...in this chamber to treat

Transcript Highlights:

• just curious: you mentioned a couple times the overreach that you say occurred, and as someone who treated
• I speak not only as a physician, but as someone who has watched the integrity of medical science erode
• They were treated with a lot of love and some antibiotics, and not a single one passed.
• I'm a physician here in Massachusetts with an active license. Thank you. I'm Dr. Susan Milliken.
• I'm a physician here in Massachusetts with an active license. I come in to support S. 539.

Committee: Joint Joint Committee on Emergency Preparedness and Management

Summary: The Joint Committee on Emergency Preparedness and Management held a hearing on several emergency management bills, with most of the testimony focused on Senate Bill 539, which would prohibit COVID-19 mRNA vaccination or gene-altering procedures as a condition of entry, employment, school attendance, or access to public venues. Senator Durant and many public witnesses supported the bill, arguing that COVID-era mandates were coercive, ineffective, and harmful, and that the state should not require proof of vaccination in future emergencies. One witness, Joanne Tuller, testified in opposition, saying the government should retain authority to impose public health measures in emergencies and warning against permanently limiting that power based on the COVID experience. The committee also heard testimony on Senate Bill 540, concerning the prevention of radioactive material discharge, with a Sierra Club representative and local residents opposing Holtec’s disposal of wastewater from the Pilgrim Nuclear Power Plant and citing health, environmental, and economic concerns in Plymouth and nearby communities. Senator Driscoll testified in support of Senate Bills 537 and 538, describing them as measures to strengthen the Commonwealth’s strategic preparedness stockpile and to create a framework for emergency response during surges in hospitalizations, including temporary waivers of prior authorization when hospitals are over capacity. In addition, Dr. Jennifer Carlson testified in support of H.885, a resolve creating a special commission on the field of emergency management, arguing that the profession should be more fully professionalized and staffed by dedicated experts rather than part-time “second hat” officials. Several other bills on the docket, including H.883 and H.84, had no sign-ups. The chair closed each bill’s testimony section as the list was exhausted, and the hearing was adjourned without any votes taken during the session.

Transcript Highlights:

• treat our veterans that way.
• So it allows the the physician to be able to discuss the physician to be able to discuss the physician
• I have no know, for for physicians. I have no know, for for physicians.
• I think this physician to my patients. I think this physician to my patients.
• So, we be treated as such. So, we be treated as such.

Bills: HB 200 , HB 541 , HB 1803 , HB 30 , HB 175 , HB 249 , HB 721 , HB 851 , HB 897 , HB 1128 , HB 1904 , HB 1916 , HB 5560 , HB 3071 , HB 5627 , HB 5435 , HB 3913 , HB 2921 , HB 2695 , HB 2688 , HB 3045 , HB 3483 , HB 3673 , HB 4213 , HB 4226 , HB 783 , HB 4373 , HB 4735 , HB 5155 , HB 5057 , HB 4984 , HB 4944 , HB 4813 , HB 5339 , HB 5196 , HB 5033 , HB 4853 , HB 3486 , HB 4211 , HB 74 , HB 4670 , HB 4730 , HB 4743 , HB 4603 , HB 4463 , HB 3892 , HB 4139 , HB 4752 , HB 4520 , HB 4517 , HB 4486 , HB 4437 , HB 4426 , HB 4396 , HB 4263 , HB 3487 , HB 3418 , HB 2284 , HB 2266 , HB 2229 , HB 4912 , HB 2189 , HB 4506 , HB 5269 , HB 5224 , HB 5195 , HB 3317 , HB 4166 , HB 3947 , HB 3358 , HB 3370 , HB 4438 , HB 3745 , HB 3602 , HB 3697 , HB 2001 , HB 1968 , HB 3371 , HB 3909 , HCR 7 , SB 1744 , SB 1364 , SB 1316 , HB 2026 , HB 3302 , HB 3368 , HB 1639 , HB 5652 , HB 4655 , HB 5654 , HB 5658 , HB 5656 , HB 4894 , HB 4996 , HB 5088 , HB 5650 , HB 4464 , HB 3751 , HB 5665 , HB 5661 , HB 1237 , HB 2802 , HB 5437 , HB 2703 , HB 5666 , HB 5667 , HCR 113 , HCR 86 , SB 2196 , SB 463 , SB 856 , SB 1245 , SB 1169 , SB 509 , SB 985 , SB 305 , SB 552 , HB 1535 , HB 123 , HB 1804 , HB 426 , HB 1773 , HB 1871 , HB 2035 , HB 2492 , HB 1411 , HB 4753 , HB 4666 , HB 4529 , HB 1499 , HB 1610 , HB 2028 , HB 1506 , HB 886 , HB 3546 , HB 796 , HB 223 , HB 3556 , HB 2448 , HB 4638 , HB 111 , HB 180 , HB 1027 , HB 1178 , HB 610 , HB 1277 , HB 1615 , HB 1620 , HB 5342 , HB 4885 , HB 4751 , HB 4530 , HB 4488 , HB 2149 , HB 2071 , HB 2282 , HB 2248 , HB 2243 , HB 2522 , HB 2310 , HB 2513 , HB 2300 , HB 1902 , HB 1813 , HB 3719 , HB 4284 , HB 3743 , HB 3778 , HB 5153 , HB 5147 , HB 4877 , HB 4850 , HB 3261 , HB 3005 , HB 3033 , HB 2849 , HB 2967 , HB 3531 , HB 1768 , HB 333 , HB 2914 , HB 2613 , HB 3717 , HB 3704 , HB 2697 , HB 3801 , HB 3099 , HB 3488 , HB 3477 , HB 3466 , HB 3396 , HB 3469 , HB 2594 , HB 2776 , HB 2564 , HB 2298 , HB 5331 , HB 5646 , HB 5247 , HB 5323 , HB 4384 , HB 3896 , HB 4014 , HB 3627 , HB 3594 , HB 2524 , HB 510 , HB 561 , HB 5111 , HB 5446 , HB 1181 , HB 3963 , HB 2785 , HB 1661 , HB 2460 , HB 200 , HB 541 , HB 1803 , HB 30 , HB 175 , HB 249 , HB 721 , HB 851 , HB 897 , HB 1128 , HB 1904 , HB 1916 , HB 5560 , HB 3071 , HB 5627 , HB 5435 , HB 3913 , HB 2921 , HB 2695 , HB 2688 , HB 3045 , HB 3483 , HB 3673 , HB 4213 , HB 4226 , HB 783 , HB 4373 , HB 4735 , HB 5155 , HB 5057 , HB 4984 , HB 4944 , HB 4813 , HB 5339 , HB 5196 , HB 5033 , HB 4853 , HB 3486 , HB 4211 , HB 74 , HB 4670 , HB 4730 , HB 4743 , HB 4603 , HB 4463 , HB 3892 , HB 4139 , HB 4752 , HB 4520 , HB 4517 , HB 4486 , HB 4437 , HB 4426 , HB 4396 , HB 4263 , HB 3487 , HB 3418 , HB 2284 , HB 2266 , HB 2229 , HB 4912 , HB 2189 , HB 4506 , HB 5269 , HB 5224 , HB 5195 , HB 3317 , HB 4166 , HB 3947 , HB 3358 , HB 3370 , HB 4438 , HB 3745 , HB 3602 , HB 3697 , HB 2001 , HB 1968 , HB 3371 , HB 3909 , HCR 98 , HCR 92 , HCR 126 , HCR 7

Transcript Highlights:

• So the physician and surgeon must say, 'I need anesthesia services.' They then...
• So the physician and surgeon must say, 'I need anesthesia services.'
• You have the physician in the room that is providing the operative...
• There is a physician and surgeon there that is doing the surgery.
• nurse practitioner-to-physician ratio.

Transcript Highlights:

• “They’re working within them as the practitioner and the physician.
• So the physician and surgeon must say, 'I need anesthesia services.'
• You have the physician in the room that is providing the operative services.
• There is a physician and surgeon there that is doing the surgery.
• nurse practitioner-to-physician ratio.

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:

• First, Section 117 effectively treats a retailer as a distributor for tax purposes.
• First, Section 117 effectively treats a retailer as a distributor for tax purposes.
• Emergency physicians are treating the effects of smoking cigarettes in emergency departments across the
• Every minute counts when treating these time-sensitive emergencies.
• I'm a Washington resident and physician.

Committee: House Finance

Transcript Highlights:

• I urge the FDA to quickly approve medications to treat infections and the EPA to quickly approve pesticides
• The drugs could only be prescribed by a physician, and they had to be taken in... in the doctor's office
• Billion doses given, no known side effects of any kind, except has possibilities of treating ailments
• Same answer on physician and physician group, same answer? Yes, sir.
• This is likely going to be the battle moving forward. ...is how this groundwater is treated.

Bills: SB 2 , SB 5 , SB 10 , SB 9 , SB 7 , SB 17 , SB 4 , HB17 , HB7 , HB7 , HB15 , HB15 , HB27 , HB1 , HB7 , HB15 , HB18 , SB9 , SB7 , SB17 , SB4 , HB17 , HB27 , HB1 , SB8 , HCR13 , SB2 , SB5 , SB10

Transcript Highlights:

• </c> nurse or or physician associate office. nurse or or physician associate office.
• Requiring physicians to treat patients based on legislation rather than science and medicine and the
• Requiring physicians to treat this law.
• Requiring physicians to treat patients<03:58:37.439><c> based</c><03:58:37.680><c> on</c><03:58:37.920
• </c> highly trained physicians. highly trained physicians.

Committee: House Judiciary

Transcript Highlights:

• And in addition to if a physician who's under correct.
• They were actually important to the physicians of New Mexico.
• So if you were, for example, a physician in Nevada...
• It has always been required for a physician.
• It has always been required for a physician.

Transcript Highlights:

• Number 7, 3, 0, 1, 5, 6, delete the section of the bill that requires physicians medical examiner's carpark
• to physicians, nurses, uncertain hospital personnel to provide an analysis used to rule out differential
• Pre-existing conditions were documented and her treating physicians had in the records I carried with
• I had to work as a physician to the age of 50 to be able to afford property in Walton County.
• And that's as a physician when we discuss this with beach front owners, you know what their answer to

Transcript Highlights:

• Uh I'm very grateful for physician.
• Their create dentists and physicians.
• or you'll be treating food as medicine or you'll be treating your<00:10:24.399><c> medicine</c><00:10
• </c> when we treat the non-compliant patient? when we treat the non-compliant patient?
• </c><00:29:59.760><c> patients</c> other person who's treating patients other person who's treating patients

Summary: The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities. Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation. Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.

Transcript Highlights:

• We're not interfering between the physician and patient relationship.
• We're not interfering between the physician and patient relationship.
• Specialty drugs are those that treat rare conditions.
• It now eclipses physician reimbursement and is equal to hospital. We need some relief.
• I treat patients...

Bills: HB591 , HB765 , HB826 , HB870 , HB938 , HB1151 , HB1162 , HB1176 , HB1196 , HB1236 , HB1241

Committee: Senate Insurance

Keywords: liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs, generic drugs, biosimilars, formulary placement, drug formulary, cost-sharing

Transcript Highlights:

• One question, ma'am: as I read this statute, this proposal requires a physician to treat—would this have
• First, can a physician refuse to treat a patient or prospective patient?
• <00:17:13.280><c> to</c><00:17:13.880><c> treat</c> physician to treat physician to treat um<00:17:17.799
• a</c> first can a physician refuse to treat a first can a physician refuse to treat a patient<00:17:46.840
• </c><00:17:57.000><c> somebody</c> good faith belief that treating somebody good faith belief that treating

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• Our last hearing, we examined HR1's impact on medical student loans and the physician workforce pipeline
• with that topic, although I know a number of people were surprised, is because not having enough physicians
• I also am a family and community medicine physician who sees patients regularly.
• I also am a family and community medicine physician who sees patients regularly.
• And when care is delayed, physicians see the consequences.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• Treat it as your own money. You money. Treat it as your own money.
• physicians, and the community.
• physicians, and the community.
• </c> their families, their treating their families, their treating physicians,<04:50:12.560><c> and</
• I'm an emergency medicine physician.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• This allows a repeat violent offender to be treated as a first-time offender for the enhancement.
• This allows a repeat violent offender to be treated as a first-time offender for the enhancement.
• And when a new report is needed, doctors and psychiatric nurses in the same practice will be treated
• This treats unlicensed driving the same as those who are To three times in a five-year period.
• This treats unlicensed driving the same as those who are driving on a suspended license.

Summary: The committee first confirmed six appointees on a single roll-call vote, then took up a series of bills, many of them on land use, housing, public safety, child welfare, education, and professional licensing. Early debate centered on CS/SB 208, which would require development fees to better reflect review costs and impose objective compatibility findings for residential projects. An amendment folded in additional housing-related provisions, including manufactured housing and a study of urban development boundaries, prompting extended discussion about Miami-Dade’s Everglades protection area and local control. A late-filed rural-boundary amendment was withdrawn. The bill was reported favorably after support from business, housing, and advocacy groups, with some senators voicing district-specific concerns. The committee then approved CS/CS/SB 686 on agricultural enclaves after amendments added conservation easement, wildlife corridor, and critical state concern protections, plus a further Everglades-related amendment. Members discussed balancing smart growth, infrastructure costs, and protecting environmentally sensitive areas. Other land-use and growth bills also advanced, including CS/SB 1434 on infill redevelopment, CS/SB 1138 on qualified contractor pre-application review, and SB 218 limiting the reach of prior hurricane recovery zoning protections in counties not affected by the 2024 storms. SB 1474 on biosolids management was amended to reduce the distance threshold for land application restrictions and delay the effective date, and SB 1708 on veterinary licensure by endorsement removed a three-year recent-practice requirement to address shortages. Several public safety, health, and family-related measures also passed. CS/CS/SB 436 expanded felony battery enhancement to include resisting an officer with violence and certain law-enforcement battery offenses. SB 830 extended public-records protections to county and city administrators and related family information. CS/CS/CS/SB 600 revised bail bond rules, and an amendment preserved the current treatment of charitable bail funds and nonprofits; the committee heard testimony from The Bail Project and others on both sides. CS/SB 914 expanded dry-needling supervision options for occupational therapists, CS/SB 1092 clarified podiatric use of certain cellular/tissue products, and SB 1504 and SB 1718 updated insurance licensing and educator certification pathways. On the education side, CS/CS/SB 7038 made broad postsecondary changes, including tuition waivers, residency clarification, and licensure rules, while CS/SB 186 required seizure-response training and action plans in schools. The committee also advanced multiple child welfare and health bills. CS/CS/CS/SB 560 streamlined psychotropic medication procedures for children in state custody and added youth-voice and insurance-review provisions. CS/CS/CS/SB 902 combined several Department of Health changes, including medical marijuana distance rules, autism microcredential eligibility, a neurofibromatosis grant program, and NICU nutrition information. SB 1002 expanded child welfare definitions to address parental drug abuse and neglect, and SB 1708 eased endorsement licensure for out-of-state veterinarians. Most bills were reported favorably on roll-call votes, with several amendments adopted along the way and limited opposition or abstentions noted on some measures.

Transcript Highlights:

• But it could be treated, yes.
• They’ve given their service, and we need to treat them well.
• These programs treat type 2 diabetes, hypertension, and obesity with produce.
• Erica Grabinski, and I'm an internal medicine physician here in Arizona.
• I'm just going to give you a few statistics. 82% of primary physicians, primary care physicians surveyed

Committee: House House Appropriations Committee of Reference

Summary: The Appropriations Committee met on January 28 and heard several bills, beginning with introductions of members and staff. The committee first considered HB 2056, which would appropriate $100,000 to the Arizona Department of Water Resources for a feasibility study of brackish groundwater desalination sites. Sponsor Rep. Gail Griffin argued the state should explore use of large brackish groundwater reserves amid Colorado River concerns, while one speaker opposed the bill on aquifer-protection grounds. The committee voted 11-6-1 to give HB 2056 a due pass recommendation. The committee then took up HB 2798, as amended, which appropriates $100,000 to the Arizona Geological Survey to compile data on materials relevant to nuclear energy, including thorium and other non-uranium fuels. Rep. Carbone and others framed the bill as an economic development and national security measure, while opponents questioned whether Arizona has meaningful deposits and whether the state should fund the research. The University of Arizona testified that the Geological Survey could do the work. The committee adopted the Livingston amendment and then approved the bill 11-5-1. Next, the committee considered HB 2303, which codifies investment standards for the State Treasurer, emphasizing safety and principal preservation and prohibiting speculative investments and insider misuse. The Treasurer’s Office supported the bill, saying it reflects existing policy and ethics rules, though members asked for clearer definitions of “speculative” and how the bill would interact with other statutes. The committee passed HB 2303 15-0 with two members present and one not voting. HB 2344, which directs the Treasurer to manage the local government investment pool internally and allows a third-party contract only for emergency backup, also passed after questions about local control and whether the bill was necessary; the vote was 12-2-3 with one not voting. The committee later heard HB 2759, a $500,000 appropriation to the Department of Veterans’ Services to partner with an educational institution in Yavapai County for veterans programs. Retired Navy SEAL Chief Richard Rodriguez testified about Embry-Riddle’s veteran population and emergency assistance needs for housing, travel, and equipment, while opponents objected to using state funds for a private institution and argued veterans services should be broader and statewide. The bill received a due pass recommendation 11-6-1. The committee also approved HB 2207, which funds the prison Braille transcription program at $300,000 and was described as a successful rehabilitation and service program, and HB 2224, as amended to $1 million, which funds the Double Up Food Bucks produce incentive program through SNAP; supporters said it helps families, farmers, and local economies, and the committee adopted the amendment and passed the bill.

Transcript Highlights:

• They're working within them as the practitioner and the physician.
• So the physician and surgeon must say, 'I need anesthesia services.'
• You have the physician in the room that is providing the operative services.
• There is a physician and surgeon there that is doing the surgery.
• the nurse practitioner-to-physician ratio.

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:

• Having a system of care where people are treated will afford us the opportunity to keep people out of
• are treating them every day and making those decisions.
• </c> Um, I have been an attending physician Um, I have been an attending physician at<00:52:22.160><c
• </c><00:54:03.040><c> As</c><00:54:03.280><c> a</c><00:54:03.440><c> physician</c> As a physician treating
• As a physician treating patients who most often come to me on an involuntary basis, I feel it is one

Committee: House Health Services