Transcript Highlights:

• But the medical certification form, which is modeled on the FMLA certifications that, you know, I think
• But the medical certification form, which is modeled on the FMLA certifications that, you know, I think
• But the medical certification form, which is modeled on the FMLA certifications that, you know, I think
• The medical certification form, which is modeled on the FMLA certifications that, you know, I think employers
• And the medical provider, you know, if they are going to sign their name to such a certification, is

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• These certificates are not endpoints.
• Earning a certificate should open doors, not close them.
• Earning a certificate should open doors, not close them.
• "In the valley, just 11 medical doctors per 100,000 people.
• school in a medically dependent region.

Committee: House Higher Education

Transcript Highlights:

• The bill has a definition of covered caregiver to include medical doctors, physicians, registered nurses
• , practical nurses, osteopathic physicians, participants in a medical residency, psychologists, counselors
• The program shall provide for care services, coordination, support, and assistive technology, medical
• I wrote eight of them, eight certificates of need.
• In Putnam and Fayette, I depend heavily on the certificate of need for personal care.

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• I wrote eight of them, eight certificates of need.
• But there are entities out there who basically rent the certificate of need to provide services.
• They did change the standards for certificate of need back in 2022 and 2023 in April.
• They did change the standards for certificate of need back in 2022 and 2023 in April.
• In Putnam and Fayette, I depend heavily on the certificate of need for personal care.

Committee: Senate Health and Human Resources

Transcript Highlights:

• certificate.
• And did your medical bills—who paid your medical bills? I had gotten...
• I mean, this Christian took medication she had no medical need to take.
• Christian took medication she had no medical need to take.
• She underwent medical procedures. She had no medical need to undergo medical procedures.

Committee: Senate Health & Human Services

Transcript Highlights:

• Patients with a terminal condition may use cannabis for medical purposes.
• We've initiated it in the 37 states that allow medical cannabis.
• We've initiated it in the 37 states that allow medical cannabis.
• That's a medication.
• We do want to make sure that that medical authority is there.

Summary: The House Health Care and Wellness Committee held public hearings on several bills. HB 2152 would allow terminally ill qualifying patients to use medical cannabis in hospitals, nursing homes, and hospice facilities under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and allow facilities to suspend compliance if federal enforcement arises. The prime sponsor and supporters, including family members, cannabis advocates, nurses, and hospital-related groups, described the bill as a compassionate end-of-life measure based on California’s Ryan’s Law; the Washington State Hospital Association asked for clarifying amendments to limit the bill to inpatient beds and to bar staff from retrieving cannabis as well as administering it. HB 2122 would require hospitals, starting in 2027 and during flu season, to offer influenza vaccines to inpatients age 65 and older and to inpatients with chronic health conditions when not contraindicated. The sponsor and supporters from diabetes, infectious disease, AARP, and public health emphasized rising flu deaths, the benefits for high-risk patients, and the chance to reduce severe illness and costs. The Washington State Hospital Association supported the goal but said the bill would create an unfunded mandate and requested amendments related to vaccine availability, emergency declarations, and operational flexibility. One witness from Informed Choice Washington opposed the bill but suggested adding vaccine information statements to strengthen informed consent. HB 2110 would change staffing rules for inter-facility specialty care ambulance transports so a registered nurse without EMT certification could satisfy the personnel requirement when no paramedic or EMT-certified nurse is available, provided an EMT-certified EMS provider is in the ambulance and the nurse has appropriate competencies. Rural hospitals and ambulance providers said the current rule delays transfers and can force long waits or air transport, while the Washington State Nurses Association supported the concept but raised concerns about standardized training, medical oversight, and staffing impacts on hospitals. HB 2113 would update radiologic technologist supervision rules for IV contrast and other procedures, allowing virtual direct supervision for contrast procedures and supervision by physicians, APRNs, or PAs in some cases; supporters said it aligns with current practice and improves rural access, while radiology groups asked for a distance/proximity requirement for virtual physician supervision. HB 2168 would require the Department of Health to rapidly share overdose data from the state EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use. Supporters from Yakima County, public health, and the poison center said near-real-time overdose mapping would improve spike alerts, prevention, and response, and could save lives; the Washington Poison Center asked that its data be included and that the bill clarify language around opioid versus other overdoses. No votes or final committee actions were taken in the hearing; the meeting ended after public testimony on HB 2168.

Transcript Highlights:

• </c> medical or behavioral rehabilitation. medical or behavioral rehabilitation.
• ,</c> non-behavioral, non-medical, non-behavioral, non-medical, non-reproductive<01:10:49.600><c> use
• </c> the uh health certificates are valid. the uh health certificates are valid.
• :49.359><c> official</c> health certificates to official health certificates to official certificates
• </c> exams and certificates to be completed. exams and certificates to be completed.

Committee: Senate Energy and Natural Resources

Transcript Highlights:

• the physicians, the medical doctors.
• This bill addresses selective certification.
• This bill addresses selective certification.
• certification forms.
• certification forms.

Committee: Senate Labor, Public Employment and Retirement

Transcript Highlights:

• I earned my certification in 2007.
• I earned my certification in 2007.
• Grant Miller, on behalf of the American Veterinary Medical Association, the California Veterinary Medical
• Medical Association, testified in opposition.
• Grant Miller, on behalf of the American Veterinary Medical Association, the California Veterinary Medical

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• July 1, 2036, and all exemption certificates expire July 1, 2048.
• And all exemption certificates expire on July 1, 2038.
• So we do have some clawback language within those certificates.
• Increasing the B&O tax on prescription medication wholesalers directly increases the price of medications
• Increasing the B&O tax on prescription medication wholesalers directly increases the price of medications

Summary: House Finance held public hearings on three Senate bills. SB 6129 would raise cigarette taxes, replace current nicotine/vapor product taxes with a 95% tax on nicotine products, and adjust revenue distributions to the Andy Hill Cancer Research account, the Foundational Public Health Services account, and a youth prevention account; staff and supporters said it would correct an unintended loss of public health funding and reduce youth nicotine use, while opponents argued it would be highly regressive, harm retailers and wholesalers, and push sales into illicit markets. SB 6231 would repeal the data center sales tax exemption for refurbishment and end replacement server equipment eligibility; the sponsor and staff said it would raise roughly $200 million and remove an obsolete preference, while labor, port, business, and data center representatives opposed it, citing lost jobs, reduced investment, and concerns about upsetting existing contracts and rural economic development. SB 6228 would repeal the preferential B&O rate for warehousing and reselling prescription drugs and create a lower preferential rate for critical access pharmacies; the sponsor said it would restore horizontal equity in the tax code and offset impacts on rural pharmacies, but pharmacy groups, wholesalers, retailers, and business organizations warned it would raise medication costs, worsen pharmacy closures, and be passed through to patients. The committee heard extensive public testimony on all three bills. Supporters of SB 6129 included public health, cancer, pediatric, and emergency medicine advocates who emphasized youth prevention, cessation funding, and long-term health savings; opponents included tobacco, vape, retail, and business groups who said the bill would increase black-market activity and burden small businesses. SB 6231 drew opposition from construction trades, ports, local governments, chambers, and data center interests, who argued the tax preference supports ongoing construction, permanent jobs, and local tax bases, while committee questions focused on whether the bill would affect existing refurbishment contracts. SB 6228 was opposed by pharmacy associations, independent pharmacists, wholesalers, grocery retailers, and AWB, who said the tax increase would be passed through and could accelerate pharmacy desert conditions; the sponsor and supporters framed the bill as a correction to an outdated preference and a way to protect critical access pharmacies. No votes were taken; each hearing was closed, and the chair announced amendment requests were due Thursday at 5 p.m. and amendments posted by Friday at 5 p.m.

Transcript Highlights:

• In California, adoptees do not have access to their original birth certificate because the certificate
• The birth certificate will still have the name of the person.
• Or I do want to—” “Medical information.
• Well, no birth certificate with the name. With no original birth certificate would be given. Yeah.
• They have a copy of their amended birth certificate.

Committee: Senate Health

Transcript Highlights:

• certification of death on a death certificate excludes weekends and holidays.
• certification of death on a death certificate excludes weekends and holidays.
• certification of death on a death certificate excludes weekends and holidays.
• the death certificate.
• We used to be able to call the medical board and they would come and we get a death certificate signed

Committee: House House Commerce Committee of Reference

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• Today, instead of breaking into two parts, the first one up is the Medical Examiner's Office.
• to sign death certificates.
• I'm nine miles from the Arkansas line, trying to get her death certificate.
• medical institution, Mayo Clinic, up in Rochester, Minnesota.
• Any other questions for the medical examiner's office?

Committee: House Public Safety

Transcript Highlights:

• the physicians, the medical doctors.
• the physicians, the medical doctors.
• This bill addresses selective certification.
• certification forms.
• certification forms.

Summary: The Senate Labor, Public Employment and Retirement Committee heard and advanced several bills covering workers’ compensation transparency, public pensions, prevailing wage, workplace harassment training, and employee benefits. AB 1048 would require disclosure of the contract justifying reduced workers’ compensation payments to medical providers; supporters said it would improve transparency without changing reimbursement rates, while opponents argued the problem was overstated and existing dispute remedies were sufficient. AB 1601 would give Sonoma County flexibility to target a cost-of-living adjustment for retirees rather than requiring an all-or-nothing COLA; county and union witnesses said retirees have gone without a COLA since 2008 and have lost purchasing power, and the bill passed unanimously. AB 1439 would commission a UC Berkeley study on labor standards in pension-funded real estate and infrastructure projects; labor groups supported it, while local governments, housing, and industry groups opposed it, and it passed on a 4-1 vote after one senator voted no in committee. The committee also heard AB 1697, which would delay implementation of a prior law restricting certain employment debt and pay-to-quit arrangements until 2027; the author said the delay would give employers, including professional sports leagues, time to adjust, while a financial services group sought a further delay to 2028. AB 1803 would require anti-hate speech content in existing workplace harassment training for employers with five or more employees; supporters cited rising antisemitic and other hate incidents and said the bill would help workers recognize and report hate, while opponents raised First Amendment concerns and argued existing harassment law already covers hostile conduct. AB 2120 would extend Los Angeles Unified’s selective certification hiring authority and allow retention of specialized employees in layoffs, and AB 2292 would bar providers from charging administrative fees for disability insurance and paid family leave certification forms; both drew support and were advanced without opposition testimony. AB 1198, the Fair Pay for Construction Workers Act, would require prevailing wage to be based on the time work is performed rather than the date a project is advertised for bid. Labor and contractor supporters said the current rule can lock in outdated wages and underpay workers on long projects and change orders, while cities, counties, and contractor groups warned it would create uncertainty, raise costs, and jeopardize projects funded by fixed grants or bonds. After testimony and questions, the committee voted to send all of the bills forward, with final recorded votes later showing unanimous or near-unanimous approval and several measures placed on call before the committee adjourned.

Transcript Highlights:

• Again, this is a certification.
• like Pima Medical Institute.
• I represent the Arizona Veterinary Medical Association.
• Some of the top 10 medications, yes, four of them are parasite medications—not a problem.
• And as was testified before... ...these medications.

Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.

Transcript Highlights:

• Kennedy Farm Workers Medical Plan, provides medical benefits to about 6,000 farm workers and their families
• With a medical plan as basic as ours, AB 499 helps keep the RFK Farm Workers Medical Plan functioning
• , death certificates, and marriage licenses.
• In my 15 medical missions to rural Africa, In my 15 medical missions to rural Africa, I've encountered
• When a pregnant patient is in a medical crisis, almost When a pregnant patient is in a medical crisis

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• And all exemption certificates expire on July 1, 2038.
• So we do have some clawback language within those certificates.
• Increasing the B&O tax on prescription medication wholesalers directly increases the price of medications
• Increasing the B&O tax on prescription medication wholesalers directly increases the price of medications
• The reimbursement certificate...

Committee: House Finance

Transcript Highlights:

• George Sorries with the California Medical Association.
• The current certification framework supports that work.
• It is voluntary certification, yes.
• You're not qualified; you can't get our certification?
• 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 licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.

Transcript Highlights:

• We ask that the bill be amended to authorize CMA administration and medication administration of medical
• Our facility has never been cited for medication error, medication management, or medication administration
• Our facility never been sighted for medication error, or medication management, or medication administration
• We order the medications, we adjust under the medical director or the physician.
• We do not do intravenous medication. My facility does not entertain G-tube or J-tube medication.

Bills: H5243 , H5376 , S3056 , S3057

Committee: Joint Joint Committee on Aging and Independence

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

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.