Transcript Highlights:

• we</c> related licensing boards and first we related licensing boards and first we have<00:02:12.200
• The board has over 3,000 licensed chiropractors.
• The board has over 3,000 licensed chiropractors.
• by 14 other health licensing boards.
• /c><00:36:22.760><c> the</c> Health licensing boards in doing so the Health licensing boards in doing

Committee: Senate Health and Human Services

Transcript Highlights:

• We licensed by the law pending the rules.
• The board didn't want me to be here. So the board didn't want you to be here. Right.
• So that entity is the licensing board; that is the primary change.
• some of them are not licensed by us.
• Board is clear. Thank you, Representative Knox.

Bills: SB237

Committees: Senate Health & Welfare , Senate Health and Welfare

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• This is part of a broader trend in state policy aimed at reducing barriers for licensed professionals
• This part of a broader trend in the state policy aimed at reducing barriers for licensed professionals
• This did come through your Committee on Professional Registration and Licensing.
• people who want to work across state lines to help bridge that employment gap on the professional licenses
• Registration and the commissions that oversee the professional licenses.

Summary: The House established a quorum and then took up several bills for perfection and printing. House Bill 2189, sponsored by the Jasper member, would allow five-year vehicle registrations, eliminate the old even/odd model-year registration rule, and limit the five-year option to vehicles six years old or newer. Members discussed how the bill would interact with emissions, safety inspections, insurance verification, and county tax collection systems. House Amendment 1, which set the five-year fee at $45, was adopted, and the bill was then perfected and printed. The chamber next considered House Committee Substitute for House Bill 1790, a ballot-language measure sponsored by the St. Louis County member. The bill requires clearer ballot wording for local tax levies, including stating levy amounts in dollar terms, alphabetic labeling of propositions, disclosure when a measure would nullify a prior sunset, and a rollback rule tied to reassessment years and voter-approved levies. Members generally supported the transparency goals, and a drafting correction amendment adding a comma was adopted before the committee substitute was perfected and printed. House Committee Substitute for House Bill 2178, sponsored by the Pike member, drew the most extended debate. The bill would limit commercial property assessment increases to 15% per reassessment cycle, require a physical inspection if increases exceed that threshold, and require Board of Equalization decisions by the end of September or revert to the prior year’s assessment. Amendments were adopted to add short-term rental protections so assessors cannot reclassify residential short-term rentals as commercial property, to incorporate ballot-language provisions from other bills, and to add taxpayer protections requiring clearer assessment notices, faster refunds, and litigation-cost recovery in some successful appeals. The body adopted House Amendment 1 by roll call, 92-43 with 5 present, and later adopted House Amendments 2 and 3; House Amendment 4 was then taken up for further discussion at the end of the transcript.

Transcript Highlights:

• My medical license and board certification require that I adhere to a certain standard of care in documenting
• Licensing applicants must have already submitted a license application to the Structural Pest Control
• Board, completed 80 hours of in-board training, and submitted fingerprints and background checks with
• the board.
• AB 1775 expands eligibility for expedited state professional licensing to include veterans discharged

Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.

Transcript Highlights:

• The intent of that law is to require license boards to take into account military education, training
• Anyone seeking to become a licensed professional counselor or licensed clinical professional counselor
• I am a licensed professional counselor, a small business owner here in Boise, a veteran spouse, a board
• I am a licensed clinical professional counselor.
• I am a licensed clinical professional counselor.

Committee: House Business

Transcript Highlights:

• license.
• license.
• Competencies for on-the-job learning are based on the Minnesota Professional Educator Licensing and Standards
• c> and</c><00:30:18.799><c> Licensing</c><00:30:19.360><c> standard</c><00:30:19.799><c> boards</c> Educators
• and Licensing standard boards Educators and Licensing standard boards or<00:30:20.559><c> pel's</c><

Transcript Highlights:

• the National Board for Professional Teaching Standards.
• First is the license that don't require a license but do require a bachelor's degree.
• have a structured plan to obtain their teaching license.
• Loan Forgiveness Program, and the National Board of Professional Teaching Standards.
• The last bonus program is for the National Board of Professional Teaching Standards.

Summary: The committee first approved the May 18 meeting minutes and then received a presentation from Legislative Audit on Arkansas Department of Education grant distributions. Auditors explained that the fiscal year 2025 report summarizes $4.6 billion in grants from state, federal, and miscellaneous sources, across school districts, charter schools, education cooperatives, and other entities, and that the report only shows amounts distributed, not how recipients ultimately used the money. Members asked about specific recipients and programs, including ClassWallet, Economics Arkansas, and CDC surveillance funding; department staff clarified that the Economics Arkansas grant is written into special language and that the CDC-related funding supports student surveys used by state agencies. Questions also focused on bonus and incentive programs such as master principal and National Board Certified teacher bonuses, with department staff saying the bonuses are generally tied to completion of the program or certification rather than classroom performance, though they would follow up on details. The committee then heard a Bureau of Legislative Research update on Consumer Price Index projections from Moody’s Analytics and S&P Global. Dr. Carlos Silva explained the difference between CPI-U and core CPI and said the estimates show inflation slowing over the forecast period, with some near-term variation between the two data providers. Members asked about the historical accuracy of prior projections, and he said the forecasts generally tend to move toward about 2 percent over time, though recent shocks have caused earlier estimates to understate actual inflation. The bulk of the meeting was devoted to the final adequacy report on teacher recruitment, retention, and salaries. BLR staff reviewed Arkansas teacher demographics, shortage areas, educator preparation pipelines, licensure exceptions, survey results from teachers and principals, and teacher support programs. They reported that Arkansas had about 32,800 teachers and 473,000 students in 2025, with an average of 11.9 years of experience and a slight increase in National Board Certified teachers. The report found shortages in multiple subject areas, especially special education, math, science, foreign language, and social studies, and identified 65 districts as high-need geographically. Survey results showed school leadership as the strongest positive factor in recruitment and retention, while workload and salary were the biggest negatives; 30 percent of responding teachers said they were considering leaving the profession. The committee also reviewed teacher salary data showing a statewide average salary of $60,254 in 2025, Arkansas ranking 45th nationally by NEA methodology, and a long-term inflation-adjusted decline in district salaries, though LEARNS Act increases improved the trend. Members asked for additional follow-up information on survey methodology, alternative licensure costs, coursework, incentives for ESL and special education endorsements, exit data, and how salary comparisons are calculated.

Transcript Highlights:

• Our military spouses and professional licensing.
• Professional licenses and a little over 30,000 business licenses across our 34 business and professional
• I am the Director of Policy for the Professional Educator Standards Board.
• The Professional Educator Standards Board is an agency that actually represents two separate boards,
• We set standards for training, preparation, professional learning for all of these different licensed

Summary: The Joint Committee on Veterans and Military Affairs heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, commanders emphasized readiness and major missions, while also highlighting quality-of-life issues affecting service members and families, including housing, child care, food insecurity, medical and dental access, and spouse employment. JBLM reported progress on 212 new family homes, ongoing PFAS cleanup, continued work on the Lewis Army Museum, and efforts to expand child care and food assistance. Navy Region Northwest discussed its economic impact, infrastructure projects, environmental stewardship, and future shipyard and homeport planning. Fairchild described its tanker and survival training missions, child care shortages, food insecurity during the shutdown, aging housing, and concerns about wind turbine development near military airspace. The Coast Guard highlighted its polar icebreaker buildup, rebuilding of Base Seattle waterfront infrastructure, and access-to-care challenges at remote stations such as Neah Bay, along with progress on housing and dental services. Committee members repeatedly raised support for military spouses, child care, food access, and licensure compacts. The Department of Licensing reported about 9,000 active military members or spouses licensed, with expedited processing, license portability, and an average time to license of just under nine days. The Department of Health said it had implemented prior military licensure laws, maintained a military-to-civilian crosswalk for health professions, and issued 129 credentials to military-trained health professionals and 1,300 to military spouses/domestic partners in the last fiscal year, all within 30 days. The Professional Educator Standards Board said military-affiliated applicants for educator credentials receive a streamlined process requiring fewer documents and expedited review. Members asked about verification of military spouse status, compact implementation, and whether future federal changes could affect existing interstate compacts. The Washington National Guard briefing focused on dual state and federal missions, election security, wildfire readiness, and a new National Guard Response Force requirement to train 700 personnel. The Guard also described the impact of the recent federal shutdown on employees and outlined policy and budget requests, including youth academy protections, alignment of the Washington Code of Military Justice with the federal UCMJ, making Civil Air Patrol a division of the Military Department, public records exemptions for critical infrastructure, 911 system improvements, disaster assistance funding, and capital requests for a new Joint Forces headquarters and a King County Readiness Center. Members pressed for more detail on drone threats, wildfire response, and whether the new response force would be used for immigration-related duties; the Guard said it understood the force to be intended for all-hazards response and would follow up. The final presentation, from a veterans behavioral health representative, focused on access barriers, suicide risk, and the need for culturally competent care, especially for women veterans and caregivers. The speaker cited high veteran suicide rates in Washington, long waits for services, and the ways child care, transportation, chronic pain, substance use, and military sexual trauma complicate treatment. No formal votes were taken during the meeting, but members and presenters discussed several pending or future legislative priorities, including licensure compacts, child care, military justice updates, and support for military and veteran families.

Transcript Highlights:

• Our turnover rate has dropped to 10% across the agency and just 2.3% for licensed professionals like
• BHEC, along with licensing boards in other states, has concerns about recently proposed changes to the
• We were recently awarded by the Federation of Chiropractic Licensing Board as the top chiropractic agency
• safety of the people of Texas and licensed skilled professionals.
• Each staff member in the agency performs an important function for licensing skilled professionals who

Bills: SB1 , SB 1

Committee: Senate Finance

Summary: The Senate Finance Committee met to review Article 8, regulatory agencies, and began Article 9, general provisions, before recessing for floor action. The committee first heard budget presentations from the Public Utility Commission (PUC) and the Office of Public Utility Counsel (OPUC). The PUC budget recommendation was about $5.07 billion in all funds, including an additional $5 billion for the Texas Energy Fund, plus funding for staffing and technology needs tied to contested cases, infrastructure resiliency, and outage mapping. PUC witnesses emphasized the agency’s growing workload, the need for more staff and modern systems, and oversight of the Texas Energy Fund. OPUC’s recommendation was about $6.9 million, with a reduction in authorized FTEs to better match actual staffing; the agency requested additional funding for salaries, expert witnesses, and budget flexibility, and members highlighted OPUC’s role representing residential and small commercial consumers in utility proceedings. The committee then heard from the Behavioral Health Executive Council (BHEC), whose recommendation was just over $11.2 million. BHEC’s main requests included funding to fill vacant positions, money for continuous National Practitioner Data Bank queries, and a proposed Texas-owned psychology licensing exam in response to concerns about changes to the national exam. Agency leaders also discussed a rider request that would shift responsibility for certain judgments or settlements to the comptroller. Members asked about prior complaint backlogs, and BHEC said those backlogs had been cleared. The Board of Chiropractic Examiners followed, with a recommendation of just under $2.4 million; the board sought support for staffing, training, broadband, and salary retention, and described its work regulating chiropractors and workers’ compensation-related doctors. The Board of Dental Examiners was the last agency heard before the committee recessed. Its recommendation was just under $10 million, and it requested a 10% salary increase for eligible staff, three additional licensing staff, one staff member to handle required background checks, an additional attorney, and an executive director salary adjustment. Dental board witnesses said licensure growth, increased complaints, and low salaries were straining licensing and enforcement operations, even though the agency reported strong performance and high case completion rates. The chair ended the hearing early because the Senate had to return to the floor, and the committee remained in recess.

Transcript Highlights:

• Our modeling shows significant gaps in licensed as well as non-licensed behavioral health professionals
• Our modeling shows significant gaps in licensed as well as non-licensed behavioral health professionals
• We hear that those non-licensed professionals also need additional supports and coaching.
• support for non-licensed professionals.
• So if they are resource constrained, for example, how can they maximize the use of non-licensed professionals

Transcript Highlights:

• A licensed midwife may delegate specific tasks to a registered nurse or a licensed practical nurse.
• A licensed midwife may delegate specific tasks to a registered nurse or a licensed practical nurse.
• One's licensed. This is concerning that type of midwife, the one that's licensed.
• license for 30 years.
• The Board of Nursing licenses ARNPs and recognizes four specialty designations within that license: nurse

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• Um, the basics of this is it establishes a new office of occupational and professional licensing.
• It establishes the office of occupational professional licensing and appoints the executive director.
• </c><00:18:46.880><c> The</c><00:18:47.039><c> senator</c><00:18:47.440><c> has</c> professional licensing
• The senator has professional licensing.
• </c> professional licensing and and appoints professional licensing and and appoints the<00:19:06.799

Committee: House County and Municipal Government

Transcript Highlights:

• /c><01:23:34.480><c> certain</c> and licensing board to aid in certain and licensing board to aid in
• </c><01:34:18.719><c> licensing</c> exempts um professional licensing exempts um professional licensing
• </c><05:08:21.440><c> professionals</c> offered only by licensed professionals offered only by licensed
• ><c> work</c> licensed professionals do licensed work licensed professionals do licensed work as<05:33
• Hampshire,</c> licensed professional in New Hampshire, licensed professional in New Hampshire, but<05

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• until July 1, 2034, and reduces the statutory caps on certain board fees.
• Madam Witt, members, Senate Bill 1711 requires the State Board of Education to develop...
• to require an evaluation of a health professional if the board determines that there is probable cause
• to believe that the health professional may not be able to practice safely or competently.
• to require an evaluation of a health professional if the board determines that there is probable cause

Summary: The committee reviewed a long agenda of Senate bills across campaign finance, commerce, education, government, health and human services, judiciary, rural development, transportation, and ways and means. Many measures were described as consent items or strike-everything amendments, including bills on campaign finance termination statements and late-report penalties, AI provenance data, insurance and contractor conduct during emergencies, continuation of various boards and commissions, school safety and communication systems, DCS and child welfare procedures, public records fees, utility submetering, foreign adversary restrictions, and multiple health care licensing and reimbursement provisions. Several members asked for clarification on a number of bills, including school discipline communication, DCS photo documentation, and utility billing changes. A few bills drew more extended discussion. SB 1074, concerning teacher-initiated classroom removals and principal certification of return and discipline, prompted questions about parental notification and the purpose of the bill. SB 1175, requiring DCS caseworkers to photograph children at each interaction, led to concerns about privacy and the scope of documentation, with supporters saying it would improve continuity and child protection. SB 1751, which would expand execution methods to include firing squad, generated strong opposition from one member and support from another, with debate focused on the morality of execution methods and the implications for those carrying them out. SB 1336, continuing the State Land Department and creating an oversight board, was pulled from the consent calendar. The committee also heard brief comments in support of bills on hyperbaric oxygen therapy in assisted living, research security at universities, and EMS licensure compacts. Toward the end, members reviewed bills on virtual currency investments and payments, telecommunications infrastructure, tax lien and revenue administration changes, and retirement system investment limits. No floor votes were taken in the transcript; the meeting primarily consisted of bill presentations, questions, and a few items being removed or pulled from consent calendars.

Transcript Highlights:

• HB 4640 by DeRozio. relating to the State Board of Plumbing Examiners or for the Committee of Licensing
• and Regulation. and Cosmetology Advisory Board referred the Committee of Licensing and Administrative
• therapists, associates, professional counselors, professional counselor associates.
• designation for licensing of a carrying a hand gun in a location in which a holder of enhanced license
• from the automatic revocation or denial of health care professional licenses for criminal offenses.

Bills: HB9 , HB22 , HB908 , HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• boards, typically with the guidance or instruction from the state legislature, especially when the professionals
• Our state's health licensing boards, appointed by the Governor, serve as subject matter experts in their
• board?
• Rebecca Polston, Certified Professional Midwife and Licensed Midwife.
• certification in dermatology from the Iraq Board and Arab Board of Dermatology.

Committee: House Health Finance and Policy

Transcript Highlights:

• And then second, our National Board Certified Teachers.
• This refers to teachers who are certified through the National Board for Professional Teaching Standards
• have a structured plan to obtain their teaching license.
• Loan Forgiveness Program, and National Board of Professional Teaching Standards.
• of Professional Teaching Standards.

Transcript Highlights:

• professional.
• behavioral health professionals?
• They have to be part of that Licensing process.
• I needed a higher level of license and then work with them.
• So a PSB is a Professional Learning Community.

Transcript Highlights:

• Certainly, we want to recognize people's professional abilities as well as their professional education
• And when they use the term nurse, registered nurse, licensed nurse, or similar professional titles, would
• I’m board certified in one category.
• Licensed physicians and nurses must complete a one-time board-approved continuing education course on
• The amendment concerns board Thank you, Madam Chair.

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• certified professional designated by a hospital's governing board.
• board authority as a health care professional with experience and necessary to provide other health
• psychiatry, APRNs holding a psychiatric mental health credential, licensed professional counselors,
• a licensee to participate in and attend a board-designated professional health program, the Ph.P.
• from requiring a licensee to participate in and attend a board-designated professional health program

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.