Video & Transcript : 'reciprocal licensure' :

Page 58 of 207
AR
Transcript Highlights:
  • And it's something that is commonly done, depending on the licensure level of the person doing the service
  • We don't commonly have the same level of licensure getting billed separately.
  • But when there's different levels of licensure, yes, you will see that.
  • of the National Human Trafficking Resource Hotline, as well as other minor changes and reviewing licensure
  • The next rules are the rules pertaining to radiologic technology licensure.
Keywords: 1204, all
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 16th, 2026 at 02:54 pm

Senate Health & Public Affairs

Transcript Highlights:
  • Licensure Compact for EMS Services, which are Emergency Services. Personnel.
  • We stand in strong support of House Bill 31, the EMS licensure compact.
  • We are in support of House Bill 31, the EMS licensure interstate compact.
  • Madam Chair, we do have a process that evaluates their education and licensure.
  • We stand in strong support of House Bill 33, the psychologist licensure compact.
Keywords: 996, all
ND
Transcript Highlights:
  • The third one is 25.385.0.01,000, having to do with the physician assistant licensure compact. 25.385.0.01,000
  • , having to do with the physician assistant licensure compact.
  • But it does enable those that are properly licensed in other states to be considered for licensure here
  • But it does enable those that are properly licensed in other states to be considered for licensure here
  • registered nurses, counseling, dietitians, emergency medical services personnel, the Interstate Medical Licensure
Keywords: 908, all
Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.
OK
Summary: The House convened with a roll call, prayer, and the Pledge of Allegiance, then followed its regular order of business. The chamber also completed administrative items including correction/reassignment of measures and introductions of the Doctor of the Day, Dr. Lee Sheffler, and Nurse of the Day, Amanda Fisher. A special recognition was held for the 2025 Mustang Bronco 6A fast-pitch softball state champions, who were introduced in the chamber and gallery. Several members made announcements about committee and caucus meetings, including the Women’s Caucus, Native American Caucus, Rural Caucus, insurance committee, judicial criminal committee, public health, banking, business committee, and a devotional gathering. Members also welcomed nursing students and faculty, and a criminal justice program from Kiamichi Career Tech and McAlester. No legislation was debated or voted on in the transcript. At the end of the session, the floor leader moved to adjourn once the clerk’s desk was clear, and the House agreed without objection. The chamber adjourned until Wednesday, February 11, 2026, at 1:30 p.m.
MN

Minnesota 2025-2026 Regular Session

Committee on State and Local Government - 03/14/25

State and Local Government

Transcript Highlights:
  • national task force formed by the National Association of State Boards of Accountancy to evaluate the licensure
  • Additional pathways to CPA licensure will better serve the public by ensuring adequate oversight and
  • Additional pathways to CPA licensure will better serve the public by ensuring adequate oversight and
  • I think I have sat in this exact chair possibly and spoke against changing licensure requirements for
  • I think I have sat in this exact chair possibly and spoke against changing licensure requirements for
Keywords: 1187, senate, all
LA

Louisiana 2026 Regular Session

Commerce May 11th, 2026

Commerce, Consumer Protection, and International Affairs

Transcript Highlights:
  • A 2025 study by the Institute for Justice compared states that required licensure for barbershops and
  • "We do have an existing blow-dry licensure that was not created by us.
  • Even more than what the blow-dry technician licensure would cover at 500 hours.
  • That our licensure is not as broken out as other states are.
  • for the cosmetology licensure.
Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.
FL

Florida 2026 5th Special Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • We have multiple rules that we had to update, several hospital rules in addition to our core licensure
  • We had three hospital rules under 59A-3 that we had to update, licensure procedures.
  • One of the last rules, again, we had to do several rule updates: three to our hospital licensure rule
  • , and then our last rule update was to 59A-35, which is our core licensure rule.
  • That just means they’re going through our licensure process.
Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.
NV
Transcript Highlights:
  • Assembly Bill 483, which provides a priority review of certain applications for licensure to practice
  • We're really just trying to improve access to counseling, preserve and strengthen our state licensure
  • We're really just trying to improve access to counseling, preserve and strengthen our state licensure
  • And lastly, the licensure requirements for clinical psychology are very excessive in Nevada.
  • And I do want to just corroborate what Assembly Member Hafen said regarding the speed of licensure.
Keywords: 909, all
DE

Delaware 2025-2026 Regular Session

House Administration Committee Meeting Jun 24th, 2026

Administration

Transcript Highlights:
  • post-master's supervised clinical practice, pass a national clinical examination, and maintain state licensure
  • . ...pass a national clinical examination and maintain state licensure.
  • The LCSW is the highest level of clinical licensure in Delaware.
  • It ensures school social workers with advanced clinical licensure are treated consistently with other
  • Percent for school social workers who have earned advanced clinical licensure.
Bills: SB231
Summary: The House Administration Committee met and first considered Senate Bill 231, which would extend the existing 6% salary supplement for school-based mental health professionals with advanced credentials to school social workers who hold licensed clinical social worker credentials and have passed the national exam. The bill sponsor and multiple witnesses described school social workers as essential to student mental health, crisis response, attendance, and family support, and argued the measure corrects an oversight and inequity in the current salary supplement structure. Public testimony was uniformly supportive, and the committee voted to release the bill. The committee then heard Senate Substitute 1 for Senate Bill 212, a constitutional amendment to protect the rights to hunt, fish, and trap. Supporters, including sportsmen’s groups and individual residents, said the amendment would preserve longstanding traditions, support wildlife management, and guard against future threats to hunting and trapping. An opposing witness argued there was no current threat in Delaware and said the Constitution should not be used to protect trapping or elevate hunting and trapping over other wildlife management approaches. Despite the opposition, the committee voted to release the substitute bill. Finally, the committee took up Senate Substitute 1 for Senate Bill 284, the First State Emergency Response Act, which would create a 25-foot buffer around first responders at emergency scenes after warning, with misdemeanor penalties for knowingly entering or remaining in the zone to interfere with duties. Supporters said the bill would protect police, firefighters, EMTs, and paramedics from interference, while opponents from the ACLU and the Office of Defense Services raised concerns about vague terms, potential First Amendment impacts, enforcement clarity, and jurisdictional issues. Committee members also questioned how the buffer would be marked and enforced. The sponsor and staff said they would continue working on the language, and the committee voted to release the bill.
MA
Transcript Highlights:
  • And the third study we've been tasked with doing is an analysis of licensure and certification processes
  • provider types to identify barriers and inequities that persist for individuals seeking to pursue licensure
  • This is based on licensure data. So we're not pulling from specific facilities or sectors.
  • those licensure renewal surveys for all behavioral health and allied mental health professionals beginning
  • more stakeholders moving forward as we think about the workforce needs assessment study and the licensure
Keywords: 995, all
Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.
TX

Texas 89th Regular

Public Health Apr 28th, 2025

Public Health

Transcript Highlights:
  • It has to be a PA or an APRN who has licensure within their own standards.
  • So we would like to remove that. burden by establishing licensure for CAAs.
  • AA licensure does not address the access to care issue that we face today.
  • And as far as licensure, like I stated in my testimony, we reserve licensure for...
  • In my view, they're trying to create this licensure to split and mitigate.
Committee: House Public Health
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • to officially begin this hearing of the Joint Committee on Consumer Protection and Professional Licensure
  • email is, and I'm going to read it slowly, Joint Committee, Consumer Protection, and Professional Licensure
  • And as the chair, I'd like to say, for those of you that are virtual, and symbol professional licensure
  • here to speak in support of and give testimony on behalf of House Bill 333, An Act Relative to the Licensure
  • This bill moves the licensing board to the Division of Occupational Licensure, and an important fact
Keywords: 995, all
Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on a wide range of bills involving consumer protection, auto regulation, alcohol licenses, and professional licensure. A major focus was legislation to require a one-hour domestic violence awareness training for salon and cosmetology licensees (H.323/S.200), supported by District Attorney Marion Ryan, law enforcement, and a salon industry witness who described the program’s value in identifying and helping victims. The committee also heard strong support from the Attorney General’s office for auto consumer protection legislation (S.228/H.379) that would expand used-car warranty protections, extend the Lemon Law return period to seven days after receipt of the vehicle, raise the mileage cap to 200,000 miles, and increase dealer surety bonds to $50,000. Independent dealers opposed those changes, arguing they would burden small businesses and that dealer education, not expanded liability, was the better solution. The committee also took testimony on bills related to vehicle financial products and repair information. A trade association supported GAP waiver legislation (H.4188/S.281), saying it would create clear consumer protections and standard disclosures. On right-to-repair and heavy-duty vehicle service information (S.266), engine and truck manufacturers supported an exemption for commercial vehicles, while others argued that releasing service data to the general public could create safety, cybersecurity, and emissions risks. The committee then heard extensive testimony on auto dealer franchise and warranty reimbursement legislation (S.201/H.406), with dealer groups supporting changes to warranty labor reimbursement and manufacturer groups opposing them as costly and unnecessary. Manufacturers from GM, Volvo, Toyota, Hyundai, Mazda, and others said their current time-study and appeals processes already compensate dealers fairly and that the bill would raise costs for consumers. In addition, the committee heard testimony on H.333, which would move auto damage appraiser licensing from the Division of Insurance to the Division of Occupational Licensure. Collision repair advocates supported the change, saying the current board structure leads to repeated dismissals of complaints and lacks accountability, while emphasizing that the bill is intended to protect consumers and ensure proper repair reimbursement. The hearing also included testimony in support of a local alcohol license petition for Westwood and a separate local alcohol measure for a town grant license. At the end of the hearing, the chairs announced that all docketed bills had been heard, noted that a joint poll would be held on H.4184, and the committee voted to adjourn by voice vote.
MN

Minnesota 2025-2026 Regular Session

House health panel hears HF1010 3/26/25

Minnesota House Floor Meeting

Transcript Highlights:
  • Research from other states indicates that certified midwife licensure leads to greater ethnic and racial
  • Research from other states indicates that certified midwife licensure leads to greater ethnic and racial
  • Research from other states indicates that certified midwife licensure leads to greater ethnic and racial
  • If the certified nurse midwifery licensure was in place, I could have graduated and began practicing
  • If the certified nurse midwifery licensure was in place, I could have graduated and began practicing
Keywords: 1183, house
AZ
Transcript Highlights:
  • Madam Chair and members, SB 1274, strike-everything title Licensure, Timeshare Salespersons, establishes
  • Madam Chair and members, SB 1274, strike-everything title Licensure, Timeshare Salespersons, establishes
  • okay sounds good let's move to sv1274 Nicole Madam Chair members SB 1274 strike everything title licensures
  • Madam Chair and members, House Bill 2176, Health Facilities Licensure Complaints Investigations, as passed
  • the House, made modifications to health institution licensure complaint investigations and statements
Summary: The caucus reviewed a long list of Senate and House bills, many of them on consent or with strike-everything amendments. Early items included SB 1457 on advanced air mobility for border security, SB 1519 raising the off-highway vehicle weight limit to 3,500 pounds, and HB 2383, which now cites the 2014 trampoline court safety law known as Ties Law. Members also discussed SB 1041 on electronic monitoring in health care facilities, with supporters emphasizing resident safety and accountability and opponents from assisted living facilities arguing it could function as a mandate. SB 1168 on dental school complaint jurisdiction, SB 1713 on pharmacist testing authority and HIV prevention, SB 1497 on school district self-insurance procurement, HB 2203 on reducing redundant education reporting, and several other measures were briefly described, with some members requesting bills be pulled from consent or noting support or opposition. The caucus also covered a series of strike-everything bills on housing, labor, licensing, and insurance. These included SB 1118 on historic neighborhood middle housing design standards, SB 1189 on late-payment protections in revitalization district construction contracts, SB 1274 creating a separate timeshare salesperson license, SB 1428 on workers’ compensation notice and recordkeeping, HB 2120 on property tax disability exemptions and widow eligibility, HB 2174 on insurance predictive modeling oversight, SB 1582 on HOA rules for pets and backyard chickens, SB 1503 expanding first responder death benefits to certain law enforcement pilots, and SB 1286 changing prescription lengths for virtual veterinary visits. Members raised questions about the scope and practical effects of several bills, and in some cases noted changes in support, such as unions backing SB 1189 and some members supporting SB 1582’s limits on HOA restrictions. On the second calendar, members reviewed HB 2176 on health facility complaint investigations, HB 2050 on radiologic technologist and assistant supervision rules, HB 2010 on digital goods seller refund requirements, HB 2875 on local regulation of unmanned aircraft and drone delivery near airports, HB 2428 on county emission reduction credit permits, and HB 2877, which was amended in the Senate to create a supervised work route for veterinary technician certification rather than the original timeshare licensing language. Several sponsors were said to intend to concur with Senate amendments, while HB 2010 was headed to conference because the sponsor intended to refuse the Senate’s five-year refund window amendment. The meeting ended after the chair announced the caucus was adjourned, with no formal votes taken in the transcript beyond references to prior floor and committee votes.
FL

Florida 2026 Regular Session

Commerce and Tourism Feb 18th, 2025

Commerce and Tourism

Transcript Highlights:
  • Next, we will take up SB tab 1, SB 320, on licensure requirements for surveyors and mappers by Senator
  • Next, we will take up SB tab 1, SB320, on licensure requirements for surveyors and mappers by Senator
  • Tab 1, SB 320, on licensure requirements for surveyors and mappers, by Senator Gates.
  • This bill would provide an alternative pathway to licensure for surveyors and would substitute industry
  • have a pathway for those folks who have work visas to work in the United States to be able to get licensure
Summary: The Committee on Commerce and Tourism convened with several members present and Senators DiCeglie and McClain excused. The committee first heard a presentation from Greg Britton, State Director of the Florida Small Business Development Center Network, who described the network’s statewide small-business assistance, including startup support, export and contracting help, disaster recovery, and rural outreach. He highlighted reported 2023 impacts such as $3.9 billion in sales generated, $575.9 million in government contracts, $346.2 million in capital, and support for 2,009 new businesses, including 130 manufacturing firms over the past two years. Members asked about comparisons with SCORE and about measuring rural success, with the chair suggesting jobs and wages in rural areas would be useful metrics; Britton said he could provide job data but was unsure about wage information. The committee then took up SB 320 by Senator Gates, which creates a five-year demonstration project for an alternative licensure pathway for surveyors and mappers. The bill would allow a “first-step” probationary license based on industry certification, apprenticeship, recommendation from a licensed Florida surveyor, and passage of the Department of Agriculture exam within the five-year period, without requiring a four-year degree. Senators asked about the labor shortage, education requirements, foreign workers, and moral character standards. Gates said the shortage is chronic and worsening, the bill has no degree requirement, and anyone meeting the qualifications could proceed regardless of visa status. The committee voted to report SB 320 favorably. Next, the committee considered SB 316 by Senator Berman, which authorizes series limited liability companies in Florida and sets rules for how Florida and foreign series LLCs may operate and transact business in the state. Berman explained that the bill is intended to let businesses isolate liabilities across separate series while providing clearer rules for Florida citizens and businesses dealing with such entities. There were no substantive questions, one appearance form in support, and the committee voted to report SB 316 favorably before adjourning.
NM

New Mexico 2026 Regular Session

Senate - Judiciary Feb 14th, 2026 at 04:37 pm

Senate Judiciary

Transcript Highlights:
  • The board would establish the licensure criteria for massage establishments as well as the standards
  • The board would establish the licensure criteria for massage establishments, as well as the standards
  • , that the Massage Therapy Board would be the main focus of who makes the determinations and the licensure
  • , that the Massage Therapy Board would be the main focus of who makes the determinations and the licensure
  • When licensure, maybe just at the end of that, when licensure was required.
Bills: SB23 , SB221 , SB261 , SB264
MO

Missouri 2026 Regular Session

Budget Feb 9th, 2026

Budget

Transcript Highlights:
  • We will now move into the Division of Regulation and Licensure.
  • The Division of Regulation and Licensure is responsible for the regulation and licensure of facilities
  • We will now move into the Division of Regulation and Licensure.
  • The Division of Regulation and Licensure is responsible for the regulation and licensure of facilities
  • The Division of Regulation and Licensure is responsible for the regulation and licensure of facilities
Committee: House Budget
Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Feb 24th, 2026

Transcript Highlights:
  • The first bill before you is Substitute House Bill 2088 concerning the dietician licensure compact.
  • The next bill is Substitute House Bill 2363 concerning temporary exemptions from licensure for certain
  • reminder, in executive session, and we have Substitute House Bill 2088 concerning the dietician licensure
  • We have Substitute House Bill 2363 concerning temporary exemptions from licensure for certain applicants
Summary: The Senate Health and Long-Term Care Committee held its final regularly scheduled meeting of the 2026 session and moved into executive session to consider 11 bills. The bills covered a range of health care and licensing topics, including the dietician licensure compact (SHB 2088), ambulance transport staffing for inter-facility specialty care (E2SHB 2110), substance use disorder monitoring for nursing assistants (HB 2340), hospital inspections (SHB 2577), temporary licensure exemptions for music therapy applicants (SHB 2363), nursing regulation (SHB 2339), EMT recertification (HB 2540), supervision of radiologic and MRI technologists (HB 2113), continuing care retirement community oversight (2SHB 2384), and veterinarian-client-patient relationships (ESHB 2247). The committee also considered ESHB 1187, which protects patients involved in motor vehicle accidents from delayed ambulance bills, though it was not part of the initial briefing list read aloud in full. Several bills had amendments adopted. On E2SHB 2110, the committee adopted Senator Harris’s amendment changing hospital coordination with ambulance providers from a recommendation to a requirement. SHB 1187 received a striking amendment, and 2SHB 2384 and ESHB 2247 also had striking amendments adopted; the veterinary bill’s amendment clarified that the commercial breeding provisions apply to livestock, added a definition of livestock, and tightened prescription drug language. The committee also discussed the 2SHB 2384 amendment as making technical corrections and clarifying life care contract language. After each bill was moved, the committee voted to give it a do pass recommendation and send it to the Rules Committee. All bills considered in executive session passed the committee, subject to signatures. The chair then thanked staff and members for their work during the session, noted the committee would turn to interim work in a few weeks, and moved to adjourn.
HI
Transcript Highlights:
  • I'm really honored and grateful to be included in Hawaiʻi licensure, and I am pro-licensure.
  • I'm really honored and grateful to be included in Hawaiʻi licensure, and I am pro-licensure.
  • I'm really honored and grateful to be included in Hawaiʻi licensure, and I am pro-licensure.
  • I'm really honored and grateful to be included in Hawaiʻi licensure, and I am pro-licensure.
  • I'm really honored and grateful to be included in Hawaiʻi licensure, and I am pro-licensure.
Keywords: 910, house, all
Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.