Transcript Highlights:

• The current fee-for-service model within the code has led to. to fragmented billing and unpredictable
• Including fees for the healthcare facility, the physicians, the providers, lab services, anesthesia,
• preoperative services, prescription drugs, and pharmacy services.
• What the third party would do in setting up the program is invite our in-service providers. right now
• And so, about the bundled service... What services are they going to be directed to?

Bills: HCR141, SB438, SB1495, SB1964, HB 1225

Keywords: HCR 141, House Concurrent Resolution, NASA, Houston, Space City, Johnson Space Center, Mission Control, Apollo 11, moon landing, aerospace, commercial space, space exploration, Texas Space Commission, space policy, federal resolution, memorial resolution, Congress, Washington D.C., headquarters relocation, space industry

Transcript Highlights:

• Exemptions include emergency services, utilities, agriculture, and youth sports.
• Additionally, supported voluntary services are proactively offered to help tenants achieve and maintain
• 500,000 to adopt a Housing First initiative fee, creating a dedicated funding source. for homelessness services
• The proceeds then go towards services that will help more people move out of homelessness and towards
• In my 20 years of service, this grant...

Bills: HB1597, HB2364, HB2437, HB3205, HB3253, HB3310, HB3648, HB3906, HB4259, HB5645

Keywords: county jailer, jail training, veterans, Texas Veterans Commission, Texas Commission on Law Enforcement, TCOLE, criminal justice system, county jail, law enforcement training, mental health training, jail standards, correctional officers, veteran services, veteran interaction, occupations code, jailer licensing, parking, county courthouse, infrastructure, local government

Transcript Highlights:

• And we gave them community service, reduced fines, eliminated forgiven fines, or a payment plan.
• In 2024, the Texas Department of Family and Protective Services reported over 120,000 intakes and over
• also have attorneys appointed under Chapter 264 of the Family Code. ...which are in court-ordered services
• In the last session, the legislature did something kind of similar with services that are required for
• reunification. by DFPS by allowing families to choose service providers that aren't under contract with

Bills: SB629, SB1015, SB2501, SB2933

Keywords: child support, interest accrual, family law, delinquency, financial judgment, statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary

Transcript Highlights:

• Okay, but currently, they can provide that service, but they don't have to? That is correct. Okay.
• So by claiming to not be a citizen to be disqualified for jury service...
• But if they're doing it just to get out of jury service, it's a problem.
• Issues that arise can be addressed and the poll watcher can continue service.
• However, sometimes the poll watcher is removed from service.

Bills: HB1968, HB2279, HB2739, HB2803, HB3909, HB3918, HB4253, HB4475, HB5115, HB5430

Keywords: election services, contracting, political subdivisions, county elections, election code, voter registration, citizenship status, election law, cancellation, disqualification, Texas Election Code, voter identification, registration, election integrity, identification documents, election, watcher, polling place, removal, Texas Elections Code

Transcript Highlights:

• Senate Bill 2926 by Zaffirini relates to the transition of certain veterans' mental health services.
• The Veterans Commission and Health and Human Services. You might like to hear from them.
• officer or a peer service coordinator.
• We have to go and submit a service member's affidavit statement.
• In Texas of discrimination against military service members.

Bills: SB2007, SB2104, SB2543, SB2545, SB2926, SB2938

Keywords: military status, vehicle registration, veterans, Texas transportation, state records, discrimination, employment rights, spouses of service members, labor code, SB 2543, Texas veterans cemeteries, state veterans cemetery, Texas Veterans Commission, Veterans Land Board, Natural Resources Code, veterans land fund, veterans housing assistance fund, veterans burial, burial eligibility, cemetery location

Transcript Highlights:

• The core services include.
• Our hospital also provides radiology and imaging services, lab services, and cardiopulmonary rehabilitation
• They wouldn't be required under that warrant service model to transport.
• Does that look like under the warrant service thing?
• The warrant service officer model does not require them to transport.

Bills: HB1320, HB2012, HB2293, HB2655, HB3174, HB4108, HB4661, HB4799, HB5534, HB5580

Keywords: transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors

Transcript Highlights:

• What it does do, though, is turn the focus to services instead of punishment.
• Thank you for your time, your service, and your leadership, and I respectfully urge you to support House
• They connect the entire family to services and foster healthy communication, providing counseling.
• So if youth are picked up for running away, they contact the family to try to provide services, but they
• It imposes fines on a parent for each offense and allows six hours of community service by the parent

Bills: HB1821, HB1822, HB1943, HB3882, HB4263, HB4476, HB4628, HB4631, HB4885, HB4923, HB5461, HB5483, HB5525

Keywords: juvenile records, sealing, privacy, criminal justice, youth rehabilitation, legal procedures, juvenile court, record sealing, nondisclosure, age jurisdiction, criminal justice reform, juvenile board, compensation, Winkler County, juvenile justice, county funding, grants, career education, technical programs, workforce development

Transcript Highlights:

• Access to services is hindered. The consequences aren't just dire; they're lethal.
• And it further victimizes those who seek protection, support, or services.
• . services.
• We need money to care for our families and invest in preventative programs and services.
• that meet their basic needs, especially mental health services.

Bills: HB1320, HB2012, HB2293, HB2655, HB3174, HB4108, HB4661, HB4799, HB5534, HB5580

Keywords: transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors

Transcript Highlights:

• Additionally, this bill directs the Health and Human Services Commission to monitor the frequency with
• And we'll call Rachel Patton, Health and Human Services Commission. Thank you. Thank you.
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• first is when an individual who is receiving a SNAP or TANF benefit. contacts our Lone Star Business Services
• I request. the passage and the support, and I thank you all for your time and your service.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• And we'll call Rachel Patton, Health and Human Services Commission. Thank you.
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• first is when an individual who is receiving a SNAP or TANF benefit. contacts our Lone Star Business Services
• O T CC CC Вид CC VIC N MB MB Ne EB SB EB SN TB OP BB VS PB PB SB Lauren PB PB LT Coach PB alcohol service
• I request. the passage and the support, and I thank you all for your time and your service.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• treatments to minors, even though his impression was there had been public statements that those services
• violations, unsafe medical practices, or misuse of Chairman Hughes: funds related to healthcare services
• commitments to ethical practices, and it enhances the overall quality of medical care and it offers better services
• Senator Perry: To the gentleman on this side, this is kind of a carryover from a Health and Human Services

Bills: SB 240, SB 1183, SB 1184, SB 1577, SB 2043, SB 2051, SCR 42, SJR 68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• Additionally, this bill directs the Health and Human Services Commission to monitor the frequency with
• We'll open testimony on Senate Bill 1183 and we'll call Rachel Patton, Health and Human Services Commission
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• first is when an individual who is receiving a SNAP or TANF benefit contacts our Lone Star Business Services
• I request the passage and support, and I thank you all for your time and your service.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Summary: The committee first heard Senate Bill 1183, by Senator Creighton, which would require Lone Star Cards used for SNAP and TANF benefits to display the recipient’s name and photo, add fraud-reporting information, and require HHSC to track replacement-card requests. Creighton argued the bill would reduce fraud and protect taxpayer dollars, citing Texas SNAP theft and overpayment data. HHSC testified that photo IDs on the card are technically possible and explained how authorized secondary users are added. Dr. Amber O’Connor of Every Texan testified against the bill, saying SNAP fraud is a small share of expenditures, that the proposal would be costly and ineffective, and that federal rules limit mandatory photo requirements. Public testimony closed and SB 1183 was left pending. The committee then heard Senate Bill 1184, also by Senator Creighton, which would lower from 20 years to 10 years the minimum age of collectible wine that Texas collectors may sell to permitted restaurants. Supporters said the change would help Texas restaurants access desirable vintages, keep collectible wine in-state, and align with market demand; invited witnesses from the wine industry testified in favor. No opposition was heard, public testimony closed, and SB 1184 was left pending. Next, Senator Birdwell laid out Senate Bill 2051 and Senate Joint Resolution 68, both aimed at revising Texas impeachment procedures in response to issues identified during the 2023 impeachment process. The measures would clarify constitutional and statutory impeachment authority, require sworn testimony, extend review periods for House members, address conflicts of interest and presiding officers, require cost reporting, and modify rules for impeaching the governor or lieutenant governor. A committee substitute added protections for the accused, longer review periods, and a fallback presiding-officer option. Witnesses generally supported stronger accountability but raised questions about whether the language should also cover retired or visiting judges. Both measures were left pending after testimony. The committee also heard Senate Bill 1577, which would expand Texas Motor Speedway’s alcohol sales authority to include distilled spirits and remove certain event and concession limits; the Speedway’s representative supported the bill and it was left pending. Later, the committee heard Senate Concurrent Resolution 42 and Senate Bill 240, which would recognize only two sexes and restrict access to sex-designated private spaces in public facilities based on biological sex. Supporters argued the measures were needed to protect women’s privacy and safety, including in schools and shelters, while opponents warned about enforcement problems, privacy concerns, and impacts on transgender Texans and others who do not fit stereotypical sex traits. After extensive testimony, both measures were left pending. The committee then took up multiple pending bills and reported several favorably, including SB 511, SB 33, SB 510, SB 871, SB 2024, SB 2166, SJR 27, SJR 40, SB 1313, SB 1314, SB 1316, SB 1541, SB 2420, SB 1999, SB 2309, SB 1860, and SB 2429, with some also certified for the local and uncontested calendar.

Transcript Highlights:

• provide basically an umbrella organization to facilitate exchanges on trade, academics, financial services

Bills: HCR74, HCR95, HB705, HB1048, SCR23, SCR31, SCR38, SB49, SB233, SB307, SB326, SB387, SB401, SB435, SB495

Keywords: trade commission, international relations, Louisiana, United Kingdom, economic exchange, cultural exchange, infrastructure investment, sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, contempt, legislature, disorderly conduct, bribery, arrest, legislative privilege

Summary: The House and Governmental Affairs Committee met on May 12 with a quorum present and took up several measures. It first heard HCR 74, which would establish a Louisiana-United Kingdom Trade Commission modeled after the existing Louisiana-Ireland commission. The author said the commission would serve as an umbrella group to promote exchanges in trade, academics, financial services, economic development, and the arts, with no compensation for members. After brief questions and supportive testimony from a member familiar with the Ireland commission, the committee reported HCR 74 favorably. The committee then considered SCR 38, which repeals Joint Rule No. 7 related to the Atchafalaya Basin Program Oversight Committee. The author explained that the repeal was tied to a separate study commission on Atchafalaya Basin water quality, aimed at addressing sediment buildup, stagnant hypoxia, and harm to the fishing industry. Members discussed sediment management and water quality concerns, and the committee adopted a technical amendment to the title before reporting the resolution favorably, as amended. Finally, the committee began hearing Senate Bill 495 on campaign finance disclosures. The author described a series of changes, including raising the threshold for unitemized individual contributions to $200, adjusting when a PAC is considered to be participating in an election, extending the annual report deadline from February 28 to March 15, and allowing leadership PAC funds to cover replacement or repair of items damaged in connection with public office. The transcript cuts off during the bill presentation, so no final action on SB 495 is shown.

Bills: HB91, HB123, HB167, HB255, HB264, HB321, HB884, HB955, HB967, HB968, HB969, HB978, HB985, HB994, HB1005, HB1104, HB1107, HB1109, SCR3

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Transcript Highlights:

• detention facilities, group homes, or post-adjudication treatment facilities to use temporary staffing services
• It also updates Oklahoma statute to formally include human trafficking victims and existing victim service
• ... ...statute to formally include human trafficking victims and existing victim service programs.
• But does this also then put them in a position where they might be cutting commissary services maybe

Bills: SB1265, SB2154, SB1286, SB1365, SB1491, SB1525, SB1581, SB1775, SB1810, SB1884, SB2118, SB2174, SB1771, SB1805, SB1916

Keywords: SB1365, Oklahoma Central Purchasing Act, procurement exemption, competitive bidding, state purchasing, Oklahoma Tourism and Recreation Department, tourism department, merchandise for resale, gift shops, lodges, golf pro shops, state parks, restaurant contracting, retail outlets, public procurement, purchasing flexibility, Title 74, emergency clause, presidential electors, vacancies

Transcript Highlights:

• Department of Human Services with comments on Zoom. In person.
• and establishes protections for minor account holders and users of those services.
• There's an exemption in your four integrated chatbot services.
• user interfaces that are service user interfaces that are service orientated. orientated. orientated
• <01:16:33.240> carve artificial intelligence service carve artificial intelligence service

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• DBED does not have the relationships with these kinds of service providers, but we can certainly reach
• However, I don't know if the training services right now are providing that online, and if it's made
• with this these kinds of service with this these kinds of service providers,<00:46:25.760> uh
• unless it is made easy for services unless it is made easy for them,<00:46:46.160> such<00:46
• The commission views its role as facilitating and supporting the responsible service of alcohol while

Bills: SB2580, SB2578, SB2259, SB3084, SB2816, SB2928, SB2075, SB3322, SB2377, SB2436, SB2835, SB3248

Keywords: SB2580, Hawaii film tax credit, motion picture tax credit, digital media credit, film production incentive, income tax credit, general excise tax exemption, DBEDT, DOTAX, local hires, local workforce, film industry, movie production, television production, streaming platform, streaming series, loan-out companies, motion picture project employer, qualified production, qualified production costs

Summary: The committee opened by reviewing hearing procedures and then took up SB 2580, which concerns Hawaii’s film production tax credit and related incentives. Testimony was strongly supportive overall, with witnesses saying the measure would help attract productions, extend the sunset date, include streaming platforms, and strengthen the state’s competitiveness. Several supporters asked for cleanup language on grant administration, tax credit management, local-hire uplifts, and limits on third-party audit requirements for smaller productions. The state film office said the bill was generally strong but suggested clarifying language and noted that DBEDT and DOTAX already provide oversight of the current credit. No vote was taken in the transcript, but the bill drew broad support with a few comments and one opposition noted later in the hearing. The committee then heard SB 2578 SD1, a measure to create a film commission and related grant structure. Testifiers said the proposal would formalize industry input, improve accountability, and help the state compete globally, but they also raised concerns about how a new grant program would interact with the existing tax credit system. The film office said the grant program and tax credit should be separated operationally, that the advisory structure should include industry voices and possibly union representation, and that county film commissioner language may need technical adjustment. A testifier also suggested a Hawaii film museum and related tourism opportunities. The measure was described as having 42 supporters, one opposition, and five comments, with no final action shown. The committee next considered SB 2259, a dementia training measure. Supporters, including the bill’s drafter and the Alzheimer’s Association, described personal caregiving experiences and said free dementia training could help workers and families. Suggested amendments focused on clarifying the relationship between EOA and DBED and allowing retraining every two years because of workforce turnover. DBED said the bill is worthwhile but is not really an economic development initiative, and it should align with existing dementia programs and be easy for businesses to use, preferably online. The committee then moved to SB 3084 SD1, which HTDC said would expand its R&D matching program beyond SBIR to other federal research grants because of uncertainty at the federal level; the transcript ends as testimony begins, with no vote or final action recorded.

Transcript Highlights:

• This pre-package is much like the work we've done on home service warranties and the same.

Bills: HB3147, HB4453, HB3369, HB3660, HB3498, HB3260, HB3081, HB3127, HB3673, HB2293, HB3545, HB3546, HB2035

Keywords: special license plates, Route 66, Oklahoma, funding, community support, health care, transparency, primary care, cost analysis, insurance, all payer claims database, spending benchmarks, HB3369, food truck, food truck fire suppression, mobile food establishment, mobile food preparation vehicle, mobile food vendor, automatic fire extinguishing system, fire suppression

Transcript Highlights:

• of service. Thank you very much. of service. Thank you very much.
• <00:11:15.360> for fertility preservation services for fertility preservation services for
• to that is our veteran service to that is our veteran service counselors<00:43:54.079> although
• veteran services, please. Thank you for veteran services, please.
• <00:46:20.800> My service and what you folks do. My service and what you folks do.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• House Bill 3930 is a continuation of my trying to make it where people who have service animals can really
• easily use their service animals, and this would be to require people who are selling dogs to be sure
• that the person purchasing them know that they are not a service animal.
• To be sure that the person purchasing them know that they are not a service animal.
• need to clarify that it's an emotional support animal, that it doesn't meet the requirements of a service

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure