Transcript Highlights:

• Florida Association of Nurse Practitioners waives in support Allison Carbajal, Florida nurse practitioners
• You're on acute care, nurse practitioner degree and a family nurse practitioner degree as well as a doctor
• Nurse practitioners.
• We had it great team of psychiatric nurse practitioners.
• And the nurse practitioners.

Transcript Highlights:

• Jill Puckett, Florida Association of Nurse Practitioners, in support.
• So my goal in this bill is to produce more nurses, more quality nurses, not keep nursing schools open
• Jill Puckett, Florida Association of Nurse Practitioners, waves in support.
• This slide shows participation in the nurse and psychology compacts by Florida practitioners.
• In the nurse and psychology compacts by Florida practitioners.

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• and Rachel Hetzner from the Michigan Council of Nurse Practitioners.
• Now, for many years, nurse practitioners had been signing these applications without issue.
• I've been a nurse practitioner... ...practitioner at a primary care practice in Warren, Michigan for
• I am here today representing the Michigan Council of Nurse Practitioners and nurse practitioners across
• I am a family nurse practitioner and an active member of A&A Michigan.

Summary: The Senate Committee on Transportation and Infrastructure met with a quorum present and adopted the June 16, 2026 minutes. The committee first took up House Bill 5644, which would allow nurse practitioners, physical therapists, and occupational therapists to certify applications for disability windshield placards and disability license plates. The sponsor and witnesses from the nursing profession said the bill restores a practice that had worked for years, reduces delays and extra costs for patients, and improves access, especially in rural and underserved areas. A Department of State representative explained the issue arose after an Auditor General review found the statute was unclear. The bill was reported to the floor on a 10-0 vote. The committee then heard Senate Bill 791, which would designate a portion of I-475 in Genesee County as the St. John Street Community Memorial Highway. Senator Cherry and representatives of the St. John Street Historical Committee described the history of the St. John Street neighborhood in Flint, its displacement by urban renewal and highway construction, and the effort to memorialize the community’s cultural significance and trauma. No members asked questions, and the bill was reported to the floor unanimously, 10-0. House Bill 4415, previously heard by the committee, was also reported to the floor without further testimony. The committee then considered Senate Bill 959, which had a new S-2 substitute. Senator Klinefelt explained the substitute as a compromise that reorganizes rail detector regulations and changes distance and speed thresholds for Class 1, 2, and 3 rail lines. The substitute was adopted 10-0. After additional comments from Senator McBroom opposing the bill due to concerns about impacts on Upper Peninsula commerce and rail operations, the committee reported the S-2 version of Senate Bill 959 to the floor by a 6-4 vote. The committee then adjourned.

Transcript Highlights:

• We have Tom Schlepko with the Florida Nurse Practitioner Network. Thank you for being here.
• I'm a doctorally prepared family nurse practitioner And psychiatric nurse practitioner in the Miami,
• Access to care and efficiency: psych mental health nurse practitioners are educated in a graduate nursing
• Next up, we have Jerry Edwards with the Florida Nurse Practitioner Network.
• acute care, but also as a family nurse practitioner with a doctorate in nursing practice.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• Our nurse practitioners are in a Doctor of Nursing Practice degree program.
• Our psychiatric mental health nurse practitioner program, as well as our family nurse practitioner program
• This program allows other nurse practitioners, for example, a family nurse practitioner, to complete
• We want to ensure that our nurse practitioners, both our family nurse practitioners and our psychiatric
• practitioner and psychiatric nurse practitioner residency programs.

Transcript Highlights:

• Nurse practitioners are initially licensed as an RN first.
• It is only when they move to a 104 nurse practitioner that is an independent practicing nurse practitioner
• Okay, certain advanced or nurse practitioner need to...
• Nurse practitioner need to pass a national exam.
• of the family nurse practitioner.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• My nurse practitioner students and most importantly, my patients.
• We know that nurse practitioners can attend 100% online school.
• I am dog Double Supper board, certified acute care nurse practitioner, family nurse practitioner with
• And I've spent more than 20 years and direct patient care as a registered nurse and nurse practitioner
• When you ask a nurse practitioner that has obtained 3,000 hours met the credentials by the Board of Nursing

Transcript Highlights:

• practitioners— all of the practitioners were having, the nurses were having— with the current model
• Generally, at that time, the nurse practitioners were experienced nurses.
• their nurse practitioner degree.
• The delegation... 90% of nurse practitioners are employed.
• , such as nurse practitioners. ...practitioners, nurse midwives, and nurse anesthetists, to practice

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• Protecting practitioners legally makes Massachusetts an attractive location for practitioners to set
• Certified registered nurse anesthetist remains the legal title for nurse anesthetists in Massachusetts
• I am an alternative health care practitioner.
• I'm a trained Level 2 Reiki practitioner.
• I am a registered nurse, a hospice nurse at MGH.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• And Megan Faye, Florida Association of Nurse, I think he nurses, nursing. Megan here.
• nursing programs.
• nurse friends and a lot of doctor friends, but I often joke that doctors will treat illness, it's nurses
• Nurses are frontline workers.
• discipline practitioners.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• We have a lot of nurse practitioners, obviously, that see patients.
• clinics are staffed by nurse clinics are staffed by nurse practitioners,<00:07:56.639> which<
• <00:08:36.399> practitioners believe it's in the nurse practitioners believe it's in the nurse
• certified nurse practitioners, CRMPPS, certified nurse midwives,<00:09:04.800> CNMs,<00:09:05.440
• nurse practitioners and nurse midwives sign athletic physicals K through 12. >> I just was not clear.

Bills: HB146, HB276

Keywords: youthful offender, criminal justice, capital murder, public safety, victims' rights, social media, minor safety, child online safety, teen accounts, parental controls, age verification, digital privacy, online platform regulation, content moderation, deceptive trade practice, Attorney General enforcement, cyber safety, mental health, youth mental health, screen time

Transcript Highlights:

• I'm lucky to have a nurse practitioner in a large part of my district.
• Telehealth dialed a nurse practitioner into a... national head trauma expert.
• A primary physician has five nurse practitioners or APRNs underneath his umbrella.
• Maybe, you know, we do need brick-and-mortar produced nurse practitioners.
• How many patients would a family nurse practitioner see a day?

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• practitioners<00:19:29.600> to<00:19:29.840> inject PAs and nurse practitioners
• I have a lot of respect for nurse practitioners.
• And many of those women's health nurse practitioners were labor and delivery nurses before.
• disparaging nurse practitioners at all. disparaging nurse practitioners at all.
• <00:23:15.600> were women's health nurse practitioners were women's health nurse practitioners

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• care nurse practitioner.
• About safety, there are no studies that show that care delivered by nurse practitioners is unsafe.
• I'm a family nurse practitioner and psychiatric nurse practitioner.
• Chris Floyd with the Florida Association of Nurse Practitioners, waving in support.
• have moved into nurse practitioners have moved into rural areas, but 112 have actually moved out.

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• In this case, we can funnel new nurse practitioners who are, um,...
• Nurse practitioners in the state of Utah in the brick-and-mortar schools are required to have nursing
• Yeah, I spoke with some nurse practitioners, and nurse practitioners who have children that are becoming
• or becoming a nurse or nurse practitioner can count.
• In the area of nurse practitioners, I'm not seeing the data that nurse practitioners need more oversight

Keywords: 985, all

Transcript Highlights:

• I also lead a team of 40 women, including nurse practitioners, registered nurses, and support staff.
• PAs and nurse practitioners are not new to healthcare; we are foundational to it.
• an aesthetic nurse practitioner program, because when many of these nurses then decide to become NPs,
• I'm a psychiatric mental health nurse practitioner practicing here in Massachusetts.
• I'm a psychiatric mental health nurse practitioner practicing here in Massachusetts.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• But this is a false comparison because to even start your education and training as a nurse practitioner
• , which are the backbone of health care, family nurse practitioner, psychiatric mental health nurse practitioner
• Hi, I'm a nurse practitioner, and I'll be seeing you today.
• Family nurse practitioner, psychiatric mental health nurse practitioner, certified nurse midwife, nurse
• Hi, I'm a nurse practitioner, and I'll be seeing you today.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• > Pas<00:17:19.079> have<00:17:19.199> to nurse practitioners and all Pas have to nurse
• education credits for nurses and nurse practitioners.
• <00:37:15.240> practitioners assistants and nurse practitioners assistants and nurse practitioners
• :47.160> nurse<00:38:48.079> practitioners<00:38:49.079> uh nurses and nurse practitioners
• physician assistants and nurse physician assistants and nurse practitioners<00:40:06.280> can

Keywords: 928, house, all

Summary: The committee opened a public hearing on House Bill 493, a proposal to require physicians, nurse practitioners, and physician assistants to complete child abuse and neglect training as part of licensure and continuing education. The bill’s sponsor and supporters said the measure addresses a gap in provider training, especially because abuse can be difficult to recognize and voluntary training has had low participation. They described a free Dartmouth online course and argued that mandatory, repeated education would help providers identify signs of abuse, know when to involve specialists or DCYF, and improve child safety. Supporters also noted the bill was amended to clarify coverage for nurse practitioners, physician assistants, and nursing hours, and to address language concerns raised by the Office of Professional Licensure and Certification. Committee members and OPLC counsel raised implementation questions, including whether the bill would apply to all physicians regardless of specialty, whether it created a new licensure condition rather than only a continuing education requirement, how often the training would need to be repeated, and whether the accreditation language fit nursing rules. OPLC also noted that psychiatrists would be covered as physicians, while psychologists would not. A child abuse pediatrician testified that in his experience, children were sometimes seen by providers who missed early signs of abuse, leading to worse outcomes, and that mandatory education was needed because voluntary programs had poor uptake. The New Hampshire Hospital Association opposed the bill, saying health care professionals already have reporting duties and that the legislature should not single out one training mandate when similar requirements are generally left to licensing boards. The Office of the Child Advocate supported the bill, citing cases from 2023 involving non-ambulatory infants with fractures, conflicting medical testimony in court, and a low completion rate for the existing free online course. The Child Advocate said the bill should be mandatory and recurring so providers stay current on evolving science and law. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• Massachusetts nurse practitioner myself.
• On behalf of the MCNP and the more than 17,000 licensed nurse practitioners we represent, On behalf of
• the MCNP and the more than 17,000 licensed nurse practitioners we represent across the Commonwealth,
• To be clear, all of these clinical functions are within the current legal scope of nurse practitioner
• I think that nurse anesthetists, even though we are advanced practice nurses like our nurse practitioner

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• <00:31:35.760> practitioner something that a nurse practitioner something that a nurse practitioner
• We did that with the advanced practice nurse practitioners.
• We expanded their nurse practitioners.
• physician nurse practitioner or this physician nurse practitioner or this physician assistant,<01
• with a nurse practitioner. with a nurse practitioner. Really?

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and approval of the prior journal. The House communicated that it had passed House Bill 4 and requested concurrence. The chamber then received second-reading reports for Senate Bills 18, 33, 85, and 132, and committee reports indicating Senate Bills 136, 183, 2, 4, and 71 should pass, with some substitutes and title amendments. The Senate also introduced Senate Resolutions 79 and 80 honoring Joseph Harden McFarland and Jeremiah Parsons. The main floor action centered on Senate Bill 5, relating to Kentucky-grown agricultural product procurement. The sponsor described it as a way to improve school nutrition, support Kentucky producers, and keep food dollars in local communities. Several senators spoke in support, including references to the Make America Healthy Task Force and the idea of using food procurement as a tool for rural prosperity and better nutrition in schools. Senate Bill 5 passed by roll call, 38-0. The Senate also passed Senate Bill 73, which would allow home-based processors to use beef tallow in cosmetic products. The sponsor said the bill would expand existing home-processing authority beyond food products to cosmetics. It passed unanimously, 38-0. Senate Bill 12, relating to medical provider coverage and level four trauma centers, drew the most extended debate. Supporters argued it would help rural hospitals join the trauma network by allowing nurse practitioners and physician assistants to work under physician supervision, including remote supervision, and said it would improve access and save lives in underserved areas. Opponents, including a physician senator, argued the bill would lower trauma-care standards and could put patients at risk by allowing non-physician staffing in facilities that need immediate hands-on medical expertise. After lengthy discussion, the bill was advanced and then passed by roll call, with supporters emphasizing rural access and opponents warning about patient safety and the adequacy of physician coverage.