Transcript Highlights:

• But about 10 years ago, I took over my father's practice, who had practiced in New Mexico. in Las Cruces
• This isn't the state to practice in," which is my home state, the state that I chose to practice in.
• So we're aware of that when we practice in New Mexico.
• So, we've done... things to drive people out of private practice, to drive doctors out of private practice
• Physician daughter practices in Texas, and the attorney daughter practices in New Mexico.

Keywords: 996, all

Transcript Highlights:

• For almost 25 years, we've been using a restorative practice called Circle.
• is just one type of restorative practice is just one type of restorative practice but<00:04:41.800
• restorative practice.
• restorative practice.
• restorative practice.

Keywords: 1183, house

Transcript Highlights:

• the scope of practice for optometrists. the scope of practice for optometrists.
• commonly seen in optometric practices. commonly seen in optometric practices.
• practice of optometrists. Thank you. practice of optometrists. Thank you.
• we dilute the practice, they aren't able to maintain scale to maintain the practice.
• the scope of practice for optometrists. the scope of practice for optometrists.

Keywords: 926, house, all

Summary: The House began with several announcements and recognitions, including a lengthy tribute to Representative Carolyn Brangan of Georgia on her retirement and years of service, followed by remarks from Brangan explaining that she is leaving to care for her husband during cancer treatment. Additional members offered brief reflections, including one on the end of the session and another welcoming students from Founders Memorial School to the gallery, and a member from Brattleboro highlighted a collaborative mural in the card room titled “These Green Hills, Vermont State Symbols and Personal Reflections.” The body then took up its calendar. It adopted Joint House Resolution 12, authorizing limited remote voting in joint committees through the remainder of the calendar year, with an ADA-related accommodation for members physically present but unable to access a meeting room. The House also suspended rules to take up and concur in the Senate amendment to House Bill 935 on emergency management. The committee report described grant programs for emergency response and technical rescue, new definitions and shelter-planning language centered on “whole community,” a wildland fire response task force, and an emergency rulemaking provision requested by the Agency of Natural Resources; the committee approved the Senate proposal on an 8-3 straw poll, and the House concurred. The House next adopted the conference committee report on House Bill 952, the capital construction and state bonding budget adjustment bill. The report explained changes made in conference, including shifting funds to cover a higher-than-expected bid for the St. Johnsbury facility, restoring some funding for maintenance at the women’s correctional facility in Chittenden County, and setting aside $750,000 toward planning for Wi-Fi installation in correctional facilities. It also noted a lease-related language change for a Vermont Huts project at Little River State Park, with notification to the institutions committee chairs. The House then took up Senate Bill 64 on optometrists’ scope of practice; the committee presentation supported allowing specially credentialed optometrists to perform certain minor surgical, laser, and injection procedures, citing improved access, safety, cost, and workforce development, and the bill was read for second reading with committee recommendations for concurrence.

Transcript Highlights:

• So we want to study that and see if there's better practices.
• So we want to study that and see if there's better practices.
• They're straight out of practice.
• on their own, or go join another practice.
• They may be unhappy in the corporate practice they're in.

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• have jurisdiction over anyone practicing have jurisdiction over anyone practicing in<00:10:35.279
• standing or authorized to practice standing or authorized to practice medicine<00:31:17.440>
• unrestricted license to practice unrestricted license to practice medicine<00:31:39.360> in
• <00:31:56.159> in periods in an active practice in periods in an active practice in Kentucky
• practicing without supervision. practicing without supervision.

Keywords: 958, all

Summary: The committee met on October 23, 2025, approved the September 25 minutes, and heard several informational presentations on occupational licensing and workforce access. The first major topic was the dietitian licensure compact, presented by Rep. Vanessa Gracel, Whitney Duddy, and Caitlyn Bison. They said the compact would be revenue-neutral, improve licensure portability, support military families, expand telehealth and rural access, and preserve state regulatory authority. Testimony noted that 15 states had joined the compact, including Ohio and Tennessee, and that Kentucky would have a seat on the compact commission if it enacted the measure. Members asked about bordering states and possible telehealth competition concerns; witnesses said they had not seen evidence of harmful effects in other compacts and described the compact as expanding access rather than displacing local providers. The committee then heard testimony on music therapy licensure, with Chris Millet, Laura Elliot Buckner, and Dr. Kimberly Cinemore speaking in support of Senate Bill 42. They described music therapy as a clinical, board-certified profession requiring formal education, supervised training, and national certification, and argued that state licensure would protect the public, clarify scope of practice, and help retain Kentucky-trained professionals. Witnesses said the bill would not require new state funding, could be administered through a self-sustaining licensing structure, and would not prevent others from using music in their work. In response to questions, they said licensure could help open doors to insurance, waiver, and HSA reimbursement, but would not guarantee coverage. Finally, the committee heard testimony on expanding physician access through a provisional licensure pathway for internationally trained physicians. Adam Meyer of the Cicero Institute said Kentucky faces a severe physician shortage, especially in rural areas, and argued that qualified international physicians should not have to repeat residency if they meet strict criteria, including an employment offer, prior training and experience, good standing, U.S. exam passage, and a three-year provisional period before full licensure. Rapender Carr of Baptist Health supported the concept, saying it could help fill hard-to-recruit positions across the state and improve access in rural markets. No votes were taken on these policy topics during the meeting.

Transcript Highlights:

• They're just not very big as a practice matter in the real world.
• Whereas other practices and specialties are in the hundreds of thousands.
• These are all things that are not part of the practice.
• None of them represent investment in the future of the practice.
• Private equity firms have shown particular interest in assets with defined billing practices or practices

Transcript Highlights:

• Adequately prepare students for nursing practice in accordance with Florida laws.
• at all levels, utilizing that in our data to then build best practices.
• , effective evaluation methods, clinical practice.
• , effective evaluation methods, clinical practice.
• Well, I think it's a lot of the same best practices we've heard.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• practice.
• I practice all over the country.
• I'm a practice of one doctor.
• Some practice in health care facilities; others practice as co-partners in private small family practices
• This practice, in particular, Dr.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• practicing in Kentucky? practicing in Kentucky?
• engage in any more independent practice. engage in any more independent practice.
• competency in practice. competency in practice.
• and practicing. and practicing.
• examination. >> And their own practical examination is a hands-on practical examination. >> Got it.

Keywords: 958, all

Summary: The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection. Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection. Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.

Transcript Highlights:

• privilege under the uh data Practices privilege under the uh data Practices Act<00:07:53.560>
• when they're dealing with data practices when they're dealing with data practices requests<00:08
• conversation about the data Practices conversation about the data Practices Act<00:08:37.479>
• <00:08:56.200> Act broader about the uh data Practices Act broader about the uh data Practices
• protection under the data Practices protection under the data Practices Act<00:20:09.720> all

Keywords: 919, house, all

Summary: House Majority Leader Harry Niska discussed House File 20, a bill he said would amend Minnesota’s Data Practices Act by adding the words “on individuals” to clarify that the private-data exemption applies only to information actually tied to an individual person. He argued the bill would overturn a 2022 Minnesota Supreme Court decision in Energy Policy Advocates v. Allison that, in his view, allowed the Attorney General’s office to withhold policymaking and closed investigative data even when no individual privacy interest was involved. Niska framed the measure as a transparency and democracy issue, saying the Attorney General’s office should not have a special secrecy privilege that other state agencies and prosecutors do not have. In response to questions, Niska said the Attorney General opposed the bill, citing concerns about the cost and burden of data practices requests and raising a broader question about whether some businesses might have privacy interests similar to individuals. Niska said the bill is not meant to eliminate legitimate privacy protections for actual individuals, including sensitive investigative information, but to prevent the office from using the private-data category to shield non-personal information. He also said the issue arose in part from information about outside influence on the Attorney General’s office, including funding for positions through NYU and the Bloomberg Foundation. Niska said the bill had been introduced by Republicans two years earlier but did not receive a hearing, and he expected it to come to the House floor because Republicans now control committees. He said Democrats were expected to vote as a bloc against it, and he suggested the vote would show where members stand on transparency. He also said other GOP priorities may move through committees and to the floor as they are ready, mentioning permitting reform, repeal of the nuclear moratorium, and an OIG-related bill, but he did not provide a detailed schedule. No vote on the bill was taken during the exchange.

Transcript Highlights:

• and want to speak from a practical perspective.
• That's part of my ultimate practice. So it's not like a turf thing for me.
• That's what our entire scope of practice is. I sort of think of it as an expansion.
• The training that we have to complete in order to be able to do this in our practices.
• Do a facelift or that type of surgical procedure in my practice.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• That is due to age and changes in types of practices in oral health.
• There's been a big change in practice.
• been major issues in your practice, you're going to get a license.
• In turn, they will practice in New Mexico after they finish.
• And come back to practice in one of these high rural areas.

Transcript Highlights:

• They have been authorized to practice.
• They have been authorized to practice.
• Years of practice: how many years of practice is a candidate required to have to even apply?
• How recent is that practice?
• Of approach to practice.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• clinical practice. clinical practice.
• the scope of your practice? the scope of your practice?
• allows currently practicing allows currently practicing professionals<00:19:23.120> to<00
• clarifies the scope of practice clarifies the scope of practice definitions,<00:20:08.760> and
• . practicing. practicing.

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• implementation groups in best practice implementation groups in best practice those<00:29:49.640
• I said her practices—internal to it, practices of which I know way more than you do—were sloppy.
• I said her practices—internal to it, practices of which I know way more than you do—were sloppy.
• is you know what whatever best practice is you know what whatever best practice your<01:06:31.960
• standards these are good best practices standards these are good best practices so<01:19:42.239>

Bills: HF1060, HF1062

Keywords: sports facilities, Minnesota, legislative commission, financial oversight, accountability, HF1062, driver and vehicle systems oversight committee, MNLARS, VTRS, vehicle title and registration system, driver's license system, Minnesota Department of Public Safety, MN.IT, legislative oversight, transportation finance, state government, committee repeal, sunset provision, information technology audit, vehicle registration

Transcript Highlights:

• Senate Bill 294, collaborative pharmacy practices for chronic health conditions by Senator Harold.
• You know, several years ago, I think it was about six years ago, we expanded the scope of practice for
• The collaborative practice agreement, or CPA, is a voluntary arrangement that creates a...
• Physicians and pharmacists have been entering into collaborative practice agreements...
• The current collaborative practice statute has the necessary guidance and protections for prescribers

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• Um, but, you know, per, per the dentist, uh, the Texas Dental Practice Act, dentists are broadly allowed
• from a practical perspective.
• Aesthetics, you know, practices. OK.
• That's what our entire scope of practice is.
• a facelift or that type of surgical procedure in my practice.

Transcript Highlights:

• So, I'm going to vote in practices.
• workforce mobility and remote practice workforce mobility and remote practice settings.<00:07:15.280
• <00:13:54.160> before undergo a supervised practice before undergo a supervised practice before
• <00:18:43.840> Act Kentucky Veteran Veterinary Practice Act Kentucky Veteran Veterinary Practice
• This is this is what practice acts.

Keywords: 00:00 Call to Order 00:05 Roll Call 1:00 HB 357 Discussion 4:53 HB 357 Vote 6:40 HB 45 Discussion 8:00 HB 45 Vote 9:29 HB 48 Discussion 15:00 HB 48 Vote 16:25 HB 212 Discussion 20:17 HB 212 Vote 21:50 HB 49 Discussion 25:55 HB 49 Vote 27:16 Adjournment, 958, all

Summary: The Licensing, Occupations, and Administrative Regulations Committee met with a quorum and took up several bills, beginning with House Bill 387. The bill was presented as a measure to ensure veterinarians are not subject to controlled-substance reporting requirements through regulation or other means, while also revising the controlled substance council to remove an emergency medicine physician and an acute care nurse and add two veterinarians. Supporters said the change was needed because veterinary reporting would be overly complicated, especially in rural Kentucky and for large-animal practices. The committee adopted the committee substitute, approved a committee amendment, and passed the bill unanimously, including the title amendment and emergency clause. The committee then heard House Bill 45, which would modernize Kentucky CPA licensure. The sponsor and the State Board of Accountancy said the bill updates outdated rules, supports workforce mobility and remote practice, reduces barriers to interstate commerce, and adds a new licensing option to address time and cost concerns for candidates. The committee passed the bill unanimously. House Bill 48 followed, a long-updated physical therapy practice act revision. Testimony said it would clarify and streamline the statute, add definitions for physical therapist assistants, change certification language to licensure, allow expungement of minor non-patient-harm violations, clarify sexual misconduct language, adjust disciplinary and fee-setting provisions, and ease requirements for some internationally trained practitioners. The committee again passed the bill unanimously. House Bill 212 was next and would allow licensed veterinary technicians, under direct veterinarian supervision, to administer rabies vaccinations to dogs, cats, and ferrets. The sponsor and Kentucky Veterinary Medical Association said the change would help shelters, humane societies, and mass vaccination clinics, improve recordkeeping, and address rising rabies concerns in Kentucky. The committee approved the bill unanimously. Finally, House Bill 49 was presented by Representative Matt Cook and the Board of Licensure for Engineers and Surveyors as a scholarship program funded by $5 from each annual license renewal plus fines and penalties, aimed at encouraging Kentucky students to enter engineering and surveying and remain in the state for six years after graduation/licensure. Members asked about the service commitment and funding source; the sponsor said the program would use existing funds and not raise renewal rates. The committee passed the bill unanimously, with the chair noting it as a positive example of board modernization.

Transcript Highlights:

• There's a small exemption for practices of three physicians or less, but you can imagine a practice of
• Yeah, so imagine we have two separate practices, two separate sites, locations of our practice, and we
• I think you're talking about two separate practices merging. I was talking about a single practice.
• That is their practice. Or your practices, and then you go take another test.
• That is their practice.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• field that person is supposed to be practicing.
• “Say stop if a practitioner crosses the line to practice medicine without a license.
• , but the board setting their schedule scope of practice for chiropractic.
• One of the boards has someone practicing orthodontist with a chiropractic title.
• These changes will take effect as soon as practical, but no later than August 2027.

Summary: The Senate opened with an invocation and then took up several recognitions and memorial resolutions, including honoring retiring Senate staffer Kelvin Bass and Secretary of the Senate Patsy Spaw and her staff. Members also adopted a series of local and honorary resolutions, including designating Rockport as the Redfish Capital of Texas, San Antonio as Military City, Texas, and Bridge City as the Corn Dog Capital of Texas, along with memorial and medal-of-honor resolutions for Texans and service members. The chamber also received messages from the House reporting passage of various measures and conference committee actions. The bulk of the meeting focused on conference committee reports and related procedural resolutions. The Senate adopted reports and/or out-of-bounds resolutions on SB 293, SB 1610, HB 46, HB 145, HB 1545, SB 650, SB 1660, HB 40, SB 2217, HB 119, HB 493, HB 3642, HB 2963, SB 2024, SB 2972, HB 2516, HB 2885, and SB 2753, among others. Topics included the Texas Civil Commitment Office, the T-Cup prescription program, wildfire mitigation and utility liability, sunset scheduling, alcohol ID swiping at retail and package stores, business court jurisdiction, election administration and data consistency, foreign adversary lobbying, poll watcher qualifications, road naming, right-to-repair, disguised vape pens, and campus expressive activity rules. Several measures passed with near-unanimous votes, while others drew more opposition, including SB 268 on medical board enforcement and SB 2753 on election procedures. There was extended debate on SB 268, which would shift enforcement authority for scope-of-practice complaints to specialty boards rather than the Texas Medical Board. Senators raised concerns about whether the bill would weaken the Medical Board’s ability to stop unlicensed practice of medicine, while supporters argued that specialty boards should police their own licensees and that criminal referrals remain available for unlicensed practice. The Senate also discussed SB 2972 on expressive activities at public universities, with questions about content-neutral restrictions, who counts as the university community, and whether the bill provides a mechanism to challenge campus time, place, and manner rules. Both bills ultimately passed their conference reports, and the Senate later adopted a large package of resolutions by voice vote before adjourning further business.