Transcript Highlights:

• practices act can be extremely costly. practices act can be extremely costly.
• is to respond to data practices is to respond to data practices requests. requests. requests.
• mine who's an expert on data practices mine who's an expert on data practices laws
• as a practical matter.
• Practice principles.

Keywords: 1183, house

Transcript Highlights:

• that they felt in these type practices. that they felt in these type practices.
• and to my practice of medicine.
• This may not affect your practice. We don't do legislation just for your practice.
• And there are a lot of practices that this will affect, but it may not affect your practice.
• Chairman, I'd like to ... uh to continue to practice. Thank you. uh to continue to practice.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• <00:09:14.560> that cohesive evidence-based practices that cohesive evidence-based practices
• probably have heard about the practice probably have heard about the practice assessments.<00:42
• Now you can practice.
• keeping the practice. keeping the practice.
• <00:59:53.040> chairs, practice is the answer. So, Mr. chairs, practice is the answer.

Keywords: Call to Order and Roll Call - 00:13 Approval of Minutes - 4:07 Kentucky Academic Standards for Reading and Writing - 5:18 Math Improvement Committee Report - 21:02 ETS Praxis Exam - 41:47 KDE Performance Review Data - 1:15:04 Adjournment - 1:57:54, 958, all

Summary: The committee heard a presentation from KDE on the revised Kentucky academic standards for reading and writing. KDE explained the statutory six-year review process, the public comment periods, and the main revisions, including updates tied to the science of reading, decodable text, encoding/decoding, and an updated vision statement. KDE said 308 responses were received on the initial public comment, most respondents favored keeping standards as-is, and about 12% of standards were revised. The department also said the document was streamlined by removing repeated graphics and reducing its size by about 24%, and that a later comment period drew more than 400 responses. No new standards were flagged for review. Members asked about alignment between standards, curriculum, assessments, and NAEP, and KDE said instructional resources should be aligned to standards, KSA assessments are aligned to the standards, and screeners/diagnostics help identify student needs. Representative Truett raised the idea of a textbook-to-standards crosswalk, and KDE said publishers and a future repository partner should provide such crosswalks for local districts. Representative Bojanowski asked why foundational reading skills are not directly assessed on the third-grade KSA; KDE responded that the assessment is designed to measure end-of-grade expectations, while screening and diagnostics are used earlier to identify decoding needs. Representative Gel asked about early childhood supports, and KDE said it is working with early learning and special education offices and promoting LETRS professional learning for both teachers and preschool educators. The committee then received the mathematics improvement committee report. KDE said the mathematics committee unanimously approved a new strategic plan for improving math achievement from pre-K through grade 20 and adult education. The plan centers on six priorities: student empowerment, effective mathematics teaching and learning, continuous educator development and growth, a continuum of learning, community and family partnerships, and teacher recruitment and retention. KDE said the plan is intended as a living document with goals, recommended actions, and evidence bases, and that it aligns with the Kentucky Numeracy Counts Act by supporting high-quality instructional resources, professional learning, and family resources. In response to Senator Thomas, KDE explained that the professional learning recommendation means districts should tailor teacher training to classroom needs and instructional materials so math teachers are better equipped to implement standards and support students.

Transcript Highlights:

• <00:26:14.919> out<00:26:15.080> of dietitian who practices out of dietitian who practices
• practice.
• No extension of scope of practice.
• No extension of scope of practice.
• <00:37:47.319> we're extension of of scope of practice we're extension of of scope of practice

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• House Bill 649, autonomous practices by CRNAs.
• Vice Chair, House Bill 649, Autonomous Practices by CRNAs.
• Nursing Practice in Nurse Anesthesiology program at USF.
• There are really only five states that have true independent practice.
• We can argue about scope of practice and whether this is it or it isn't.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• practice practice um<00:46:14.400> the<00:46:14.559> experience<00:46:15.160> of
• And how many of the J-1 teachers go through a practice... sure it is due to the practice test it sure
• because like some of you said practice because like some of you said practice can<01:09:07.279><
• Practice is not the requirement.
• Not all use the practice test.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 627, which concerns Department of Education school safety funding and staffing. DOE said the bill would restore two positions and related funding that had been removed from the governor’s budget: a targeted violence prevention and threat assessment program manager and a security technology manager. DOE described ongoing work on school vulnerability assessments, fire suppression measures, security camera research, panic buttons, and active shooter prevention training. Testifiers from DOE, the Department of Law Enforcement, fire services, HSTA, and an individual witness all supported the bill, with the individual citing a past school shooting experience as a reason to increase school resource officers and safety measures. Members asked about the positions’ duties, how the request differed from existing security funding, and the status of active shooter training; DOE said it would provide more information on training statistics. The committee then took up HB 249, relating to Executive Office on Early Learning family child interaction learning programs. The Early Learning Board, EOEL, Commit to Kids, Early Childhood Action Strategies, Partners in Development Foundation, and others testified in support. EOEL said it currently spends about $800,000 annually on FCI program contracts and supports expanding state funding for FCIL programs, including infant and early childhood mental health, if the appropriation covers the broader scope. Testifiers emphasized that FCIL programs are trauma-informed, evidence-based, and help families and children, with one provider sharing a long-term example of a parent and child benefiting from the program. Members asked how many programs are supported, whether FCIL exists on all islands, and whether the request was in the governor’s budget; EOEL said the expansion was requested by the office but not included in the governor’s budget. HB 429, concerning pre-K expansion, drew broad support from the Lieutenant Governor, EOEL, HSTA, and community groups. Supporters said the Ready Keiki initiative has already opened more than 50 classrooms and would add another 50 over the next two years, including Hawaiian immersion classrooms. EOEL said it currently administers 72 public pre-K classrooms across 74 campuses and that the bill’s funding was included in the governor’s budget request. Testimony stressed kindergarten readiness, affordability for working families, equity across islands, and inclusion classrooms. Members asked about national quality benchmarks, with EOEL stating Hawaii meets 10 of 10 benchmarks and that only five states had done so at the time referenced. The Lieutenant Governor also described construction and delivery efforts, including refurbishing existing classrooms, modular options, possible use of state buildings, and even collaboration with libraries to expand child care access. Finally, the committee heard HB 439 on J-1 teacher licensure. DOE supported the bill, while the Hawaii Teacher Standards Board opposed it, arguing licensure standards are not place-based and should remain rigorous and uniform for all educators. The Attorney General’s office offered technical comments, including replacing “educators” with “teacher” and clarifying the bill’s language on issuance and renewal conditions. Several organizations and individuals testified in support, including school, cultural, business, and educator groups. One witness, a teacher from the Philippines, said J-1 educators are highly qualified and described the rigor of teacher preparation in the Philippines. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• A secure physician group practice.
• rural and smaller community practice rural and smaller community practice addressing<00:16:07.199
• <00:21:36.480> plan to see how we work as a practice plan to see how we work as a practice
• <00:24:40.480> of community practice, the practice of community practice, the practice of
• medical school faculty practicing medical school faculty practicing clinically<00:31:45.279>

Keywords: 1183, house

Transcript Highlights:

• Best practices.
• When I first worked on this, practices.
• 00:05:00.800> exams likely uncommon, these practice exams likely uncommon, these practice exams
• for unconscious practice exams.
• for unconscious practice exams.

Keywords: 1183, house

Transcript Highlights:

• All of this impacts midwives' ability to sustain their practices.
• Let me give you a couple of real-life examples from my practice.
• My practice is on the South Shore.
• I started a direct primary care practice in 2017 called Action Medicine and currently practice in Braintree
• I'm going to give you some examples from my clinical practice.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• The bill clarifies that a housing policy or practice may violate the Delaware Fair Housing Act when it
• Number two, a respondent may demonstrate that the challenged practice serves a substantial, legitimate
• practices, occupancy standards, screening policies, and land use decisions.
• housing practices covered under Delaware's Fair Housing Act.
• Fair housing principles as any other practice.

Summary: The Senate Land Use Committee met in hybrid format but did not have a quorum, so it did not approve minutes or take formal votes. The committee first heard House Bill 457, which would raise the appraisal threshold for certain DELDOT real property dispositions from $10,000 to $25,000 to match federal highway standards and reduce the time and cost of selling small surplus properties. There was little discussion and no public comment on that bill, and the chair indicated it would be circulated. The committee then took up House Bill 451, which would codify a disparate impact framework under Delaware’s Fair Housing Act. The bill was described as clarifying that housing policies or practices can violate the law even without discriminatory intent if they have an unjustified discriminatory effect on a protected class, using a burden-shifting test similar to federal law. The sponsor and DHSA said the measure was intended to preserve fair housing protections amid uncertainty at the federal level, and an additional amendment was discussed that would delay implementation for 180 days and require DHSR, with DSA and stakeholders, to conduct outreach, education, and training. Public testimony was divided. Supporters, including Housing Alliance Delaware, YWCA Delaware, and the Delaware Human and Civil Rights Commission, said the bill would protect against discriminatory outcomes, align state law with longstanding fair housing principles, and preserve recourse if federal enforcement changes. Opponents and housing-provider groups, including the Delaware Association of Realtors, Greater Wilmington Housing Providers, and the Delaware Apartment Association, argued the bill could create liability for neutral policies, rely on statistical outcomes landlords cannot easily measure, and increase litigation and costs; several asked for more time, a right-to-cure process, or further amendments. The committee adjourned without taking a formal vote.

Transcript Highlights:

• Dentistry is considered to be the practice of veterinary medicine.
• Dentistry is considered to be the practice of veterinary medicine.
• in practice.
• Going to practice when you're out in practice. Continue. Thank you, Mr. Chair.
• Just left acceptable livestock practices.

Keywords: 908, all

Summary: The conference committee on House/Senate Bill 2129 met to resolve the House amendment to the Senate-passed bill, which concerns exemptions related to veterinary practice. The main dispute centered on the House language adding terms such as “specialized or holistic trade” and expanding exemptions to include acupuncture/acupressure and non-veterinary dentistry, while the Senate preferred a narrower, more definitive list of exempt activities. Senators and House members discussed whether the word “includes” made the exemption open-ended, and whether equine dentistry should be treated as veterinary medicine or allowed as a separate practice. Testimony from Dr. Sarah Lyons of the North Dakota Board of Veterinary Medical Examiners and veterinarian Troy Dutton emphasized that dentistry, including equine dentistry, is generally considered the practice of veterinary medicine and can involve invasive procedures and animal safety risks. They argued the House amendment lacked educational or licensing requirements and could allow untrained individuals to perform procedures such as dentistry or acupuncture. House members raised concerns about rural access, shortages of veterinarians, and the practical reality that some horse owners and equine practitioners currently perform float work and similar services. After extended discussion, the committee did not reach agreement. Members noted that the House amendment language differed from the Senate version on the key exemption provisions, and that further review of proposed alternative language would be needed. A motion was made and approved by roll call that the committee was unable to agree at this time and would schedule another meeting. The meeting was then adjourned pending rescheduling.

Transcript Highlights:

• if a hospital buys that practice and does nothing else, An independent physician practice.
• guys, little Of independent physician practice, small guys, little group practices, solo practitioners
• My wife runs a private practice.
• If I'm an independent practice, I'm a for-profit practice. I pay taxes.
• If I'm an independent practice, I'm a for-profit practice. I pay taxes.

Keywords: 1184, house, all

Transcript Highlights:

• Additionally, some information about the economics of rural practice: rural practices are facing kind
• of healthcare practice.
• , and then a practice in Las Cruces.
• Obviously, the pediatric practices are offering significant care, and there are many private practices
• So, I think typically a general practitioner who is in full-time practice with their own practice and

Transcript Highlights:

• The first piece would require an active RRT, registered respiratory therapist credential, to practice
• Currently, someone can practice with either a CRT, certified respiratory therapist, or an RRT credential
• So you can practice in Missouri without having passed any simulation exam.
• to practice.
• Senate Bill 991 allows licensed interior designers to practice to the full extent of their training and

Summary: The Committee on Professional Registration and Licensing heard Senate Substitute for Senate Bill 1083, which combines several professional licensing changes. The senator presenting the bill explained that the respiratory therapy section would require an active RRT credential to practice in Missouri, while preserving a grandfather clause for current CRT licensees, and would add random renewal audits to confirm active credentials. The Senate-added provisions also addressed interior designers, physician licensure background checks and disclosure of out-of-state discipline, reduced the required experience for social worker supervisors from five years to three, and allowed speech-language pathologists to complete clinical fellowships under supervision of licensed SLPs in good standing from any state. During questioning, Representative Nolte disputed the claim that the interior design board was in full agreement with the bill, while the sponsor and an industry witness said the profession had negotiated changes through board-related channels. Testimony in support came from representatives of the Missouri Society for Respiratory Care, the Interior Designers Association, the Missouri Speech-Language and Hearing Association, the National Association of Social Workers–Missouri Chapter, Burrell Behavioral Health, and FGA Action. Supporters described the respiratory therapy language as a patient-safety measure, the interior design language as a scope-of-practice and business-cost reduction measure, the speech-language pathologist provision as a technical fix to ease licensure and compact participation, and the social work change as a needed response to supervisor shortages, especially in rural areas. No opposition testimony was offered. The committee then went into executive session on SB 1083, adopted an amendment that included additional cleanup and related licensing changes, rolled the amendment into the committee substitute, and voted the House Committee Substitute for Senate Substitute for Senate Bill 1083 do pass. The roll call passed 21-1, with Representative Nolte voting no. The chair announced there were no further bills before the committee and adjourned.

Transcript Highlights:

• practice law in Fort Mitchell, Kentucky. practice law in Fort Mitchell, Kentucky.
• an attorney that practices in Lexington. an attorney that practices in Lexington.
• We run the risk of practicing law.
• <00:15:34.079> of this goes directly to the practice of this goes directly to the practice
• <00:36:31.599> I it's very practical. I can use it. I it's very practical. I can use it.

Keywords: Call to Order 00:00 Roll Call 00:02 HB 526 Discussion 01:12 HB 526 Vote 37:51 HB 424 Discussion 41:41 HB 424 Vote 44:40 HB 459 Discussion 45:57 HB 459 Vote 47:26 Adjournment 48:21, 958, all

Summary: The committee took up House Bill 526, while House Bill 254 was removed from the agenda at the sponsor’s request. HB 526 would make bar membership and dues voluntary for Kentucky attorneys, and the sponsor argued it protects constitutional rights, prevents compelled association, and would not stop the Kentucky Supreme Court or Kentucky Bar Association from offering services such as CLE, ethics support, and lawyer assistance programs. He also argued Kentucky lawyers should not be forced to fund speech or activities they may disagree with, and urged passage of the bill. Representatives of the Kentucky Bar Association, including its president and the chair of the Young Lawyers Division, opposed the bill. They said the KBA is an arm of the Supreme Court rather than a private association, and that mandatory dues support nonpolitical services such as free continuing legal education, legal research, the Kentucky Lawyers Assistance Program, ethics guidance, mentorship, disaster relief work, and the Legal Food Frenzy. They warned that changing to a voluntary system would reduce infrastructure, increase costs for lawyers, and potentially shift more regulatory and service burdens to the Supreme Court. Members questioned whether the bill would actually prevent the KBA from continuing its programs and asked about other states’ bar structures. The sponsor and supporters pointed to Indiana and other states with voluntary bar membership, while KBA witnesses said Kentucky’s current system is efficient and constitutional and that many services are not truly free but are funded through dues. The discussion became heated at points over whether KBA testimony itself constituted political speech, and the chair intervened to keep the meeting moving. The transcript ends during member questions, with no final vote on HB 526 shown.

Transcript Highlights:

• practice in the next five years. practice in the next five years.
• assistants, and advanced practice assistants, and advanced practice registered<01:12:19.120>
• their actual practice? their actual practice? Chair<01:15:46.320> Schemacher.
• that's why I brought up the practice that's why I brought up the practice question<01:45:07.440>
• opportunity to have more nurses practice opportunity to have more nurses practice under<01:45:21.600

Bills: HF1925

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation, 1183, house

Transcript Highlights:

• But just to clarify, we're not practicing medicine because in the state of Louisiana, practicing medicine
• Today you're not practicing medicine, but this bill would allow you to practice medicine. Correct.
• But today you're not practicing medicine, but this bill would allow you to practice medicine.
• scope of practice, including opioids.
• You know, I don't really see it working in practice.

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• of practice, would have to be made in statute.
• practice independently.
• And there are a couple of states that have adopted this practice already.
• in other countries and have practiced in other countries.
• So I've taken what you've given me and I put it into practice.

Keywords: 996, all

Transcript Highlights:

• They saw practices self-sustaining in 90 days at a 30% margin after 11 months.
• We know that it works in large practices.
• ...or is that a referral within the practice and collaborative care?
• Altman's team to provide collaborative care at his practice.
• Well, it's because, first of all, it's a proven practice.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• S.163, an act relating to the role of advanced practice registered nurses in hospital care. >> Member
• <00:16:45.000> registered role of advanced practice registered role of advanced practice registered
• registered nurses in advanced practice registered nurses in hospital<00:17:08.760> care.
• Over time, hospital practice has evolved to include advanced practice registered nurses and physician's
• V.S.A. section 1851 of advanced practice V.S.A. section 1851 of advanced practice registered<00:

Keywords: 926, house, all

Summary: The House opened with a devotional for Yom Hashoah, Holocaust Memorial Day, delivered by Rabbi Grace Odell. Her remarks focused on remembrance of the Holocaust, warning against dehumanization, and urging lawmakers to act from love rather than fear. Members then observed a moment of silence and heard announcements recognizing visitors, including students from Orwell Village School and guests from the Vermont Holocaust Memorial. The chamber took up several procedural and legislative items. House Bill 574, relating to epinephrine use and maintenance at child care facilities, was moved from the House Committee on Human Services to the Committee on Education and approved by voice vote. The House also announced caucus and committee schedules, including meetings of the Rural Caucus and Older Vermonters Caucus. Later, the body reordered its calendar and prepared to recess after completing action on the day’s bills. On Senate Bill 163, concerning the role of advanced practice registered nurses in hospital care, the House Health Care Committee recommended amendment, explaining that the bill updates the Patient Bill of Rights to reflect current hospital practice, especially in rural hospitals, by recognizing APRNs and physician assistants as possible attending providers. The committee reported a 10-0-0 vote in support, and the House agreed to propose the Senate amendment and ordered third reading. The House also concurred in the Senate proposal of amendment to House Bill 508, which revises Burlington’s charter so the city council can adjust ward and district boundaries when needed to correct unconstitutional population divisions without requiring a charter change; the Government Operations and Military Affairs Committee reported a 9-0-1 favorable straw poll. After these actions, the House recessed briefly while the committee continued hearing amendments.