Transcript Highlights:

• Members, this is a practical modernization measure rooted in good government.
• existing laws and data practices. existing laws and data practices.
• Members, this is a practical Members, this is a practical modernization<00:03:22.959> measure
• So data practice requests about these requirements would go through that database rather than through
• So data practice requests requirements.

Keywords: 1183, house

Transcript Highlights:

• Practices Act as data on individuals needs to be data on individuals.
• When that is not done, that disrupts the balanced approach of the Data Practices Act.
• The Attorney General's office has plenty of money to deal with data practices requests.
• The Attorney General's Office is today subject to the Data Practices Act. Act.
• The same data practices tools that they get to use. The tools that you get to use.

Transcript Highlights:

• had an exercise where we practice had an exercise where we practice everything<00:03:22.720>
• Um, that practice uh aircraft incident.
• Again, we had just practiced this.
• Again, we had just practiced<00:06:58.720> this.
• That was set up by 6:15 practiced this.

Keywords: 958, all

Summary: The task force met, called the roll, and approved the November 4, 2025 meeting minutes. The main presentation came from Dan Mann, executive director of the Louisville Regional Airport Authority, who gave a recovery update on the November 4 aircraft incident at UPS Worldport/Louisville Muhammad Ali International Airport. He described the airport layout, FAA safety requirements, staffing, and the extensive emergency training and mutual-aid coordination that had taken place before the incident, including a full exercise two weeks earlier. Mann then walked through the response timeline, saying the tower reported the incident at 5:13 p.m. Airport firefighters responded within a minute, with Air National Guard support and mutual aid arriving quickly; by about 6:15 p.m. the airport emergency operations center was activated and agencies including Metro, Red Cross, FBI, UPS, and airline partners were coordinating. He said more than 50 companies and over 200 firefighters were on scene within two hours, and credited the prior training and close working relationships among responders for the effectiveness of the response. He also explained the operational impact on the airport: all runways were closed, five departures were canceled, 16 arrivals were unable to land, and officials were working with TSA, UPS, and the NTSB on messaging and next steps. Mann said debris and fire damage on multiple runways meant the airfield had to remain closed while investigators determined what was evidence and what was debris from the fire. No votes or other formal actions were taken beyond approving the minutes.

Transcript Highlights:

• I have a medium-sized family medicine practice in Arlington.
• My practice is going and not just mine.
• Consider a few cases from my practice.
• I've been practicing in Massachusetts for the past four years.
• Since 2024, my practice has served over 200 MassHealth members.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• This that supervision practices.
• scope of practice. scope of practice.
• part of our practice part of our practice as<00:04:51.199> well<00:04:51.360> as as
• one of the focuses of uh of my practice one of the focuses of uh of my practice uh<00:05:03.600>
• therapy outpatient practice as an adult. therapy outpatient practice as an adult.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• I'm very unfamiliar with the rules, but ...that I do not practice in family law.
• I've been practicing in the state of Florida for 17 years.
• Obviously, it's no secret I practice in this space, and this is much-needed clarification.
• I practice in this space, and this is much-needed clarification.
• We also prosecute non-lawyers who are engaged in the practice of law.

Summary: The Civil Justice and Claims Subcommittee met with a quorum and took up House Bill 413, relating to attorney’s fees, suit money, and costs in family law cases. Representative Gottlieb explained that the bill and strike-all amendment were intended to promote fairness, create more uniformity across circuits, expand judicial discretion in awarding fees, and strengthen enforcement language. Members discussed how the amendment’s reference to good-faith settlement offers would apply only after trial in fee determinations, not during the trial itself. Jamie Epstein of the Florida Bar’s Family Law Section supported the measure overall, saying it would improve consistency and deter bad-faith litigation, but noted concern about one paragraph creating a presumption of entitlement to fees in contempt actions. The committee adopted the strike-all amendment and then passed HB 413 favorably as amended by a 13-0 vote. Chair Koster said the bill would provide needed clarification in family law practice and help parties litigate more professionally and amicably. After the vote, the committee heard a presentation from Florida Bar President Sayah Baker Barnes on the Florida Bar’s role and the impact of artificial intelligence on the legal profession. Baker Barnes described the Florida Bar as an arm of the Florida Supreme Court responsible for regulating lawyers, protecting the public, handling discipline, reimbursing some victims of lawyer theft through the client security fund, and providing continuing legal education. She said AI use among lawyers has grown rapidly and that the Bar has created committees, guidance, and an ethics opinion to help lawyers use AI responsibly. She emphasized that lawyers remain responsible for the accuracy of AI-generated citations and work product, noted that Florida courts have already disciplined lawyers and a pro se litigant for fake AI-generated citations, and discussed confidentiality, privilege, and deepfake concerns. Members asked about protecting client information and finding best-practice resources, and she directed them to the Bar’s LegalFuel site and AI guidance materials. The meeting then adjourned.

Transcript Highlights:

• settings, aligning Florida's practice standards with those... ...in private practice settings, aligning
• You still cannot practice psychotherapy on your own.
• I currently practice in the Tampa area.
• I currently practice in the Tampa area.
• Noticeably absent is the practice of optometry.

Summary: The Health Professions and Programs Subcommittee met with a quorum present and considered two bills. HB 361, by Rep. Nix, would reclassify registered interns as registered associates for clinical social work, marriage and family therapy, and mental health counseling, and would streamline supervision rules by removing the requirement that licensed supervisors be physically present in private practice settings. Supporters said the bill would modernize terminology, reduce barriers to practice, and expand access to mental health care while maintaining supervision and public safety. Several members raised concerns about possible unintended effects on community health centers and Medicaid workforce issues, but the bill drew broad support and passed 17-0, reported favorably. The committee then heard HB 1341, by Rep. Gonzales Pittman, which is aimed at preventing misuse of physician specialty titles and limiting those titles to practitioners who are actually board-certified in the specialty they claim. The sponsor emphasized that the bill does not address the general use of “doctor” or “physician,” only specialty designations such as dermatologist, gynecologist, neurologist, or plastic surgeon. Testimony in support came from medical and professional groups, including anesthesiologists and plastic surgeons, who said clearer titles help patients know who is treating them and improve safety. The Florida Optometric Association opposed the bill, arguing it could create confusion or omit optometric titles and other designations. Two amendments were adopted without objection. One removed a hospital name-tag requirement from the bill. The other changed a claims-denial provision so that denial letters need only disclose that a Florida-licensed physician in good standing made the decision, while the insurer must retain the physician’s identifying information for potential litigation or discovery. Some members supported the privacy protections, while others questioned whether the amendment was germane to the bill. As amended, HB 1341 passed 13-4 and was reported favorably.

Transcript Highlights:

• don't expect any of their risk practices don't expect any of their risk practices to<01:13:27.760
• <01:16:41.360> by directly addresses this practice by directly addresses this practice by
• practices by having 40-year agreements. practices by having 40-year agreements.
• It is a crime if you violate the deceptive practice, if you commit a deceptive practice.
• It is a crime if you violate the deceptive practice, if you commit a deceptive practice.

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 25, which would allow New Hampshire state-chartered credit unions to choose, by member vote, to compensate their board members. Prime sponsor Senator Dan Innis said the bill is enabling only, does not require compensation, and is intended to align New Hampshire with other states that already permit this. He argued that credit union board service now requires more time and expertise, and that compensation could help attract stronger candidates and improve governance. Representatives from the Cooperative Credit Union Association and St. Mary’s Bank testified in support. They said the change would not create salaries, but could cover modest compensation or reimbursements such as daycare, education, cybersecurity, or accounting training. They emphasized that credit unions remain nonprofit and member-driven, that board members must be credit union members and elected by members, and that any compensation decision would be made by the membership at an annual meeting or through the credit union’s voting process. Witnesses also said the bill would help with recruitment and retention, especially as credit union operations have become more complex and digital, and noted that similar authority exists in 16 other states, including Rhode Island. Committee members asked about the historical reason credit unions were excluded, the amount and structure of compensation, whether there would be a cap, and how voting would work. Witnesses said the bill does not set a statutory maximum, but in practice the amount would be disclosed to members and set through the vote; they also described St. Mary’s Bank’s ballot process and said proxy or ballot procedures depend on each credit union’s bylaws. One witness noted that federally chartered credit unions are subject to different limits. After testimony and questions, the chair closed the public hearing on Senate Bill 25 and then moved on to Senate Bill 26.

Transcript Highlights:

• , but they don't represent all types of private equity practices.
• We don't want predatory practices. We should always worry about hospital safety.
• It did document some pretty concerning practices.
• I practice as a corporation. I mean, I get how that works.
• Because doctors cannot afford insurance in their practices to continue to practice.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Every health care profession has a practice act.
• Madam Chair, if you are—if you are unlawfully practicing... not practicing, just advertising, that would
• If they are allowed in their practice act, and Senator Davis, I’d be happy—we can look up the practice
• The practice act is extremely important. It lays everything out.
• The practice act is extremely important. It lays everything out.

Summary: The committee took up a long agenda of bills, beginning with CS/SB 678, which would allow pawnbroker transaction forms to be printed or digital; it drew support from a business representative and was reported favorably. Members then heard several bills by Senator Leak, including SB 466 to designate St. Johns County as the site of the Florida Museum of Black History and create a board to work with the museum foundation and Florida Memorial University; the bill drew supportive testimony about preserving accurate Black history and the significance of the site, and it passed favorably. Leak’s CS/SB 578 would let Florida wineries use recyclable inserts and other alternative containers for larger wine sales, and it also passed favorably. SB 582 would increase penalties for unlawful demolition of historic buildings and structures, limiting the higher penalties to certain nationally or internationally recognized historic properties; it was supported by preservation advocates and reported favorably. CS/SB 1168 would create an aggravated offense for installing or using tracking devices or apps in furtherance of crimes such as murder, domestic violence, or robbery, and it passed favorably after a brief discussion about stalking and violent crimes. CS/SB 806 would make the Florida Attorney General the exclusive public official with standing to enforce Florida charitable trusts, limiting out-of-state attorneys general from suing over Florida-administered trusts; members debated whether this would burden out-of-state beneficiaries, but the bill was reported favorably. SB 1228 would advance spring restoration efforts for Ichetucknee Springs and Santa Fe spring flows and allow a utility compliance plan amendment to deliver reclaimed water to replenish the aquifer; it passed favorably. CS/CS/SB 304 would require a qualified medical opinion in child protective investigations involving infants and young children with possible genetic or medical conditions that can mimic abuse, and it drew emotional support from parents and advocates before passing favorably. SB 1286 would clarify that ordinary unsupervised childhood activities like biking or playing outside do not constitute neglect absent reckless endangerment, and it was reported favorably. SB 1318, the hands-free driving bill, generated the most extensive debate: it renames the texting-while-driving law, expands the prohibition to handheld device use, and adds penalties in work zones and school zones; supporters cited fatal crash statistics and personal loss, while opponents raised concerns about enforcement, civil liberties, racial disparities in traffic stops, and the need for broader distracted-driving and insurance reforms. Despite those concerns, the bill was reported favorably after amendments. The committee also approved two claims bills, SB 14 for the estate of Penao-Hanvier against Miami Beach and SB 20 for J.N. against Hillsborough County, both settled claims recommended favorably by the special master. Finally, CS/SB 68 would modernize health facilities authority financing for private not-for-profit health systems, and CS/SB 172 would restrict misuse of health care specialty titles while preserving titles authorized under existing practice acts; both were discussed with questions about doctors, optometrists, and CRNAs, and both were reported favorably after amendment and debate.

Transcript Highlights:

• My question was about the practicality.
• So my question is the practicality.
• Next up, we will have HB 883, Advanced Practice Registered Nurse Autonomous Practice, by Representative
• practice in primary care.
• to their scope of practice.

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:

• Um I and years and years of practice.
• Bud referenced restorative practices.
• government data practices act. government data practices act. Um<00:53:28.000> Mr.
• modifications to the data practices act. modifications to the data practices act.
• <02:09:05.040> Forensic practice in this area. Forensic practice in this area.

Keywords: 1187, senate, all

Transcript Highlights:

• I practice in Southeastern Kentucky. I practice in Southeastern Kentucky.
• practices out in your communities. practices out in your communities.
• <00:42:43.520> physician<00:42:44.560> practices private practice physician practices
• Now, that being said, my<00:43:15.080> practice my practice my practice and<00:43:16.680> we
• practice open. practice open.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:38 Consideration of Referred Administrative Regulations 00:01:34 Proposed Legislation for the 2026 Session 00:10:14 Basic and Added Reparation (PIP) Benefits 00:10:41 Prior Authorization 00:46:15 Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• The legislature wants to have some data practices involved there.
• I mean, the case says your remedy is with the Data Practices Act, and the Data Practices Act is where
• I mean, the case says your remedy is with the Data Practices Act, and the Data Practices Act is where
• I mean, the case says your remedy is with the Data Practices Act, and the Data Practices Act is where
• I mean, the case says your remedy is with the Data Practices Act, and the Data Practices Act is where

Bills: HF390, HF1202, HF550

Keywords: government data, data practices, record keeping, penalties, legal enforcement, public meetings, transparency, government accountability, interagency groups, Minnesota Statutes, redistricting, Bipartisan Commission, Minnesota Constitution, census, legislative districts, 1183, house

Transcript Highlights:

• to one year of active practice.
• to one year of active practice.
• and more serious areas of practice.
• Wide variance in office practices, how they handle their data.
• But caseload standards were reduced when I was practicing.

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• :14:47.520> level to be delineated at the practice level to be delineated at the practice level
• to<00:18:56.960> the<00:18:57.040> practice Moving scope of practice to the practice
• Moving scope of practice to the practice level<00:18:57.640> will<00:18:57.720> allow<
• In closing, a PA scope of practice In closing, a PA scope of practice should<00:20:58.240> be
• or by an advanced practice provider. or by an advanced practice provider.

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• , and there is active legislation in the remaining states to completely outlaw this practice.
• So basically what I was driving at there is, if I have a practice and I'm selling my practice or I'm
• So basically what I was driving at there is, if I have a practice and I'm selling my practice or I'm
• So basically what I was driving at there is, if I have a practice and I'm selling my practice or I'm
• So basically what I was driving at there is, if I have a practice and I'm selling my practice or I'm

Keywords: 1191, senate, all

Transcript Highlights:

• That just makes sense from a practicality standpoint, right?
• I've been practicing since 1998.
• Follow Missouri laws when they're practicing here.
• but they just graduated, that will allow them to practice.
• If you come and practice in Missouri, you cannot practice on a Tuesday.

Keywords: 959, house, all

Transcript Highlights:

• In climate-smart agricultural practices.
• So this helps them to implement new practices like healthy soils practices or improved irrigation, reduced
• pesticide use, integrated pest management practices.
• Practices.
• support schools to use particular practices such as adopting healthy soil practices that sequester carbon

Keywords: 988, house, all

Transcript Highlights:

• <00:17:12.679> of practice of practice of medicine<00:17:15.400> um<00:17:16.400> we
• <00:27:50.559> for<00:27:50.880> their practice for their practice for their children<00
• Medicare and Medicaid bu um practice Medicare and Medicaid bu um practice losing<00:50:39.880>
• here is is that if a medical practice here is is that if a medical practice can't<00:52:15.440><
• not realistic and is not good practice not realistic and is not good practice um<00:57:52.720>

Keywords: 1189, house, all