Transcript Highlights:

• History record checks by the Board of Occupational Therapy Practice.
• This is practicing at the top of license for all members of the health care team.
• States actively reviewing or considering expanding scope of practice is the state of Washington.
• In closing, empowering pharmacists with limited prescriptive and diagnostic authority is a practical,
• And the erosion of the practice of medicine by pharmacists is, of course, a question.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• Then, if they keep good records documenting that they are practicing best management practices, they
• Then, if they keep good records documenting that they are practicing best management practices, they
• and property maintenance practices and property maintenance practices consistent<00:31:04.720>
• and salt application practices and salt application practices highlights<00:33:49.760> the
• In the adopt a certain practice.

Keywords: 927, senate, all

Transcript Highlights:

• 07:53.599> they can only practice the skills where they can only practice the skills where they
• current practicing current practicing CPA.<01:27:46.960> They<01:27:47.199> may<01
• So now you're practice theoretically.
• , commitment to ethical practice, commitment to ethical practice, safeguards<01:41:52.960> public
• I haven't done CLEs in a long time because I don't practice anymore.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:09:04.760> requests complying with data practices requests complying with data practices
• <00:09:46.240> requests compliance with data practices requests compliance with data practices
• <00:40:46.839> that of fraud under the unfair practice that of fraud under the unfair practice
• I'm a attorney and private practice in the Twin Cities area.
• Air Force Master Sergeant a practicing Air Force Master Sergeant a practicing attorney<01:35:07.920

Bills: HF1855, HF102, HF1082, HF1354, HF2184, HF1792, HF2296, HF2429, HF2543, HF2566

Keywords: veterans, benefit services, accreditation, consumer protection, civil penalties, disclosure requirements, HF102, Sibley County Road 166, Freedom Drive, Arlington, Sibley County, Minnesota transportation bonds, bonding bill, capital investment, road extension, highway access, intersection improvements, right-of-way acquisition, water main, sewer improvements

Transcript Highlights:

• But they weren't following the fidelity of the practice.
• Okay, I wrote a letter, so I went through a restorative practice.
• But they weren't following the fidelity of the practice.
• and restorative practices.
• Today, I'll share an overview of the role, key successes, and best practices.

Summary: The Select Committee on the Status of Boys and Men of Color held its second hearing, focused on cradle-to-college-and-career pipelines and education. Members opened with remarks emphasizing bipartisan support, the need to address opportunity gaps, and the committee’s prior hearing in Los Angeles, which helped generate legislation. The chair framed the day around school safety and discipline, community schools, and college/career pathways, and noted that public comment would be included at the end. In the first panel, witnesses described persistent disparities in school discipline and policing, even as suspension rates have declined statewide. Dr. David Turner cited reductions in suspensions tied to reforms such as bans on willful defiance suspensions, but warned that Black and Native boys remain disproportionately suspended and that “ghost suspensions” and police referrals still push students out of class. Other advocates called for stronger accountability, more restorative and culturally rooted practices, and greater investment in community-based supports. Members asked about the role of state and local policy, rural versus urban differences, and how to measure which interventions work best. The second panel centered on community schools. Advocates from Californians for Justice, Reclaim Our Schools LA, MILE, and the Sierra Health Foundation argued for the governor’s proposed $1 billion ongoing investment in the California Community Schools Partnership Act. They said community schools improve attendance, reduce suspensions, strengthen belonging, and create shared decision-making with families and students. Panelists described the role of community school coordinators, the importance of authentic partnerships, and the need to track informal discipline practices. Committee members pressed for a plain explanation of community schools and heard that the model is intended to be a high-return equity strategy that can save the state money over time. The final panel addressed college and career pathways. Speakers from the California Faculty Association, UC Student Association, Brotherhood Crusade, A Men, and Improve Your Tomorrow highlighted barriers facing Black, Latino, Native, and other boys and men of color in higher education, including financial aid gaps, weak transfer pathways, underinvestment in student support, and low campus belonging. They urged continued funding for community schools, expanded dual enrollment and ELOP access, and support for mentorship and culturally responsive programs. Public commenters echoed support for community schools and youth investment, including calls to redirect prison spending toward education and prevention. The chair closed by thanking the panelists, reflecting on his own school struggles and the role of mentorship, and adjourned the committee.

Transcript Highlights:

• But they weren't following the fidelity of the practice.
• Okay, I wrote a letter, so I went through a restorative practice, and so a lot of times...
• But they weren't following the fidelity of the practice.
• and restorative practices.
• Today, I'll share an overview of the role, key successes, and best practices.

Keywords: 988, house, all

Summary: The Select Committee on the Status of Boys and Men of Color held its second hearing, focused on the cradle-to-college-and-career pipeline, with an emphasis on education, school discipline, community schools, and higher education pathways. Chair Isaac Bryan opened by noting that two bills from the first hearing had been introduced and were advancing through the Legislature. Members Mike Fong, Senator Gonzalez, and Corey Jackson offered remarks supporting bipartisan, cross-sector work to address inequities affecting boys and young men of color. The first panel discussed school discipline and safety. Dr. David Turner cited major declines in suspensions since state reforms such as SB 274, SB 419, and AB 420, but said disparities remain for Black and Native boys and that school policing and “ghost suspensions” still push students out of class. Brandy Bowen-Bremont and LaQuan Muhammad described hidden disciplinary practices, police referrals, and the need for restorative, culturally rooted, and care-first supports. Members asked about the causes of the suspension decline, statewide versus local data, and whether MTSS and restorative practices are being implemented with fidelity. The second panel focused on community schools. Witnesses from Californians for Justice, Reclaim Our Schools LA, M.I.L.P.A., and the Center at Sierra Health Foundation urged a $1 billion ongoing state investment in the California Community Schools Partnership Act. They argued community schools improve attendance, school climate, academic outcomes, and family engagement while reducing suspensions and chronic absenteeism. The third panel addressed college and career pathways, with speakers from the California Faculty Association, UC Student Association, Brotherhood Crusade, A.M.E.N., and Improve Your Tomorrow calling for more financial aid, dual enrollment, mentorship, and student support. They also criticized state spending priorities, compared prison and higher education budgets, and urged investment in programs that keep young men of color connected to school and work. Public commenters largely echoed support for community schools, youth justice, and broader investment in boys and men of color, including rural and urban perspectives. Chair Bryan closed by highlighting the importance of representation and the role of mentorship and second chances in his own life, then adjourned the committee.

Transcript Highlights:

• The report really does a great job of showing best practices that are...
• County Office of Education and the Santa Clara County Office of Education of best practices.
• I would just add that the communities of practice are inclusive of our county offices of education.
• County Office of Education and the Santa Clara County Office of Education of best practices.
• Or is it just a matter of waiting for it to happen organically or through communities of practice?

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• The board was established in 1903 to regulate the practice of pharmacy and the manufacturing, distribution
• The back-door cases are typically those nurses that have violated the nurse practice act.
• However, inconsistent with recommended practices from the U.S.
• Is that custom in practice?
• Not every complaint will require all of the statutes within the Medical Practice Act.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• existing laws and data practices. existing laws and data practices.
• Members, this is a practical Members, this is a practical modernization<00:15:48.079> measure
• So, data practice requests requirements.
• their nefarious practices. their nefarious practices.
• Representative Bonner. seem to be very practical kinds of seem to be very practical kinds of things<01

Bills: HF4364, HF4821, HF4543, HF3945

Keywords: Central and Eastern European Affairs, ethnic council, advisory council, Minnesota state government, immigrant communities, refugees, humanitarian parolees, Ukraine, Poland, Croatia, Hungary, Moldova, Romania, Serbia, Czech Republic, Baltic states, Slovakia, Slovenia, Kosovo, Russia

Summary: The committee first approved the April 7, 2026 minutes and then held an informal hearing on House File 4364, which would establish a Central and Eastern European Ethnic Council in Minnesota. Representative Jordan and testifiers Mykola Mager and Julia Miller described the large Central and Eastern European community in Minnesota, its contributions to the state, and the need for a formal advisory body to help address barriers to government services, support refugees, workforce development, entrepreneurship, and cultural understanding. Members expressed general support and noted the bill’s importance, but no formal action was taken on the bill during the hearing. The committee then took up House File 4543, a bill to create a centralized payroll reporting portal for prevailing wage projects. Representative Frazier said the bill would reduce administrative burden on project owners, improve transparency and accountability, and help prevent wage theft, misclassification, tax fraud, and insurance fraud. Testifiers from county, city, and contractor groups largely supported the idea of streamlining reporting, but contractor representatives raised concerns about employee data privacy, public access to sensitive payroll information, duplication of existing systems, interoperability with contractor software, and the need for stakeholder engagement. Members echoed both support and caution, and the bill was laid over as amended rather than advanced. Finally, the committee considered House File 4821, described by Chair Klevorn as addressing the “penny problem” and a related change to high-deductible insurance plans. The bill would authorize state agencies to round cash transactions because of the penny shortage and would change MMB’s obligation to offer certain high-deductible health plans from “must” to “may,” producing modest administrative savings. Members questioned the drafting of the rounding language and asked about cash transactions at state agencies and the handling of cannabis tax payments. The chair noted the bill had missed the deadline and would be caught by the chief clerk’s office; the discussion ended with the bill being laid over as amended.

Transcript Highlights:

• I've been practicing for about 33 years in the workers' compensation arena.
• I've been practicing for about 33 years in the workers' compensation arena.
• I practiced in every single OWC in the state, excuse me.
• As a matter of practice for me, I provide medical authorizations to my, to the defense attorneys and
• , ...outreach to our counterparts in other states trying to find best practices, the best approach.

Summary: The Senate Labor Committee met on March 14 and adopted the prior minutes. It voluntarily deferred Senate Bill 358, which would have addressed workers’ compensation coverage for independent contractors and sole-proprietor subcontractors. Senator Abraham said the bill would instead be studied to determine whether such workers should be able to buy occupational accident coverage or be required to carry workers’ compensation coverage, particularly where no employees are involved. The committee then heard House Bill 456, which would expand and clarify workers’ compensation petition requirements and broaden employers’ and payers’ ability to file disputed claims beyond fraud and medical-director appeals to other disputes under the chapter. The bill drew strong support from business groups and strong opposition from injured-worker attorneys, who argued it would revive problems seen in 2012 when employers could sue injured workers without a ripe dispute, burden unrepresented claimants, and increase litigation and administrative costs. Supporters said it would improve access to the courts and help employers investigate questionable claims. After debate, the committee voted 5-1 to report HB 456 favorably, with Senator Barrow voting no. The committee also heard House Bill 549, which creates the Bayou Growth Opportunity Workforce Program, or Bayou Works, a proposed statewide workforce training grant program aimed at helping employers quickly train workers for specific skill needs. The sponsor and Louisiana Workforce Commission representatives said it would be privately funded, modeled on Michigan’s “Going Pro” program, and coordinated with technical colleges, apprenticeships, internships, and other workforce partners. Members asked about statewide reach, youth pipeline efforts, and timing; the department said implementation would likely begin later next year. The committee reported HB 549 favorably by unanimous consent and then adjourned.

Transcript Highlights:

• We should allow them to practice their tradition. Um, so I'll be voting no. Uh, so noted.
• <00:18:52.799> their we should allow them to practice their we should allow them to practice
• <00:30:37.360> of midwife or engaged in a practice of midwife or engaged in a practice of
• But the or engaging in the practice of midwifery is broader than that. Or engaging. Yeah.
• If they're engaging in the practice, they're breaking the law. Yeah. So, no. Well, you know what?

Keywords: 912, senate, all

Summary: The joint Senate Commerce and Consumer Protection and Judiciary decision-making meeting on April 1, 2025 considered several measures previously heard in committee and took action on each. HB 228 HD1 SD1, relating to license plates, was recommended to pass with amendments defining the terms “cover” and “shield”; it was adopted with votes of aye from the chair, vice chair, Senator McKelvie, and Senator Richards, and a no from Senator Awa. HB 125 HD1, relating to firearms and secure storage notice requirements, was recommended to pass unamended and was adopted, though Senator McKelvie noted reservations and Senator OA did not vote. The committees also noted they would wait for a full complement on some JDC votes before finalizing all actions. HB 1194 HD2 SD1, relating to midwives, drew the most discussion and testimony. The recommendation was to pass with amendments, including DCCA-proposed changes and a revised effective date; members discussed concerns about regulation, the role of unlicensed birth attendants, and whether the bill could criminalize people present at births. The chair explained the intent was not to criminalize invited, uncompensated birth attendants who do not use the title “midwife,” while also clarifying limits on practicing midwifery without a license. The measure passed with reservations from Senator McKelvie and a no vote from Senator Awa. HB 348 HD1 SD1, relating to single-use plastics, was recommended to pass unamended and was adopted without objection. HB 874 SD1, concerning trust accounts for minors in theatrical employment, was recommended to pass with amendments accepting the Attorney General’s suggestion to remove rulemaking authority; it passed in both committees without opposition. After the CPN portion adjourned, JDC also took up HB 125 and HB 1194, adopting the same recommendations and passing both measures, with the midwifery bill again reflecting the committee’s intent to preserve invited, unpaid attendance at births while restricting unlicensed practice.

Transcript Highlights:

• He received his license to practice law from the Arizona Supreme Court in 2002.
• I have practiced for 40 years. My name is Vicki Lopez. I am a private attorney.
• I have practiced for 40 years. I am a certified criminal law specialist.
• But they are allowed to practice law.
• But if you're on probation, you can practice. Yes. Madam Chair, if I may.

Bills: SB1003, SB1006, SB1029, SB1037, SB1038, SB1039, SB1040, SB1053, SB1057, SB1060, SB1061, SB1068, SB1069

Keywords: election, canvass, certification, ballot tabulation, write-in candidates, registration, voting procedures, campaign finance, contribution limits, reporting requirements, political action committees, elections, campaign contributions, candidate committees, posthumous provisions, termination process, Arizona Revised Statutes, voting systems, vote tabulation, election security

Summary: The Judiciary and Elections Committee opened with roll call, member introductions, and a lengthy agenda item on alleged anomalies involving the State Bar of Arizona. The committee heard live testimony from a former attorney who described his disciplinary experience as retaliatory and unfair, and staff read excerpts from affidavits criticizing bar discipline procedures, notice, and due process. Members debated the State Bar’s authority, attorney discipline rules, and whether attorneys can practice while under investigation, with some arguing the bar is unaccountable and others emphasizing the Supreme Court’s oversight and existing disciplinary procedures. The committee then considered several election-related bills. SB 1037, requiring stricter security measures for vote-recording and tabulating equipment, passed 4-2-1 after members debated claims of election-system vulnerabilities and the cost of added safeguards. SB 1038, which would make cast vote records publicly available quickly after polls close, was amended to require transmission to the Secretary of State within 48 hours after canvass and then passed 4-2-1. SB 1040, expanding public online access to voter registration rolls in read-only form, also passed 4-2-1 after privacy concerns were raised and the sponsor argued for transparency. The committee next approved SB 1039, allowing attorneys who prevail in discipline matters to seek damages for reputational harm and lost earnings, despite objections that it raised separation-of-powers concerns and testimony about bar discipline procedures. SB 1053, capping Arizona resident concealed-carry permit fees at 10% of the nonresident fee, passed 4-2-1 after supporters framed it as a constitutional-rights and affordability measure and opponents raised public-safety and revenue concerns. SB 1057, requiring ballot paper fraud-countermeasure features, passed 4-2-1 after debate over cost and vendor capability. SB 1060, removing a voting exemption for U.S. citizens who have never resided in the United States, passed 3-2-2 amid concerns about unintended effects on military families. Finally, SB 1061, lowering the fentanyl threshold for enhanced sentencing from 200 grams to 9 grams, drew strong opposition from defense and civil-liberties witnesses who warned it would sweep in users and prescribed medications; the transcript ends during that testimony, before a final action is shown.

Transcript Highlights:

• Well, if you are in a practice where you have a thousand patients, Successful.
• Medical service to obtain licenses to practice medicine or nursing in Texas.
• This is current practice in the state hospitals.
• I'm a cardiologist by training and practice.
• In practice, this will require us to provide active efforts.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• <00:46:29.680> and Minnesota Board of Medical Practice and Minnesota Board of Medical Practice
• <00:46:34.400> bill health lensure scope of practice bill health lensure scope of practice
• practice of acupuncture. practice of acupuncture.
• House file 1270 defines and practice.
• So, I just purely scope of practice.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• Chair, senators, Senate Bill 606 adds drowning prevention safety measures and safe bathing practices
• And that's something that, at least I know from my personal practice, and it isn't even in a surgery
• I think the bill itself would look more in tune to best practices for that as well.
• I think the bill itself would look more in tune to best practices for that as well.
• In addition, research suggests best practices to comply with antitrust laws. In 2010, the U.S.

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• Chair, before I forget, in 1982, I lost my cousin who had cardiac arrest while in basketball practice
• Because we have gone on scope of practice, which is a big issue, and everybody knows my feelings.
• This would, in effect, be the practice of an optician.
• Any persons other than a licensed optician may not engage in the practice of this service.
• , the practice of opticianry includes the fitting of glasses.

Keywords: 999, senate, all

Transcript Highlights:

• Now practice from the title.
• He's still practicing and has been practicing for over 40 years. I believe it was an accident.
• Medical practice practice. Premiums are high in Florida because medical malpractice is high.
• What that is in building out in ops, detrick practice.
• That is the only way to keep bad doctors from continuing to practice.

Keywords: 999, senate, all

Transcript Highlights:

• I see what happens in this Commonwealth, how these physicians practice or fail to practice good medicine
• practice. I also agree with Dr. practice. I also agree with Dr.
• We have teleaalth now and I practice.
• <01:04:56.640> addiction don't see how one can practice addiction don't see how one can practice
• So, it really isn't practical.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• And while that might be the best practice standard, we have shifted as a health care delivery system
• for children and youth to improve and expand the delivery of those practices.
• In BH Connect, we are implementing new coverage for evidence-based practices.
• statute as practices we expect to ...in the Behavioral Health Services Act statute as practices we expect
• evidence practices.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• As it is my right and it's within my scope of practice to see patients.
• Bowden, where do you practice? Houston. I remember that.
• And I, at this... ...point, I would love to move to another state and practice.
• Sena is practicing dangerous medicine. The patients themselves were doing well.
• I practice... I want to thank the senator for the effort here.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care