Transcript Highlights:

• meet with your h meet with your practice meet with your h meet with your practice uh<01:11:34.640
• They have a comparable scope of practice as physicians and can practice in a variety of settings.
• <01:54:29.840> in with less than 5 years of practice in with less than 5 years of practice
• Only about 4% of total practice is in rural primary care physician practice.
• primary care of physician practice. primary care of physician practice.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

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.”
• scope of practice, including opioids—and we're not asking for that.
• So I really have questions as to how this works in practice.
• You know, I don't really see it working in practice.

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• Approximately 75% still practice in this state.
• Approximately 75% still practice in this state.
• Approximately 75% still practice in this state.
• Approximately 75% still practice in this state.
• Approximately 75% still practice in this state.

Keywords: 1183, house

Transcript Highlights:

• subjected to long discredited practices subjected to long discredited practices of<00:29:24.240>
• who know what those practices entail. who know what those practices entail.
• There is no evidence-based practice.
• organizations and allowing practices organizations and allowing practices like<00:38:02.079>
• <00:42:59.040> termed standards that uh practices termed standards that uh practices termed

Keywords: 958, all

Summary: The committee first took up administrative regulations, found no concerns, and then passed House Bill 389 with a favorable expression by a 9-0 vote. HB 389 was described as a cleanup bill for the CASPER prescription monitoring program: it clarifies that practitioners must have active CASPER accounts, exempts charitable health care providers from e-prescribing requirements, allows sharing CASPER data with certain federal entities such as military-base providers, and updates references to hydrocodone’s Schedule II status. The sponsor said there was no expected fiscal impact. The committee then passed House Bill 392, also by a 9-0 favorable expression. HB 392 would streamline payment for non-elective medical care for patients in state mental facilities when the facility cannot provide the needed treatment, allowing care in community-based settings and payment to those providers. The sponsor said the bill was intended to improve efficiency and would not have a fiscal impact on the cabinet. House Bill 501 was next and likewise passed 9-0 with favorable expression. The bill would allow pharmacists, in their professional judgment, to refill certain prescriptions for up to 180 days when a physician has died, while excluding controlled substances and preserving pharmacist discretion to require follow-up care. Senators raised concerns that the bill does not require patients to seek a new provider during that period, but supporters said the longer window addresses rural provider shortages and access delays. The committee then heard House Bill 495, as amended by a committee substitute. The substitute would prohibit Medicaid services and managed care organizations from covering cross-sex hormones above normal levels and gender reassignment surgery. Testimony on the bill was overwhelmingly opposed, with speakers including a former senator, psychologists, advocates, and legal and social work representatives arguing that conversion therapy is harmful, that the substitute would deny medically necessary gender-affirming care, and that the measure could increase suicide risk and litigation. One witness from the Family Foundation of Kentucky spoke in favor, arguing the executive order on counseling limits free speech and that counseling should not be restricted by government. The transcript ends during testimony, with no final committee vote on HB 495 shown.

Transcript Highlights:

• place that follows best practices place that follows best practices defined<01:25:54.960> by<
• It requires practitioners to practice only within the scope of their practice that's authorized by the
• state in which they're practicing.
• of practice and The Practice<01:49:17.239> Act<01:49:17.480> will<01:49:17.599> be<
• practice within the scope of practice practice within the scope of practice authorized<01:56:05.159

Keywords: 1191, senate, all

Transcript Highlights:

• in focus on the data practices in focus on the data practices provision.<00:45:28.319> Senator
• Um I will say we practice to be good.
• that's not a data practices question. that's not a data practices question.
• ,<01:06:02.240> and<01:06:02.480> and principles, practices, and and principles, practices
• And then uh I think the final practices.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:10:55.200> for has been fairly standard practice for has been fairly standard practice
• , is pretty standard practice in any business, not even just the legislature.
• , is pretty standard practice in any business, not even just the legislature.
• actually<00:27:04.240> two practice.
• There were actually two practice.

Keywords: 1183, house

Transcript Highlights:

• We also found leading practices and other states' practices that provide examples of planning and performance
• Next, my colleague Nancy Patino will cover the practices we identified.
• practices that we found.
• In the following slides, I will go into further detail on all of these practices.
• For practice one, establish an economic development strategic plan, including goals and objectives.

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

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'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:

• Businesses' payroll is one of the highest expense categories in small animal practice.
• A veterinary practice is not obligated to hire a VPA.
• practice, obviously, disaster preparedness, disaster response, and mitigation.
• It is an option if it works for their practice. Thank you. Thank you.
• It's up to the vet whether they want to have this program in their practice or not.

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:

• , 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:

• His sister is a veterinarian, and they actually are very well trained in this practice, if you will.
• There are limitations here in the scope of practice that's been consensus, and that's in the bill, so
• if you will uh in in this uh practice if you will and<00:03:51.159> this<00:03:51.280> has
• This is a practice that I can do myself as an owner, that I can have an agent of mine do.
• <00:14:18.759> that carves out a scope of practice that carves out a scope of practice that

Keywords: 00:00 – Introduction 00:17 – Attendance Roll Call 02:09-- Discussion of SB 69 26:57 – Roll Call Vote, 958, all

Summary: The House Agriculture Committee met briefly and took up Senate Bill 69, a measure creating a certification path for non-veterinarians who perform equine dental work, especially floating teeth. Sponsor Sen. Robin Webb and supporters said the bill was the product of about two years of open meetings and stakeholder discussions, and that it would provide accountability, insurance access, and a way to grandfather in long-time practitioners with additional training. They framed it as a rural access and affordability issue, arguing that many horse owners, especially in remote areas, cannot easily reach or afford large-animal veterinarians and that the bill would preserve a long-standing husbandry practice while setting limits so certified providers could not perform surgery. Opposition came from equine veterinarians Dr. Brad Tanner and Dr. William Rainbow, who agreed there is a shortage of large-animal veterinarians and that floating teeth is necessary, but argued the bill’s scope goes beyond simple husbandry. They said the proposed authority would include procedures such as tooth removal and other work they consider surgery, which should remain within veterinary practice because of the need for sedation, pain management, and broader oral and physical exams. They also objected to the title “equine dental provider,” saying it could mislead owners into thinking the person has dentist-like training, and suggested a term like “equine teeth floater” would be clearer. Tanner cited a KVMA survey he said showed only 14 of 214 respondents supported indirect veterinary supervision in the bill. Members asked about continuing education, the “good moral character” licensing language, and whether people with past criminal records could be excluded. Supporters said continuing education would be required through certification programs and that character determinations would be handled case by case, with reference to broader second-chance licensing efforts moving through the legislature. Rep. Stalker asked for clearer terminology and educational guidance for consumers; the witnesses reiterated that the public should understand the difference between floating teeth and a full dental exam. After discussion, the committee moved to a roll call vote on the bill, but the transcript cuts off before the final vote result is fully shown.

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.