Transcript Highlights:

• We would be reducing the privilege that licensed health care professionals enjoy, which is something
• treatment for PTSD in Arizona.
• We have to be the cost, and if the cost-benefit to do this type of treatment outweighs years and years
• We have to be the cost, and if the cost-benefit to do this type of treatment outweighs years and years
• It's a digital system.

Bills: SB1161 , SB1215 , SB1270 , SB1400 , SB1537 , SB1538 , SB1580 , SB1584 , SB1627

Committee: House Public Safety & Law Enforcement

Keywords: appropriation, public safety, Yuma County, funding exemption, family advocacy center, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Transcript Highlights:

• Really, this should be about health care and women's health and not about child support.
• I'm glad that you noted that health care has a cost.
• It is essential health care.
• by a licensed health care professional.
• by a licensed health care professional.

Bills: HB2041 , HB2144 , HB2239 , HB2321 , HB2371 , HB2594 , HB2661 , HB2662 , HB2793 , HB2968 , HB2995

Committee: Senate Federalism and Family Law

Keywords: child neglect, financial resources, behavioral health, Christian Science treatment, parental rights, child support, preborn children, retroactive support, medical expenses, child welfare, child care, grant program, low-income, early learning, infrastructure, economic growth, security freeze, credit reporting, dependent children, parental notification

Transcript Highlights:

• Chairman, this is simply putting uh another type of health care that is falls under the Affordable Care
• Chairman, this is simply putting uh another type of health care that is falls under the Affordable Care
• </c><00:09:42.880><c> care</c> category of uh a ministry, a health care category of uh a ministry, a
• </c> definition of a health care sharing? definition of a health care sharing?
• actuarial cost as determined by the retirement<00:40:01.200><c> system</c> retirement system retirement

Bills: HB125 , HB116 , HB183 , HB342 , HB341 , SB280 , SB245 , SB159 , HB125 , HB116 , HB183 , HB342 , HB341 , SB280 , SB245 , SB159

Committee: Senate Finance and Taxation Education

Keywords: HB125, sunset law, Alabama Sunset Committee, Alabama State Board of Veterinary Medical Examiners, veterinary medical examiners, veterinary board, veterinary licensing, veterinary regulation, professional licensing board, state board continuation, sunset review, regulatory board, animal health, veterinarians, disciplinary authority, HB116, Alabama Sunset Law, sunset bill, Alabama Professional Bail Bonding Board, bail bonding

Transcript Highlights:

• Do you think this will increase or add cost to health care for the average citizen, or will it save them
• Research clearly demonstrates that consolidation of hospitals drives increased health care costs.
• health care spend, and those costs are ultimately borne by our patients and employers through higher
• I urge you to support SB 5916 and move Washington closer to a health care system that truly ...prioritizes
• , Health Care Authority, and WSHA.

Bills: SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025

Committee: Senate Health & Long-Term Care

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• When we scrub these records, we violate the trust patients place in the state to vet their health care
• It's to provide for a standard of care that's safe for the patients in Arizona, and patterns of behavior
• In 2018, the Arizona Board of Nursing transitioned their database to what is known as the Nurses System
• In 2018, the Arizona Board of Nursing transitioned their database to what is known as the Nurses System
• Association of Health Plans, which represents the Access managed care contractors who you entrust to

Bills: HB2408 , HB2434 , HB2725 , HB2728 , HB2729 , HB2730 , HB2731 , HB2732 , HB2733

Committee: House Health & Human Services

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Transcript Highlights:

• Health Care Association of Hawaii in support. Thank you, Chair.
• JC Mike Ilagan on behalf of Queen's Health System.
• and implementation of health policies and tobacco education on the UH system campuses.
• care costs to our state and its taxpayers.
• We all see increased health care costs because of the damages caused by tobacco use.

Bills: SB2960 , SB2347 , SB2272 , SB3137 , SB3132 , SB2271 , SB2804 , SB2175 , SB2487

Committee: House Consumer Protection & Commerce

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• systems and services, personal data storage systems, or emergency services.
• We love Pluto here in Arizona.
• So I come before you today not just as an Arizona State Senator, but as the first Arizona State Space
• Arizona already hosts major players.
• So I come before you today, not just as an Arizona State Senator, but as the first Arizona State Space

Bills: SB1020 , SB1107 , SB1117 , SB1160 , SB1216 , SB1308

Committee: Senate Public Safety

Keywords: special plates, Arizona Space Commission, transportation, funding, space exploration, peace officer certification, police certification, law enforcement licensing, Arizona POST, peace officer standards and training, military police, veterans, honorably discharged, veteran hiring, abbreviated academy, law enforcement recruitment, public safety, community policing, background investigation, psychological fitness

Transcript Highlights:

• When people aren’t able to get that health care coverage, they’re only really able to get that care through
• And the cost is not just to the health care system; the cost is to that person, their family, and lost
• huge costs to the health care system.
• that the actual cost of providing care for the first 23 hours...
• We conducted a study with Health Management Associates and found that the actual cost of providing care

Bills: HR267 , HCR105 , HCR107 , HCR110 , HCR113 , HCR114 , SB4 , SB52 , SB57 , SB145 , SB152 , SB194 , SB237 , SB333 , SB433 , SB483 , SCR37

Committee: House Health and Welfare

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• </c> mention how much child care would cost. mention how much child care would cost.
• I was placed in foster care in Ramsey County, and I was adopted out of the system.
• </c> access to health care was turned off. access to health care was turned off.
• care that they deserve while they're in the system.
• care that they deserve while they're in the system.

Bills: HF3877 , HF3714 , HF3750 , HF3024

Committee: House Children and Families Finance and Policy

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• lower than their acquisition cost, and the pharmacist can prove that the acquisition cost was higher
• It also allows the commissioner of health to serve in a dual role as commissioner of health and commissioner
• of mental health during the period of that feasibility study.
• Alpha gal is becoming a health issue, a health problem.
• It's kind of a complicated health situation.

Bills: SB667 , SB904 , SB1344 , SB1380 , SB1423 , SB1425 , SB1484 , SB1500 , SB1502 , SB1503 , SB1555 , SB1561 , SB1562 , SB1565 , SB1572 , SB1644 , SB1749 , SB1833 , SB2007 , SB2044 , SB2074

Committee: House Public Health

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• Members, House Bill 1380 is simply requires the Health Care Authority to verify eligibility by checking
• Senate Bill 1425 repeals sections of the Health Care Workers and Educators' Assistance Program and the
• Health Care Workforce Resources Center.
• I believe it's handled right now by the Health Care Authority.
• I believe it's handled right now by the health care authority. Thank you.

Bills: SB667 , SB904 , SB1344 , SB1380 , SB1423 , SB1425 , SB1484 , SB1500 , SB1502 , SB1503 , SB1555 , SB1561 , SB1562 , SB1565 , SB1572 , SB1644 , SB1749 , SB1833 , SB2007 , SB2044 , SB2074

Committee: House Public Health

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.

Transcript Highlights:

• care system.
• care system.
• It takes access away from people who are entitled to health care.
• How does that one escape the health care community?
• care officials, health care providers, that you've got to do this now.

Bills: SB1015 , SB1049 , SB1066 , SB1081 , SB1092 , SB1133 , SB1134 , SB1139 , SB1147 , SB1148 , SB1168 , SB1189 , SCR1001 , SCR1002 , SCR1005 , SCR1010

Committee: Senate Judiciary and Elections

Keywords: gender transition, detransition, healthcare liability, medical malpractice, youth protection, legal action, Arizona law, spousal maintenance, court guidelines, self-sufficiency, financial support, marriage dissolution, child safety, dependency cases, attorney regulation, foster care, legal representation, probation, dangerous crimes, children

Transcript Highlights:

• It would reduce the cost.
• That's the cost.
• That's the real cost: a vehicle that we're paying for maintenance on, labor costs, all of that stuff
• In system-wide systems like an RID system, for example, the next farmer down the ditch would want to
• I'm with the Arizona Rock Products Association and the Arizona Mining Association.

Bills: SB1137 , SB1176 , SB1287 , SB1335 , SB1336 , SB1445 , SB1677

Committee: House Natural Resources, Energy & Water

Keywords: underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire, locator strip, interactive positive response system, landlord duties, apartment community, mobile home park

Transcript Highlights:

• The bill amends our statutes to add criminal penalties for health care practitioners who willfully or
• We have the list of health care practitioners generally on page two.
• , the education, and the health care system that is already significantly taxed.
• , the education, and the health care system that is already significantly taxed.
• This will reduce access to health care. It will worsen outcomes for children.

Bills: S0560 , S0590 , S0778 , S1010

Committee: Senate Children, Families, and Elder Affairs

Keywords: child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• Arizona is one of these states.
• Arizona is one of these states.
• So to purchase canned vegetables, whatever the case may be, the cost of that, the health cost of that
• and to provide funding for a necessary system study and desperately needed improvements to the system
• and to provide funding for a necessary system study and desperately needed improvements to the system

Bills: SB1082 , SB1200 , SB1335 , SB1336 , SB1559 , SB1761 , SB1762 , SB1785 , SCM1007

Committee: Senate Natural Resources

Keywords: petting zoos, animal encounters, public health, handwashing, supervision, sanitization, safety regulations, civil penalties, water supply, groundwater, Phoenix, certificates, long-term storage credits, water conservation, municipal provider, replenishment obligation, water banking, annual report, Arizona Water Banking Authority, water supply management

Transcript Highlights:

• And from that bill, it says the legislature finds that rising health care costs and access to health
• This puts vulnerable communities at risk and undermines our health care system.
• This put vulnerable communities at risk and undermines our health care system.
• We all agree health care costs are burdensome, and we should also all agree that cost containment is
• We all agree health care costs are burdensome, and we should also all agree that cost containment is

Bills: HB1812 , HB2232 , HB2250 , HB2340 , HB2577

Committee: House Health Care & Wellness

Keywords: anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure

Transcript Highlights:

• Independent pharmacies are the most accessible health care providers in their community.
• Health insurance costs a lot of money. We get lots of complaints about rising premiums.
• and promote innovation in health care.
• Nothing in our health care system comes by magic. It comes by work.
• I mean, I've had almost every health care plan over the course of my son's illness.

Bills: HB591 , HB765 , HB826 , HB870 , HB938 , HB1151 , HB1162 , HB1176 , HB1196 , HB1236 , HB1241

Committee: Senate Insurance

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• care is going<00:44:59.920><c> to</c><00:45:00.079><c> cost?
• care, preventive medicine, disregarding other more effective health care methods to help improve our
• And so I'm in opposition of health care.
• </c> Disregarding other more effective health care methods to help improve our god-given immune system
• by a health care provider.

Bills: HB1853 , HB1591 , HB1961 , HB1854 , HB1965 , HB1962 , HB1959 , HB2505 , HB2576 , HB1801 , HB1804 , HB1864 , HB2319 , HB2314 , HB2115

Committee: House Health

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Why shouldn't we know the cost and impact of adding health care mandates?
• the health care system, or what will it potentially save?
• ...and health care costs. But it is a question that is hardly ever answered.
• Because we really have the sources that say what health care costs.
• And the cost of health care for our constituents.

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• our health care system grows for everyone.
• Now this bill is asking Arizona to empower the same system.
• The reason why is because I work in behavioral health across Arizona.
• Health care and social service workers should never be turned into informants.
• I also have a 50-year history working in health care.

Bills: SB1232 , SB1421 , SB1505 , SB1511 , SB1520 , SB1803

Committee: Senate Military Affairs and Border Security

Keywords: outdoor advertising, military compatibility, zoning, electronic signage, permitting, undocumented immigrants, financial services, identification requirements, loans, foreign remittances, transitional housing, military, veterans, grant program, supportive services, SB1511, commercial driver license, CDL, nondomiciled CDL, nondomiciled commercial driver license