Transcript Highlights:

• What type of disciplinary action is taken then for a violation?
• I don't believe I addressed disciplinary action.
• Thank you. expression point.
• ... ...stakeholders' input in those disciplinary standards that you're putting in place.
• But for me, it's far too ambiguous at this point.

Summary: The Education Administration Subcommittee met with a quorum and took up two bills. The first, PCS for HB 725 on political activity at public institutions of higher education, would require colleges and universities to notify students and employees about existing campus political activity rules at orientation and on their websites, and to adopt standardized policies through the State Board of Education and Board of Governors. The sponsor said the bill is intended to mirror federal IRS/501(c)(3) guidelines, protect institutions from risking federal funding, and clarify what is and is not allowed; supporters framed it as an awareness and free-expression measure, while opponents warned it could chill speech, create vague enforcement standards, and lead to unintended consequences for students and faculty. Public testimony was largely opposed, with speakers from student, civil liberties, education, and advocacy groups raising free-speech concerns. The committee passed the bill 13-5. The second measure, PCS for HB 1437, addressed disputes under mutual management plans between conversion charter schools and district school boards. The sponsor said the bill fills a gap by providing a clearer dispute-resolution path through mediation by the Department of Education or, ultimately, an administrative law judge at DOAH. Members asked about appeal rights and whether DOE is perceived as favoring charter schools; the sponsor said the bill simply sets the process for the current issue and that the administrative law judge provision serves as the final step. There was no public testimony, and the bill was reported favorably 18-0.

Transcript Highlights:

• Speaker, but I also want to point out our staff and Gray.
• To that point. Oh, Mr. Radd. Thank you, Mr. Chairman. Thank you.
• It also creates a process for the board to expunge certain disciplinary actions imposed on a licensee
• Any, uh, Representative Griffin, to that point? Yeah, please.
• Chairman, I just want to point out I had a bill to solve this problem. Well, aren't you special?

Summary: The committee heard concurrence and Senate-amendment explanations on a series of House measures. HCR 2001 would place a constitutional question before voters on election-related changes, including limiting voting to U.S. citizens, banning foreign national election contributions, requiring government-issued ID, and allowing ballot tabulation at the voting location; supporters described it as an election-security and faster-counting measure, while members noted possible county costs and the need for future appropriations if approved. HB 2305 on private towing was described as a statewide response to predatory towing, with Senate changes delaying local rate updates and creating a study/reporting framework for towing enforcement. HB 2321 would require DCS to place security freezes on children’s credit records, but the Senate removed the appropriation. HB 2397 revised HOA/condominium sale-notice procedures, and HB 2398 required insurance coverage for peer-to-peer or charter watercraft rentals while clarifying that ordinary boat ownership would not be mandated to carry insurance. The committee also reviewed HB 2406, which the Senate struck and replaced with confidentiality protections for records involving deceased minors and minor victims of child abuse; HB 2408, which revised nursing board complaint and expungement procedures, added complainant confidentiality protections, and required public posting of policy statements; and HB 2755, which was substantially rewritten to facilitate the sale of underperforming state trust lands by allowing certain lessees to apply to purchase parcels through an appraisal-and-auction process. Members discussed a specific Dairy Queen/state land parcel example as the practical impetus for HB 2755. HB 2957 would bar governments from requiring digital/mobile driver licenses for services and limit ADOT’s retention and use of identity documents and biometric data, with the sponsor emphasizing privacy and federal-law carveouts. Finally, HB 4005 would require AI instruction in schools, with the Senate expanding it from district-level instruction to grade-specific student requirements and directing ADE on curriculum development. Supporters framed AI literacy as essential for students’ future competitiveness and ethical use, while opponents objected to the mandate and questioned its fit for charter schools and core academics. The meeting ended after the committee moved through the bills and adjourned.

Transcript Highlights:

• And they have disciplinary action imposed.
• And they have disciplinary action imposed.
• And they have disciplinary action imposed.
• And they have disciplinary action imposed.
• We if they disciplinary action imposed.

Keywords: Appropriations - Room 409, 28 January, 2026; 10:30 A.M., 925, all

Summary: The meeting began with testimony from the Nursing Home Administrator Board, whose executive director explained the board’s role in licensing nursing home administrators, the AIT internship pathway, reciprocity, board composition, meeting schedule, and staffing. Members then shifted to an ice-storm-related discussion about nursing home emergency preparedness. Legislators asked whether any facilities lacked power, generators, or water, and urged clearer communication protocols so facilities would report problems directly through the Department of Health and emergency channels rather than through scattered calls to legislators. The board said facilities generally communicate with the Department of Health, that emergency contact information had been distributed before the storm, and that every facility has some form of generator, though not all can power the whole facility. The board also presented a small budget request, including modest salary increases for its two employees and a cloud-migration cost tied to House Bill 1491, with the understanding that statewide funding for that requirement might be handled separately. The discussion then moved to the Department of Health’s budget and operations. Agency leadership said the department has spent the last three years improving county health department efficiency, reducing overhead, and adjusting fees to eliminate program deficits, which has reduced spending by about $10 million and would shift roughly $8 million in general funds away from deficits. The department requested level funding overall, citing inflationary pressures and the possibility of another federal shutdown, but said it could absorb the impact for another year. Members discussed the public health trust created in a prior session, the need to rebuild county health departments, maternal and fetal care initiatives, and the importance of maintaining the $2.9 million in public health program support that has helped expand services such as obesity management, OB care, and home visitation for high-risk mothers and babies. Oversight and compliance issues were also reviewed. Legislators asked about prior problems with grants and sex education funding, and department officials said they had tightened oversight, adopted OpenGov for compliance, and corrected earlier violations so the programs are now in full compliance. They said the agency had improved accountability for both state and federal funds and that transparency remained a priority. The department also highlighted the cannabis program, saying it is now profitable, generating about $9 million in net revenue last year and about $12.5 million this year, with projections of $40 million to $50 million annually as it matures. Officials said they are asking for seed money for the public health trust from cannabis revenue so private-sector donations can be leveraged for long-term public health support. They described enforcement actions including fines, suspensions, license revocations, plant destruction, and referrals to law enforcement, the attorney general, and licensure boards for serious violations. The meeting ended with general support from legislators for the department’s work and acknowledgment of improved health outcomes, including Mississippi moving from 49th to 48th in overall health outcomes.

Transcript Highlights:

• I'm, can I Extend that to the disciplinary action pieces as well?
• Madam Chair, just one final point.
• We also have disciplinary guidelines that are still in draft form.
• Point of care. So, one is the clinical portal.
• So, an example, and this even expands beyond point of care.

Transcript Highlights:

• Companies that pay higher average hourly wages receive higher points.
• Companies that pay higher average hourly wages receive higher points.
• Companies that pay higher average hourly wages receive higher points.
• The point is to get there, you know.
• The point is to get there, you know.

Keywords: Cabinet for Economic Development – Bluegrass State Skills Corporation Overview 02:35 ----Discussion of BR 868, 2026 Regular Session 24:08, 958, all

Summary: The meeting began with a quorum call and approval of the August 21 minutes. The main presentation was from the Kentucky Cabinet for Economic Development on the Bluegrass State Skills Corporation (BSSC), which was created in 1984 and is administratively tied to the cabinet. Staff explained that BSSC supports workforce training for companies in Kentucky through two main programs: the grant-in-aid reimbursement program and the skills training investment tax credit. They also described the board’s structure, quarterly meetings, annual audit, and the metropolitan tax credit tied to UPS in Louisville, along with public-private training consortia supported by the program. The cabinet outlined eligibility and funding rules: applicants must be qualified companies, trainees must be full-time Kentucky residents meeting wage requirements, and eligible training includes in-house company-specific training, train-the-trainer efforts, safety/OSHA training, and outside training through KCTCS or other providers. Grant-in-aid is a 50% reimbursement program capped at $75,000 per company per fiscal year and $2,000 per trainee, while the tax credit is capped annually and is awarded on a first-come, first-served basis. Applications are scored based on county tier, wages, workforce development activity, veteran hiring, participation in consortia, and job growth. Members asked for data on trainees and industries served, and staff said they could provide it. They also discussed coordination with other workforce programs, especially KCTCS and the state’s TRAIN program, to avoid overlap and double dipping. Several members asked about program usage and differences between fiscal years. Staff said the tax credit is less popular because it is not refundable and requires tax liability, while grant-in-aid is more attractive because it is cash reimbursement. They said lower or delayed spending in some years can reflect one-year training windows, reimbursement lag, new facilities ramping up, consortia activity, and special allocations such as those tied to Ford facilities. Questions also covered support for new businesses, which staff said can receive favorable scoring for new jobs and may have funds set aside for new location projects. On veterans, staff said they connect companies to Kentucky Valor and other resources, but the program does not track veteran retention outcomes. The final discussion was on a draft bill related to the Kentucky Horse Park and the U.S. Center for SafeSport. Representative Vanessa Gracel and Kentucky Horse Park President Lee Carter explained that the proposal is intended to help the park maintain integrity and protect athletes, volunteers, coaches, trainers, and guests from abuse and misconduct. They described SafeSport’s federal role in Olympic and Paralympic sports and said they hope to move the draft forward as legislation in 2026. No votes were taken on the BSSC presentation or the horse park discussion.

Transcript Highlights:

• And then in in that section pointing to.
• We are the high points of this.
• of the big the major points on this one. of the big the major points on this one.
• So that's, yeah, that's a good point.
• disciplinary action disciplinary action under<00:27:00.720> RSA under RSA under RSA did<00:27:

Keywords: 1191, senate, all

Transcript Highlights:

• It updates our disciplinary action, which is 32707.
• This allows us again to bring things into the more modern times as far as how we're defining disciplinary
• <00:03:50.879> action do uh it updates our disciplinary action do uh it updates our disciplinary
• actions all this defining disciplinary actions all this is<00:04:05.079> already<00:04:05.319
• So at some point, some professional in the United States will be observing this person working before

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 27, 2025, with a quorum present and first took up House Bill 255, relating to physical therapy. The bill sponsor and representatives of the Kentucky Board of Physical Therapy and APTA Kentucky said the measure is mainly a cleanup and modernization bill that updates outdated statutory language, changes PTAs from “certified” to “licensed,” gives the board authority to purchase liability insurance, moves fee and fine caps into regulation without changing current fees, renames temporary permits as provisional licenses, and creates a pathway to more easily recognize some internationally trained physical therapists already practicing in other states. Senators asked whether the bill changed training, scope of practice, Medicaid, or supervised practice standards; witnesses said it did not, and that supervised practice requirements remain in place with out-of-state practice accepted only when equivalent or more stringent. The committee approved HB 255 with favorable expression. The committee then considered House Bill 618, an alcoholic beverages measure with a Senate committee substitute. The bill was described as having three parts: allowing restaurants to buy limited quantities of alcohol from retail outlets to meet customer demand while keeping the three-tier system intact and requiring quarterly reporting; creating a temporary auctioneer license to auction previously retail-sold alcohol in original packaging, such as estate or bourbon collections; and giving quota bar license holders the same opportunity restaurants already have to sell barrel picks by the bottle. Testimony supported the bill as a way to help restaurants, auctioneers, and bars, while a senator raised a question about sales tax on auction sales and another noted that nonprofit or church-related alcohol auctions already require permits under existing law. One senator suggested future guardrails to encourage local purchasing, but no amendment was adopted. The committee passed HB 618 with favorable expression.

Transcript Highlights:

• <00:14:34.720> here what I'd say is the broader point here what I'd say is the broader point
• But the horrors of domestic ... point in the future? point in the future?
• I think disciplinary clarifications.
• what of the intent of that disciplinary what of the intent of that disciplinary clarification<01
• <01:30:02.320> in blocks and comes back at some point in blocks and comes back at some point

Keywords: Call to Order and Roll Call – 0:00:00 Workforce Pell Grant Update – 0:03:30 Extension Office Update – 0:33:25 Kentucky Academic Standards for Social Studies – 1:07:08 Early Literacy Outcomes – 1:32:20 Consideration of Referred Administrative Regulations – 1:58:30 Adjournment 2:13:13, 958, all

Transcript Highlights:

• I want to also point out that that. provision allows for removal, not just to a disciplinary setting.
• , who have disciplinary records.
• The high point of that.
• I mean, at some point. point, I do think that that's reasonable to involve civil action.
• get to the point point where you read to learn.

Bills: HB6, HB27, HB 123, HB210, HB213, HB222, HB610, HB 1085, HB1481, HB6, HB27, HB123, HB210, HB213, HB222

Keywords: mental health, telehealth, public schools, discipline management, behavioral interventions, financial literacy, high school education, curriculum requirements, economics, personal finance, HB 123, kindergarten readiness, early literacy, early numeracy, reading screening, math screening, foundational literacy, foundational numeracy, dyslexia screening, reading intervention

Transcript Highlights:

• And so I don't want to belabor the point.
• But my point is, how do you plan to enforce this?
• Point of order in the House. Point of order. Got it. You had said during your deliberations...
• It's only unsubstantiated disciplinary...
• We don't need to belabor this point.

Bills: SB2, SB3, SB5, SB9, SB10, SB14, SB16, SB18, SB34, SB6, SB7, SB8, SB11, SB12, SB13, SB15, SB 2, SB 3, SB 5, SB 9, SB 10, SB 14, SB 16, SB 18, SB 34, SB 6, SB 7, SB 8, SB 11, SB 12, SB 13, SB 15, SB 17, SB 4, SB1, SB2, SB3, SB5, SB9, SB10, SB14, SB16, SB18, SB34, SB6, SB7, SB8, SB11, SB12, SB13, SB15, SB17, SB4

Keywords: flooding, public safety, outdoor warning sirens, disaster preparedness, emergency response, flood warning, outdoor sirens, local government, safety measures, flood management, emergency preparedness, municipal safety, disaster response, disaster relief, emergency funding, Meteorological forecasting, local government assistance, training facilities, hemp regulation, consumable products

Transcript Highlights:

• Um, a couple of key points, a few of the key points that this bill proposal has, is it provides options
• <00:09:17.160> tool, out of school as a disciplinary tool, out of school as a disciplinary
• At this point. Okay, Ms. Jean, go ahead. At this point. Okay, Ms. Jean, go ahead.
• <00:15:00.040> incident<00:15:00.800> with disciplinary incident with disciplinary incident
• what truly reduces disciplinary issues. what truly reduces disciplinary issues.

Keywords: 1183, house

Summary: The committee heard House File 3493, the Safe Schools Revenue Increase bill, and first adopted the DE amendment before moving the bill on for re-referral to Ways and Means. Representative Lawrence described the bill as a multi-layered school safety package for all students and schools, including public, nonpublic, charter, and tribal schools, with increased safety funding, mental health support, anonymous threat reporting, school safety plans, and student discipline changes. Several supporters emphasized the need for flexible safety funding and cited real-world safety concerns, including anonymous tip systems that had generated many reports, classroom evacuations, staff injuries, and the need for more resources for mental health and safety infrastructure. Some supporters, including charter school leaders and Catholic Conference testimony, argued the bill’s flexibility and broader safety approach were important, while others supported the K-3 suspension language as a needed tool in severe cases. Opponents focused heavily on the bill’s repeal of Minnesota’s K-3 suspension ban and non-exclusionary discipline requirements. Legal aid, disability advocates, and education groups argued that suspensions harm young children, worsen disparities, and disproportionately affect students of color and students with disabilities, and they urged the committee to keep restorative and non-exclusionary practices in place. Disability advocates also asked that any safety planning explicitly account for students with disabilities and that the bill remain aligned with IDEA protections and individualized education decisions. Several testifiers opposed using public funds for private schools, saying public money should stay in public programs. Other testimony came from school administrators and staff who supported restoring limited suspension discretion, describing serious elementary incidents, classroom evacuations, and injuries that they said required a short-term removal option to stabilize classrooms and plan for students’ return. Mental health and school support personnel witnesses stressed that safety and mental health funding should remain distinct and that more counselors, social workers, and related staff are needed to address student crises. No final vote on the bill itself was taken in the portion provided beyond adoption of the DE amendment and the motion to re-refer the bill.

Transcript Highlights:

• That seems to focus more on addressing the addiction rather than just a disciplinary action.
• I would just assume the court would have contempt at that point if they chose to. I don't know.
• Interested parties can come together to address a student's disciplinary problems.
• Expulsions, point well taken. Thank you, Mr. Chairman.
• In our session, we widely used disciplinary measures that address vaping offenses.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• Would you be able to point that to me? Would you be able to point that to me?
• One point I want to make, a couple points I'd like to make, and then I'll address costs.
• But your point is organization side. But your point is well<01:10:48.640> taken.
• I<01:16:33.199> would make two points the first point I would make two points the first point
• those those points in. those those points in. >> You're<01:50:16.639> welcome.

Keywords: 928, house, all

Summary: The Education Funding Committee’s higher education subcommittee met to discuss HB 443, HB 510, and related issues. The chair explained the subcommittee membership and noted that Representative Luno was absent and replaced by Representative Bricky, with other full committee members allowed to participate in discussion but not final votes. No votes were taken during this meeting, and the chair said final subcommittee recommendations would likely come in the first week of November. On HB 443, which concerns terms of appointment to the Higher Education Commission, the chair described the bill as intended to let the governor replace members who are not attending or no longer representing the appointing organization. He said the prior governor supported the idea, but the current governor’s office believes the bill is unnecessary because nonattendance or loss of representation would already amount to resignation or removal. Members raised questions about legal authority and whether the same principle should apply to other boards. The chair said he was leaning toward finding the bill not needed, but would continue discussion later. The committee then spent most of the meeting on HB 510, which would establish due process rights for students, student organizations, and faculty at public higher education institutions and address collective bargaining issues. Supporters, including Representatives Papovich and Brown, argued the bill would provide clear, minimum protections, especially because campus rules are lengthy and vary by institution; Brown also suggested adding an independent ombudsman or representation for students. Opponents, including Representatives Burton and Bricky, said existing campus regulations already provide due process and that the bill could interfere with campus governance and collective bargaining. The chair and others discussed whether the bill’s definitions should be aligned with existing law to avoid confusion, and several members suggested using existing statutory definitions or cross-references. The chair also said the bill would apply only when disciplinary action is involved, not as a general challenge to DEI policies, though members referenced recent national examples involving DEI-related disputes as context.

Transcript Highlights:

• impose sanctions in disciplinary impose sanctions in disciplinary proceedings proceedings proceedings
• disciplinary disciplinary proceedings<00:20:03.679> they<00:20:03.840> decide<00:20:04.159
• of the license then we what's the point of the license then the<03:10:51.720> point<03:10:51.920
• um these uh workers at this point um these uh workers at this point without<03:12:27.000> the
• I'm concerned about the disciplinary I'm concerned about the disciplinary procedure<04:55:32.120

Keywords: 928, house, all

Summary: The meeting was an orientation-style overview from the Office of Professional Licensure and Certification (OPLC), led by Executive Director Deana Jurus and staff. They described the office’s mission to protect public health, safety, welfare, the environment, and the public trust, and outlined the agency structure: enforcement, licensing and board administration, operations, legal counsel, board counsel, and the hearings bureau. OPLC said it currently supports 57 boards, including seven advisory boards, and has about 104 filled positions out of 120 authorized. They also noted new voluntary certifications for doulas, lactation consultants, and community health workers that are in rulemaking. A substantial portion of the discussion focused on how boards and staff divide responsibilities under RSA 310:4. Staff explained that the office handles application processing, complaint intake and initial review, records retention, 91-A requests, and rule drafting, while boards make final decisions on licensure criteria, complaint dismissals or investigations, disciplinary actions, and some hearing matters. They also described the rule structure by chapter number ranges and the distinction between full licensing boards and advisory boards. The committee asked about complaint notifications, and OPLC said it is tightening policies so complainants are told whether a matter is closed or moving forward. The licensing process was discussed in detail, especially for nursing. Bethany Katrell explained that applicants apply through an online portal, may receive approval to sit for exams, can work under provisional authority in some cases, and then receive full licensure after exam results and criminal background checks are complete. OPLC said the portal now reduces back-and-forth paperwork and that, as of the latest biweekly report, 87% of applications were decided within the statutory 90-day period and 57% within 14 days. Members also raised questions about why some professions require board approval before taking an exam, and OPLC said that requirement varies by statute or board rule. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• There's no, like, there's no, like, assistant, or at that point that's over?
• disciplinary action is easily accessible among participating states.
• Disciplinary actions across states so that any disciplinary action is easily accessible among participating
• The bill says in several different places, happy to point those out to you, you are...
• I think all the points were made why we support it.

Keywords: 959, house, all

Transcript Highlights:

• The number of applications received licenses issued denials, complaints received and disciplinary action
• As these investigations work their way through the disciplinary process, the Board of Massage therapy
• These updates are shown rep shows point I to give us this.
• These updates are shown rep shows point I think about when I was a the mayor and commissioner and the
• What is permissible at this point? >> Thank you for that question.

Transcript Highlights:

• vested and it restricts at some point vested and it restricts at some point right<00:40:47.119><
• sufficient to support dis disciplinary sufficient to support dis disciplinary proceedings<01:01:
• Fair point. Okay, here I have a question.
• in the Slate of options of disciplinary in the Slate of options of disciplinary action<01:18:08.120
• <01:22:34.520> in 77 shall be made at the just pointing in 77 shall be made at the just pointing

Keywords: 928, house, all

Summary: The committee reviewed selected House Bill 2 provisions, focusing first on the group two pension reform language and whether it matched prior legislation and the fiscal note. Members discussed two main issues: the treatment of extra and special duty pay in the pension calculation for employees hired before 2011, and the annuity multiplier after 15 years of creditable service. Several members said the HB 2 language was intended to restore prior law and protect against pension “spiking,” while others worried the draft and fiscal note may not have fully reflected current law, potentially affecting the cost estimate. The discussion repeatedly emphasized the need to avoid underfunding or double counting and to make sure Finance had the correct actuarial assumptions. No vote was taken; the committee agreed to flag the issues for Finance and to clarify the fiscal note. Members also discussed the vested-rights language, which was described as an explicit definition of vesting and a restriction on future legislative changes to compensation calculations after three years of service. Some viewed it as a policy protection with no immediate fiscal impact, while others noted it had been included in prior legislation and should be clearly understood before the bill moved forward. The committee also briefly referenced prior pension legislation, including House Bill 436 and House Bill 727, and noted that HB 2 was being used to carry forward related pension repair provisions. The committee then turned to an OPLC-related section transferring building, plumbing, electrical, and fuel gas inspector positions from OPLC to the Department of Safety’s Fire Marshal’s office. Testimony explained that the nine inspector positions are funded from the licensing fund, and that the move was justified as a public-safety function better aligned with the Fire Marshal’s mission because the inspections are statewide code-enforcement work rather than facility-specific licensing work. The discussion ended with a note that the remaining HB 2 changes run through 2034 and a brief announcement about memorial arrangements for C.J. Gerard.

Transcript Highlights:

• But we are in kind of a little bit of a pain point where we don't always know what's coming.
• Our disposition rate is 96% at this point, with the average age of the case being 5.4 months.
• disciplinary procedure.
• For example, the Board of Disciplinary Appeals BODA, as we call it, B-O-D-A.
• at this point.

Keywords: 1184, house, all

Bills: HR2, HR37, HR61, HCR11, HCR64, HB89, HB183, HB341, HB371, HB451, HB480, HB520, HB541, HB579, HB597, HB816, HB1004, HB1064, HB1165, SB44

Keywords: transparency, accountability, Justice Department, FBI, Jeffrey Epstein, victim protection, investigation, public trust, HR37, House Resolution 37, Honduras veterans, Armed Forces Expeditionary Medal, military medal, veteran recognition, Congress memorialization, U.S. veterans, foreign deployment, 1981 to 1992, military service awards, combat support

Transcript Highlights:

• Is it available in dosages for humans at this point in time? Thank you for the question.
• Madam Chair, can I have a point of clarification? Yes.
• We could make a Section E, an F under Section 3, that however it needs to be worded, that the point of
• Kind of to your point on the amendment, in Section 2B, it says...

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure