Transcript Highlights:

• It requires supervised training, direct supervised training in the laser procedures on live patients
• For this bill, we are looking at what's called a foreign-trained or internationally trained physician
• They have substantially similar training to the U.S.
• may not have substantially equivalent training... ...that may not have substantially equivalent training
• I trained at UNM.

Summary: The committee first took up House Bill 213, which would allow optometrists to perform three specific laser procedures. The sponsor presented a committee substitute adding 32 hours of approved advanced training, supervised live-patient practice, adverse-event reporting, and other accountability measures. Supporters argued the bill would improve access to care, while the New Mexico Medical Board opposed it, citing patient-safety concerns and the much greater training required of ophthalmologists. After debate, the committee adopted the substitute and passed the bill 6-3. The committee then considered House Bill 65, renamed the Foster Care Plus pilot program. The substitute changed the bill to require clinical assessment instead of CAN assessment, added reporting to the Legislature and LFC, and clarified contracting with clinical experts. CYFD officials said the $2.5 million request, combined with existing growth funding, would support more children, staff, foster-parent stipends, and related services, and that the program is already being implemented with help from Oklahoma-based experts. Some members remained concerned about cost, staffing, and whether the program could be sustained, but the committee adopted the substitute and passed the bill 8-1. House Bill 127, on expedited medical licensure, was amended to create a provisional pathway for internationally trained physicians, require a job offer and benchmarks before full licensure, and establish a telemedicine registry. The Medical Board supported the amended bill, while public commenters emphasized physician shortages and access to care. The committee adopted the amendment and passed the bill. House Bill 128, which updates firefighter occupational disease and disablement presumptions to add cancers and other changes, drew strong support from firefighters, labor, and workers’ compensation officials; the committee adopted the amendment and passed the bill. House Bill 156, which removes the sunset on the state’s authority to set vaccine guidelines and continue its vaccine program, also passed after supporters argued it preserves access and opponents raised broader vaccine-policy concerns. The committee then began hearing House Bill 137, a buprenorphine access bill, with the sponsor and advocates describing pharmacy supply barriers and a committee substitute aimed at setting minimum stock standards, requiring distributor reporting, and avoiding fines on pharmacies.

Transcript Highlights:

• It was almost like a train-the-trainer.
• I think that training before is really helpful.
• This is an act to establish de-escalation training in student transportation.
• where they need to be trained.
• Yeah, so Senator Lewis, This training—is it a couple hours?

Committee: Joint Joint Committee on Education

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with most testimony focused on two main topics: improving access to augmentative and alternative communication (AAC) for students with disabilities, and raising educator pay statewide. On the AAC bills (House 514/Senate 418), parents, advocates, and attorneys described how AAC devices and communication books help nonverbal or minimally verbal children communicate, participate in class, and reduce frustration and behavioral issues. Testimony emphasized that while districts are generally required to provide devices, many teachers and school staff lack training to use them effectively; the bill would direct DESE to update licensure and training requirements so newly licensed teachers are prepared to support AAC users. Committee members asked about current teacher-prep practices, implementation, and whether DESE could act without legislation, and witnesses said the proposal was intended as a long-term solution and had previously received some support and compromise language. The committee also heard extensive testimony on House 733/Senate 370, which would set a statewide minimum salary of $70,000 for teachers and $55,000 for education support professionals (ESPs/paras), with inflation adjustments and a phase-in structure that would shift costs over time from the state to municipalities. Supporters, including the bill sponsor, MTA leaders, and school employees from several districts, argued that current pay is not a living wage, contributes to staffing shortages and turnover, and forces many educators to work multiple jobs or rely on public assistance. They said the bill would help recruit and retain staff and better reflect the importance of the work. Committee members raised questions about how the state would fund the mandate, how it would interact with Chapter 70 school aid and local budgets, whether other states have similar mechanisms, and whether the proposal could create disincentives for districts already paying above the floor. Witnesses pointed to the Student Opportunity Act, the Fair Share Amendment, and the need for a broader school funding formula review as possible parts of the solution. The committee also briefly heard and discussed Senate Bill 435/House Bill 736, which would require de-escalation training for school bus operators, with the training paid for by employers. The sponsor and a parent advocate said the bill was prompted by a school bus incident involving a child with cerebral palsy and epilepsy and would improve safety and reduce reliance on law enforcement. Members asked whether the bill should also cover bus monitors and other transportation staff, and whether private contractors and public operators currently provide similar training. At the end of the hearing, the chairs closed testimony on the full list of bills and adjourned the hearing without taking any votes.

Transcript Highlights:

• </c> years to actually um implement it, train years to actually um implement it, train teachers,<00:21
• </c><00:25:03.440><c> in</c> across the state that are trained in across the state that are trained in
• We didn't have the grant until the year after for the training, but we were able to do training on a
• ,</c><00:34:28.000><c> but</c> after um for the for the training, but after um for the for the training
• </c><00:34:30.240><c> was</c> we were we had the the training was we were we had the the training was

Summary: The Committee of Conference on Senate Bill 578 met to reconcile differences in a bill concerning recess times for children and related early learning provisions. The Senate sponsor described two compromise amendments, both based on the Senate version, that would restore play-based learning through third grade and replace guided reading with interactive shared reading; the only difference between the two was whether recess would extend through fifth grade or eighth grade. The sponsor argued the changes were supported by studies, existing state investment in play-based learning, and examples from schools using recess to improve attendance and behavior. House members opposed the amendments, saying they were concerned about creating an expensive or unfunded mandate and about limiting local control over curriculum decisions. One House member said the state lacked enough fiscal support and implementation time for districts, and another said the proposal should perhaps be studied further before expanding it beyond kindergarten. Supporters countered that the state had already invested in training, that the proposal was a teaching method rather than a new curriculum, and that play-based learning and recess improve mental health, classroom behavior, and student engagement. The committee voted on the 2084S amendment, and it failed on a divided vote. After further discussion, the House reiterated that it would stick with its position and oppose the Senate amendments. The chair then stated that the committee was at an impasse and that the bill was effectively dead, with no further action taken.

Transcript Highlights:

• Now they do get training.
• The question was asked about training.
• volunteer have some paid-for ammunition to be able to get more training.
• We want those to be very well trained, disciplined in that.
• That is why advocates are trained in safety planning.

Transcript Highlights:

• </c> active Transportation safety training active Transportation safety training statute<00:13:39.199
• </c><00:14:06.440><c> ensuring</c> Transportation safety training ensuring Transportation safety training
• </c><00:14:37.839><c> within</c> the second week is to be trained within the second week is to be trained
• </c><00:19:20.720><c> that</c> what what are the teacher training that what what are the teacher training
• </c><00:21:14.559><c> and</c> element of this is the training and element of this is the training and

Committee: House Education Policy

Transcript Highlights:

• At that point, we can do the training and then get them the badge that says that they were trained and
• Um, and in Alzheimer's and training.
• At that point, we can do the training and then get them the badge that says that they were trained and
• Chair notes that DBED's request for $90,000 for training would be offset by training support from EOA
• </c> provide dementia training for employees. provide dementia training for employees.

Summary: The joint hearing covered several bills focused on economic development, tourism, business climate, and related policy areas. On HB 1943, which would support a DBEDT office in Korea, DBEDT and the Retail Merchants of Hawaii testified in support, emphasizing Korea’s importance as a market for investment, trade, and tourism and the value of helping small and midsize Hawaii businesses access Asian markets. A later witness also tied the proposal to broader free-trade and APEC-related goals. The committees heard no opposition on that measure. The committees then heard HB 1612 and HB 1614, both supported by multiple organizations and agencies. Testimony for HB 1612 stressed Hawaii’s weak business climate and the need for policies that improve economic growth and competitiveness; the Hulamua Collaborative cited survey results showing only 19% of respondents viewed Hawaii as a good place to do business. HB 1614 also drew support, with HTC saying its focus is on economic growth. For HB 1968 and HB 1967, the Office of Planning and Sustainable Development, the University of Hawaii, the Chamber of Commerce, and Hulamua Collaborative largely stood on written testimony in support; the hearing notes reported nine supporters and one opponent on HB 1968, and seven supporters with one comment on HB 1967. A substantial portion of the hearing focused on HB 1589, a bill to create dementia training and recognition for businesses. Testifiers included a private citizen sharing a personal family story, the Alzheimer’s Association, and DBEDT. Supporters said the measure would help families affected by dementia, reduce stigma, and make businesses more dementia-friendly. DBEDT said the issue would be better handled by an agency with dementia expertise, while the Alzheimer’s Association said it could provide training at no cost and suggested amendments to shift implementation toward the Executive Office on Aging and to use the term “dementia business champion.” The final major topic was HB 1608, involving a space-related project and financing. Phoenix Space testified that the bill would help launch responsive space access operations at Hilo International Airport, create local jobs, and support partnerships with Hawaii institutions, while another supporter said the project could diversify the economy. A committee member raised a timing concern, noting bond cap capacity was already allocated through 2028, and the witness said they were willing to work on a solution. The hearing also included HB 1850 on capital gains taxation, where supporters argued the bill would make the tax system fairer by increasing taxes on investment income, while the Chamber of Commerce opposed it. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• Thank you, Senators. thing as no cost training. Uh the best I thing as no cost training.
• from dementia training.
• ,</c> mandating anybody take this training, mandating anybody take this training, correct?
• It is not just for training.
• It is not just for training.

Committee: Senate Public Safety and Military Affairs

Summary: The joint hearing covered HB 1976, relating to dementia training for law enforcement, and HB 2443, relating to disaster services for people with disabilities and access or functional needs. For HB 1976, the Hawaii Law Enforcement Standards Board opposed the bill’s process and cost, arguing there was no documented training gap because existing CALEA accreditation already includes mental illness response training that covers dementia. Supporters, including the Alzheimer’s Association, AARP, disability advocates, caregivers, and several individuals, said dementia-specific training would help first responders better handle real-world encounters and avoid harmful misunderstandings. The committee later recommended passage with amendments, including changing mandatory language to permissive language in several places and removing a deadline for the first annual training cycle; the recommendation was adopted unanimously. For HB 2443, testimony was strongly supportive. The Disability Communication Access Board, the State Council on Developmental Disabilities, the Office of Wellness and Resilience, Hawaii Emergency Management Agency, and individual testifiers said the bill would strengthen emergency planning and response by adding a Disability Integration Specialist and better integrating people with disabilities and others with access and functional needs into disaster preparedness, sheltering, and FEMA coordination. Several speakers emphasized recent storms and rescues as evidence of the need. The committee recommended passage with amendments, including changes based on Attorney General comments and adding specialized communications and comprehensive communications planning provisions previously contained in another bill; that recommendation was also adopted unanimously. The transcript then moved to a separate mini hearing on HB 1768, relating to immigration enforcement. Supporters, including the ACLU of Hawaii, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, and the Office of Hawaiian Affairs, argued the bill would prevent local law enforcement from entering 287(g)-type agreements or otherwise participating in federal immigration enforcement, citing civil rights concerns, community trust, and the need for police to focus on local public safety. One testifier raised concerns that local cooperation could help avoid mistakes in enforcement, while supporters responded that immigration enforcement is a federal responsibility and that local agencies should not be deputized for civil immigration arrests. The excerpt ends amid extended member questions and discussion, without showing a final vote on HB 1768.

Transcript Highlights:

• Most health care facilities already have visitor policies in place and staff training as well.
• Facilities can incorporate these requirements into existing trainings and policy updates.
• MALDEF is probably in support of SB 938, which is an important bill on police training standards.
• of training protocols.
• Number two, it requires baseline safety and training standards.

Committee: House Appropriations

Transcript Highlights:

• The second portion of the bill pertains to school board director training.
• a training on diversity, equity, and inclusion, and a training on open government.
• we'd be concerned with two separate training requirements moving through the Legislature.
• We do offer trainings that accommodate all types of governance structures across the state.
• We also appreciate that the training from WASDA is included in this bill.

Summary: The committee heard testimony on several education-related bills. Senate Bill 6130 would move public high schools’ voter registration events from Temperance and Good Citizenship Day in January to National Voter Registration Day in September, with schools offering Future Voter registration to eligible students in history or social studies classes. The sponsor, Sen. Krishnadasan, and supporters from King County Elections, Pierce County, OSPI, and the Legislative Youth Advisory Council said the change would better match student interest and improve youth civic engagement at no fiscal cost. A senator asked about community service opportunities, and the sponsor said that could potentially fit within existing community service recognition programs. Senate Bill 6247 would expand financial oversight and training for school districts, especially those in financial distress or binding conditions. It would require additional ESD involvement, add WASDA training on budgeting and financial health for school directors, and impose stronger consequences for knowing financial misconduct, including future employment bars and state reimbursement of certain unrecovered damages. Sen. Dozier said the bill responds to district financial problems, including Prescott School District. OSPI supported the bill, while the Association of Educational Service Districts, WSSDA, and WEA raised concerns about ESDs being placed in an oversight role, the need to align the bill with other pending training legislation, and whether some enforcement duties should instead rest with the state auditor. Senate Bill 6268 would require OSPI to keep an online record of final special education community complaint decisions for 20 years instead of the current five years on its website. OSPI supported the bill, saying it would improve transparency and help families, educators, and policymakers identify patterns and understand how complaints are resolved; the sponsor said the retention period may be amended. Advocates from Washington Autism Alliance, The Arc, and parent advocates testified in favor, saying the records help families avoid repeated disputes and reveal systemic issues. Senate Bill 6278 would change how PESB reviews teacher and principal preparation programs and adjust student-teaching field placement plan submission timing; the sponsor said the goal is to ensure educators are better prepared, and PESB testified neutral, saying many of the review elements already exist and the bill would add flexibility. The committee also heard Senate Bill 6260, a budget-savings bill affecting public education. It would lengthen school bus depreciation to 15 years, withhold up to 1.9% of MSOC funds to pay for the High School and Beyond Plan platform, and reduce Running Start funding from 1.4 to 1.2 FTE. OFM supported the bill as part of the governor’s budget approach, but many testifiers opposed it, arguing it would cut district resources, keep older buses on the road longer, shift costs to schools, and reduce access to Running Start—especially for low-income, rural, and technical-program students. School district, college, PTA, counselor, and student witnesses said the current 1.4 FTE model has expanded access and completion, while supporters of the bill emphasized state budget pressures and said the changes would preserve other priorities.

Transcript Highlights:

• Earlier, you mentioned you completed a training—did you say training program or did you say training
• Training facility rehabilitation for staff training. Okay, it was facility. Okay.
• I noticed that the training facility that was rehabilitated was the marina training facility.
• , to have a training facility.
• Finding eight: ethics training.

Summary: The Joint Legislative Auditing Committee first heard a long-running audit finding involving Daytona Beach’s unexpended building permit funds, which have exceeded the statutory limit for several years and were reported at $10.8 million in the most recent audit. Mayor Derek Henry and city staff said the city has analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees over several periods, and used some excess funds for a training facility rehabilitation and a proposed City Hall expansion. Committee members repeatedly questioned whether the city was simply trying to spend down the money, raised concerns about the legality and necessity of proposed expenditures, and asked about interest earnings, truck purchases, and the lack of detailed tracking for training-facility use. The city said an Attorney General opinion allows construction of a new building for building-code functions but not purchase of an existing building, and that if the city cannot comply through permissible construction it would have to return the funds. No vote was taken, but members expressed strong frustration and urged the city to resolve the issue quickly and lawfully. The committee then received the Auditor General’s presentation on the Town of Greenville, which found 31 findings and described pervasive control failures, possible fraud, waste, and abuse. The findings covered elections and quorum issues, conflicts of interest, late or missing financial disclosure forms, related-party transactions, poor meeting notices and minutes, council involvement in day-to-day operations, missing ethics training, budget and accounting deficiencies, weak bank reconciliations, improper utility billing and rates, grant compliance problems tied to a grocery store project, personnel and compensation issues involving the town manager, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control problems, public records issues, and IT/fraud-policy weaknesses. The auditor said the review focused mainly on October 2022 through February 2024 but went back further for some grant-related matters. Greenville’s mayor and staff said the audit reflected actions of a previous administration and that the current council and staff have already adopted seven new policies to improve procurement, financial controls, inventory management, grant oversight, and ethics. They said the town has a new manager and clerk, that the former manager was terminated, and that the town referred matters to FDLE, which is investigating. Committee members asked about the manager’s salary increase, severance, P-card use, and whether the town should consider consolidation or dissolution. The mayor said the town is on a better path, that most of the prior leadership has been voted out, and that the town is working with auditors and an outside accounting firm to correct the problems.

Transcript Highlights:

• training on mandated health and safety topics and a minimum number of annual training hours for the
• training, which must be taken every year.
• reporter training.
• It would be one to two additional hours of training when adding it on top of the required annual training
• The parents or guardians must be in the workforce, in education or training, or an education or training

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• We have training houses built in.
• We're also doing a lot of training with our staff.
• And as part of that, you have classroom training.
• So they have a a 2 weeks of court training.
• , et cetera. submit various trainings for their employees, et cetera.

Transcript Highlights:

• bill brings good steps towards that outcome by providing the pharmacists the ability, with some training
• , optional training, to be able to prescribe those medicines at that moment.
• , optional training, to be able to prescribe those medicines at that moment.
• , optional training, to be able to prescribe those medicines at that moment.
• Thank you. >> [clears throat and cough] >> the ability with some training, optional training, to be able

Transcript Highlights:

• Because I've been trained. And so that's exactly what this bill will do.
• I believe everyone is covered in getting trained, you know, if students, faculty, members and staff.
• But this training is not just about protecting individual children.
• Right now, our our school personnel, they received training on on child abuse and neglect.
• They must make this train available to school employees who work directly with military families.

Transcript Highlights:

• The 7,412-square-mile operational training range spanning southern Idaho and northern Nevada is known
• We train hard because we know air superiority is not a guarantee. It must be earned every day.
• The exercise strengthened allied cooperation and interoperability through high-intensity training in
• Our readiness requires commitment to continuous training and improvement using complex and realistic
• in the world. ...since Idaho has, in my opinion, the best airspace for training in the world.

Committee: House Transportation and Defense

Transcript Highlights:

• The training pathway exists, and the physicians willing to train me exist, but the statute is what stops
• AB 1973 aligns with the law with our current training. Thank you.
• The qualifications and training of APCs in this bill are vague and lax.
• There is no standardized training required for APCs, and there is no standardized training required for
• So the reality is, as APCs receive extensive training... That would be appreciated.

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• The level of training.
• It was training.
• This is on-the-job training.
• Take your time. trained well in their programs.
• All board staff complete DCA-required DEIA and unconscious bias training.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.

Transcript Highlights:

• The level of training.
• It was training.
• This is on-the-job training. This is really important. This is really important.
• This is on the job training. This is really important.
• All board and staff complete DCA-required DEIA and unconscious bias training.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• It wasn't meant to try and solve this blanket... ...the level of training.
• It was training.
• This is on-the-job training. This is really important.
• And we're... trained well in their programs.
• All board and staff complete DCA-required DEIA and unconscious bias training.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.

Transcript Highlights:

• . severely damaged the workforce pipeline, which I mentioned, due to the reduction of the training and
• Not only are we putting a chokehold on our ability to train incoming workforce, whether that's just in
• Educational programs we provide train and mentor the workforce: physicians, scientists, professionals
• Somebody has to educate them, somebody has to train them, and somebody has to get them ready.
• training.

Summary: The Assembly Select Committee on Biotechnology and Medical Technology met on August 19, 2025 to examine the effects of federal grant cuts, tariff uncertainty, and related policy changes on California’s biotech, medtech, and academic research ecosystem. The chair and panelists emphasized California’s outsized role in the industry, describing major clusters in the Bay Area, Los Angeles, and San Diego, and explaining how research, startup formation, manufacturing, and clinical trials are interconnected across the state. Speakers from Biocom California, California Life Sciences, Farma, UC, Stanford, CSU Biotech, and UCLA all argued that NIH and NSF funding are foundational to discovery, workforce training, and commercialization, and that disruptions are already chilling venture capital, startup formation, and hiring. Witnesses described several concrete impacts: suspended or terminated grants, reduced doctoral admissions, fewer training opportunities, canceled retreats and internships, and anxiety among graduate students and early-career researchers. UC reported hundreds of millions of dollars in suspended or terminated NIH and NSF funding, while Stanford said more than a thousand training and career-development grants nationwide have been frozen or ended, affecting multiple trainees per grant. CSU Biotech said 133 federal grants had been terminated, scaled back, or canceled, totaling about $140 million, including nearly $30 million from NIH and NSF. Industry representatives also warned that proposed antitrust limits on mergers and acquisitions could undermine the standard biotech exit path and further deter investment. Committee members asked about the duration of the disruption, the possibility of state action to offset federal losses, and whether California could better support workforce development, manufacturing, and R&D tax credits. Panelists urged the Legislature to preserve and expand state support for STEM education, internships, apprenticeship pathways, manufacturing incentives, and the R&D tax credit, and to consider infrastructure and housing as part of competitiveness. They also noted that tariffs are already raising costs for medtech components and building materials, and that China is increasingly competing for R&D, talent, and licensing deals. No formal votes or bill actions were taken at the hearing; the meeting was informational and focused on testimony and discussion.