Video & Transcript : 'reciprocal licensure' :
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MS
Mississippi 2026 Regular Session
Government Structure - Room 210; 21 January, 2026: 10:30 AM
Government Structure
Transcript Highlights:
- just want to make sure that in reading through this, this doesn't change any of the rules of the licensure
- just want to make sure that in reading through this, this doesn't change any of the rules of the licensure
- Cuz then I've not been through one of those processes, but I'm assuming since it involves licensure,
- Cuz then I've not been through one of those processes, but I'm assuming since it involves licensure,
Committee:
Joint Government Structure
MO
Transcript Highlights:
- exclusively comes from the industries and professions we regulate, which pay fees associated with licensure
- Which pay fees associated with licensure and regulatory filings.
- So Farm Bureau has now got their licensure. They are getting ready to sell those policies.
- So Farm Bureau has now got their licensure. They are getting ready to sell those policies.
Committee:
House Budget
NH
New Hampshire 2026 Regular Session
JLCAR Administrative Rules (06/19/2026)
Transcript Highlights:
- Where the department is claiming that RSA 151:2B and the associated case management licensure rule does
- rule does not case management licensure rule does not apply,<01:06:51.520><c> and</c><01:06:51.720><
- So, basically, it sounds like as part of the licensure requirements, you have to have a quality assurance
- is required in the and that licensure is required in the HEE HEE HEE 805<01:16:19.240><c> and</c><01
- requirements, you have to the licensure requirements, you have to have<01:16:59.480><c> a</c><01:16:
Summary:
The meeting began with quorum and seating issues, including the temporary appointment of Representative Shaw to fill in for a House member, followed by approval of the previous minutes and the consent calendar. Two items were then postponed to next month: Mechanical Licensing Board item 25-241 and Board of Veterinarian item 25-223.
The committee then took up Department of Energy rulemaking on distributed energy resources interconnection procedures, including items 25-220 and related sections on fees, additional controls, and equipment. The Department explained revised language to address concerns that the original draft improperly suggested agency or PUC approval of utility fees; under the amended language, utilities would set fees designed to recover costs, with complaints handled through existing complaint procedures. Committee members and the Department discussed the statutory basis for that approach, including cost responsibility versus fee-setting authority.
Public testimony was mixed. A small solar developer argued the rules still exceed statutory authority, impose unfair costs on customer generators, and allow utilities to shift transmission-related study costs onto interconnecting customers. Clean energy advocates supported the Department’s revised language but asked for clearer limits on charging customers for later-added controls, arguing costs should be tied directly to the customer’s interconnection and not to later utility-driven changes. Eversource supported the revised fee language, said most prior concerns were resolved, and recommended conditional approval, while also suggesting a minor wording change in the “Additional Equipment” section to clarify that only operational performance is covered.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 23rd, 2026
Transcript Highlights:
- We believe that licensure is a vital form of consumer protection and ensures that physicians practicing
- open to collaborating on other law changes that would increase access to care while also preserving licensure
- And while I did support the prior legislation... ...to exempt physicians from licensure in urgent cases
Summary:
The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt.
The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support.
Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health.
The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.
CA
Transcript Highlights:
- Behavioral health treatment does not currently require providers to hold state licensure, meaning anybody
- creates a thoughtful, data-driven pathway to explore longer-term solutions, including potential licensure
- passed by the Legislature in 2018 established critical protections and greatly improved access to licensure
Committee:
House Health
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 23rd, 2026
Business and Professions
Transcript Highlights:
- understand the goal of the bill, but the board is respectfully opposed to SB 1002, as we believe that licensure
- open to collaborating on other law changes that would increase access to care while also preserving licensure
- And while I did support the prior legislation to exempt physicians from licensure in urgent cases where
Committee:
House Business and Professions
LA
Transcript Highlights:
- We've had a real issue this past year with licensure issues between the two.
- We've had a real issue this past year with a licensure issues between the two.
- It exempts pre-K programs by non-public schools approved by BESE from licensure, camps, acts the definition
Bills:
SR119 , SCR65 , HCR47 , HB196 , HB218 , HB256 , HB325 , HB352 , HB434 , HB448 , HB476 , HB608 , HB624 , HB626 , HB632 , HB749 , HB818 , HB1059 , HB1112 , HB1242 , HB1249
Committee:
Senate Education
Keywords:
SR119, Senate Resolution 119, D-D Breaux, Sara Breaux, LSU gymnastics, LSU Gymnastics Training Center, LSU Board of Supervisors, facility naming, honorary resolution, public buildings and grounds, women's athletics, Title IX, college gymnastics, SEC gymnastics, Louisiana State University, Tiger Athletic Foundation, women in sports, coach recognition, sports legend, campus naming
WV
West Virginia 2026 Regular Session
Senate in Session Mar 14th, 2026 at 05:55 pm
West Virginia Senate Floor Meeting
Transcript Highlights:
- The clerk of the House announced the House amended and passed Senate Bill 897, relating to licensure
- bill to require MDs and DOs to have training in nutrition within 12 months of initial license or licensure
- ... ...training in nutrition within 12 months of initial license or licensure and upon renewal of July
FL
Transcript Highlights:
- It says vacation rental license applicants must file a certificate upon licensure.
- We talked about Senator Leek, not only when they apply for licensure, but also when they're renewing.
- Not only when they apply for licensure, but also when they're renewing, stating that the rental has been
Committee:
Senate Community Affairs
Keywords:
negligence, compensation, child welfare, law enforcement accountability, personal injury, police negligence, law enforcement, monetary compensation, civil rights, city liability, electric vehicle, EV, battery fire, lithium-ion battery, towing, wrecker service, vehicle storage, submerged vehicle, saltwater damage, fire marshal
Summary:
The committee heard and approved several bills on water quality, public safety, utilities, and transparency. CS/SB 848 on stormwater treatment and water quality enhancement areas was presented as a follow-up to prior water quality legislation and was reported favorably with no opposition. SB 28, a claim bill for Reginald Jackson against the City of Lakeland, was also reported favorably. CS/CS/SB 658, a bipartisan child drowning prevention bill for rental properties, drew extensive testimony from child advocacy, drowning prevention, and autism advocates who described Florida’s high child drowning rates and supported requiring at least one pool or water-safety feature at short- and long-term rentals; the committee adopted two amendments, including one requiring license applicants to certify compliance, and the bill was reported favorably.
The committee also approved CS/SB 1724 on municipal utility services, which addresses outside-city utility service agreements, revenue use, rate limits, and customer meetings; an amendment added gas utilities back into the bill. CS/SB 934 on Florida Keys areas of critical state concern was amended to remove a section viewed as conflicting with the Live Local Act and then reported favorably. SB 1622, creating a one-time waiver for certain late-filed financial disclosure fines, was supported by speakers and reported favorably. CS/CS/SB 260 on electric vehicle storage at towing facilities was amended to focus on storage only and to limit the extra fee period until inspection clears fire risk; the bill drew mixed testimony from insurers, towing-related interests, and fire officials, but was reported favorably.
Later, SB 1264 on private schools was presented as easing zoning and occupancy barriers for small schools and microschools, with supporters saying it would help meet demand for school choice; members raised concerns about local implementation, but the bill was reported favorably. CS/CS/SB 1014 on municipal utility service to properties outside city limits was amended to apply only to residential properties and to clarify capacity and annexation-related exceptions; it was supported by local-government and environmental testimony and reported favorably. CS/SB 1102, expanding the local government infrastructure surtax to include body camera costs, was amended so any use would require a new referendum and was reported favorably. Finally, SB 1566 on local government spending and transparency required online posting of budgets and related information, drew testimony from counties, cities, and transparency advocates about costs and uniform templates, and was reported favorably after amendment, with several senators noting concerns for smaller local governments while supporting the transparency goal.
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Jan 14th, 2026 at 01:30 pm
Early Learning & Human Services
Transcript Highlights:
- As the chair indicated, House Bill 2253 relates to licensure requirements to receive children for supervision
- To licensure requirements to receive children for supervision or care and state monitoring for the Washington
- Certain individuals and entities are exempted from those licensure requirements, including physicians
Committee:
House Early Learning & Human Services
Keywords:
child welfare, risk assessment, investigation, child abuse, neglect, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families, Washington child care, preschool licensing, family child care, child care centers, nature-based child care, outdoor preschool, mixed-age ratios, staff-to-child ratio, group size, zero tolerance
TX
Transcript Highlights:
- I'm on the licensure advisory board. to the father of a special needs child.
- Over the years, we have heard from kinship caregivers a range of different reasons. pursue licensure,
- Thankfully, Texas has been working towards a specific licensure that Representative Rose was talking
Bills:
HB2646 , HB3941 , HB5153 , HB5155 , HB5394 , HB 1106 , HB426 , HB4529 , HB3984 , HB4273 , HB 1097 , HB3940 , HB1941 , HB4377 , HB3153
Committee:
House Human Services
Keywords:
child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 15th, 2025
Health & Human Services
Transcript Highlights:
- Licensure scope, so it is unclear how this requirement to apply the same criteria consistently to all
- One report relates to licensure violations under state law, while the other relates to Medicaid or Medicare
- decision in some cases, but that only relates to the federal regulation at issue, not the state licensure
Bills:
SB623 , SB1266 , SB1310 , SB1373 , SB1580 , SB1952 , SB2032 , SB2269 , SB2544 , SB2653 , SB2796
Committee:
Senate Health & Human Services
FL
Florida 2025 Regular Session
Fiscal Policy Apr 2nd, 2025
Transcript Highlights:
- While these private religious institutions operate without licensure, they should operate under some
- talking about under the Florida Department of Education in Cie particular division that provides licensure
- and so religious post-secondary institutions are not required are not required to have licensure simply
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Feb 3rd, 2025
House Appropriations & Finance
Transcript Highlights:
- And so I think we might need to look at... the uniform licensure code at some point in the future.
- So there have been times certainly where we've gotten people to the point of licensure and then...
- Regarding the need, perhaps, to modify some licensure rules to allow individuals who've left prison to
Committee:
House House Appropriations & Finance
TX
Texas 89th Regular
Health Care Affordability, Select Sep 1st, 2026 at 01:32 pm
Transcript Highlights:
- We license providers and we check the licensure around safety, but no one is looking at billing.
- Generally speaking, when you think about how we enforce licensure requirements, they don't include these
- Maybe there was a licensure issue. I don't know. But you could get rid of networks.
- Maybe there was a licensure issue. I don't know. But that You could get rid of networks.
- At least 36 states do this via PBM licensure requirements, often paired with extensive reporting, audit
Summary:
The Select Committee on Health Care Affordability met in an interim hearing focused on why Texas health care costs continue to rise and what policy changes might improve affordability. The chair opened by arguing that misaligned incentives, consolidation, lack of transparency, and weak consumer choice are driving costs faster than wages, and said the committee would hear from physicians, insurers, hospitals, pharmacy/PBM representatives, direct contracting models, and other experts. No bills were considered or voted on; witnesses testified neutrally as part of the committee’s information-gathering process.
The first panel featured physicians and physician groups, including the Texas Medical Association and the Texas Academy of Family Physicians, along with a direct primary care representative. They emphasized that independent practices are under pressure from rising overhead, prior authorization, administrative burden, and payment disparities, which can push doctors into consolidation. They recommended improving competition, simplifying credentialing, reducing prior authorization, standardizing emergency care cost sharing, making price and quality data more usable, supporting care navigators, and strengthening primary care through per-member-per-month payment models. The direct primary care witness argued that DPC offers transparent monthly pricing, better access, and stronger physician-patient relationships, while the independent family physician stressed that small practices need a level playing field to survive.
Members questioned the witnesses about corporate practice of medicine, physician autonomy, rural access, and whether direct primary care should be expanded without creating new gatekeepers or networks. There was discussion of site-neutral billing, cash-pay access, and whether the state should better protect patients from cost increases after practice acquisitions. One member also raised concerns about the accessibility and cost of the Texas All-Payer Claims Database for researchers and asked that the issue be reviewed.
The second panel included health plan representatives from the Texas Association of Health Plans, Sidecar Health, and Curative. The insurer representative said most Texans get coverage through employers and argued that hospital and drug spending drive much of the cost growth, while consolidation, excessive mandates, and fraud/waste/abuse are key problems. He supported giving employers more flexible coverage options, limiting anti-competitive contracting, allowing patients access to cash prices, and addressing facility fees and AI-driven upcoding. Sidecar Health described a model built around upfront price transparency, no networks, and financial incentives for members to choose lower-cost care; Curative described a preventive-care-focused plan with no deductibles or copays for members who complete an early wellness visit, but said Texas’s licensing, network adequacy, and contracting rules make it difficult for new plans to compete.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/7/26
Human Services Finance and Policy
Transcript Highlights:
- </c><00:54:04.800><c> to</c> services to from certification to services to from certification to licensure
- <c> this</c><00:54:06.280><c> includes</c><00:54:06.640><c> CTSS,</c><00:54:08.040><c> ARMS,</c> licensure
- So, this includes CTSS, ARMS, licensure.
- The next proposal would increase fines and licensure safety.
- </c><00:55:56.960><c> activities</c> out and we're doing licensure activities out and we're doing licensure
Committee:
House Human Services Finance and Policy
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/26/25
Health Finance and Policy
Transcript Highlights:
- to make it very clear that the state board's mission is to protect the public through effective licensure
- qualifications of midwives post-training, but it ensures equitable access to midwifery education licensure
- Research from other states indicates that the certified midwife licensure leads to greater ethnic and
- If the certified midwifery licensure was in place, I could have graduated and begun practicing midwifery
- I took all the required medical licensure exams, and I am ECFMG certified.
Committee:
House Health Finance and Policy
AL
Transcript Highlights:
- So working to stabilize spouse employment, and that's everything from licensure compacts, employment
- So, my wife just got her state license as a veterinarian through that reciprocity.
- license as a veterinarian through state license as a veterinarian through that<02:02:21.119><c> reciprocity
- </c><02:02:22.239><c> So,</c><02:02:22.560><c> greatly</c><02:02:23.040><c> appreciate</c> that reciprocity
- So, greatly appreciate that reciprocity.
MO
Transcript Highlights:
- It's reciprocity nationwide. Yes.
- My investigative team works with those, you know, investigative bodies of those licensure people.
Committee:
House Budget
Summary:
The House budget hearing focused on the Department of Social Services’ budget and a detailed briefing on how federal H.R. 1, referred to by the director as the “Big Beautiful Bill,” will affect Missouri’s SNAP and Medicaid programs. The director outlined the department’s divisions, current caseloads, staffing challenges, and the need to modernize eligibility systems and processes. Members repeatedly asked for breakdowns of enrollment, spending, provider rates, and the impact of federal changes on the department’s budget request.
A major portion of the hearing covered H.R. 1’s new eligibility and integrity requirements. The department said SNAP work requirements will expand to groups previously exempt, certain noncitizen categories will lose eligibility, and utility deductions will be narrowed. For Medicaid, the bill requires work requirements for the adult expansion group, more frequent redeterminations, and shorter retroactive coverage periods. Members questioned how these changes interact with Missouri’s constitutional expansion language, and the director said the department’s view is that federal requirements must be followed under the supremacy clause, though she acknowledged the legal issue could ultimately be resolved by a court.
The committee also discussed program integrity and error rates. The department said Missouri’s Medicaid PERM error rate was 35% in the last full review, with most errors tied to eligibility processing, and that H.R. 1 could create major financial penalties if error rates are not reduced by 2029. For SNAP, the department said the most recent federal error rate was 10.79%, with a current combined rate around 8.6%, and that future state cost-sharing could be substantial if the rate remains high. Members asked about the use of contractors, automation, and verification tools to reduce backlogs and improve accuracy. No votes were taken; the hearing was informational, and the chair said public testimony would not be taken that day.
PA
Transcript Highlights:
- legislation, Representative Marcell [member_17571], as well as the leadership of the Professional Licensure
- The key is that under that existing statute, the last is that under that existing statute, the licensure
Summary:
The House convened, opened with prayer and the Pledge of Allegiance, welcomed numerous guests and interns to the chamber, and established a quorum with 202 members voting on the master roll call. The House then received committee reports on several bills and a resolution, including measures from Consumer Protection, Finance, Communications and Technology, Rules, and Appropriations, and agreed to the reports. House Bill 1877 was reported as passed by the Senate without amendment and was signed by the Speaker for presentation to the Governor.
The chamber adopted House Resolution 363, as amended, directing the Joint State Government Commission to study Pennsylvania’s early childhood education system, including the role of public and private equity in child care and recommendations to improve access and affordability. The House also advanced several bills on final passage, including House Bills 2551, 75, 76, 426, 1127, 2234, and 1585. These measures addressed issues such as banning government text-message collection of fees and tolls, medical licensing for physician assistants and physicians, native habitats at Commonwealth facilities, joining the dental and dental hygienist compact, a spent grain donation tax credit, and restrictions on mugshot removal fees. Most passed with broad support, though House Bill 1127 drew opposition over concerns about licensing standards and the compact structure.
Members also considered House Bill 2650, creating the Governor’s Responsible Infrastructure Development Certification for data centers, and House Bill 2496, establishing a temporary pause on data center proposals while local ordinances are reviewed. Both bills were amended several times. Debate on HB 2650 focused on data center impacts on electricity costs, water use, noise, community benefit agreements, and farmland protection; one farmland-protection amendment was tabled, while other amendments on closed-loop cooling and enforceable local criteria were adopted. Debate on HB 2496 centered on preserving local control and home rule authority for municipalities, with amendments clarifying that local governments could continue curative amendment procedures and retain zoning powers. The House agreed to both bills as amended.
The House also re-reported several bills from Appropriations and Rules, reconsidered and re-accepted a prior committee report on House Bill 2359, and announced caucus and committee meetings. At the end of the session, the House moved several bills to Appropriations, removed Senate Bill 1058 from the table calendar to the active calendar, and adjourned until Wednesday, June 24, 2026, at 11 a.m., unless recalled sooner.