Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Bills: HB59, HB128, HB59, HB128

Keywords: early voting, electoral participation, voting centers, Alabama elections, absentee ballot, HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments

Transcript Highlights:

• So House Bill 649, autonomous practice by CRNAs. So House Bill 649, autonomous practice by CRNAs.
• I'm a CRNA. Thank you, Chair. Oh, representing myself, I'll say. I'm a CRNA.
• Qualification by a CRNA is not automatic.
• You have doctors working with CRNAs.
• You got doctors that's working with CRNAs.

Summary: The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays. The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.

Transcript Highlights:

• House Bill 649, autonomous practices by CRNAs.
• Vice Chair, House Bill 649, Autonomous Practices by CRNAs.
• if they wanted to use the CRNA or the anesthesiologist?
• I've been a CRNA for over 20 years.
• , or in an independent state if the CRNA is doing it alone.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• I am currently practicing as Chief CRNA in Sugar Land, Texas, where I manage over 30 CRNAs.
• Three years, CRNA clinical. Do you learn how to do medical diagnostics during the CRNA program?
• Young, do CRNAs only do anesthesia? First, I'll say I'm not an expert on CRNAs.
• Three CRNAs. All your CRNAs? So I'm new; my first session was the 88th, this is the 89th.
• So CRNAs, individuals who want to become CRNAs, attend CRNA programs.

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• In 2020, the legislature passed the full practice for CRNAs in Massachusetts.
• In 2020, the legislature passed full practice for CRNAs in Massachusetts.
• So the reimbursement from insurers goes to a facility that hires CRNAs and other APRNs.
• CRNAs and other APRNs, that's another story.
• Access to care by all providers, physicians, and APRNs in our case, CRNAs specifically.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• CRNAs work all across the state, providing anesthesia.
• And we've been contracting with CRNAs for years.
• Gibson McKay. physiologists get paid the same amount as the CRNAs.
• Whether you're a physician anesthesiologist or a CRNA, it's 100% the same.
• So, therefore, I'd like... ...between a CRNA and a physician.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• All right, to the CRNA.
• CRNAs.
• The CRNA program currently lasts about 36 months.
• For over two decades, and in the last 10 years in CRNA-only settings, I've witnessed CRNAs' rigorous
• So I've heard these arguments from the CRNAs.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Additionally, there is no cap on delegation for CRNAs and no fixed contracts for CRNAs.
• It is common for CRNAs across Texas.
• But are you a CRNA? I am a CRNA, yes, ma'am. That's an APRN.
• So are you the only CRNA at your business? CRNA, yeah. CRR, I always get that confused. CRNA.
• And well over 200 CRNAs.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• I have personally had anesthesia with a CRNA, and it went very well.
• I have personally had anesthesia with a CRNA, and it went very well.
• We have hospitals that teach CRNAs, so I suggest that we have hospitals that teach CRNAs.
• Insurers' recent cuts on CRNA provider care are just as qualified.
• CRNAs are critical to our health care system.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, journal approval, and several guest introductions and recognitions, including military award honorees, a resident doctor of the day, and visitors from Sahuarita and Buckeye. The chamber also later paused to honor the University of Arizona men’s basketball team for its Final Four run with a formal proclamation and remarks from legislative leaders and Coach Tommy Lloyd. A separate announcement recognized Motorcycle Awareness Day at the Capitol. The main legislative work centered on a large consent calendar and multiple Senate bills considered in Committee of the Whole and an additional Committee of the Whole. The House adopted committee amendments and advanced bills including SB 1067, 1100, 1137, 1174, 1189, 1206, 1215, 1235, 1254, 1413, 1503, 1620, 1668, 1671, and 1754, while SB 1428 was retained on the calendar. The House also referred SB 1160 and SB 1193 to an additional Committee of the Whole for further amendment, then advanced both as amended. On third reading, the House passed SB 1058, SB 1237, SB 1294, and SB 1372. SB 1058 drew debate over merchant category codes for firearm-related transactions, with supporters arguing it protected Second and Fourth Amendment rights and opponents warning it would hinder business compliance and privacy concerns. SB 1237 and SB 1294 passed with little substantive debate. SB 1372, dealing with reimbursement for certified registered nurse anesthetists, prompted extensive debate over rural health care access, insurance reimbursement, and whether the legislature should set payment rates; it ultimately passed 33-20. The House also concurred in Senate amendments to several House bills and passed HB 2050 on final reading, sending it to the governor. The session adjourned until April 13, 2026.

Transcript Highlights:

• Additionally, there is no cap on delegation for CRNAs and no fixed contracts for CRNAs.
• It is common for CRNAs. Texas.
• I am a CRNA, yes ma'am, that's an AP. You're in, it falls under category APRN, but we are CRNAs.
• CRNA, yes. I am the only CRNA.
• CRNAs.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• practice under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs
• practice under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs
• practice under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs
• and CRNAs with prescribing authority. and CRNAs with prescribing authority.
• with prescribing authority and and CRNAs with prescribing authority and that<00:07:58.639> was

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Transcript Highlights:

• Christopher Sato, CRNA, UNAC-UHCP member, and I support. Thank you.
• Christopher Sato, CRNA, UNAC-UHCP member, and I support. Thank you.
• Greg Crawford, CRNA, UNAC-UHCP member, and I support. Thank you very much.
• I've been a practicing CRNA for over 25 years.
• I've been a practicing CRNA for over 25 years.

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.

Transcript Highlights:

• I will kick us off because today is CRNA Capital Day, and we have registered nurse anesthesiologists
• As you know, CRNAs are nationally board-certified independent anesthesia providers and have been providing
• CRNAs collaborate with surgeons, anesthesiologists, dentists, podiatrists, and other qualified healthcare
• So with that, let us welcome our CRNAs to the Senate. All right.
• In addition to the CRNAs, we're in addition to the CRNAs, we In addition to the CRNAs, we also have members

Keywords: 1182, all

Summary: The Senate opened with a prayer and pledge, then recorded attendance, approved the journal, and recognized several guest groups in the gallery, including CRNAs for Capital Day, rural electric cooperative representatives, AEA Retired members, March of Dimes participants, students, and other visitors. The invocation focused on faith, courage, and the need for just laws, and several senators used personal privilege to introduce guests and highlight causes such as public education, maternal and infant health, and the Equal Rights Amendment. The body then moved through a lengthy calendar of second-reading bills, covering a wide range of topics including child welfare and DCS procedures, public school safety, health care and insurance, groundwater and water supply, tax and appropriations measures, housing and HOA issues, elections and campaign protections, criminal justice, firearms, abortion-related measures, and transportation projects. The transcript primarily reflects bill titles being read rather than debate on substance, and no floor votes on those measures are shown in the excerpt. The Senate also received a large set of first-reading bills and committee referrals, including measures on motor vehicle booting fees, EMS reciprocity, election procedures, physician assistant licensure, mental health hearings, assisted living, Alzheimer’s planning, safe haven providers, short-term rentals, fire district formation, correctional officer contributions, and several appropriations items. After the readings and routine announcements, the Senate adopted a motion to adjourn and recessed until Thursday, January 22, 2026, at 10:00 a.m.

Transcript Highlights:

• Kristen Roman with CRNA and Katie Boyles who is a legal counsel. Thank you very much.
• Louisa Moya, I'm a CRNA nurse anesthetist from Kaiser Permanente and I support this bill.
• Chris Rosato, CRNA UNAC UHCP member and I support. Thank you.
• Good morning, Greg Crawford, CRNA UNAC UHCP member and I support. Thank you very much.
• I've been a practicing CRNA for over 25 years.

Keywords: 988, house, all

Transcript Highlights:

• Today I would like to recognize CRNA, Certified Registered Nurse Anesthetist Day, and we have our CRNAs
• If you could go ahead and stand, I want to share that CRNAs are nationally board-certified independent
• CRNAs collaborate with surgeons, anesthesiologists, dentists, podiatrists, and other qualified health
• CRNAs provide the majority of anesthesia care in the VA system, as well as the U.S. military, and are
• Please join me in welcoming the CRNAs to the House. Welcome to the House.

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal, and recognized the Doctor of the Day, Dr. John Lynch of Legislative District 12. Members also introduced a number of guests and visiting groups, including Arizona electric co-op representatives, March of Dimes advocates, CRNAs, AEA retirees, a University of Arizona legislative fellow, and other constituents and visitors in the gallery. The chamber then handled routine floor business: attendance was recorded at 58 present, one absent, and one excused; committee substitutions were announced; HB 2677 was removed from the Judiciary Committee and additionally referred to Public Safety and Law Enforcement; and a large slate of House bills and one concurrent resolution were first read and referred to committees. The clerk also read a lengthy list of bills on second reading, covering a wide range of topics including education, health care, housing, taxation, elections, water, labor, public safety, and other policy areas. No substantive debate or votes on legislation occurred during the floor session beyond the referral actions and procedural announcements. Members made announcements about upcoming blood donations, a Veterans Caucus coffee and donuts event, and several committee meetings scheduled for later in the day or the following day. The House then adopted a motion to adjourn until 10 a.m. on Thursday, January 22, 2026.

Transcript Highlights:

• Thirty years later, they have 29 AAs, 1,500 CRNAs, and 450 physician anesthesiologists.
• Thirty years later, they have 29 AAs, 1,500 CRNAs, and 450 physician anesthesiologists.
• It has four AAs, 241 CRNAs, and 521 physician anesthesiologists.
• To date, they have no AAs, 814 CRNAs, and 1,200 physician anesthesiologists.
• CRNAs already provide safe, high-quality anesthesia care in every corner of the state.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• Ultimately responsible for what he delegated to the CRNA.
• You just have the CRNA that shows up in your operating room (OR)."
• There is no CRNA school, as previously testified, that trains its CRNAs through an online model.
• The surgeon was sued along with the CRNA in the example that was given.
• you know, but your CRNA or doctor.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• differently based solely on whether services are delivered by a certified registered nurse anesthetist, CRNA
• According to the 2022 health care workforce census, CRNAs account for more than 50% of Delaware's anesthesiology
• physician anesthesiologists, and despite performing identical services in a majority of clinical settings, CRNAs
• Dana makes up about 275 CRNA members.
• Hospitals and health systems rely on both anesthesiologists and CRNAs to ensure operating rooms remain

Bills: HB373

Keywords: infused beverages, THC, alcohol control, regulation, non-intoxicating cannabinoids, marijuana, legalization, taxation

Summary: The Senate Banking, Business, Insurance & Technology Committee met in hybrid format and heard testimony on several bills. HB 373, as amended, would regulate hemp-derived THC-infused beverages by defining the products, limiting them to 10 mg of Delta-9 THC per container, restricting sales to package stores and licensed marijuana retail stores, requiring testing and labeling, and imposing a 50-cent per container tax; the sponsor said the bill is intended to create guardrails and protect youth, and a wholesaler representative testified in support. HB 398 would allow racinos to serve alcohol until 2 a.m. and remove local authority to require earlier closing times; the sponsor and Bally’s representative said it would help Delaware remain competitive and increase revenue, and no opposition was heard. HB 433 would let municipalities and counties extend last call for bars, restaurants, and clubs from 1 a.m. to 2 a.m.; a witness from Connect Delaware supported it as a competitiveness and retention measure, emphasizing that it is permissive rather than mandatory. The committee also heard extensive testimony on HB 441, which would ban cryptocurrency kiosks/crypto ATMs in Delaware and require existing machines to be removed within 90 days. The sponsor and supporters, including AARP, the Delaware Department of Justice, and the League of Women Voters, argued the machines are heavily used in scams, especially against older adults, and that regulation has not been effective. CoinFlip opposed the bill, saying it is a regulated operator, that the fraud statistics are overstated or incomplete, and that Delaware should instead adopt a regulatory framework and amendment. HB 465 would update the criminal code to formally define virtual currency and incorporate it into theft, money laundering, racketeering, and search-and-seizure provisions; the sponsor said it would align Delaware law with modern crypto-related crimes, and no opposition was presented. The committee then heard HB 467, which would prevent landlords from requiring renters to buy insurance from a specific company while still allowing them to require coverage meeting lease terms; the sponsor described it as a consumer-choice bill and there was no public opposition. HB 435 would require payment parity for certified registered nurse anesthetists and physicians when the same services are provided; the sponsor, nurse anesthetists, the Delaware Health Care Association, the Department of Insurance, and ChristianaCare supported it as a workforce and access-to-care measure, with no opposition. Finally, HS 1 for HB 450, the Road DE Act, would overhaul permitting and traffic-impact review, emphasize peak-hour traffic, set density standards in growth areas, create a transportation impact fee, and direct some revenue to open space, farmland, and coastal restoration; realtors, builders, environmental groups, engineers, and GEAR supported it as a way to speed permitting, reduce sprawl, and improve infrastructure planning. The committee adjourned after public comment; no votes were recorded in the transcript.

Transcript Highlights:

• Senator Burwell, a CRNA is a Certified Registered Nurse Anesthetist.
• We cover all that area, so we have 19 CRNAs.
• I mean, CRNA stands for? Certified Registered Nurse Anesthetist. Oh, okay, I heard. No, no, CRNA.
• I mean, I have a lot of respect for our CRNAs.
• Then you have a CRNA that specializes... in anesthesia.

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy