Transcript Highlights:

• To earn an LCSW, we complete a 60-credit master's degree, 3,200 hours of post-master's supervised clinical
• The LCSW is the highest level of clinical licensure in Delaware.

Bills: SB231

Keywords: school social workers, salary supplement, LCSW, mental health, education funding, Delaware Code, certification, professional standards

Summary: The House Administration Committee met and first considered Senate Bill 231, which would extend the existing 6% salary supplement for school-based mental health professionals with advanced credentials to school social workers who hold licensed clinical social worker credentials and have passed the national exam. The bill sponsor and multiple witnesses described school social workers as essential to student mental health, crisis response, attendance, and family support, and argued the measure corrects an oversight and inequity in the current salary supplement structure. Public testimony was uniformly supportive, and the committee voted to release the bill. The committee then heard Senate Substitute 1 for Senate Bill 212, a constitutional amendment to protect the rights to hunt, fish, and trap. Supporters, including sportsmen’s groups and individual residents, said the amendment would preserve longstanding traditions, support wildlife management, and guard against future threats to hunting and trapping. An opposing witness argued there was no current threat in Delaware and said the Constitution should not be used to protect trapping or elevate hunting and trapping over other wildlife management approaches. Despite the opposition, the committee voted to release the substitute bill. Finally, the committee took up Senate Substitute 1 for Senate Bill 284, the First State Emergency Response Act, which would create a 25-foot buffer around first responders at emergency scenes after warning, with misdemeanor penalties for knowingly entering or remaining in the zone to interfere with duties. Supporters said the bill would protect police, firefighters, EMTs, and paramedics from interference, while opponents from the ACLU and the Office of Defense Services raised concerns about vague terms, potential First Amendment impacts, enforcement clarity, and jurisdictional issues. Committee members also questioned how the buffer would be marked and enforced. The sponsor and staff said they would continue working on the language, and the committee voted to release the bill.

Transcript Highlights:

• that exist within the... ...workers have acknowledged the great disparities that exist within the LCSW
• Removing the LCSW exam requirement is a necessary and urgent first step in getting more social workers
• They recognize the value of an MSW and the weight that those letters of LCSW carry.
• They recognize the value of MSW and the weight that those letters of LCSW carry.
• They need an LCSW to supervise them, so we want to further incentivize that.

Keywords: 995, all

Summary: The Joint Committee on Higher Education heard testimony on a broad set of bills focused on making public higher education more affordable and accessible, protecting student information, and changing social work licensure rules. Chair Rogers and Senator Comerford opened by emphasizing the committee’s focus on financial aid, tuition and fee waivers, scholarships, admissions, and institutional changes, and they reminded witnesses about the three-minute testimony limit. No votes were taken during the hearing. A large portion of the hearing centered on the “Super Act” (H. 1423/S. 218), which would eliminate the master’s-level social work licensing exam and create grant support for social work internships. Supporters—including students, practitioners, educators, and advocates—argued that unpaid internships and the exam create financial barriers, worsen workforce shortages, and disproportionately affect Black, brown, older, ESL, and other marginalized candidates. Opponents from the Association of Social Work Boards argued the exam is a necessary public-protection standard, helps maintain uniform licensure, and is important to the social work licensure compact; they said workforce shortages should be addressed through pay, working conditions, and caseloads instead. Committee members asked detailed questions about compact participation, exam accommodations, and how other states such as Rhode Island and Connecticut have handled similar changes. The committee also heard extensive testimony in favor of debt-free public higher education bills (H. 1436/S. 929). Witnesses, including students, faculty, advocates, and Senator Eldridge, said Massachusetts should expand on free community college by covering tuition and mandatory fees at public colleges and universities, with additional aid for living costs for lower-income students. Supporters said student debt delays homeownership, family formation, and career entry, and that the state should use Fair Share revenue to invest in public higher education. Some committee members voiced support but also raised concerns about prioritizing K-12 funding and the cost of expanding free college further. Several witnesses also supported bills to extend tuition and fee waivers to young adults raised by grandparents or other kinship guardians outside the DCF system, arguing that these students face the same trauma and financial barriers as foster youth but do not receive the same benefits. Representative Donato, Joseph O’Leary, Shauna Manning, Sandra Vecchio, Karen Gardner, Judy Walter, Elaine Arsenault, and others described the financial strain on grandparents raising grandchildren and urged parity with DCF-related waivers. In addition, Senator Jake Oliveira testified for a bill to protect public higher education student directory information from data mining and unauthorized sharing, and Deirdre Cummings testified for an open educational resources bill to reduce textbook costs. The hearing concluded with continued testimony on kinship care and college access, with committee members thanking witnesses and indicating follow-up on some bill language issues.

Transcript Highlights:

• Supervision for LACs to become LPCs is a little bit more difficult than supervision for LMSWs to become LCSWs
• I've seen differentials for a higher licensed person, so an LCSW as opposed to an LMSW.
• I'm sorry, I'm also... ...licensed person, so an LCSW as opposed to an LMSW.
• I'm sorry, I'm also an LCSW, so we're talking acronyms.
• It kind of gives them some cushion that they don't always have to have an LCSW there.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• You cannot become, you cannot go from being an LSWA to an LSSW or from an LSWA to an LCSW without the
• without the education so to go from LCSW without the education so to go from an<00:19:45.559> lswa
• <00:19:46.520> to<00:19:46.720> an<00:19:47.039> LCSW<00:19:48.039> you
• c><00:19:48.159> would<00:19:48.400> need<00:19:48.640> to an lswa to an LCSW you
• would need to an lswa to an LCSW you would need to have<00:19:49.760> a<00:19:49.960> m

Keywords: 928, house, all

Summary: The subcommittee heard House Bill 2712, which would remove the exam requirement for licensure as a Licensed Social Work Associate (LSWA). Members expressed concern that the exam requirement was only added in 2021 and has not been in place long enough to evaluate, but they also questioned whether licensure should be granted without a meaningful measure of competency. Testimony was split: supporters argued the exam is a barrier for applicants without formal social work education, while opponents said licensure should still require some standard of competency, especially because the title carries public expectations and insurance reimbursement implications. Karina Bonia, speaking for NASW New Hampshire, said there is very limited data because only one person in New Hampshire currently holds an LSWA. She explained that LSWA applicants may have degrees outside social work, unlike licensed social workers, and that the current exam is the same national social work exam used for higher levels of licensure. She argued that this creates a significant barrier for LSWA applicants and noted that LSWA holders are already required to complete 30 hours of training and substantial supervised hours. Members asked for data on pass/fail rates and whether a different exam or practical skills test would be more appropriate. Committee members and OPLC representatives discussed whether the current statute and board rules already provide enough authority for the board to set other criteria, and whether the exam requirement is tied to the social work compact. OPLC indicated that the current rule requires passage of a national proctored exam approved by the board, but that no national exam exists specifically for this level, and that the board may need legislative authority to develop different criteria. The discussion ended with interest in obtaining the existing rule language and possibly revisiting the issue through amendment or future legislation rather than immediately removing the exam requirement.

Transcript Highlights:

• Supervision for LACs to become LPCs is a little bit more difficult than supervision for LMSWs to become LCSWs
• I've seen differentials for a higher license person, so an LCSW as opposed to an LMSW.
• I'm sorry, I'm also an LCSW, so we're talking acronyms.
• It kind of gives them some cushion so they don't always have to have an LCSW there.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• Supervision for LACs to become LPCs is a little bit more difficult than supervision for LMSWs to become LCSWs
• I've seen differentials for a higher-licensed person, so an LCSW as opposed to an LMSW.
• I'm sorry, I'm also an LCSW, so we're talking acronyms.
• It kind of gives them some cushion that they don't always have to have an LCSW there, and they don't

Keywords: 1204, all

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Wooldridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system focused on access, workforce, reimbursement, and reducing red tape. Members raised concerns about provider shortages, licensure barriers, rural access, reimbursement rates, jail-based services, non-emergency transport, and the need for step-down options and crisis diversion before people end up in jail or the state hospital. DHS Director Paula Stone outlined the behavioral health system, emphasizing that Medicaid pays for most behavioral health services in Arkansas and that many services cannot be billed once a person is in jail or the state hospital. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder unit, forensic evaluation and restoration changes, and a planned IMD waiver to allow Medicaid payment for certain psychiatric and residential services. She also explained the backlog at the state hospital and in forensic restoration, the role of therapeutic communities, and the challenges of serving rural and difficult-to-serve populations. Members asked about crisis stabilization units, civil commitment, dashboards for bed availability, and whether Arkansas should expand step-down or long-term facilities. Stone said the state has supported crisis stabilization units in several cities, with mixed results, and noted that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock. She said DHS does not yet have a statewide bed dashboard but sees it as a useful tool. The meeting ended with agreement that the discussion was a starting point and that the committee would continue the work, tentatively in August, to develop policy ideas for the 2027 session.

Transcript Highlights:

• To earn the LCSW, we complete 60 credits, a master's degree, 3,200 hours of post-master's supervised
• To earn in the LCSW, we complete 60 credits, Thank you.
• To earn in the LCSW, we complete 60 credits, master's degree, 3,200 hours of post-mastered supervised

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• Missouri already allows non-prescribing staff, including LCSWs, licensed... access is for clinical care
• Missouri already allows non-prescribing staff, including LCSWs, licensed.
• Missouri already allows non-prescribing staff, including LCSWs, licensed clinical social workers, to

Keywords: 959, house, all

Transcript Highlights:

• So our LCSW that we have currently, she is more in a clinical role.
• It rotates between the provider visit to the MAC care coordinator and then the LCSW, so...
• So then allowing our LCSW to, like she said, work at the top of their license...
• So then allowing our LCSW to like she said work at the top of their license. individual needs some type
• So then allowing our LCSW to, like she said, work at the top of their license.

Keywords: 959, house, all

Transcript Highlights:

• I'm an LCSW in the state of Florida and also in Georgia.
• I first became an LCSW in Florida in 1985, over 40 years ago.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• would be a good and good add to this program would be the ability for grantees to hire an LPC or an LCSW
• We think that in a two-month period four to six sessions with an LPC or LCSW in our direct team could

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• required for the independent practice license, but may not be counted toward the hours required for LCSW
• required for the independent practice license, but may not be counted toward the hours required for LCSW
• 00:20:25.200> hours<00:20:25.520> required<00:20:25.919> for<00:20:26.240> LCSW
• the hours required for LCSW the hours required for LCSW license.<00:20:29.280> While<00:20

Keywords: Senate streaming session for Tuesday, March 3, 2026, 960, senate, all

Summary: The Senate convened with an invocation, journalized the prayer, and recognized Read Across America Day with a special resolution congratulating the Maryland State Education Association on the program’s 28th anniversary. Senators also welcomed several guests and student groups, including Eleanor Roosevelt High School students, Maryland Federation of Republican Women members for Red Scarf Day, medical shadows from Johns Hopkins, a student page prospect, and a group from Matthew Henson Elementary School. The chamber then took up multiple Finance Committee consent calendars and individual local alcohol-related bills, all of which were reported favorably, adopted without objection, and ordered printed for third reading. Measures included changes to alcohol license fee refunds for uniformed service members, Anne Arundel County license classifications and compensation for liquor board officials, a Baltimore City racetrack license extension, a Cecil County license quota change, and new or expanded licenses for golf courses, sports venues, and barber shop/beauty salon establishments. The Senate also advanced bills on social work licensing, a rural readiness economic development program, a Maryland-Ireland Trade Commission extension, peer-to-peer car sharing insurance rules, telematics-based auto insurance disclosures and appeals, and veteran status notation on public profiles. Several bills were amended before being advanced, generally with technical or clarifying changes and no recorded opposition. Senate Bill 18 would create a provisional social work license; Senate Bill 351 would regulate insurer use of vehicle telematics data; Senate Bill 395 would revise insurance and liability rules for peer-to-peer car sharing; and Senate Bill 197 would alter comprehensive plan elements in land use law. Senate Bill 439, protecting fire and rescue public safety employees from adverse action based on medical cannabis certification, also moved forward without amendment. One measure, Senate Bill 69, which would make permanent the nonprofit navigator position in the Department of Commerce, was discussed at length after a member raised concerns about oversight of nonprofit grant funding. On request, the bill was special ordered to the next day for further consideration. All other bills discussed in the transcript were advanced to third reading by unanimous or near-unanimous voice action, with no recorded roll-call votes.

Transcript Highlights:

• So our LCSW that we have currently, she is more in a clinical role.
• It rotates between the provider visit, the MAC care coordinator, and then the LCSW, so we rotate them
• So then allowing our LCSW to, like she said, work at the top of their license—that's a phrase that we

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• As a combat veteran, spouse, and future LCSW, I've witnessed firsthand how breakthrough therapies help
• 14.480> future As a combat veteran, spouse, and future As a combat veteran, spouse, and future LCSW
• c> I've<00:04:15.840> witnessed<00:04:16.079> firsthand<00:04:16.560> how LCSW
• , I've witnessed firsthand how LCSW, I've witnessed firsthand how breakthrough<00:04:17.120> therapies

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• consistent with, you know, just within a couple of dollars of what we were paying for psychologists and LCSWs
• consistent with, you know, just within a couple of dollars of what we were paying for psychologists and LCSWs
• consistent with, you know, just within a couple of dollars of what we were paying for psychologists and LCSWs

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Shemica Whiteside, LCSW, then spoke, saying she is a perinatal mental health specialist who serves families
• My name is Shemica<01:18:46.159> Whiteside,<01:18:46.640> LCSW,<01:18:47.360> and
• ><01:18:47.600> I'm<01:18:47.679> a Shemica Whiteside, LCSW, and I'm a Shemica Whiteside
• , LCSW, and I'm a paranal<01:18:48.320> mental<01:18:48.560> health<01:18:48.719> specialist

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• I think nobody on the dais knows, but for the audience, I am an LCSW.

Summary: The Health Professions and Programs Subcommittee met with a quorum present and considered two bills. HB 361, by Rep. Nix, would reclassify registered interns as registered associates for clinical social work, marriage and family therapy, and mental health counseling, and would streamline supervision rules by removing the requirement that licensed supervisors be physically present in private practice settings. Supporters said the bill would modernize terminology, reduce barriers to practice, and expand access to mental health care while maintaining supervision and public safety. Several members raised concerns about possible unintended effects on community health centers and Medicaid workforce issues, but the bill drew broad support and passed 17-0, reported favorably. The committee then heard HB 1341, by Rep. Gonzales Pittman, which is aimed at preventing misuse of physician specialty titles and limiting those titles to practitioners who are actually board-certified in the specialty they claim. The sponsor emphasized that the bill does not address the general use of “doctor” or “physician,” only specialty designations such as dermatologist, gynecologist, neurologist, or plastic surgeon. Testimony in support came from medical and professional groups, including anesthesiologists and plastic surgeons, who said clearer titles help patients know who is treating them and improve safety. The Florida Optometric Association opposed the bill, arguing it could create confusion or omit optometric titles and other designations. Two amendments were adopted without objection. One removed a hospital name-tag requirement from the bill. The other changed a claims-denial provision so that denial letters need only disclose that a Florida-licensed physician in good standing made the decision, while the insurer must retain the physician’s identifying information for potential litigation or discovery. Some members supported the privacy protections, while others questioned whether the amendment was germane to the bill. As amended, HB 1341 passed 13-4 and was reported favorably.

Transcript Highlights:

• want to put that on the record: we have a significant workforce issue in mental health counselors, LCSWs

Summary: The committee heard a presentation on the State University System’s new strategic plan, SUS 30, from Emily Sykes and later the system’s legislative budget request from Sarah Denagie. The strategic plan centers on five priorities: One SUS collaboration, elevating student success, operational excellence, world-class talent, and innovative research and economic development. Testimony highlighted Florida’s continued status as the nation’s top higher education system, record rankings, improved four-year graduation rates, higher median graduate wages, strong licensure pass rates, and expanded focus on research commercialization and workforce alignment. Senators asked about programs of strategic emphasis, mental health and teacher workforce needs, use of the My Florida Future wage data tool, support for first-generation and Pell students, and the role of liberal arts degrees. The system said it would provide follow-up information, including the full strategic-emphasis list and a report on campus safety best practices after a recent summit following the FSU shooting. The committee also received an update on line funding for nursing and health care partnerships. Officials said the $6 million appropriation was fully subscribed through 24 proposals from all 10 nursing programs, supporting scholarships, faculty recruitment, internships, simulation, and expanded nursing capacity. They reported more than 1,900 new nursing graduates, over 200 new student slots, more than 300 scholarships, and a 92% NCLEX pass rate. Senators asked about expanding eligibility for the program, and staff indicated that would be examined this year. For the legislative budget request, the Board of Governors asked for $634.5 million total, including $295 million to maintain the institutional performance-based funding base, $400 million for the state investment portion of performance-based funding, $125 million for preeminence funding, $100 million for faculty recruitment and retention, $6.4 million for UF/IFAS extension workload, and $3.1 million for state fire marshal inspections. The chair noted that resources are limited and that difficult budget decisions will be required. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• to put that on the record—that we have a significant workforce issue in mental health counselors, LCSWs

Summary: The Appropriations Committee on Higher Education heard a presentation on the State University System’s new strategic plan, SUS 30, and its legislative budget request. University officials described the plan’s five priorities: One SUS collaboration, elevating student success, operational excellence, world-class talent, and innovative research and economic development. They highlighted Florida’s continued status as the top higher education system in the nation, low tuition, strong graduation outcomes, rising median wages for graduates, and expanded use of the My Florida Future website to help students and families compare degree outcomes and earnings. Members asked for follow-up information on programs of strategic emphasis, mental health and social work workforce needs, wage data over time, and how the system supports innovation moving toward commercialization. The committee also discussed campus safety, prompted in part by recent events at FSU. System officials said universities and the Florida College System recently held a safety summit to share best practices on building security, threat assessment, and coordination with law enforcement, and they agreed to provide a report back to the committee after the Board of Governors reviews recommendations in November. Senators also raised questions about Pell student support, first-generation student success, and whether liberal arts graduates’ earnings catch up over time. Officials said Pell students are tracked through performance-based funding metrics and that the system’s accountability plans will continue to emphasize access and completion. A separate update covered line funding for nursing and health care partnerships. Officials said the $6 million appropriation was fully subscribed through 24 proposals from all 10 nursing programs, supporting scholarships, faculty recruitment, internships, simulation, and licensure preparation. They reported over 1,900 new nursing graduates, more than 200 new student slots, over 300 scholarships, and a 92% NCLEX pass rate. Senators asked about expanding eligibility for the program, and staff said that issue would be revisited this year. The Board of Governors’ legislative budget request totaled $634.5 million and included $295 million for performance-based funding institutional investment, a request to restore and increase the state investment portion to $400 million, $125 million for preeminence funding, $100 million for faculty recruitment and retention, $6.4 million for UF/IFAS extension workload, and $3.1 million for State Fire Marshal inspections. The chair noted that resources are limited and that difficult budget decisions lie ahead. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• that you can address this, is how do you feel about the communications back and forth between the LCSW
• another, and when they come into California with a married spouse who may have been a social worker, LCSW

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.