Transcript Highlights:

• judgment and patient need while still meeting applicable standards of care.
• Our training and judgment are clinical.
• Idaho has used clinical-based practice models to pass this.
• It also includes at least one year of hands-on clinical experience.
• Do you get a report from the work that they do in the clinic, for example?

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Bills: SB 629, SB 1015, SB 2501, SB 2933

Keywords: child support, interest accrual, family law, delinquency, financial judgment

Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• judgment to determine whether telehealth or in-person care is most appropriate for the patient.
• judgment to determine whether to use telehealth or in-person care.
• judgment as to whether or not they want to use telemedicine or do an in-person visit.
• It would let them, on their own judgment, decide how they want to practice. Simple enough.
• It also allows licensed audiologists to use their clinical judgment to determine the most appropriate

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Transcript Highlights:

• technology assessment program is administered by the Health Care Authority in collaboration with a clinical
• re-reviews of a technology must consider new evidence in combination with the evidence that the clinical
• And there was no discussion about any clinical disagreement. There is simply no action.
• accurate gestational age, giving latitude for clinical judgment.
• accurate gestational age, giving latitude for clinical judgment.

Bills: SB5915, SB5988, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Bills: HB 1193, HB 2495, HB 2733, HB 3104, HB 3395, HB 4325, SB 3009

Keywords: child enrollment, parent rights, managing conservator, education, family law, civil liability, barratry, penalties, legal actions, damages, judgment enforcement, court fees, child support enforcement, dormant judgments, legal proceedings

Transcript Highlights:

• Inside the clinics, I saw complications, incomplete abortions, women returning scared and alone.
• within 15 days of the motion being filed, including that the filing fee for the motion is waived, the judgment
• When an eviction judgment is not satisfied on a person's rental record, it significantly impedes their
• process for affected tenants to submit an affidavit and proof of payment to the court and have their judgment
• Act, which prohibits only physically obstructing the entrance to a place of worship or an abortion clinic

Bills: HB2244, HB2364, HB2573, HB2749, HB2862, HB2870, HB4117, HCR2004

Keywords: evictions, judgment satisfaction, tenant rights, landlord obligations, court procedures, abortion-inducing drugs, medical abortion, pharmaceutical regulation, felonies, state law, DUI, ignition interlock, substance abuse treatment, driving privileges, alcohol education, felony conviction, misdemeanor designation, court judgment, criminal justice reform, rehabilitation

Transcript Highlights:

• So those have to be under the supervision, I'm assuming, of a clinical speech-language pathologist.
• How many students can they supervise to do those clinical hours? I don't know. I don't know.
• We will partner with clinical agencies who can provide supervision to... agencies who can provide supervision
• to a clinical student.
• They're having to get their 100 clinical hours before they complete the program, right?

Bills: HB441, SB274

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, makeup application, blow-dry styling, cosmetology, licensing, regulation exemption, 1136, house, all

Transcript Highlights:

• </c><00:31:18.080><c> as</c> treat individuals in the clinics as treat individuals in the clinics as
• </c> keep the doors open and the clinic keep the doors open and the clinic closed<01:14:28.400><c> in
• </c><01:15:27.199><c> in</c> hearing from our APRN led clinics in hearing from our APRN led clinics in
• , clinical program education, clinical program accreditation,<01:15:40.800><c> and</c><01:15:41.040><
• that uh APRNs who have started clinics that uh APRNs who have started clinics<01:30:49.280><c> in</c

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• have spent time in halls and committee hearing rooms of state legislators, hospitals, outpatient clinics
• visit and in a physician's office practice, and the 80%... ...about what happens in a clinic visit and
• My second commitment: science guided by judgment. Public health is both science and an art.
• Science gives us the data and the rigor, but judgment requires context, listening, and understanding
• The bill protects the clinical autonomy of audiologists.

Bills: SB5899, SB6292, SB6094, SB6182, SB5947, SJR8206, SB5933, SB6138, SB5823, SB6210, SB5921, SB6226, SB6159, SB5924, SGA9291, SGA9307

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Summary: The Senate Health and Long-Term Care Committee began with confirmation hearings for Ryan Moran, nominated to lead the Washington State Health Care Authority, and Dennis Worsham, nominated as Secretary of Health. Both nominees gave extensive opening statements about their backgrounds, priorities, and commitment to improving access, equity, public health, and agency operations amid federal policy changes. Senators asked about Washington’s health care system, social determinants of health, behavioral health, communication and public trust, and how each nominee would respond to federal disruptions such as HR1 and CDC changes. At the close of the hearings, the committee voted to recommend both appointments for confirmation. The committee then moved through executive session on a series of bills. It advanced measures including a chiropractic animal care endorsement bill, a joint legislative-executive health care financing committee bill, a pediatric transitional care facilities bill, an abortion savings program bill, a Washington Health Care Board bill, a constitutional amendment establishing a right to affordable health care, and an overdose mapping information bill. The abortion savings program bill drew the most debate, with several proposed amendments offered by Senator Christian; most were rejected, one amendment was withdrawn, and one amendment clarifying funding for contracted providers was adopted before the bill was sent forward. The committee also approved the gubernatorial appointments of Moran and Worsham in executive session. In the second group of bills, the committee advanced a patient advocate bill, a health plan certification process bill, a psilocybin bill, an audiologist clinical autonomy bill, and a pharmacist prescriptive authority bill. The pharmacist bill prompted comments about access, affordability, rural workforce shortages, and the role pharmacists already play in care delivery. All measures considered in executive session received do-pass recommendations or confirmation recommendations and were reported out of committee, and the committee then adjourned.

Transcript Highlights:

• Creates a statewide nurse preceptor grant program to help health care facilities provide the clinical
• the biggest barriers to expanding the workforce is the limited number of available preceptors and clinical
• Nursing clinicals give nursing students the hands-on experience needed to bring their classwork to the
• Nurse preceptors play a critical role in the supervision and instruction of these clinicals, and HB 385
• Incentivizing health care professionals to serve as preceptors can expand clinical training capacity,

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• Those of you holding the matches, I have faith that our Lord will remember you on Judgment Day. >> [applause

Bills: HB1

Keywords: HB1, Alabama, elections, primary election, special primary, runoff, congressional districts, redistricting, reapportionment, district boundaries, federal court, injunction, judgment, Governor proclamation, nominee certification, party nominee, general election 2026, election calendar, voting rights, congressional race

Bills: HB1

Keywords: HB1, Alabama, elections, primary election, special primary, runoff, congressional districts, redistricting, reapportionment, district boundaries, federal court, injunction, judgment, Governor proclamation, nominee certification, party nominee, general election 2026, election calendar, voting rights, congressional race

Transcript Highlights:

• A defendant may not move to set aside a subsequent default judgment entered within one year of a prior
• judgment for the same obligation unless an extraordinary circumstance caused the defendant's failure
• The preponderance of clinical data do not show that 7-OH is a public health threat.

Bills: HB2028, HB2047, HB2136, HB2244, HB2364, HB2406, HB2415, HB2557, HB2573, HB2589, HB2720, HB2749, HB2825, HB2861, HB2862, HB2870, HB2970, HB4070, HB4117, HCR2004, HCR2051

Keywords: community restitution, homelessness, indigence, court assessments, monetary obligations, forcible entry, detainer, writ of restitution, criminal trespass, judgment enforcement, civil terrorism, disorderly conduct, vandalism, political activism, public order, subversion, government security, evictions, judgment satisfaction, tenant rights

Bills: HB2548, HB2453, HB2640, HB2095, HB2386, HB2239

Keywords: health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change, nonprofit conversion, for-profit conversion, health care acquisition, asset sale, Washington RCW, health care competition, price transparency, market oversight, premerger notification, antitrust revolving fund

Summary: The Civil Rights and Judiciary Committee heard staff briefings on several bills, including House Bill 2548 on hospital and provider material change transactions, House Bill 2453 on psychiatric pharmacists’ role in certain involuntary treatment petitions, House Bill 2640 on unauthorized UCC filings, House Bill 2095 on vulnerable users of public ways, House Bill 2386 on garnishment forms, and House Bill 2239 on family burial grounds on private land. The committee also discussed proposed substitutes and amendments, especially on HB 2095, where members debated liability standards, attorney fees, emergency vehicle exemptions, and reporting requirements. For HB 2548, members discussed transparency and disclosure in health care transactions, including notice requirements, filing fees, and Attorney General publication of pending and completed transactions. The committee adopted some amendments and rejected others. On HB 2095, it adopted amendments exempting emergency vehicles and clarifying collision report data, but rejected amendments that would have removed attorney fees, restricted liability further, or replaced the rebuttable presumption with a different civil cause of action. On HB 2239, the proposed substitute added setbacks from wells and springs, local remediation procedures, burial reporting to the Department of Archaeology and Historic Preservation, relocation procedures for remains, and disclosure requirements when property is sold. Members also noted that HB 2640 would give the Department of Licensing a process to refuse or terminate unauthorized filings submitted to harass or defraud debtors. At executive session, the committee voted all five bills out with due pass recommendations: Substitute House Bill 2548 passed 7-6, House Bill 2453 passed 8-5, House Bill 2640 passed 8-5, Substitute House Bill 2095 passed 8-5, House Bill 2386 passed 12-1, and Substitute House Bill 2239 passed unanimously 13-0.

Transcript Highlights:

• between the time sensitivity that's inherent in criminal matters and collateral attacks on criminal judgments

Bills: HB2255, HB2354, HB2595, HB2320, HB2597

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, common interest communities, homeowners association, property management, housing regulations, community governance, criminal justice, judgment, collateral attack, legal proceedings, sentencing reform, firearm regulation, manufacturing, safety standards, background checks, license requirements

Summary: The Civil Rights and Judiciary Committee met on February 4 and took executive action on five bills. House Bill 2255 on litigation finance would require disclosures and prohibit certain acts by third-party litigation funders; members described it as a transparency measure rather than a ban, and it was reported out 12-1. House Bill 2354 on WUCIOA and small common interest communities would exempt smaller communities from many WUCIOA requirements, adjust reserve study and audit rules, and was reported out unanimously 13-0. The committee also advanced House Bill 2595, which extends the deadline for post-conviction collateral attacks from one year to three years and allows the Office of Public Defense to represent eligible indigent offenders in those proceedings. Supporters framed it as an access-to-justice measure, while opponents warned of added strain on the courts; it passed 8-5. Before voting, the committee heard staff summaries of House Bill 2320 on restricting manufacture and distribution of certain firearms made with 3D printers or CNC machines, and House Bill 2597 on civil remedies for constitutional violations during immigration enforcement. For House Bill 2320, the committee adopted Representative Walsh’s amendment removing a rebuttable presumption about intent tied to digital firearm manufacturing code, then reported the substitute bill out 8-5. Supporters said the substitute was narrowed after stakeholder input to target untraceable firearms without unduly affecting hobbyists or industry, while opponents argued it remained too broad and could chill lawful 3D printing. House Bill 2597, as amended by substitute, would create a civil cause of action for constitutional violations during civil immigration enforcement, align some defenses with Section 1983 practice, and shorten the limitations period to two years; it was also reported out 8-5 after supporters emphasized remedies for rights violations and opponents questioned its necessity and scope.

Bills: HB441, HB425, HB416

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, mental health, regional authority, board of directors, local governance, public health, sudden cardiac arrest, automated external defibrillator, AED, school safety, emergency response, cardiac emergency response plan, training, athletic events, first aid, 923

Transcript Highlights:

• It just changes a word to judgment on line 10 on the first page.
• It's merely a consent judgment of the parties on child custody. The burden to modify is lower.
• So that's interest that accrues from the serving of a petition until a judgment is entered.
• Judgment is entered. So with this bill, would that LSB calculator be effective?
• Civil bench warrants and the notification process and judgment debtor proceedings.

Bills: HR38, HR96, HR160, HCR31, HCR61, HB578, HB668, HB1198, SCR19, SB66, SB68, SB76, SB139, SB336, SB475

Keywords: privacy rights, surveillance, USA Patriot Act, FISA, Fourth Amendment, civil liberties, government oversight, civil bench warrants, judgment debtors, notification process, judgment debtor examination, Louisiana State Law Institute, property transfer, public records doctrine, bad faith, real estate law, HCR 31, House Concurrent Resolution 31, foreign entities, foreign corporation

Bills: SB746, SB1404, SB1536, SB1559, SB1838

Keywords: guardianship, guardian ad litem, incapacitated person, proposed ward, ward, probate, Estates Code, Texas probate, elder abuse, adult protective services, capacity restoration, guardian removal, annual account, annual report, estate guardian, person guardian, civil immunity, court-appointed representative, judiciary, civil jurisprudence

Transcript Highlights:

• this notice, if you in bad faith take action to frustrate the execution levy, thus requiring the judgment
• creditor to petition the court to resolve the problem, you will be liable to the judgment creditor for
• Every puppy comes with a free first exam offered by our local veterinary clinic, a health guarantee,

Bills: HF2543, HF2566, HF2627

Keywords: garnishment, wage garnishment, earnings levy, bank levy, execution, judgment debtor, judgment creditor, exemption notice, exempt property, bank account freeze, financial institution levy, employer disclosure, garnishee, writ of execution, debt collection, consumer debt, collections, bankruptcy exemptions, public benefits, means-tested benefits