Transcript Highlights:

• Diagnostic radiologic technologist, a therapeutic radiologic technologist, or an MRI technologist may
• This is a more efficient way to deliver care and get people to imaging MRI services that they need.
• Federal CMS regulations already authorize PAs and APRNs to order diagnostic testing.
• The second is the use of contrast in brain imaging for acute strokes.
• The second is the use of contrast in brain imaging for acute strokes.

Bills: HB2540, HB2113

Keywords: emergency medical services, EMT recertification, healthcare, first responders, public health, radiologic technologists, diagnostic imaging, healthcare regulation, professional supervision, state licensing, 904, all

Summary: The Senate Health and Long-Term Care Committee held public hearings on several House bills and took executive action on three measures. The committee heard Substitute House Bill 2577 on hospital inspections, which would require the Department of Health to inspect hospitals at least every 18 months rather than on average, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections. Representative Nicole Macri and DOH testified in support, citing a JLARC audit and the need to reduce late inspections; testimony sign-in was heavily opposed, but no vote was taken on the bill during the hearing. The committee also heard Second Substitute House Bill 2384 on continuing care retirement communities, which would require actuarial analysis review by the Office of the Insurance Commissioner for certain life care contracts. The sponsor and supporters said it would improve transparency and protect residents’ life savings, while LeadingAge Washington opposed the added cost and fees; testimony was mixed, with many sign-ins in support. House Bill 2113 on radiologic technologist supervision was heard as well, with supporters saying it would codify existing practice by allowing virtual direct supervision for IV contrast procedures and preserve access in rural hospitals; the bill drew strong support and no opposition in testimony. The committee also heard Substitute House Bill 2363 on music therapy licensure, which would allow recent applicants to practice under supervision for up to six months while exam results are pending; proponents described it as a workforce fix, and testimony was overwhelmingly supportive. House Bill 2339 on nursing regulation was heard, with the Board of Nursing and ARNP groups backing technical changes to titles, transcripts, interim permits, and CRNA prescriptive authority. House Bill 2540 on EMT recertification was heard last, with firefighters supporting a longer recertification interval for experienced EMTs to reduce administrative burden while keeping training requirements unchanged. The committee also heard Engrossed Substitute House Bill 1187 on delaying ambulance debt collection after motor vehicle accidents; the hearing was closed after staff noted there were no testifiers, with sign-in showing five pro and six con. In executive session, the committee advanced Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168. HB 2242 and HB 2152 were sent to the Rules Committee with do-pass recommendations, and HB 2168 was sent to Ways and Means with a do-pass recommendation. The committee then returned to public hearing testimony on the remaining bills and adjourned after closing the hearing on HB 2540.

Transcript Highlights:

• Next is House Bill 2113, concerning the supervision of diagnostic radiologic technologists, therapeutic
• We have House Bill 2113 concerning the supervision of diagnostic radiologic technologists, therapeutic
• radiologic technologists, and magnetic resonance imaging technologists before us.
• I move that... ...resonance imaging technologists before us. Thank you, Madam Chair.

Bills: HB2340, HB2540, HB2113

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Summary: The Senate Health and Long-Term Care Committee held its final regularly scheduled meeting of the 2026 session and moved into executive session to consider a slate of bills. Staff briefed members on measures dealing with the dietician licensure compact, ambulance transport staffing, substance use disorder monitoring for nursing assistants, hospital inspections, music therapy licensure exemptions, nursing regulation, EMT recertification, radiologic technologist supervision, continuing care retirement communities, and veterinarian-client-patient relationships. Several amendments were discussed, including changes to ambulance transport coordination requirements, clarifications to billing statements for motor vehicle accident ambulance bills, oversight language for continuing care retirement communities, and a striking amendment limiting commercial breeding language to livestock and clarifying veterinary prescription drug use. The committee adopted the amendments it considered and voted to give due pass recommendations to the bills before it. Bills advanced included Substitute House Bill 2088, Engrossed Second Substitute House Bill 2110 as amended, House Bill 2340, Substitute House Bill 2577, Substitute House Bill 2363, Engrossed Substitute House Bill 1187 as amended, Substitute House Bill 2339, House Bill 2540, House Bill 2113, Second Substitute House Bill 2384 as amended, and Engrossed Substitute House Bill 2247 as amended. Each bill was sent to the Rules Committee, and the committee reported the measures as passed subject to signatures. The chair also briefly explained the livestock-related intent of the amendment to the veterinary bill in response to a question about puppy mills. At the end of the meeting, the chair thanked committee staff and members for their work during the session, noted that interim work would begin in a few weeks, and moved to adjourn. The committee then adjourned.

Transcript Highlights:

• DHS from requiring licensed registered nurse practitioners to obtain any other license to use a diagnostic
• DHS from requiring licensed registered nurse practitioners to obtain any other license to use a diagnostic
• health care professionals, surpassed in number only by physicians and nurses, and that almost every diagnostic
• workup includes medical imaging of some type to rule out or confirm a condition, there have been significant

Bills: HB2050, HB2082, HB2176, HB2195, HB2202, HB2307, HB2584

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Transcript Highlights:

• nurses to the list of health professionals not required to obtain an additional license to use a diagnostic
• It's a fairly standard medical imaging technique used by physicians, physician assistants, podiatrists
• Henry Benjamin developed a diagnostic and treatment protocol.
• HB 2085 validates the diagnostic protocol for gender dysphoria.
• I don't care who you are, anything you are, made in the image of God, and I think you matter.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• Agriculture Equipment Fair Repair Act ensures farmers and independent mechanics can access necessary diagnostic

Bills: S0806

Keywords: right to repair, repairability, consumer repair, independent repair provider, authorized repair provider, portable wireless device, smartphone repair, cell phone repair, mobile device, agricultural equipment, farm equipment, tractor, combine, diagnostic information, repair manuals, parts availability, tools, embedded software, firmware, security module

Summary: The Committee on Agriculture took up SB 806, a consumer and agricultural equipment right-to-repair bill sponsored by Senator Truenow. The bill was described as expanding repair options for portable wireless devices and farm equipment while protecting trade secrets. Two amendments were adopted: one clarified that portable devices do not include motor vehicles, and another was a technical staff amendment. Testimony included support for the general goal of repair access, but opposition from a John Deere dealership representative, who warned the bill could weaken local dealer support, reduce parts inventory, increase downtime, and create emissions-compliance risks. The Consumer Technology Association also opposed the bill in its current form, citing concerns about a patchwork of state laws, a private right of action against manufacturers, and inconsistencies with other states’ repair laws. After closing remarks from Senator Truenow, the committee voted to report CS for SB 806 favorably. The committee then heard a presentation from Florida 4-H state officers and alumni, who highlighted 4-H’s role in youth development, leadership, agriculture, STEM, and healthy living. They described statewide participation of more than 216,000 youth, the impact of camps and hands-on programs, and efforts to raise funds for facility improvements, including Camp Cherry Lake and Camp Timpoochee. Members asked about how youth discover 4-H, what drives participation, and the organization’s growth goals, including reaching 300,000 youth. Next, Florida FFA state officers presented on agricultural education and FFA’s role in preparing students for careers in agriculture and related fields. They emphasized the three-part model of classroom instruction, supervised agricultural experience, and FFA leadership activities, and noted Florida’s membership growth to more than 65,000 students, supported by state funding that allows all agricultural education students to participate at no cost. Members discussed the need for technology and AI to help meet future food-production demands, and the presenters stressed innovation, urban agriculture, and efficiency as key to feeding a growing population. The meeting concluded with general comments of support and a request for a group photo with the students.

Transcript Highlights:

• awareness of the clinical variability of this condition and the diffuse availability of simple diagnostic

Bills: H5013, H5087, H5115, S2928

Keywords: celiac disease, gluten intolerance, autoimmune disorder, pediatric screening, child health, public health, screening pilot, early detection, 12-year-olds, cholesterol screening, lipid screening, health care providers, Department of Public Health, patient advocacy, family support, Massachusetts, preventive care, diagnostic screening, nutrition, gastroenterology

Summary: The Joint Committee on Public Health heard testimony on two celiac disease screening bills, H. 5013 and S. 2928, which would create a three-year pilot program to add celiac screening to routine cholesterol/lipid testing for children around ages 8 to 12. Supporters included the bill sponsors, patients and family members, clinicians, researchers, and advocates, who described long delays in diagnosis, the wide range of symptoms, the risk of long-term complications, and the value of early detection. Several witnesses said the pilot would help determine feasibility, cost-effectiveness, and acceptability, and would pair screening with educational and support resources for families. No vote was taken during the hearing. The committee also heard testimony on H. 5087, a bill regulating the operation of medical spas. Witnesses from the aesthetic medicine field, including a lobbyist, a nurse practitioner, a physician assistant, and a plastic surgeon, generally opposed the bill as written. They argued it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive of nurse practitioners, physician assistants, and other licensed providers. They said the bill could reduce access, increase costs, and push care into less regulated settings, while also noting they support patient safety and would be willing to work on revised regulation. Committee members asked questions about how celiac screening would work in practice and about the medical spa bill’s relationship to current law. On the celiac proposal, witnesses explained that screening could begin with a simple blood test, with further testing if needed, and that the pilot would assess implementation in real-world pediatric care. On H. 5087, the chair noted the committee would review the testimony and written submissions carefully, and witnesses were encouraged to provide follow-up materials identifying specific redundancies or concerns.

Transcript Highlights:

• Board of Medical Imaging and Radiation Therapy 2011 K46010 Emergency and 46081 Emergency. 2011 KR460110E

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Bills: SB9, SB 9

Keywords: property tax, ad valorem tax, voter-approval tax rate, no-new-revenue tax rate, tax rate calculation, Tax Code, local government finance, municipality, county, special taxing unit, sales and use tax, property tax cap, tax rollback, tax levy, maintenance and operations, debt rate, disaster relief rate, Texas Legislature, local taxing unit, school assessment

Transcript Highlights:

• the Agricultural Fair Repair Act, ensuring farmers and independent mechanics can access necessary diagnostic
• the Agricultural Fair Repair Act, ensuring farmers and independent mechanics can access necessary diagnostic
• That's done by making available the same technical manuals, parts manuals, schematics, and diagnostic
• has many obligations: maintaining minimum parts inventories, investing in facilities, tooling, diagnostic
• has many obligations: maintaining minimum parts inventories, investing in facilities, tooling, diagnostic

Bills: S0386, S0528, S0806, S0696, S0930, S0874, S0898, S0826, S0838

Keywords: farm equipment, agricultural machinery, farm machinery, tractor, combine, harvester, implements, warranty, lemon law, defective equipment, repair rights, consumer protection, manufacturer liability, authorized service agent, replacement, refund, rural agriculture, urban agriculture, Florida Statutes, chapter 604

Summary: The Commerce and Tourism Committee met with a quorum and considered several bills, most of them receiving favorable reports. SB 386, relating to farm equipment repair rights, was briefly explained by the sponsor as a lemon-law style measure for farm equipment; it passed without questions or debate. SB 528, aimed at strengthening Florida’s manufacturing sector by expanding Department of Commerce responsibilities, codifying the chief manufacturing officer role, creating a workforce development grant program, and requiring reporting, drew support from several appearance forms and was reported favorably. SB 806, a broader right-to-repair bill covering portable wireless devices and agricultural equipment, drew the most discussion: dealership and industry representatives opposed it, arguing existing manufacturer agreements already provide access to repair information and that the bill could force manufacturers into competition with dealers, while supporters framed it as pro-consumer and pro-repair access; it was still reported favorably. SB 696 on trademark registration modernization and SB 930 creating a Florida Retirement Savings Task Force were both explained as administrative/policy measures and passed without opposition. SB 874, which creates a professional licensure reciprocity path for out-of-state surveyors and mappers to address workforce shortages, also passed favorably. The committee then took up SB 826 on gift certificates, which the sponsor said is intended to target bank-branded “reward cards” that function like gift cards but expire, while not affecting loyalty programs. The Florida Restaurant and Lodging Association expressed concern about unintended consequences and asked to work on tighter definitions, but the bill was reported favorably after the sponsor said clarifying language would be added later. The committee also heard SB 838, as amended, on electronic payments for retail installment contracts; the sponsor said it would clarify that reasonable convenience fees for optional electronic payments are permissible, require disclosure, and preserve a fee-free option. Members raised concerns about what counts as a “reasonable” fee and whether the bill could authorize junk fees, but the committee substitute was reported favorably. Several votes were taken by roll call, with the bills above reported favorably and SB 898 temporarily postponed at the sponsor’s request. Members later asked to be recorded as voting affirmatively on bills they had missed. The meeting concluded after the final vote on SB 838 and a motion to adjourn.

Transcript Highlights:

• imaging.
• At 3:24 p.m., the amendment incorporates imaging in the list of diagnostic procedures a chiropractor
• may perform and removes the specification that a chiropractor may refer for diagnostic imaging.
• The updated language simply states diagnostic imaging.
• Now it's imaging. Imaging. Used to be able to use the term x-rays. Now it's imaging.

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Bills: SB2697, SB2399, SB2665, SB2851, SB3102, SB2521, SB3157

Keywords: SB2697, Hawaii transportation, motor vehicle law, road shoulder, shoulder lane, shoulder driving, high occupancy vehicle lane, HOV lane, vehicle registration, expired registration, out-of-state vehicle, vehicle tax delinquency, impoundment, vehicle seizure, public auction, county finance, Department of Transportation, law enforcement, antique motor vehicle, traffic penalties

Summary: The joint hearing of the Transportation and Labor and Technology committees considered HB 2097, which would allow administrative driver’s license revocation hearings to be held by interactive conference technology such as Zoom and permit electronic exchange of evidence. DOT and the Administrative Driver’s License Revocation Office supported the bill, saying Zoom hearings have worked well since 2021 and save time and money. Both committees passed HB 2097 with technical and nonsubstantive amendments. The Transportation Committee then heard HB 1163 on commercial driver licensing, HB 2113 on funding vegetation removal from the Kaola Stream drainage way, HB 2283 on port pilotage, HB 1588 on a noise detection camera program, and HB 2333 on airport special districts and aeronautics penalties. DOT asked for HB 1163 to use “non-domiciled” language to match federal rules, and the committee passed it with amendments. For HB 2113, the Department of Agriculture and Biosecurity said the project would likely need about $1 million, and the committee passed the bill with amendments while noting the funding would be reflected in the committee report rather than the measure itself. HB 2283 drew broad support from maritime and labor interests, but the committee deferred it, saying the Senate version was already moving and would be used instead. HB 1588 received support from DOT and several community and health-related testifiers who said noise from traffic is a serious problem, but the committee expressed concern about enforcement language and re-referred the bill to Judiciary/Ways and Means while still passing it forward. HB 2333 was supported by DOT and airline interests; after questions about airport loitering and sleeping rules, the committee passed it as is. In the final decision-making, the committee adopted the chair’s recommendations on HB 1163, HB 2113, HB 1588, and HB 2333, and deferred HB 2283.

Transcript Highlights:

• Now we're getting into diagnostics. Now we're getting into prescriptions.
• </c> Board of Medical Imaging and Radiation Therapy, 201 KAR 46:020, 46:030, and 46:045. 201 KAR 46:020
• Any questions for the Board of Medical Imaging and Radiation Therapy?

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• Effective July 1, 2027, requires health care facilities that perform procedures involving real-time X-ray imaging
• Only 3% of the primary X-ray beam actually produces the image. 97% is simply reflected into the room,
• Only 3% of the primary x-ray beam actually produces the image. 97% is simply reflected into the room,

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Transcript Highlights:

• Government Code already provides the Railroad Commission the authority to use drones to capture... images
• Section 1285 allows the Commission to capture images with a drone for the purpose of inspecting and examining

Bills: HB206, HB 1285, HB1335, HJR107, HB206

Keywords: pipeline, construction, cash bond, county authority, local government, HB 1285, Railroad Commission of Texas, RRC, drones, unmanned aircraft, UAS, drone inspections, oil and gas, pipeline inspection, surface mining, well sites, tank batteries, disposal wells, injection sites, natural resources

Bills: HF3898, HF3957, HF4372, HF4350, HF3692, HF4085

Keywords: pesticides, wild rice, environmental protection, agriculture, water quality, pollinators, training, management plan, fertilizer research, education grants, Minnesota Agricultural Council, technology transfer, agricultural productivity, HF4372, Minnesota agriculture, meat processing, meat processing training, retention incentive grants, grant extension, project deadline extension

Bills: SB9, SB1047, SB1048, SJR17, SJR49, SB40, SJR1, SJR5, SB 9, SB 40, SJR 1

Keywords: bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, criminal procedure, public safety report, victim notification, family violence, bail bonds, public funds, political subdivision, injunction, taxpayer rights, violent crimes, sexual offenses, community safety, constitutional amendment, trafficking

Bills: SB9, SB1047, SB1048, SJR17, SJR49, SB40, SJR1, SJR5, SB 9, SB 40, SJR 1

Keywords: bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, criminal procedure, public safety report, victim notification, family violence, bail bonds, public funds, political subdivision, injunction, taxpayer rights, violent crimes, sexual offenses, community safety, constitutional amendment, trafficking

Transcript Highlights:

• </c> performed and order the imaging. performed and order the imaging.
• This bill closes that gap, ensuring that every professional who performs diagnostic imaging with ionizing
• </c><00:19:07.720><c> imaging</c><00:19:08.680><c> with</c> performs diagnostic imaging with performs
• diagnostic imaging with ionizing<00:19:09.600><c> or</c><00:19:09.840><c> non-ionizing</c><00:19:10.680
• </c> imaging community. imaging community.

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• Instead of the doctor only receiving the raw image, they would receive an AI-enhanced image that is a
• Imaging is not the only use case.
• And the diagnostic goes a lot faster. I think that saves money.
• Within the diagnostics portion of Danaher, we have six diagnostic companies that together represent the
• Within our diagnostics divisions, just the diagnostics division, we operate manufacturing and R&D facilities

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held a hearing on California’s medical technology landscape, with opening remarks emphasizing the sector’s size, economic impact, and role in jobs and innovation. The first panel contrasted MedTech with biopharma, describing MedTech as hardware- and manufacturing-oriented, more incremental in development, and more dependent on supply chains, land use, and mid-skilled workforce pipelines. Witnesses argued California is the epicenter for MedTech because of its mix of engineering, software, hospitals, and manufacturing ecosystems, and cited clusters in places like Irvine, Fremont, Carlsbad, and the Bay Area. They also highlighted examples such as Penumbra and Vyaire Medical Systems to show how local manufacturing, community college training, and reshoring can support growth. The panel discussed cybersecurity, trade relations, supply chain disruptions, and the need for better coordination with hospitals and regulators, while AdvaMed stressed that medical devices are already heavily regulated by the FDA and should generally be exempt from broader state laws that could create a patchwork of requirements. Members also discussed AI in MedTech, workforce training, and the possible effects of federal NIH funding cuts, with witnesses saying MedTech is less dependent on NIH than biopharma but still benefits from a strong innovation ecosystem. Committee members then asked about AI, affordability, patient satisfaction, women’s health, and the R&D tax credit. Witnesses said AI is helping reduce errors, redundant testing, and imaging time, while keeping clinicians in the loop, and that digital pathology and robotic surgery are improving diagnosis and treatment. They also noted that packaging, plastics, and recycling can affect FDA approvals, and that FemTech is an active and growing area for investment and acquisition. Several members raised concerns about California’s regulatory and incentive environment, including the loss of the R&D tax credit, and witnesses said the absence of tax incentives has made it harder to keep companies and jobs in the state. The second panel featured company representatives from Lyca Biosystems, Intuitive, Saravia Neurosciences, and Newman. Dr. Monroe described digital pathology as a way to digitize tissue slides, improve access to subspecialty review, and enable AI-assisted diagnosis, especially for cancer care and rural areas. Intuitive highlighted robotic-assisted surgery, including the da Vinci system and the Ion bronchoscopy platform, and said its technologies improve precision, reduce complications, and support clinician-led care. Saravia Neurosciences presented an early-stage neurotechnology for dementia that uses MRI-guided transcranial magnetic stimulation and AI-driven personalization, and argued California needs a state translational fund to bridge the gap between discovery and commercialization. Newman, a startup working on home diagnostics, said California’s permitting, zoning, and manufacturing rules make it difficult to scale advanced manufacturing locally and urged streamlining, reduced red tape, and incentives to keep manufacturing jobs in-state. Committee members again focused on tax credits and asked how the state could better support manufacturing, translational funding, and the retention of high-paying MedTech jobs.

Transcript Highlights:

• Using augmented intelligence technology to scan medical images for cancer can increase cancer detection
• The second part is also looking into the images and seeing. sometimes this image may miss the naked eye
• So what we're doing is ensuring that this image is read and then the physician oversees that and goes
• It's like a second set of eyes looking at the images, and it’s also using data analysis to determine
• Images and the reports to detect cancer and to risk stratify the results.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC