Transcript Highlights:

• And our best Evidence-based therapies are not enough.
• If it wasn't for psilocybin therapy.
• Let me straighten alcohol and hard drugs.
• We make psilocybin therapy, legal, local unaffordable.
• It's not about drugs; it's about medicine.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• House Bill 2176 concerns collaborative drug therapy agreements, or CDTAs.
• As background, a CDTA is a set... ...drug therapy agreements, or CDTAs.
• who cannot prescribe drugs.
• therapy agreements.
• The agreement included redacting all the identifying names on the drug therapy agreement.

Bills: HB2176, HB2244, HB2120, HB2333

Keywords: drug therapy, public records, confidentiality, healthcare, collaborative practice, transparency, accountability, exemptions, government accountability, audit, legislative review, resource efficiency, committee work, political violence, elected officials, election officials, criminal justice, protection, safety, threats

Summary: The committee heard testimony on House Bill 2333, House Bill 2176, House Bill 2120, and the opening staff report on House Bill 2244. HB 2333 would expand protections for elected officials, candidates, executive state officers, election officials, and criminal justice participants by allowing address confidentiality, redacting certain campaign, financial, voter, and property records, increasing some penalties related to threats against officials, and creating or expanding security-related funding and assessments. The prime sponsor and many supporters described rising political violence, doxxing, and threats at homes and workplaces, while opponents and agency staff raised concerns about constitutional issues, implementation burdens, costs, and whether the bill would be effective given other ways addresses can be found. Secretary of State, county auditor, PDC, and archives staff said the bill would create major administrative and fiscal challenges; the committee did not take final action during the hearing. HB 2176 would make collaborative drug therapy agreements confidential under the Public Records Act except when the agreement is the basis for a disciplinary order or stipulation, in which case only the relevant personal information would be disclosed. Supporters, including the sponsor, pharmacists, physicians, and health advocates, said confidentiality is needed to protect providers involved in reproductive health and other sensitive care from harassment, threats, and out-of-state legal pressure, while preserving disclosure when misconduct occurs. A media representative supported the bill’s narrow exception, and committee members later clarified that the agreement would not be publicly available absent disciplinary action. No vote was taken. HB 2120 would eliminate two JLARC reporting requirements: the biennial report on municipal lodging tax revenues and the periodic evaluation of the training benefits program. The bill sponsor and JLARC leadership said the reports are redundant or not being used, and that removing them would save staff time and allow more performance audits; the hospitality industry testified that lodging-tax reporting provides important oversight and transparency, especially where funds may be used for projects that do not directly promote tourism. The committee then moved on to HB 2244, which was introduced as a Sunshine Committee package making disclosure/confidentiality changes in 13 areas, including records involving long-term care ombuds procedures, donations to public institutions, grand jury reports, archaeological sites, toxicology blood analyses, accident reports, driver case records, child behavior data, financial institutions investigations, birthing centers, corporate interrogatories, family court files, and OFM efficiency surveys.

Transcript Highlights:

• emergency medical services personnel, interstate medical licensure, nurse licensure, occupational therapy
• , physical therapy, psychological inter-jurisdictional compact, and social work.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• As you get to the next Not just the drug that goes in it.
• Originally, it allowed for all drugs in the original draft.
• Originally, it allowed for all drugs in the original draft.
• And then narrow therapeutic index drugs, which would be, if you think about somebody who's on a blood
• Y drug, the provider is not liable for that switch.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds. The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition. The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.

Transcript Highlights:

• And he could have tried this therapy.
• And he could have tried this therapy.
• So finally, I want to highlight that behavioral health psychedelic therapy is not just about a drug;
• to treat or manage pain without prior authorization or step therapy.
• the covered entity uses 340B drug savings.

Bills: SB5921, SB5185, SB6182, SB6115, SB6258, SB5916, SB5981, SB5985, SB6019, SB6161, SB6183

Keywords: psilocybin, mental health, therapy, decriminalization, legalization, international medical graduates, preceptorship, hardship pathways, medical practice, licensure, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund, abortion savings account, health carrier assessment, insurance assessment, health insurer tax, Department of Health

Summary: The Senate Health and Long-Term Care Committee held public hearings on several bills, with most of the discussion centered on Senate Bill 5921, which would create a Department of Health medical psilocybin program for adults with qualifying conditions. The staff briefing described licensing for producers and participating clinicians, training and safety standards, data collection, and a 2028 effective date. Senator Jesse Solomon said the bill uses a medical-control model and is intended to provide supervised access for conditions such as treatment-resistant depression and PTSD. Testimony was sharply divided: supporters included clinicians, veterans, first responders, and patients who described personal benefit and argued the bill would create a safe, regulated pathway; opponents and some medical groups raised concerns about missing safeguards, contraindications, monitoring, cost, and the bill’s exclusion of broader decriminalization or community-use protections. The hearing closed with 25 people signed in pro, 140 con, and 7 other. The committee also heard Senate Bill 5185, a pilot program to create a pathway for international medical graduates with clinical experience licenses to obtain full unrestricted primary care licensure. Senator Rebecca Saldana and supporters from the Washington State Medical Association, the Washington Medical Commission, and the International Medical Graduate Academy said the bill builds on an existing pathway, improves access to care, and maintains patient safety standards. No opposition testimony was presented, and the hearing closed with 9 pro and 118 con sign-ins. In executive session, the committee advanced several bills with amendments or substitutes: SB 5916 on non-opioid pain drugs, SB 5981 on 340B drug pricing transparency, SB 5985 on endometriosis resources, SB 6019 on home care rate statutes, SB 6161 on Department of Health dementia information, and SB 6183 on HIV antiviral drug coverage. The committee adopted proposed substitutes or amendments and sent the bills onward, with some referred to Rules and others to Ways and Means. The committee later reopened and completed the hearing on Senate Bill 6115, which would fund a comprehensive cancer education program for students in grades 6 through 12. Supporters, including Cancer Pathways staff, educators, and families affected by cancer, said early education could reduce risk behaviors like vaping and improve prevention; the hearing closed with 33 pro and 665 con sign-ins, and the remaining two agenda bills were postponed to a later hearing.

Transcript Highlights:

• Cystic fibrosis patients have discovered a new drug for them called Trikafta. Trikafta.
• And then their drug is covered for the rest of the year.
• This bill is narrowly tailored for patients with drugs for which there is no generic.
• The prescription drugs that save their lives can be extremely expensive.
• The prescription drugs that save their lives can be extremely expensive.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• They pay the net cost of the drug.
• Humira is an $8,000 drug, roughly.
• in a drug formulary.
• But what happens with the specialty drugs, and what is the definition of a specialty drug?
• And what happens is this list of expensive drugs, everything from breast cancer drugs to drugs for irritable

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• I can say the same about physical therapy. I'm sorry.
• In addition to preventing overdose, these centers are shown to reduce public drug use, drug-related litter
• time that we've had the war on drugs.
• drug war.
• use and address the demand for drug use.

Bills: HB10, HB12, HB34, SB130, SM21

Keywords: physician assistants, interstate compact, medical services, licensure, cross-state practice, military families, regulatory authority, physical therapy, licensure compact, interstate practice, healthcare, military spouses, criminal background check, HB34, school nurse, school nurses, nurse licensure, charter school, charter schools, school district

Transcript Highlights:

• In a PHP level of care, they're receiving about 20 hours of group therapy and individual therapy as well
• as family therapy in a week, while also seeing the physician two to three times a week.
• The bill requires master's level clinician providers to deliver this therapy.
• You heard me earlier talk about MST, multisystemic therapies; this is FFT, functional family therapy.
• I'm just speaking more about Functional Family Therapy for those same reasons.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• We know that intensive outpatient therapy and partial hospitalization programs are significantly less

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• </c> first psilocybin therapy. first psilocybin therapy.
• But in medicine, we don't always know how every drug and therapy will impact every single person, and
• But in medicine, we don't always know how every drug and therapy will impact every single person, and
• But in medicine, like, we don't always know how every drug and therapy will impact every single person
• This is a very different drug.

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Transcript Highlights:

• . therapy. therapy.
• </c> activities that they do in art therapy. activities that they do in art therapy.
• of therapy.
• But it's therapy and it's of therapy.
• </c> therapy content embedded in all of that. therapy content embedded in all of that.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• 'of' on line nine and before the Semicolon on line 10, all language, and inserting the words 'any drug
• So, by changing this language to include any drug, medicine, serum, or vaccine, and what are what are
• review the assessment as part of the Hearing for discharge or conditional release, it also adds a drug
• However, 20 years of therapy Treatment and necessary service plans have allowed this person to go off
• So, are they going to have someone giving them follow-up, directly observing therapy, something to ensure

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Transcript Highlights:

• word “of” on line 9 and before the semicolon on line 10 all language and inserting the words “any drug
• So by changing this language to include any drug, medicine, serum, or vaccine, what are we trying to
• It also adds a drug screening requirement if the court orders substance use monitoring as a condition
• They go into the care and therapy environment of one of our RCFs, our residential care facilities, and
• However, 20 years of therapy, treatment, and necessary service plans have allowed this person to go off

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• the physical therapist if the physical Therapist finds reason within his scope that his physical therapy
• So in this scenario, if the pain had continued, would she have Seen the physician or continued therapy
• Had she been doing physical therapy?
• work on this, that we could amend this to include some kind of a timeline so that we're not doing therapy
• When an individual would go in for this therapy for the research, what does that process look like?

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• The physical therapist would refer them back to the physician if the physical therapy is not repairing
• So in this scenario, if the pain had continued, would she have seen the physician or continued therapy
• Had she been doing physical therapy, at what point would they have referred her back to a provider for
• But since it's a Schedule I drug, we have to make it available to them to study.
• It is about a 12-hour session where you're monitored by a doctor and a nurse and a paramedic therapy

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.

Transcript Highlights:

• Music therapy is a health profession licensed by the Department of Health.
• This is a small fix, a follow-up trailer bill on the music therapy licensure bill.
• I'm sure the Music Therapy Coalition would be very happy to oblige. Very nice. Thank you, Rep.
• Music therapy is a fast-growing allied health profession, and music therapy programs are being created
• As a new music therapy program in Washington, PLU will be building a pipeline of qualified music therapy

Bills: HB2286, HB2324, HB2363, HB2098

Keywords: social work, licensure, alternative routes, education requirements, professional regulation, tuition waivers, veterans, education, children of veterans, higher education, military families, music therapy, temporary exemptions, healthcare, therapy practice, funding, tuition, financial aid, state budget, 904

Summary: The committee held its first meeting and heard public testimony on four bills. HB 2286 would create an alternative route to social worker licensure by removing the exam requirement for advanced social workers and allowing an enhanced supervised practice pathway for independent clinical social workers. The sponsor and several social workers argued the exam is a poor measure of competence and can be a barrier to licensure, while the Association of Social Work Boards opposed the bill, warning it could weaken uniform standards and create issues with Washington’s social work compact. Committee members asked follow-up questions about the compact, the exam format, and related accreditation issues; no vote was taken. HB 2363 would allow music therapy applicants to practice under supervision for up to six months while waiting for exam verification and licensure processing. The sponsor described it as a technical fix to help newly trained therapists enter the workforce sooner, and testimony from music therapists, educators, and a patient was strongly supportive, emphasizing workforce shortages and the need for supervised practice during administrative delays. There was no opposition testimony and no action taken. HB 2324 would change tuition-waiver eligibility for children of certain disabled or deceased veterans so that, when a disability determination occurs after a child turns 18, the child would have eight years from that determination to use the waiver. The sponsor said the bill is meant to address delays in federal disability determinations that can otherwise cause students to age out of state benefits. The committee heard no opposition, and public testimony was overwhelmingly supportive. HB 2098 would eliminate the cap on the advanced computing surcharge, expand Washington College Grant eligibility up to 100% of state median family income, and reduce resident undergraduate tuition by 10% for three academic years beginning in 2027-28. Supporters, including students, labor, and advocacy groups, said it would improve affordability and access to higher education by asking large tech companies to pay more. Opponents from business and university groups argued the bill would sharply increase taxes, create uncertainty, and reduce tuition revenue without backfilling institutional budgets. Members questioned the existing cap, the use of WEA funds, and the impact on universities; no vote was taken. At the end of the meeting, staff noted amendment requests would be due Monday at 10 a.m. and amendments approved by 6 p.m. Monday if executive action is planned for Tuesday.

Transcript Highlights:

• Individuals receiving PDN may also be eligible for other state plan services, for example, physical therapy
• that's on here, but just to call out some examples, we have enteral G-tube and J-tube feedings, oxygen therapy
• that's on here, but just to call up some examples, we have Entrel G-tube and J-tube feedings, oxygen therapy

Bills: HB2402, HB2555, HB2599, HB2685

Keywords: phthalates, medical equipment, healthcare regulation, intravenous therapy, toxic substances, Medicaid, healthcare, traditional practices, health insurance, coverage expansion, therapy, psychotherapy, mental health, regulation, professional standards, tribal data, data protection, privacy, sharing of information, Indigenous rights

Summary: The House Health Care and Wellness Committee met on February 4 at policy cutoff and first took executive action on four bills, with one bill deferred. The committee advanced a proposed third substitute for House Bill 1589, which would require health carriers to give providers more detailed advance notice and copies of contract changes and payment methodology, and would also add notice requirements for significant payer contract modifications. Members discussed the bill as a way to help hospitals and independent providers better understand carrier contract changes; it passed with a due pass recommendation. The committee also adopted a substitute for House Bill 2402, which delays and adds exemptions to the proposed ban on DEHP in IV solution containers and tubing, after testimony about implementation concerns from hospitals and fire chiefs; it passed. House Bill 2555, concerning Medicaid coverage of traditional health care practices, was reported out with broad support but some concern about state exposure when non-tribal members are treated at Indian clinics. House Bill 2685, on tribal data and disease reporting to tribal health jurisdictions, also passed, though some members raised questions about data use, scope, and a Public Records Act exemption. House Bill 2599 was deferred. The committee then held a work session on private duty nursing in the medically intensive children’s program. The Health Care Authority and DSHS explained how the program serves children with complex medical needs through managed care and fee-for-service pathways, the limited number of children served, and the difficulty agencies face filling authorized hours because of workforce shortages, rural access issues, and frequent hospitalizations. They noted that family members often fill unpaid gaps in care. Public testimony from a home care agency representative and a parent described severe staffing shortages, the burden on families, and support for a model that would allow trusted family caregivers to be paid for some skilled care. The committee also heard from Montana and Massachusetts officials about similar family caregiver or complex care assistant programs in those states, including eligibility, covered tasks, training, supervision, and payment structures, as examples of how other states are addressing care gaps.

Transcript Highlights:

• I also serve as president of the Washington Chapter of the American Physical Therapy Association, representing
• I also serve as president of the Washington Chapter of the American Physical Therapy Association, representing
• For more than 25 years, all physical therapy graduates earn a Doctor of Physical Therapy degree.
• For more than 25 years, all physical therapy graduates earn a Doctor of Physical Therapy degree.
• physical... ...private practice to other providers if it's not something that can be treated in physical therapy

Bills: HB2107, HB2137, HB2243, HB2264

Keywords: construction safety, hazard notification, worksite regulations, labor safety, state law, law enforcement, correctional officers, interest arbitration, collective bargaining, public safety, workers' compensation, healthcare providers, physical therapy, occupational therapy, employment, unemployment insurance, benefits, layoffs, workforce reduction, 904

Summary: The committee heard four bills. HB 2107 would make permanent and slightly narrow a pilot requirement for the Department of Labor and Industries to notify employers or owners within 10 working days when a hazard is found during an on-site inspection at a building construction site. Construction industry groups and L&I supported the bill and said the pilot had worked well, with L&I reporting it had been able to notify owners in almost 96% of cases. No opposition was raised, and the hearing was closed. HB 2137 would remove the 70,000-population threshold for binding interest arbitration for correctional employees in city and county jails. Teamsters witnesses said the change would give corrections officers in smaller jurisdictions the same bargaining rights as other uniformed personnel and could improve safety, staffing, and wages. The Washington State Association of Counties opposed the bill, saying it would increase bargaining and compensation costs for many counties, and asked for amendments requiring arbitrators to consider county finances and making arbitration decisions nonbinding on county appropriations. The hearing was closed without a vote. HB 2264 would clarify unemployment insurance eligibility for workers who volunteer for an employer-initiated layoff or reduction-in-force plan, removing a court-created “final action” requirement that has led to benefit denials when workers can rescind their election. Supporters, including unemployment advocates and a worker who lost benefits after accepting a severance program, said the bill would prevent workers from being wrongly treated as having quit. NFIB asked about the effect of severance and retirement on eligibility, and ESD said it would follow up in writing. The hearing was closed. HB 2243 would allow physical therapists and occupational therapists to serve as attending providers in the workers’ compensation system. PT and OT witnesses said this would speed access to care, improve return-to-work outcomes, and reduce costs, while business groups, retailers, food industry representatives, NFIB, and the Washington State Medical Association opposed the bill, arguing that attending providers must be able to make accurate diagnoses, certify time loss, and handle impairment ratings, and warning of possible added costs, litigation, and administrative burdens. L&I said adding PTs and OTs as attending providers would require all providers in those categories to join the medical provider network and could cause some to leave the system; the committee closed the hearing and adjourned without taking action.