Transcript Highlights:

• The concrete batch plant is not...
• Or in this concrete batch permitting process, they only regulate the air.
• And if you've got to drive massive distances between the batch plant and where...
• To enforcement of batch plants specifically, correct? That's correct.
• I've got an episode of PTSD even thinking about batch plants. Clean air.

Bills: HB573, HB1499, HB1768, HB3071, HB3249, HB3866, HB4112

Keywords: environmental enforcement, legislative oversight, inspection, concrete plants, Texas Commission on Environmental Quality, environmental product declaration, grant program, ready-mixed concrete, manufacturers, sustainability, concrete plant, concrete batch plant, wet batching, dry batching, central mixing, standard permit, TCEQ, environmental regulation, air quality, construction permit

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:

• that House Bill 165 authorizes physician associates, occupational therapists, and APRNs to practice dry
• During dry needling treatments, a health care provider inserts a thin needle under the skin to stimulate
• Dry needling can be used to manage a number of conditions including joint and disc pain, tendinitis,
• We know that dry needling is a valuable therapeutic option that doesn't use opioids.
• And look forward to dry needling if you have that need. Thank you so much. Cheryl Hikes.

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.

Bills: HB 220, HB 783, HB 2240, HB 3336, HB 4202, HB 4449, HB 4904, HB 3441, HB 4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, identification, real estate, proof of identity

Bills: HB445, HB477, SB274, HB441

Keywords: hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax, excise tax, age verification, underage sales, product testing, certificate of analysis

Transcript Highlights:

• providing... ...references, removing the current inaccuracy around occupational therapists providing dry
• needling, and gives the board flexibility to designate appropriate CE providers for dry needling.
• It allows occupational therapists to perform dry needling after they complete two years of licensed practice
• establish additional supervision and training requirements before an occupational therapist can perform dry

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• Senators, we'll take up Tab 7, Senate Bill 914 on dry needling by Senator Calatayud.
• occupational therapy statute does not explicitly authorize licensed occupational therapists to perform dry
• removes the current inaccuracy, and gives the board flexibility to designate appropriate CE providers for dry
• The change allows occupational therapists to receive dry needling supervision from an occupational therapist

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Bills: HB 220, HB 783, HB 2240, HB 3336, HB 4202, HB 4449, HB 4904, HB 3441, HB 4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Transcript Highlights:

• Bushland is a dry county, and doing it this way, if they were to annex something, even though they want
• to remain dry, this might make it so that they would have to adopt alcohol laws without their own consent
• In the neighboring county, should not have to be wet or dry depending upon the preference of the city
• there are different laws between the areas in Potter County and Randall County for how they're wet or dry
• Millions of pounds a year—110 million pounds of grain, and that's the dry weight of it.

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Transcript Highlights:

• The next batch has about 50. Some of those are a little more complicated.
• The next batch has about 50, so there will be a little bit more assigned there, and we may need to allow
• The next batch has about 50.

Bills: HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, HB4319

Keywords: cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics, manicurist, eyelash extension, blow-dry styling, makeup artist, occupational licensing

Transcript Highlights:

• How it saves operators money: increasing the minimum batch size to 25 pounds will allow operators to
• even Rhode Island, which just created their program, is at a 20-pound batch size.
• weight basis there is Delta 9 THC on a dry weight basis.
• Currently, we are held to an arbitrary 15-pound batch size for testing purposes.
• Bill H-146 would increase that batch size to 25 pounds.

Keywords: 995, all

Summary: The Joint Committee on Cannabis Policy held a hearing on a broad set of cannabis and hemp bills, with the chairs opening by emphasizing unfinished work on equity, public health, safety, and market stability. The committee heard testimony on House Bill 146, which would create more efficient cannabis testing standards by increasing batch sizes, reducing or eliminating some environmental testing, standardizing lab reporting, and requiring annual scientific review and public data reporting. Industry witnesses, including a representative of the Massachusetts Cannabis Coalition, cultivators, and a testing lab owner, said current testing rules are overly burdensome, costly, and inconsistent, and argued the bill would lower compliance costs while preserving consumer safety. A testing lab witness also said some operators switch labs to obtain higher THC results or pass contaminated batches, and urged greater transparency and better sampling protocols. A major portion of the hearing focused on intoxicating hemp and related bills that would bring hemp-derived intoxicating products under a stronger regulatory framework. Legislators and industry witnesses described products sold in gas stations, smoke shops, and convenience stores as often untested, not age-gated, and sometimes mislabeled or far above the federal hemp THC threshold. Testimony from attorneys and cannabis business leaders said states can regulate these products more strictly under the Farm Bill’s non-preemption language, and pointed to New Jersey and other states as possible models. Some witnesses and committee members stressed that any new rules should avoid harming non-intoxicating CBD businesses or lawful hemp farmers, while others argued that the products are effectively cannabis and should be regulated like cannabis for licensing, testing, age limits, and taxation. The committee also heard extensive public-health testimony in support of bills S. 95, S. 96, S. 97 and their House counterparts H. 191, H. 192, and H. 193. Parents, advocates, and public health professionals urged stronger warning labels, THC potency caps, and improved data collection on cannabis-related harms, citing cannabis-induced psychosis, addiction, anxiety, and youth exposure to high-potency products. Several witnesses said Massachusetts has not done enough to track health outcomes or warn consumers, and referenced other jurisdictions such as Connecticut, Vermont, Colorado, Canada, and Quebec as examples of stronger limits or warnings. No votes or formal actions were taken during the hearing; the committee primarily received testimony and questions.

Transcript Highlights:

• plant is required to pay annually into the Renewable Development Account $350,000 each year for each dry
• That is a year that we project additional cask will be put in dry storage in Monticello.
• additional cask will be put in dry additional cask will be put in dry dry<00:13:48.839> storage
• dry storage in Monticello. dry storage in Monticello.
• waste storage unit and plant and the dry waste storage unit and knowing<00:36:58.720> the<00:

Bills: HF4308, HF4153, HF4703, HF4711

Keywords: HF4308, Monticello nuclear plant, Prairie Island, renewable development account, RDA, nuclear waste, spent fuel, dry cask storage, utility tax, commercial-industrial property tax, state general levy, property tax exemption, residential heating fuels, natural gas tax exemption, electricity sales tax exemption, year-round sales tax exemption, distributed solar energy standard, solar mandate, community solar, grid modernization

Bills: SB311, SB322, SB304, SB313, SB315, SB316, HB489, SB90

Keywords: electric transmission, public highways, permit processing, economic growth, infrastructure, rural development, condemnation actions, state regulations, community development district, CDD, annexation, municipal annexation, wet municipality, dry county, wet county, Sunday alcohol sales, ABC Board, alcohol licensing, on-premises consumption, golf course

Bills: HB1382, HB3945, HB4449, HB5043, HB5388, HB5397, HB5499

Keywords: education, funding, student support, financial aid, K-12, higher education, weather modification, prohibition, criminal offense, Texas, agriculture, environmental control, agriculture law, Texas legislation, chemical control, Texas law, massage therapy, regulation, licensing, criminal penalties

Transcript Highlights:

• Lastly, for me, House Bill 1063 authorizes chiropractic physicians to perform dry needling.
• So there's the Pickford Black Farmer litigation track of licenses and there's April batch.
• We'll talk about April batch second.
• With regard to the April batch of 2023, we received 74 applications.
• So there's the labeling and there's also the certificate of analysis tied to each batch.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• LASTLY, 1063 AUTHORIZES CHIROPRACTIC PHYSICIANS TO PERFORM DRY NEEDLING.
• AS OF JANUARY THE 21st THE DEPARTMENT HAS CERTIFIED 13 CHIROPRACTIC PHYSICIANS TO PERFORM DRY NEEDLING
• WITH REGARD TO THE APRIL BATCH OF 2023 RECEIVED 74 APPLICATIONS WHEN WITHDREW BECAUSE IT WAS A SUCCESS
• LEAVE IT INTACT OR MAKE A COMPLAINT THE DEPARTMENT COULD LOOK AT ONE OF THE OTHER PACKAGES FROM THE BATCH
• AND APRIL 2023 BATCH LETTER OF INTENT TO AWARD WENT OUT TO 22 APPLICANTS.

Keywords: 999, senate, all

Transcript Highlights:

• from all pantry directors that the current grant timetable has a harmful delay and that accounts run dry
• <00:14:48.720> well<00:14:48.920> before for purchasing uh run dry well before for
• purchasing uh run dry well before the<00:14:49.320> February<00:14:49.759> reimbursement
• <00:40:12.960> uh really good job for this first batch uh really good job for this first batch
• this coming summer fall and first batch this coming summer fall and I'm<00:40:18.960> really<

Keywords: 1187, senate, all

Transcript Highlights:

• batch into the...
• Each batch, or a retailer gets a product in. How do they know?
• It weighs, as she pointed out, over three grams in dry weight.
• , meaning a manufacturing batch.
• for that batch.

Bills: HB28, SB3, SB 3

Keywords: hemp regulation, consumable products, cannabinoids, state health, youth protection, licensing fees, criminal offenses, flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program

Transcript Highlights:

• And so this past year we paid some attention particularly to failed batches to take a look to see what
• When you have a failed batch, depending on what the product is, there may be options either to remediate
• what is in that cannabis and so this past year we we paid some attention to particular to failed batches
• what could be learned but also that the companies were following the rules when you have a failed batch
• , cough, dry throat.

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.