Transcript Highlights:

• 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,
• This bill creates requirements and limitations for dry needling treatments and prohibits physician associates
• 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sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change.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.

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
• needling on the head, neck, or torso.

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
• needling, an evidence-based pain management and rehabilitation treatment for musculoskeletal injuries
• needling.
• 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: 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

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

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: 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
• 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
• From your perspective, it does move the needle regarding access, but yeah, y'all would be against it
• 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

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:

• 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:

• MEMBERS, DRY NEEDLING IS A WIDELY USED EVIDENCE-BASED TREATMENT THAT USED TO RELIEVE PAIN, IMPROVE MOBILITY
• NEEDLING IN OUR STATE.
• COULD YOU ELABORATE ON THE DIFFERENCE BETWEEN DRY NEEDLING AND ACUPUNCTURE.
• WHERE DRY NEEDLING IS MUCH MORE ISOLATED, TARGETED SPECIFIC MUSCLES, ACUPUNCTURE IS MUCH MORE BROAD,
• NEEDLING.

Transcript Highlights:

• As most of you know, and some of you have been recipients of my dry needling, dry needling is research-based
• Anyways, um, so dry needling. I'm just standing up here.
• are<01:36:12.000> in practice of dry needling and we are in practice of dry needling and we
• fan of dry needling. fan of dry needling.
• I'm just >> Anyways, um so dry needling.

Keywords: 981, all

Summary: The House convened with a quorum, approved the journal from February 13, 2026, and heard several announcements and introductions, including recognition of student guests and notices about upcoming committee meetings. Members also shared informal remarks tied to Lunar New Year celebrations, a water policy breakfast, and other caucus or committee updates. The chamber then took up special orders for several bills, including House Bill 1013 and House Bill 1064. House Bill 1013, concerning ratio utility billing systems used by landlords to allocate utility charges to tenants, was presented as a technical cleanup to last year’s House Bill 1090. Supporters said it was intended to clarify that such billing practices remain allowable and to align the statute with legislative intent. Amendment L002, offered to state that the bill created no private right of action and to limit litigation, was debated at length but defeated. Opponents argued it would restrict existing rights under consumer protection law, while supporters said it would reduce unnecessary lawsuits. The bill then passed the committee. House Bill 1064, concerning modifications to the youthful offender system, was also heard. Supporters said the bill codifies existing Department of Corrections practices, updates language to promote effective communication, and reflects evidence-informed, trauma-informed rehabilitation aimed at reducing recidivism. Amendment L003, which adjusted language to be more inclusive of the YOS community, was adopted. Several members opposed the bill, arguing it codified practices already in place, lacked clarity on evaluators and costs, and did not sufficiently account for victims’ perspectives. Despite that opposition, the committee report was adopted and the bill advanced with the amendment.

Transcript Highlights:

• I urge your support for H. 2415 for one simple reason: trigger point acupuncture and dry needling are
• needling on you... ...you can do that if you like, but if you choose to let them dry needle you, you
• and dry needling or acupuncture is required to meet.
• You know, specific to H. 2415 for dry-needling training, I'm a little confused about the proposed additional
• I think a lot of folks can understand dry needling needles puncturing the skin.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Bills: HB589, HB705, HB1842, HB1874, HB2349, HB2614, HB2827, HB3012, HB3214, HB3308, HB3385, HB3529

Keywords: cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, charitable raffles, nonprofit, wildlife conservation, ticket sales, fundraising, master electrician, electrical work, occupational licensing, work scope, Texas law, Texas Real Estate Commission, TREC, real estate broker, sales agent

Bills: SB30, SB517, SB1313, SB1314, SB1316, SB1541, SB1698, SB1845, SB1860, SB2420, SB2429, SB 30

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections

Transcript Highlights:

• So if I may ask, the committee's analysis notes on page 27, the dry needling...
• The analysis notes on page 27 that dry needling is allowed in most other states.
• We've had two stakeholder engagements about dry needling, just for clarity's sake.
• Dry needling, as the report indicates, is allowed in 46 states.
• The malpractice data, the licensing complaint data on dry needling, is nonexistent.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.