Transcript Highlights:

• Okay, let's take up tab 2, SB 796 on veterinary medicine by the good Senator Bradley.
• This will broaden access and reduce costs for veterinary care and increase career options for highly
• There’s a shortage of access to veterinary care in Florida.
• It just allows it in the field of veterinary medicine.
• And lack of access to affordable care is one of the driving forces of surrendered animals.

Bills: S0754, S0796

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it heard SB 754 on heated tobacco products. The bill would statutorily define heated tobacco products and exempt them from the cigarette tax. Senator Davis questioned why the exemption was needed, and Senator Bernard asked about youth access; the sponsor said the bill was limited to taxation and would look into age and regulatory issues. A Florida Retail Federation representative appeared in support. The committee voted the bill favorably, and Senator Bracey Davis later asked to be recorded as voting in the affirmative on tab 1. The committee then considered SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role for individuals with a master’s degree in veterinary clinical care to perform delegated tasks under a licensed veterinarian’s responsible supervision. It also would extend the time period for telehealth prescriptions for flea and tick products from one month to six months and for other medications from 14 days to 30 days. Senator Boyd raised liability concerns, and the sponsor said existing statute already places liability on the supervising veterinarian. The Florida Veterinary Medical Association testified against the bill, arguing Florida should expand and better utilize existing veterinary technicians rather than create a new mid-level role, and warning about federal prescribing restrictions and animal safety. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would expand access to care, reduce costs, and provide a well-trained supervised workforce. Several senators said the bill balanced access and safety, and the committee reported SB 796 favorably. The meeting then adjourned.

Transcript Highlights:

• Okay, let's take up tab 2, SB 796 on veterinary medicine by the good Senator Bradley.
• This will broaden access and reduce costs for veterinary care and increase career...
• This real access-to-care issue in rural areas.
• There's a shortage of access to veterinary care in Florida.
• It just allows it in the field of veterinary medicine.

Bills: S0754, S0796

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, 999, senate, all

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. SB 754, by Senator DeSantis, would define heated tobacco products in statute and exempt them from the cigarette tax. Senator Davis and Senator Bernard asked about the bill’s purpose and youth access; the sponsor said it was intended to recognize a less harmful alternative to cigarettes and would not itself address age restrictions, which he said he would research further. A representative of the Florida Retail Federation appeared in support, and the committee reported the bill favorably. The committee then considered SB 796 on veterinary medicine, which was substantially rewritten by a delete-everything amendment creating a Veterinary Professional Associate (VPA) role. The amendment would allow people with a master’s degree in veterinary clinical care and a national competency exam to perform certain delegated tasks under a veterinarian’s responsible supervision, while barring them from prescribing certain drugs or controlled substances and from most surgery. It also extended telehealth prescription timeframes for flea and tick products and other medications. Senators Boyd and others raised concerns about liability, supervision, and whether the proposal could conflict with federal prescribing rules; Senator Bradley said veterinarian liability remains in existing statute and the bill is meant to expand access and reduce costs. The Florida Veterinary Medical Association opposed the measure, arguing that existing veterinary technicians are already trained for a mid-level role, that the VPA concept is unsafe and unnecessary, and that access problems are better addressed through other proposals such as loan repayment programs and expanded technician roles. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would help address shortages, improve affordability, and keep care under veterinarian control. After debate, the amendment was adopted and SB 796, as amended, was reported favorably. Senator Calatayud later asked to be recorded as voting yes on tab 1, and the committee adjourned.

Transcript Highlights:

• to food and medicine, with a staff briefing by Representative Claudefelter, Peter.
• is a working-class to low-income neighborhood that struggles with transportation, struggles with access
• Farivar for her attention and dedication toward food access bills.
• Farivar for the focus on food access issues.
• ... ...important service for individuals who don't have other access to credit.

Bills: HB2229, HB2274, HB2294, HB1269, HB1078

Keywords: professional engineers, registration act, licensing, engineering practice, state regulations, email regulation, commercial communications, consumer protection, data privacy, electronic mail, consumer access, real property, food security, medicine access, restriction, pawnbroker, fees, interest rates, financial regulation, pet insurance

Summary: The Consumer Protection and Business Committee heard public testimony on House Bill 2229, which updates the Professional Engineers Registration Act. Staff described changes to board membership, registration qualifications, continuing education, exclusions from registration, certificate terms, and terminology updates. Representative Zahn said the bill is intended to modernize and clean up the code, and noted she would offer an amendment to avoid changing the board’s official name. A board representative supported the bill as a way to improve licensing flexibility and administrative consistency, while one member questioned removing the U.S. citizenship requirement for board members; the witness said the requirement had been requested by the committee last year and that board members would still need to be Washington-licensed and familiar with state law. The hearing on HB 2229 was suspended and later reopened for additional testimony, then closed without action. The committee also heard House Bill 2274, which would modify the Washington Commercial Electronic Mail Act. Staff explained that the bill would raise the knowledge standard for violations from “reason to know” to “reliable basis,” require a subject line to be likely to mislead a reasonable recipient about a material fact, limit damages to recipients who received, reviewed, and detrimentally relied on the email, and repeal the act’s per se Consumer Protection Act violation while leaving statutory damages in place. Supporters, including the prime sponsor, retailers, hospitality businesses, and e-commerce representatives, argued that a recent Washington Supreme Court decision led to a wave of lawsuits over ordinary promotional subject lines and exposed businesses to large statutory damages and defense costs even without proof of harm. Opponents and consumer advocates argued the current law already targets false or misleading subject lines, that the bill would weaken consumer enforcement, and that the recent lawsuits involve deceptive urgency tactics. The committee did not take final action on HB 2274 during the hearing. House Bill 2294, which would prohibit future negative use restrictions on real property that block grocery stores or pharmacies where such uses are otherwise allowed, also received a hearing. Staff said the bill would declare such restrictions against public policy, with exceptions for existing covenants, nearby relocations, and certain retail centers, and would enforce the prohibition through a per se Consumer Protection Act violation. Representative Farivar said the bill responds to food access problems, including the Lake City grocery closure, and is modeled on local ordinances already adopted in Seattle, Bellingham, and Kent. Food industry and grocery association witnesses generally supported the goal of improving food access, though one group asked for narrower guardrails to preserve legitimate business uses of restrictive covenants and raised concerns about competition and investment. The committee then moved to executive session and unanimously voted House Bill 1269, which adjusts pawn broker loan terms, interest rates, fees, storage charges, and online payment options, out of committee with a due pass recommendation by voice vote.

Transcript Highlights:

• when consumers cannot access enough credit through licensed providers.
• Law enforcement already has access to them. This is an easy piece of legislation.
• Limiting consumer access to food and medicine. Peter Clawfittleson, sir. Please go ahead.
• to food and medicine.
• And when that happens, it's creating food deserts and creating lack of food access.

Bills: HB2361, HB2542, HB2629, HB2394, HB2274, HB1078, HB2294

Keywords: small loans, consumer protection, financial regulation, lending limits, credit access, animal testing, alternatives, ethical research, animal welfare, scientific methods, infrastructure, protection, safety, security, state regulations, public safety, insurance fraud, law enforcement, crime, penalties

Summary: The Consumer Protection and Business Committee held public hearings on several bills. House Bill 2542 would require animal testing facilities, contract testing facilities, and manufacturers to use validated non-animal alternatives in drug development when available, unless federal regulators request animal testing. Staff and the prime sponsor described the bill as building on federal FDA modernization efforts and prior Washington action on cosmetics. Supporters, including students, animal welfare advocates, and biotech-related groups, testified that modern alternatives are more humane and scientifically relevant, while an industry representative said animal testing remains necessary for now and asked for amendments to protect patient safety and scientific research. No vote was taken. House Bill 2629 would address theft and destruction of critical communications infrastructure by restricting cash transactions for nonferrous metal, creating civil penalties for stolen copper used in telecommunications cable, and making destruction of critical communications infrastructure a Class C felony and criminal profiteering offense. The prime sponsor and telecom witnesses said copper and fiber thefts are causing widespread outages affecting 911, hospitals, schools, and first responders, and that Washington has seen a sharp rise in incidents. Scrap metal industry representatives supported parts of the bill but said more effective tools would be transaction-record sharing, evidence retention, and searchable databases; a prosecutor also said the bill falls short without stronger evidence-gathering provisions. No action was taken. House Bill 2394 would expand the insurance fraud program and redefine insurance fraud as a Class B felony, adding acts such as fraudulent billing, misrepresentation in claims, and appraisal manipulation. The bill also broadens the Insurance Commissioner’s investigative tools, expands who can be considered a victim for restitution, and requires certain reporting of suspected crimes. The Insurance Commissioner’s office, the bill sponsor, and insurance industry groups said the measure responds to increasingly sophisticated, technology-driven fraud schemes and would help protect consumers as well as insurers. The committee also heard House Bill 2361, which would raise the maximum small loan amount from $700 to $1,200 and index it to inflation. The sponsor and lender representative said the current cap is outdated and that the bill would provide a legal credit option for emergencies without changing fees or safeguards, while AARP, labor, poverty, and legal aid witnesses opposed it as a return to predatory debt traps that would increase costs for low-income borrowers and older adults. The Department of Financial Institutions raised implementation questions about inflation adjustments and publication requirements. No votes were taken on any bill.

Transcript Highlights:

• Not a long-term accessibility relative to sports.
• He gave an example that the bill allows consumer access to warehouse premises without clearly defining
• For example, it allows constitutional. access to warehouse facilities.
• This access point is only for employees.
• The access into the warehouse is guided by a fence line, including locked doors that are keycoded for

Bills: HB2128, HB2207, HB1701, HB2536, HB2476, HB2294, HB2229

Keywords: alcohol service, sports facilities, amusement venues, recreational activities, patron engagement, alcohol warehousing, regulation, liquor distribution, storage standards, state laws, liquor licenses, multiple premises, alcohol distribution, commercial leasing, regulatory reform, winery, restaurant license, alcohol, spirits, beer

Summary: The Consumer Protection and Business Committee held public hearings on several alcohol-licensing bills. House Bill 2128 would expand the sports entertainment facility liquor license to cover facilities where patrons engage in sports, amusement, or recreational activities. Supporters, including the prime sponsor and the Washington Hospitality Association, said it would help a controlled, fenced-in adventure park in Leavenworth serve alcohol throughout the park while preserving LCB oversight and safety controls. A remote testifier from the park could not be heard. Members asked about whether the bill expanded alcohol access and about violation rates; staff said a fiscal note had been requested but not yet received. House Bill 2207 would create a bonded beer warehouse license and align beer warehousing with existing wine warehousing rules. The prime sponsor said it would help a Ridgefield logistics warehouse store beer as it already stores wine and spirits, though she noted she was considering amendments to address direct-to-consumer shipping and federal compliance. Brewers supported the bill as a parity and small-business measure, while distributors and spirits/wine distributors opposed or raised concerns about direct-to-consumer shipping, public access, and the need for stronger guardrails. The warehouse owner testified that the facility is highly secured and that the bill would help breweries avoid unnecessary warehousing costs. House Bill 2536 would allow wineries to hold spirits, beer, and wine restaurant licenses at additional winery locations. The sponsor and Washington Wine Institute said the bill would reduce administrative burdens and let wineries operate more like breweries already can, without increasing alcohol access. DeLille Cellars testified that current law forces wineries to create separate entities and duplicate payroll, HR, accounting, and compliance systems for offsite tasting-room restaurants. House Bill 2476 would remove the 120-seat-per-screen limit for theaters seeking a spirits, beer, and wine theater license. Theater owners and hospitality groups supported the change, saying theaters already operate under alcohol control plans and that the cap limits attendance at popular events; the sponsor said the bill would not expand alcohol access, only remove an outdated seating restriction. The committee also heard House Bill 1701, which would allow multiple liquor licensees to operate separate premises within a shared facility and let LCB review leases or agreements. The sponsor said it would help a Chelan winery/brewery/restaurant complex operate under separate leases, and he said he was willing to remove the Public Records Act exemption again. Distributors supported transparency but opposed the PRA exemption and urged filing lease information with the LCB. In executive action, the committee adopted Amendment Claude 407 to House Bill 2229, which restores the current name of the State Board of Registration for Professional Engineers and Land Surveyors, and then reported Substitute House Bill 2229 out of committee with a due pass recommendation by an 8-6 vote, with one member excused.

Transcript Highlights:

• Because he's covered under Access, we're in.
• Enhance and sustain emergency medicine here in Arizona.
• Emergency departments function as a safety net in medicine.
• Second, our statewide emergency medicine capacity.
• This bill removes a critical barrier by ensuring families covered by access can access breastfeeding

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

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

Transcript Highlights:

• </c> mandates are able to practice medicine mandates are able to practice medicine the<00:15:44.240><
• </c> medicine and we didn't go through IVF. medicine and we didn't go through IVF.
• But that's medicine.
• But that's medicine.
• ><c> four</c> individual to um access IVF to do four individual to um access IVF to do four egg<00:42

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• , to conduct a feasibility study on establishing a rural health clinic or comparable rural health access
• , to conduct a feasibility study on establishing a rural health clinic or comparable rural health access
• Kathleen, please proceed. or comparable rural health access point or comparable rural health access point
• that this resolution for a feasibility study is an important first step towards improving healthcare access
• </c> step towards improving healthcare access step towards improving healthcare access to<00:11:41.960

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• </c><00:02:56.319><c> mental</c> communities, that accessing mental communities, that accessing mental
• </c><00:26:46.159><c> to</c> they live and to have that access to they live and to have that access to
• </c><00:45:04.400><c> The</c><00:45:04.640><c> access</c> could access this treatment.
• The access could access this treatment.
• The expansion of access in other states and countries who have legalized regulated access models to fill

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:

• They can't get market access.
• <00:26:09.120><c> can't</c><00:26:09.279><c> get</c><00:26:09.440><c> market</c><00:26:09.760><c> access
• They can't get market access. The store. They can't get market access.
• I'm the executive director of the Minnesota Board of Veterinary Medicine.
• I previously practiced equine medicine in the state of Minnesota, and I currently serve as a colonel

Bills: HF3718

Keywords: veterinary medicine, veterinary technology, animal care, licensing, client consent, continuing education, emergency services, teletriage, 1183, house

Transcript Highlights:

• Elizabeth, please tell us about concerning community access to food, medicine, and health services.
• A health and food access goal is added to the GMA goals.
• to health, food, medicine, and health services.
• Their access to food and medicine is reduced. Their costs are higher.
• to affordable food and medicine.

Bills: HB2517, HB2480, HB2588, HB1529, HB2223, HB2006, HB2573, HB2141

Keywords: municipal permitting, transit projects, high capacity transit, infrastructure, urban development, residential development, commercial zones, mixed-use zoning, urban planning, state regulations, county ferry district, ferry district, passenger-only ferry, passenger ferry, Puget Sound, Vashon, Seattle, Southworth, county transportation, local taxing authority

Summary: The committee opened public hearings on HB 2141 and HB 2573, then paused for caucus and later took executive action on several bills before returning to testimony. HB 2141 would impose a 10-year pause on most State Building Code Council updates after the 2024 codes, extend future update cycles to six years, restrict local amendments until the 2036 model codes, and remove the 2031 energy-code reduction target. Supporters, including builders, business groups, counties, and some local officials, argued the bill would reduce regulatory churn, lower housing costs, and give developers and local governments more certainty. Opponents, including environmental groups, architects, fire marshals, code professionals, and manufacturers, said the bill would freeze safety and energy-efficiency improvements, raise long-term utility costs, and undermine climate goals. No final action was taken on HB 2141 during the hearing. HB 2573 would require advance notice before grocery stores, pharmacies, and similar facilities close or are sold in communities that relied on them for housing, transit, or health planning; add a health and food access goal and a new healthy communities element to the Growth Management Act; authorize zoning tools to require or incentivize grocery or health-related uses; and allow cities and counties to impose excise taxes or nuisance fees on vacant former grocery-store properties, with some waivers for temporary or community uses. Supporters said the bill responds to recent closures in places like Lake City and Everett that created food and pharmacy deserts, harmed seniors and low-income residents, and disrupted local planning. Opponents from grocery industry groups argued the bill is punitive, could chill investment, and would unfairly penalize property owners who did not cause the closure. The hearing on HB 2573 was also left open without final action. During executive action, the committee adopted amendments and reported several bills out with do-pass recommendations: HB 2517, as amended to require notice to property owners before regional transit authorities apply for permits and to add property-owner consent protections; HB 2588, expanding county ferry district authority beyond passenger-only ferries; HB 1529, allowing counties to assist cities with paving and marking streets; HB 2223, allowing limited irrigation-district contract interests involving a director’s spouse; and HB 2006, as amended to narrow and extend the deadline for certain rural counties to designate industrial land banks. After those votes, the committee returned to testimony on HB 2141, heard additional support and opposition, and then adjourned without hearing all registered testifiers.

Transcript Highlights:

• </c><00:21:43.280><c> to</c> uh guaranteed uh access to uh guaranteed uh access to [clears throat]<00
• So how do that they wish um to access.
• This investment allowed CHSI to expand access to dental care, or is allowing us to expand access to dental
• This investment allowed CHSI to expand access to dental care, or is allowing us to expand access to dental
• I am an internal medicine and pediatrics doctor, and I am also an addiction medicine doctor.

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

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Transcript Highlights:

• But my question: how do they have access? Does a coroner have access to all...
• So if you have access to the child's medical records, then you have access to LINKS.
• Authority to give the medicine.
• So we use that medicine.
• Today you’re not practicing medicine, but this bill would allow you to practice medicine.”

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Transcript Highlights:

• </c><00:11:13.200><c> to</c> the importance of having access to the importance of having access to fertility
• Burns School of Medicine.
• I stand on the testimony Medicine.
• Sam Shoemaker, Dean of the John Burns School of Medicine.
• </c><00:45:40.800><c> to</c> freedom by providing access to freedom by providing access to healthcare

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• The Board of Medicine, which licenses physicians, also licenses physician assistants.
• from the land sale would be put into a permanent trust fund, the principal of which would not be accessible

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:

• that whatever substitution is being done either benefits the patient from a cost perspective or an access
• Madam President, in many North Dakota communities, a pharmacy is the only locally accessible health care
• But increasingly in our digital age, we know that folks with disabilities seek to access government services
• been around for a while for those who are visually impaired and those who are hearing impaired to access
• to start implementing technology that will allow the visually impaired and the hearing impaired to access

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:

• In many of those places, the only access to health care, real health care, they have is through an advanced
• This scope of practice bill is just designed to provide more access to these medical practitioners in
• areas where they have a tough time accessing care.
• We provide the only access to primary care and mental health care in those counties.
• It increases flexibility, improves patient choice, and expands access to primary care.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301