Video & Transcript Research : 'multistate practice'
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NM
Transcript Highlights:
- I practiced for 35 years.
- I started my own practice, and now I have a couple of partners.
- Oh, this person has also got a license to practice in New Mexico.
- of their time has to be practiced here, but if they're practicing in Texas even 15 percent, that means
- Practicing out of state.
Keywords:
interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce
NM
Transcript Highlights:
- Almost all of our faculty members have practiced law.
- Almost all of our faculty members have practiced law.
- We have a robust curriculum in immigration law and practice, including practice-based courses.
- And practice here and practice in our communities as DAs, as public defenders Right.
- And practice here and practice in our communities as DAs, as public defenders As legislative staff, et
Keywords:
interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce
NM
Transcript Highlights:
- I practiced for 35 years.
- So I started my own practice.
- It's good to be with this committee and have a very varied practice.
- Oh, this person has also got a license to practice in New Mexico.
- of their time has to be practiced here, but if they're practicing in Texas even 15 percent, that means
Keywords:
interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce
NM
Keywords:
Immigrant Safety Act, immigration detention, civil immigration violations, ICE, federal immigration enforcement, sanctuary policy, public bodies, local government, sheriff's department, school district, higher education, deputization, 287(g), 8 U.S.C. 1357(g), 8 C.F.R. 287.7, intergovernmental services agreement, detainer, immigration cooperation, public property, attorney general enforcement
NM
Transcript Highlights:
- Yes, it is not treated as a license to practice by the association.
- And then there's a temporary authorization to practice called TAP.
- What happens On the temporary authorization to practice, you have 30 days.
- And mainly because across the states, the allowances for temporary practice vary.
- So some of them allow you to practice unlimited, some 5 days, 10 days, 20 days.
Keywords:
Immigrant Safety Act, immigration detention, civil immigration violations, ICE, federal immigration enforcement, sanctuary policy, public bodies, local government, sheriff's department, school district, higher education, deputization, 287(g), 8 U.S.C. 1357(g), 8 C.F.R. 287.7, intergovernmental services agreement, detainer, immigration cooperation, public property, attorney general enforcement
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/18/26
Health Finance and Policy
Transcript Highlights:
- practice in the next five years. practice in the next five years.
- assistants, and advanced practice assistants, and advanced practice registered<01:12:19.120>
- their actual practice? their actual practice? Chair<01:15:46.320>
Schemacher. - that's why I brought up the practice that's why I brought up the practice question<01:45:07.440>
- opportunity to have more nurses practice opportunity to have more nurses practice under<01:45:21.600
Bills:
HF1925
OK
Keywords:
Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs
WY
Transcript Highlights:
- If we did, if practice. We're just not.
- you weren't able to practice for a period of time?
- Do you practice for a period of time?
- That is where wrestling practice or two.
- to start it's it's really a practical to start it's it's really a practical workforce<01:38:27.840
Keywords:
education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse
WY
Transcript Highlights:
- It applies only to a prevailing parent and ensures that fundamental rights are practically enforceable
- ensures that fundamental<00:08:26.560>
rights <00:08:26.800>are <00:08:27.199>practically - fundamental rights are practically fundamental rights are practically enforcable. enforcable. enforcable
Keywords:
education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse
AL
Transcript Highlights:
- The bill also includes language that would allow respiratory therapists to practice under the direction
- of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with prescribing authority
- under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with
- under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with
- advanced practice professional<00:07:22.479>
which <00:07:22.720>includes <00:07:23.199
Keywords:
court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner
WY
Keywords:
teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse, active duty military, teacher shortage, career and technical education, CTE teacher, background check, disciplinary records, licensure portability, multistate commission, education regulation, school staffing
MN
Transcript Highlights:
- ,<00:44:35.160>
safe communities like ours a practical, safe communities like ours a practical - And dental industry practices anymore.
- <01:40:27.120>
in are federally recognized and practice in are federally recognized and practice - ><01:42:21.120>
already practice where anesthesiologists already practice where anesthesiologists - :42:48.520>
to anesthesiologists already practice, to anesthesiologists already practice, to substitute
Keywords:
residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy
Summary:
The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns.
The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over.
House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.
AZ
Arizona 2026 Regular Session
03/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- members on the State Board of Dental Examiners to be an oral and maxillofacial surgeon in active practice
- I'm an oral and maxillofacial surgeon, and I have 15 years of private practice experience.
- House Bill 2189 requires the Arizona State Board of Nursing to adopt rules to implement the scope of practice
- licensed health aides, a discipline process for licensed health aides acting outside the scope of practice
- administering their medications and providing life-saving care are qualified and vetted and held to a safe practice
Keywords:
orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase
Summary:
The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation.
The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives.
Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight.
The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.
AZ
Transcript Highlights:
- I have a private practice in Phoenix, caring for patients and care partners. Dr.
- So we have an executive director of the Department of Health writing scope of practice.
- I practiced here in Arizona. I'm a member of ACOG, and I'm here representing...
- It doesn't change scope of practice.
- . ...talk to one another so we can do this a lot quicker, more efficient, and practical.
Keywords:
physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC
Summary:
The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained.
The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation.
The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.
AZ
Arizona 2026 Regular Session
02/19/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- Would the Attorney General get involved in investigating the company for bad practice?
- Madam Chairman... ...in investigating the company for bad practice?
- And actually, we recognize the need just from our own practice for a change to this cap.
- I never thought that I was going to have to run a bill to put into law what is a standard of practice
- I thought that I was going to have to run a bill to put into law what is a standard of practice.
Bills:
HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821
Keywords:
nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation
Summary:
The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars.
The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action.
SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/18/26
Public Safety Finance and Policy
Transcript Highlights:
- which is the unauthorized practice which is the unauthorized practice statute,<00:45:43.680>
- statute is vague in its practice statute is vague in its application.<00:46:11.840>
It's <00:46 - That is how we've approached this from the beginning, and that's how we're implementing it in practice
- They are afraid to go to their mosque and worship freely and practice their First Amendment rights.
- <01:46:07.800>
their and worship freely and practice their and worship freely and practice
Keywords:
fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 23rd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- And they are authorized to practice independently in North Dakota, and there are a whole lot...
- And they are authorized to practice independently in North Dakota, and there are a whole lot of rural
- areas who are very glad to have them, as well as advanced practice registered nurses who practice independently
- We have participated in almost all of them so far, but the advanced practice...
- We have participated in almost all of them so far, but the advanced practice registered nurse compact
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.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 22nd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- Dakota Century Code relating to criminal history record checks by the Board of Occupational Therapy Practice
- you know, the Board of Pharmacy obviously wanted the, and the association wanted kind of the full practice
- Expanding pharmacists' scope of practice to include prescriptive authority and therapeutic substitution
- In recent years, some states have moved to full practice authority for pharmacists.
- This bill, as amended, represents a more moderated approach that expands the scope of practice while
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.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 21st, 2026 at 08:30 am
North Dakota Senate Floor Meeting
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.
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Jan 28th, 2026 at 11:02 am
New Mexico House Floor Meeting
Transcript Highlights:
- She owns a solo primary care and geriatrics practice in Albuquerque.
- Additionally, House Bill 50 amends the Social Work Practice Act to expand the scope of practice and require
- House Bill 50 amends the Social Work Practice Act to expand the scope of practice and require state and
- And additionally, House Bill 50 amends the Social Work Practice Act to expand the scope of practice and
- This is one more option for folks to either come to New Mexico to practice or to practice via telehealth
Keywords:
nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial