Transcript Highlights:

• If not, we'll move to the last measure on this regular agenda, SB 3105 relating to the physician assistant
• our written support of the provisions reflected within SB 3105, which would enter Hawaii into the physician
• assistant licensure compact.
• need a sunrise analysis regarding the potential premium increase should we give our primary care physicians

Bills: SB3275, SB3105

Keywords: cannabis, low-dose, personal use, cultivation, cannabis accessories, Hawaii cannabis law, medical cannabis, physician assistant, licensure compact, medical services, interstate practice, healthcare portability, military families, licensing authority, 912, senate, all

Summary: The Senate Committee on Commerce and Consumer Protection reconsidered two condominium bills and adopted recommendations to pass both with amendments. For SB 2433, members approved amendments clarifying that condominium unit owners’ interests are to be recognized and protected in educational and related programs by the Real Estate Commission and DCCA, while making technical changes and changing the effective date. For SB 2838, the committee replaced the bill’s broader substantive language with a narrower requirement that associations provide electronic copies of specified documents, including master leases, reserve studies, audited financial statements, contracts, leases, and other agreements, along with technical changes and an amended effective date. Both measures were adopted unanimously by the members present, with Senator McKelvey excused. The committee then heard SB 2710 on animal issues, which would define and regulate dog breeders, set care standards, create county licensing authority, require records, and establish an animal abuser registry and related penalties. Testimony was mixed: the Public Defender and the American Kennel Club opposed the bill, arguing for stronger enforcement of existing laws rather than harsher penalties and warning that the bill would burden responsible breeders; the Hawaiian Humane Society supported the bill’s breeder regulation and registry provisions but urged removal of the hoarding section; and the committee noted 26 written testimonies in support, 14 in opposition, and four comments. In decision-making, the committee passed SB 2710 with amendments that blanked the license fee, deleted the animal abuser registry and shelter/pet store/breeder compliance checks, struck the hoarding provisions and proposed criminal penalty changes, and made technical changes with a deferred effective date. The committee also heard SB 2209 on rental discrimination, which would allow attorney’s fees to a prevailing party in source-of-income discrimination cases, and SB 2884, which would create a nonrefundable income tax credit for wind-resistant retrofits or hurricane shelters. The Hawaii Civil Rights Commission supported SB 2209, and the committee later passed it with a deferred effective date. SB 2884 drew support from DCCA’s Insurance Division, the Department of Taxation, HEMA, the Climate Change Mitigation and Adaptation Commission, and a public witness who urged hurricane preparedness; it was passed with the Department of Taxation’s proposed amendments and a deferred effective date. Finally, the committee heard SB 2922 on cooperative associations, which would create a general cooperative associations framework. DCCA offered comments, while the Hawaii Co-op Hui, Purple Maya Foundation, Enliven Cooperative, and Hawaii Farmers Union supported the measure and argued that current law is too limited for worker, producer, and multi-stakeholder co-ops. After discussion about using the existing chapter 421C structure rather than creating a new regulatory scheme, the committee passed SB 2922 with amendments adopting changes proposed in testimony from the Hawaii Farmers Union and deferred the effective date.

Transcript Highlights:

• Funding would come from the existing rural health transformation funds, earmarked for non-physician workforce
• While foster children may already qualify for assistance under current policy, the existing application
• I think I'm curious about the necessity for requirements, or I guess for referral from physicians, just
• OTs, however, will still need a referral from a physician. Thank you. I missed that.
• OTs, however, will still need a referral from a physician. Thank you. Thank you. I missed that.

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:

• And again, I'm not a physician, so maybe we want to have a physician come back, but it's my understanding
• ,<00:34:18.640> so care And again, I'm not a physician, so care And again, I'm not a physician
• <00:34:20.159> come maybe we want to have a physician come maybe we want to have a physician
• So, CAAs anesthesiologist assistants.
• model under uh the physician model under uh the physician anesthesiologist.<01:40:36.720> And

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

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.

Transcript Highlights:

• fire assistance grant fund, as<00:08:47.520> well<00:08:47.680> as<00:08:47.760> the
• peace officers, assist licensed peace officers, especially<00:43:14.400> while<00:43:14.600><
• between assisting and doing police work. between assisting and doing police work.
• We heard Representative Hollins' bill to prevent local law enforcement from being deputized to assist
• We heard Representative Hollins' bill to prevent local law enforcement from being deputized to assist

Bills: HF3547, HF3651, HF4043, HF4282, HF4095

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

Bills: HB245, HB278, SB59, SB78

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, HB278, ivermectin, pharmacist, standing order, prescription drug, pharmacy, State Board of Pharmacy, physician assistant, nurse practitioner, CRNP, medical licensure, drug dispensing, adverse events

Bills: HB299, HB533, HB299, HB533

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

Transcript Highlights:

• where we have heard concerns to assist where we have heard concerns from<01:26:43.000> both<01
• As the director of public safety noted, one of the goals of the state's disaster assistance contingency
• In reality, the county did meet the threshold for full federal assistance.
• need a little assistance up there. need a little assistance up there.
• <01:50:58.840> than needs a little bit more assistance than needs a little bit more assistance

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Transcript Highlights:

• He joined the Regulatory Assistance Projects Council of commissioners, which launched in November of
• He joined the regulatory<00:58:32.000> assistance<00:58:32.880> projects<00:58:33.359><
• c> council regulatory assistance projects council regulatory assistance projects council of<00:58

Bills: HB403, HB399, HB392

Keywords: criminal enterprise, database, law enforcement, data privacy, criminal justice, Lamar County, property auction, county commission, online auction, public notice, HB392, Lauderdale County, Eleventh Judicial Circuit, district attorney, chief assistant district attorney, assistant district attorney, assistant district attorneys, prosecutor, prosecutorial compensation, salary supplement

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• Madam Chair and members, Senate Bill 1238 adopts the Physician Assistant Licensure Compact, allowing
• physician assistants in participating states to obtain licensure in other compact states via a compact
• Assistants today in strong support of Senate Bill 1238, which is a physician assistant licensure compact
• Tom, the physician assistant always has to work under the supervision of a physician.
• So Arizona gets a score based on the practice abilities of physician assistants.

Bills: SB1128, SB1137, SB1144, SB1145, SB1186, SB1235, SB1238

Keywords: scrap metal theft, study committee, Arizona, regulated industries, public safety, underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire

Summary: The Committee on Regulatory Affairs and Government Efficiency heard several bills and took action on three of them. Senate Bill 1137 would update underground facility excavation rules by requiring white lining before notice, creating coordination meeting requirements for large projects, adding an interactive response system, and directing the Arizona Corporation Commission to adopt rules. Supporters from SSC Underground, Arizona 811, and the Associated General Contractors said the bill would improve communication, reduce delays, and modernize the 811 system; the League of Arizona Cities and Towns raised concerns about staffing, project scope, meeting requirements, and liability, but said it was working on amendments. The committee passed SB 1137 on a 7-0 vote. Senate Bill 1145 would shift licensing and regulation of behavior analysts to the Committee of Behavior Analysts under the Psychology Board, reduce the board from 10 to 8 members, and remove the requirement for two behavior analysts on the board. Supporters said the current structure creates delays and that the change would let the board focus on psychology issues while the committee handles behavior analyst matters. A self-advocate also supported the bill, citing long waitlists and the importance of behavior analysts for people on the autism spectrum. The committee passed SB 1145 on a 7-0 vote. Senate Bill 1128 would create a study committee on scrap metal theft to review current laws, industry compliance costs, and penalties, and report recommendations by December 1, 2026. The Arizona Scrap Recyclers Association supported the bill as a way to evaluate whether current reforms remain effective, while members discussed the difficulty of tracing stolen metal and the need to keep the process bipartisan. The committee passed SB 1128 on a 7-0 vote. Senate Bill 1238, which adopts the Physician Assistant Licensure Compact to allow multistate licensure privileges, also received support from the Arizona State Association of Physician Assistants, who said it would improve workforce mobility, help military families, and expand access to care; the committee passed it on a 7-0 vote. The committee then held SB 1235 at the sponsor’s request and adjourned.

Transcript Highlights:

• So at what point will the patient be required to see a physician?
• The patient will be referred back to the physician by the physical therapist if the physical Therapist
• So in this scenario, if the pain had continued, would she have Seen the physician or continued therapy
• structured and under what the physical therapist rules, he would have referred them back to the physician
• They go 90 days before they have to go back and see a physician.

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

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

Transcript Highlights:

• The nomination of John Eisenberg and Brett Shumate to be assistant attorneys general.
• This is the second meeting on the nomination of Patrick Davis to serve as Assistant Attorney General
• officers who kept us safe as members of the Senate and staff during. the January 6th riot and the assistant

Keywords: nomination, Patrick Davis, Assistant Attorney General, Ed Martin, January 6th, public testimony

Summary: This meeting focused primarily on the nomination of Patrick Davis to serve as Assistant Attorney General for the Office of Legislative Affairs. Members discussed Mr. Davis's qualifications and experience, emphasizing his commitment to effectively serving the American public and working collaboratively with Congress. The committee also briefly revisited the nominations of John Eisenberg and Brett Shumate but decided to hold them over until the next meeting. Additionally, concerns regarding the nomination of Ed Martin as U.S. Attorney for the District of Columbia were raised, particularly regarding his past statements and conduct related to the January 6th insurrection and its aftermath. The discussion highlighted the importance of reviewing Mr. Martin's responses to various questions before proceeding with a vote on his nomination.

Transcript Highlights:

• The Solicitor General, Hermit Dillon, to serve as Assistant Attorney General for Civil Rights.
• Aaron Reitz, to serve as Assistant. Attorney General in the Office of Legal Policy.
• After clerking in a stint in private practice, you left D.C. behind to go home and serve as Assistant
• is an honor to introduce Harmeet Dhillon, who's been nominated by President Trump to serve as the Assistant
• Aaron has been nominated... to be the Assistant Attorney General for the Office of Legal Policy at the

Keywords: Department of Justice, nominations, Assistant Attorney General, civil rights, enforcement, committee discussion

Summary: The meeting covered important discussions surrounding key nominations in the Department of Justice, specifically for the roles of Assistant Attorney General for Civil Rights and the Office of Legal Policy. Various committee members took turns to express their views on the nominees, emphasizing the implications of their potential confirmation on civil rights enforcement in the country. Alongside the committee discussion, the nominees provided insights into their professional backgrounds and how their experiences align with the responsibilities of the positions for which they have been nominated.

Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• A physician would not.
• It doesn't matter if there's no physician to accept that card. We need physicians.
• You are testifying on behalf of the Texas Academy of Physician Assistants. and yourself and you are for
• And I am here on the behalf of Texas Academy of Physician Assistants, TAPA, to express our strong support
• Physician assistants have a long and deeply rooted history in military. services.

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Transcript Highlights:

• the nominations of Todd Blanche to serve as Deputy Attorney General and Gail Slater to serve as Assistant
• the experience, intelligence, judgment, and leadership skills necessary to serve as an excellent. assistant
• Members of the Committee, it is an honor to introduce Gayle Slater today for her confirmation as Assistant
• Attorney's offices by assistant u.s.
• You consider the assistant attorney general for antitrust to be one of the president's lawyers?

Keywords: nominations, Deputy Attorney General, Assistant Attorney General, Department of Justice, Todd Blanch, Gail Slater, confirmation hearing

Summary: The meeting focused on the nominations of Todd Blanch and Gail Slater for the positions of Deputy Attorney General and Assistant Attorney General for Antitrust, respectively. The committee considered the qualifications of both nominees, with opening statements provided by the nominees themselves. There was an evident emphasis on the rigorous vetting process that nominees undergo before their selection, highlighting the importance of the roles within the Department of Justice. Members of the committee engaged in a structured question-and-answer session to further evaluate the nominees' capabilities and fit for the positions they were nominated for, with each member allotted seven minutes to pose questions.

Transcript Highlights:

• of you folks to the this hearing to consider the name nominations of John Eisenberg to serve as Assistant
• Bertie Brett Shumate to serve as Assistant Attorney General, Civil Division.
• As Assistant Attorney General for the Office of Legislative Affairs.
• General and Deputy Assistant Attorney General in the Office of Legal Counsel.
• Most recently, Brett served as Acting Assistant Attorney General, Civil Division, and DOJ.

Keywords: John Eisenberg, assistant attorney general, national security, China Initiative, Department of Justice, judicial authority, executive actions, nomination hearing

Summary: The committee meeting primarily involved discussions around key nominations and pressing legal issues pertaining to the Department of Justice. Notable discussions included the nomination of John Eisenberg for assistant attorney general for national security, where concerns over the revival of the China Initiative were raised. Senators expressed significant apprehensions regarding previous actions taken under this initiative and its implications for national security. Additionally, there were critiques of the broader implications of executive actions that challenge judicial authority, aligning with ongoing dialogues about the integrity of the judiciary and executive oversight.

Transcript Highlights:

• With this, it's a bill to establish an associate level speech-language pathology assistant.
• additional three people under that same person who may have students and be supervising actual assistants
• So, we're assuming between the students and the ones who have graduated the program and are now assistants
• But that would be either a student in the program or an assistant who's been hired to work as an assistant
• Representative Permore, you're saying they can supervise three students and three assistants. Okay.

Bills: HB441, SB274

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, makeup application, blow-dry styling, cosmetology, licensing, regulation exemption, 1136, house, all

Transcript Highlights:

• TMA: If physicians, if independent physicians aren't included, is TMA supportive of that?
• It used to be your physician contracted with the insurance company. You saw your physician.
• How does the physician know?
• She needs the assistance.
• A physician delegates. Yes, delegating physician.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• the board that would allow those physicians to practice here.
• You know, not just physician assistants and dentists. And psychologists.
• If I was a physician, I might want just a... Side. I just am going to pay Arizona.
• The doctor oath, the physician oath, is brilliant, and I hope we'll keep it.
• But I will give credit to the physicians because Senator Wirth has talked about this.

Bills: SB1, SB3

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