Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Bills: SCR7, SCR59, SCR182

Keywords: emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients

Summary: The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting. SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations. SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.

Transcript Highlights:

• UK has just started an audiology doctoral program, but we don't have audiologists in every hospital or
• audiology doctoral program, but we don't have<00:34:10.520> audiologists<00:34:11.159> in<
• - this is a regular part of life of tele- this is a regular part of life of tele- communication,<
• 00:36:15.840> tele-interactions, communication, tele-interactions, communication, tele-interactions
• go back to those counties and audiology go back to those counties and serve<00:51:12.120> uh<

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 SB 6 Discussion 00:40 SB 6 Vote 00:13:30 Cochlear Implants 00:16:25, 958, all

Summary: The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor. The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.

Transcript Highlights:

• THE USE OF TELE AUDIOLOGY IS CURRENTLY ALLOWED IN FLORIDA AND OFFERS THE SAME STANDARD OF CARE AS TRADITIONAL
• AGAINST DISTRIBUTING HEARING AIDS THROUGH THE MAIL PROVIDED THAT BEFORE THE SALE REQUIRED TELE AUDIOLOGY

Keywords: 999, senate, all

Transcript Highlights:

• Provided that, before the sale, required tele-audiology testing and procedures are conducted by an audiologist

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Bills: SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974

Keywords: environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant

Summary: The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on. The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees. HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments. Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=WMvRlWpK6m0, 2026-06-21T07:17:12+00:00, 2.2.24, Data collected via generic collector engine, 0:01 – Call to order/roll call 0:43 – Approval of minutes 1:07 – Kentucky Higher Education Assistance Authority 2:41 – Personnel Cabinet 5:03 – Board of Medical Licensure 31:23 – Vote for finding of deficiency for 201 KAR 009:270 (Board of Medical Licensure) 35:00 – Board of Landscape Architects 37:15 – Board of Speech-Language Pathology and Audiology 38:14 – Board of Licensure for Professional Engineers and Land Surveyors 39:04 – Board of Respiratory Care 42:42 – Department for Fish and Wildlife Resources 46:05 – Department of Criminal Justice Training 46:59 – Board of Education 47:55 – Kentucky Fire Commission 48:28 – Department of Workplace Standards 49:25 – CHFS – Office of the Inspector General – 900 KAR 005:020 & 900 KAR 006:075 57:17 – CHFS – Office of the Inspector General – 902 KAR 055:015E 1:19:40 – CHFS – Department for Medicaid Services, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• occupational therapy, physical therapy, speech and language, applied behavior analysis, vision, audiology
• > dis Regional dispatch centers looking dis Regional dispatch centers looking for<00:59:19.359> tele
• <00:59:19.839> um<00:59:19.960> dispatchers<00:59:20.440> or for tele um dispatchers
• or for tele um dispatchers or telecommunicators<00:59:21.400> so<00:59:21.760> I<00:59

Keywords: 1191, senate, all

Transcript Highlights:

• I'm the executive director of the Academy of Doctors of Audiology. >> My name is Dr. Liz Rogers.
• The proposed legislation takes a conservative approach to modernizing Kentucky's audiology statute to
• 09.959> act<00:04:10.360> to Updating the audiology practice act to Updating the audiology
• studies to earn a Doctor of Audiology studies to earn a Doctor of Audiology degree,<00:08:07.160
• system through audiology system through audiology uh<00:13:19.920> but<00:13:20.200> also

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• of the creation of this audiology assistant license type.
• We know that the demand for audiology services is there. We have a lack of access.
• We know that the demand for audiology services is there. We have a lack of access.
• The California Academy of Audiology also submitted a survey.
• Nick Brokaw here on behalf of the California Academy of Audiology.

Keywords: 987, senate, all

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Across the hearing, each board or council described recent modernization efforts, enforcement or licensing improvements, and requested continuation of their programs. Committee members focused heavily on workforce access, public protection, fee authority, transparency, and whether some professions should move toward licensure or expanded assistant roles. For the Respiratory Care Board, the main issues were a proposed move toward a bachelor’s degree entry standard, fee and reserve changes, and ongoing work on LVN-performed respiratory tasks in congregate living health facilities. Board representatives argued that higher education would improve patient care and potentially support reimbursement and workforce development, while many public commenters, including respiratory therapists, parents, and facility operators, warned that a bachelor’s requirement could worsen shortages and reduce access, especially in rural and underserved areas. Several speakers urged broader exemptions for LVNs in CLHFs so medically fragile patients can remain in community settings. The committee also heard support for an advanced practice respiratory therapist role and questions about the board’s reserve cap and fee structure. The California Council for Interior Design Certification defended the current voluntary certification/title-act model and opposed licensure, saying it has produced little evidence of public harm and that licensure would create barriers for many existing practitioners. Committee members raised concerns about transparency, Bagley-Keene compliance, the lack of enforcement authority, and whether the current system actually resolves plan-check and stamp-acceptance problems. Public testimony was sharply divided: some designers and allied professionals supported continuation of the council and the flexibility of the current system, while others argued the private structure lacks accountability and that licensure would provide clearer standards and more consistent acceptance of plans. The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, expanded continuing education audits, and updated supervision and advertising rules. The board supported creation of a licensed audiology assistant category to improve access to care, and both the board and public commenters said the profession faces significant demand. The Occupational Therapy Board described strong growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs and reserve concerns; public testimony supported the board and a proposal to reduce advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized that most of its enforcement work involves unlicensed activity and argued that current statutes create confusion and limit consumer protection, with board leadership saying clearer authority is needed to address unlicensed practice and protect patients.

Transcript Highlights:

• of the creation of this audiology assistant license type.
• We know that the demand for audiology services is there. We have a lack of access.
• that 88% of respondents said that they would hire an audiology assistant. hearing loss.
• The California Academy of Audiology also submitted a survey.
• Nick Brokaw here on behalf of the California Academy of Audiology.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.

Transcript Highlights:

• of the creation of this audiology assistant license type.
• We know that the demand for audiology services is there. We have a lack of access.
• We know that the demand for audiology services is there. We have a lack of access.
• The California Academy of Audiology also submitted a survey.
• Nick Brokaw here on behalf of the California Academy of Audiology.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• of the creation of this audiology assistant license type.
• We know that the demand for audiology services is there. We have a lack of access.
• We know that the demand for audiology services is there. We have a lack of access.
• 88% of respondents said that they would hire an audiology assistant.
• Nick Brokaw here on behalf of the California Academy of Audiology.

Keywords: 988, house, all

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its mission, recent modernization or enforcement work, and requested statutory or fee changes. Across the hearing, members focused on consumer protection, workforce access, transparency, and whether current regulatory structures should be continued or changed. The Respiratory Care Board’s discussion centered on a possible move from an associate’s to a bachelor’s degree for licensure, efforts to clarify LVN-performed respiratory tasks in congregate living health facilities, and fee/fund-condition issues. Committee members raised concerns about rural access and workforce shortages, while public commenters were split: some opposed the bachelor’s requirement as a barrier to staffing and care access, and others supported the board’s efforts to clarify LVN scope and expand advanced practice pathways such as the APRT. The board also discussed its reserve cap and the elimination of an outdated initial licensing fee. The California Council for Interior Design Certification defended the current voluntary certification/title-act model and opposed licensure, arguing that the system already establishes competency and that there is no demonstrated public harm. Committee members questioned the lack of enforcement authority, transparency, and whether the model adequately resolves plan-check and stamp-acceptance problems; public testimony was divided between supporters of the current structure and critics who said the private certification model creates confusion and accountability gaps. The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board reported modernization gains, continuing education audits, and updated supervision and advertising rules, and it received support for continuing regulation as well as for a proposed audiology assistant license category. The Occupational Therapy Board highlighted growth in licenses, enforcement productivity, and fee authority needs, while OTAC supported the sunset extension and a reduction in advanced hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection against unlicensed practice, especially in underserved areas, and said statutory limitations create confusion and hinder enforcement; its presentation began but the transcript cuts off before questions or actions on that item were completed.

Transcript Highlights:

• And all we're doing today is we're wanting to add audiology and speech-language pathology to the credentials
• Importantly, we feel like the credential and training requirements for speech-language pathology and audiology
• <00:04:36.560> and we're wanting to add audiology and we're wanting to add audiology and speech-language
• speech-language pathology and audiology speech-language pathology and audiology directly<00:05:32.840
• Both areas, speech-language pathology and audiology, require hundreds of hours of clinical clock hours

Keywords: 958, all

Summary: The committee first took up House Bill 510, which passed with a favorable expression by unanimous roll call vote and then received consent without opposition. The bill’s specific subject was not discussed in the excerpt, but the chair congratulated the sponsor after the vote. House Bill 176, sponsored by Rep. Kim Moser with testimony from Corey Meadows of the Kentucky Medical Association, would create a framework for insurers to offer waiver programs that reduce prior authorization requirements for health care providers. The sponsor said the bill was intended to cut red tape and improve transparency, and noted that the language had been worked out with insurers. The committee voted unanimously to pass the bill with favorable expression and then approved consent. House Bill 266, sponsored by Rep. Peyton Griffee with testimony from Dr. Kelly Ellis of Eastern Kentucky University, would add audiology and speech-language pathology to the credentials eligible for the Kentucky Healthcare Workforce Investment Fund. Supporters said these professions are critical to care across the lifespan and that their education and licensure requirements fit the fund’s purpose of retaining health professionals in Kentucky. The bill passed unanimously with favorable expression and consent, with Sen. Nemes briefly explaining his support based on workforce development experience. House Bill 393, sponsored by Rep. Rebecca Raymer with testimony from McKenzie Wallace of the Alzheimer’s Association, made cleanup changes to the Alzheimer’s Disease and Related Disorders Council, added a caregiver council slot, and required the council to develop and distribute an early detection and diagnosis toolkit for health care providers. The committee passed the bill unanimously with favorable expression and consent. Sen. Mills explained his yes vote in memory of his father, who had Alzheimer’s disease.

Transcript Highlights:

• Jennifer, chair of the board, Speech Pathology and Audiology. SOS James I.
• Counsel for the board of speech and audiology.
• Board of Speech-Language Pathology and Audiology, 201 KAR 17:120, emergency.
• <00:04:10.720> 2011 pathology and Audiology 2011 pathology and Audiology 2011 k171<00:04:14.079
• SOS James I Council for the of Audiology SOS James I Council for the of speechy<00:05:08.000> and

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• I represent the Kentucky Academy of Audiology and the Academy of Doctors of Audiology.
• <00:08:31.160> and<00:08:31.320> the Kentucky Academy of Audiology and the Kentucky
• Academy of Audiology and the Academy<00:08:32.080> of<00:08:32.159> Doctors<00:08:32.560
• > of<00:08:32.640> Audiology.
• Academy of Doctors of Audiology. Academy of Doctors of Audiology.

Keywords: Meeting Start 00:00 Call to Order and Roll Call 00:12 Discussion HB 527 00:47 Vote HB 527 02:26 Discussion HB 265 04:46 Vote HB 265 06:49 Discussion HB 164 08:19 Vote HB 164 10:25, 958, all

Bills: SCR56, SCR25, SCR79, SCR179, SCR181, SCR182, SR54, SR22, SR81, SR174, SR176, SR177

Keywords: lifeguards, first responders, public safety, ocean safety, emergency response, community wellbeing, Pohakuloa, condemnation, federal government, land sovereignty, Hawaii, native Hawaiians, public trust land, invasive species, octocoral, Pearl Harbor, environment, Navy responsibility, marine ecosystem, ecosystem preservation

Summary: The committee first heard SCR 56 and SR 54, which recognize open water lifeguards as first responders and acknowledge their role in emergency response and public safety. Testifiers from the Hawaiian Lifeguard Association, Hawaii Water Safety Coalition, Honolulu and Kauai Ocean Safety, and a junior guard all strongly supported the resolutions, describing lifeguards as often first on scene for drownings, cardiac arrest, spinal injuries, flooding rescues, and other emergencies. Several speakers said formal recognition would better reflect the work lifeguards already do and could improve training, support services, pay equity, and access to benefits such as retirement and trauma resources. Members asked about what legal or administrative changes would follow, and the discussion suggested the resolutions were a first step toward broader recognition and related policy changes. The committee then took up SCR 25 and SR 22, opposing federal condemnation or threats of condemnation to take control of Pohakuloa and other state land. The Office of Hawaiian Affairs supported the resolutions, saying Pohakuloa has deep historical, cultural, genealogical, and ecological significance and that any future decisions should go through existing state legal processes with meaningful consultation with Native Hawaiians. Members discussed the role of the governor’s advisory process, the need to follow DLNR/BLNR procedures, and concerns about environmental and health violations at the site. The committee also noted 14 written testimonies in support. Next, the committee heard SCR 79 and SR 81, urging the U.S. Navy to take responsibility for eradicating octocoral and other invasive species in Pearl Harbor waters, including West, Middle, and East Loch. DLNR supported the resolutions, and testimony focused on the spread of invasive coral, the difficulty of eradication, and the limited access state agencies have inside Pearl Harbor. Members raised concerns about contamination, responsibility for the problem, and whether the Navy should fund or carry out the cleanup; DLNR said it could not speak to broader contamination issues but supported the resolution as a way to encourage action. The committee then began discussion of SCR 179 and SR 174, which urge Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, with written support noted from Aloha Independent Living Hawaii.

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Transcript Highlights:

• SB 1368, the speech, language, pathology, and audiology, audiology, and hearing aid dispensers board
• Nick Brokaw here from Sacramento Advocates on behalf of the California Academy of Audiology.
• And it's one of the reasons why the California Academy of Audiology has been pushing to see the creation
• of a new license type for audiology assistants.
• of a new license type for audiology assistants.

Summary: The Senate Committee on Business, Professions and Economic Development met as a subcommittee due to the lack of a quorum, then later established quorum and took up a series of bills, mostly sunset extensions for licensing boards. SB 1302, SB 1303, SB 1304, SB 1363, and SB 1368 all dealt with extending board operations to January 1, 2031 and making related technical or policy changes. SB 1303 for the Board of Naturopathic Medicine added a fictitious name permit program and other administrative changes, while SB 1304 for the Respiratory Care Board drew significant testimony over whether licensed vocational nurses should be allowed to perform basic respiratory tasks in skilled nursing facilities and hospitals. SB 1363 updated barbering and cosmetology apprenticeship and licensing rules, and SB 1368 added a retired license category and strengthened continuing education oversight for speech-language pathology, audiology, and hearing aid dispensers. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program to support large independent multi-day music festivals. Supporters, including Visit Sacramento and festival promoters, said the bill would protect jobs, tourism, hotel nights, and local tax revenue; opponents raised concerns about using state funds during a deficit year and questioned whether profitable events should receive subsidies. The committee also heard SB 1297, which would create regional public-private partnerships and financing tools for wildfire mitigation projects; the author and supporters said it would help address the state’s large wildfire prevention funding gap by leveraging local and private investment, while members asked how the bonds would be repaid and whether the state would bear costs. SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals working in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process. Supporters described safety threats, stalking, and staffing concerns, and the bill passed unanimously. SB 1304 also passed after committee discussion, with members and the author noting ongoing negotiations over LVN scope and training in higher-acuity settings. SB 865 passed on a 9-1 vote, SB 1297 passed 10-0, and the sunset bills SB 1302, SB 1303, SB 1363, and SB 1368 all advanced unanimously to the Senate Appropriations Committee. SB 1333 was not heard, and SB 1445 was on the consent calendar.