Transcript Highlights:

• This lack of transparency creates inefficiencies and delays, making it difficult for nursing programs
• As an example, when a nursing program submits to the Board of Nursing for final approval to begin their
• And members, as you can see, none are aggregated in nursing programs across Texas first look to their
• We, along with other nursing programs in Texas, work tirelessly to find the very best clinical placement
• We, along with other nursing programs in Texas, work tirelessly to find the very best clinical placement

Summary: The Senate Education K-16 Committee heard several bills before recessing to the floor, with most measures left pending subject to the call of the chair. SB 2986 would allow public schools and universities to permit after-hours facility use by religious groups on the same terms as other nonprofits, and SB 1032 would open the Governor’s University Research Initiative to private and independent universities; both had committee substitutes adopted and were left pending after brief testimony. Supporters of SB 1032 from Rice and Baylor said the change would help Texas recruit top researchers and strengthen the state’s research economy. The committee also heard SB 2058, which would require the Texas Higher Education Coordinating Board to publish annual data on nursing clinical training sites to improve placement coordination, and SB 2683, which would bar public colleges from giving benefits or recognition to student organizations that receive support from foreign entities of concern; both were left pending after testimony. A large portion of the meeting focused on SB 2233, which would require public institutions of higher education to adopt policies prohibiting students or employees on nonimmigrant visas from publicly supporting terrorist activity or organizations, with enforcement through investigations, reporting to Homeland Security, and possible Attorney General action and fines. The author said the bill was intended to reinforce existing federal definitions and campus safety, while senators questioned the bill’s scope, the definition of terrorist activity, and the clause tied to U.S. policy or practice. Public witnesses, including civil rights advocates, law students, and others, argued the bill was vague, overbroad, unconstitutional, and likely to chill protected speech and increase surveillance of international students and Black and brown communities; several Jewish witnesses also said the bill misused Jewish safety concerns and could be used for viewpoint discrimination. SB 2233 was left pending after public testimony. The committee then took up SB 735, which builds on prior Holocaust education legislation by funding optional age-appropriate and bilingual curriculum, museum field trips, teacher preparation partnerships, annual reporting, and regional collaboration with Holocaust museums and education service centers. The author and invited witnesses said the bill responds to survey findings showing uneven Holocaust instruction and a need for better teacher training and accountability. A fifth-grade teacher and the director of the Holocaust Memorial Museum of San Antonio testified in support, emphasizing the need for accurate, age-appropriate instruction and professional development. The committee recessed before finishing the agenda, and SB 735 was set to resume after the floor session.

Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,

Keywords: 999, senate, all

Transcript Highlights:

• It's actually the 20th anniversary of this program and the work that they're doing.
• It's actually the 20th anniversary of this program and the work that they're doing.
• My name is Stacey Robinson, and I am a school nurse in the Indian River School District.
• I am also the National Association for School Nurses Director for the Delaware School Nurse Association
• and a nationally certified school nurse.

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• We graduate approximately 230 nurses annually across our ASN and BSN programs.
• We have one of the best medical, I feel, right there, our nursing program.
• in Nursing programs, all strategically coordinated with regional workforce needs.
• of Science and Nursing programs, all strategically coordinated with regional workforce needs.
• And he had a lot to talk about because we've got a fantastic nursing program.

Keywords: 999, senate, all

Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• And then hopefully one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• Thank you very much, and I so appreciate your commitment to the nursing program there.

Summary: The committee on Higher Education Appropriations heard and favorably reported two bills: SB 1570, which revives the former Project Leo program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices, and CS/SB 1376, which creates a grant program to support genetic counseling education in response to a statewide shortage of genetic counselors. Both bills drew supportive comments, with the genetic counseling bill also receiving public support from a university representative. The committee then took up a large slate of confirmations. It first approved a block of reappointments to various university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg College, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and Broward College. It then heard from numerous new appointees and some requested reappointments, many of whom emphasized workforce training, nursing, military and veteran support, dual enrollment, and local economic development as priorities for their institutions. Several nominees highlighted their personal ties to the schools and communities they would serve, including appointees to Pensacola State, Polk State, St. Petersburg College, UNF, UWF, FIU, the College of the Florida Keys, Valencia College, and Chipola College. Committee members repeatedly asked about nursing NCLEX pass rates, workforce alignment, and institutional growth. One reappointment, Thomas Zachary Smith to the UWF board, was pulled from the block for separate questioning about his past public comments and his role in Project 2025; he said he would serve in his personal capacity and treat all students equally. The committee also separately heard from a Florida Poly reappointment, I. Shapiro, who was questioned about prior remarks regarding race and Supreme Court nominations, and from a New College reappointment, Mark Bowerlaine, who described campus improvements and enrollment growth. The meeting ended amid ongoing confirmation processing and separate votes on the remaining nominees.

Transcript Highlights:

• And so, you know, I have a perspective on this from a nurse, as a nurse and as a nurse who's not working
• The program, to me...
• And I greatly appreciate that coming from, as the former advanced practice registered nurse program coordinator
• behalf of the Nursing Association and the Nurse Practitioner Council.
• behalf of the Nursing Association and the Nurse Practitioner Council.

Keywords: 996, all

Transcript Highlights:

• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• What would it take to expand the program for just, in general, getting more nursing assistance?

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• And in fact, those clinical nurse specialists train many of the nurse practitioners that actually currently
• nurse specialists, nurse practitioners, and physician assistants.
• Like other advanced practice providers, including nurse practitioners, clinical nurse specialists...
• And in fact, those clinical nurse specialists train many of the nurse practitioners that actually currently
• nurse specialists, nurse practitioners, and physician assistants.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• In the case of nursing, skilled nursing level care, you know, is that in a facility on site or is that
• , skilled nursing facilities on site.
• So things like state monitoring, directed plans of correction, loss of nurse aide training programs,
• A skilled nursing facility.
• So if they were to close the nursing, the licensed nursing setting, they would have to go as a closure

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• Pamela Rouse, registered nurse and member of California Nurses Association, in support.
• Kathy Dennis, active bedside registered nurse director on the California Board of Nurses.
• Pamela Rouse, registered nurse and member of California Nurses Association in support.
• Shirley Toy, registered nurse and member of California Nurses Association, in support.
• Kamala Rouse, registered nurse and member of California Nurses Association, in support.

Keywords: 988, house, all

Transcript Highlights:

• My name is Kim Doe, and I am a nurse midwife representing the California Nurse Midwives Association.
• Roxanne Goulder, with the California American Nurses Association of California and the Clinical Nurse
• I'm the program director for a rural family medicine residency training program based out of a tribally
• California's nursing home residents deserve better.
• discharges in nursing homes.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• ACNA's work led to the American Nurses Association, or ANA, officially recognizing cannabis nursing as
• Nurses must have hands... ...approved training for nurses who are put in the back of the ambulance.
• more unsafe for those nurses and patients?
• But who declared the nurse has appropriate competencies?
• Right now, I mean, this program is being used, like I said, it's a software program called ODMAP.

Summary: The House Health Care and Wellness Committee held public hearings on several bills. HB 2152 would allow terminally ill qualifying patients to use medical cannabis in hospitals, nursing homes, and hospice facilities under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and allow facilities to suspend compliance if federal enforcement arises. The prime sponsor and supporters, including family members, cannabis advocates, nurses, and hospital-related groups, described the bill as a compassionate end-of-life measure based on California’s Ryan’s Law; the Washington State Hospital Association asked for clarifying amendments to limit the bill to inpatient beds and to bar staff from retrieving cannabis as well as administering it. HB 2122 would require hospitals, starting in 2027 and during flu season, to offer influenza vaccines to inpatients age 65 and older and to inpatients with chronic health conditions when not contraindicated. The sponsor and supporters from diabetes, infectious disease, AARP, and public health emphasized rising flu deaths, the benefits for high-risk patients, and the chance to reduce severe illness and costs. The Washington State Hospital Association supported the goal but said the bill would create an unfunded mandate and requested amendments related to vaccine availability, emergency declarations, and operational flexibility. One witness from Informed Choice Washington opposed the bill but suggested adding vaccine information statements to strengthen informed consent. HB 2110 would change staffing rules for inter-facility specialty care ambulance transports so a registered nurse without EMT certification could satisfy the personnel requirement when no paramedic or EMT-certified nurse is available, provided an EMT-certified EMS provider is in the ambulance and the nurse has appropriate competencies. Rural hospitals and ambulance providers said the current rule delays transfers and can force long waits or air transport, while the Washington State Nurses Association supported the concept but raised concerns about standardized training, medical oversight, and staffing impacts on hospitals. HB 2113 would update radiologic technologist supervision rules for IV contrast and other procedures, allowing virtual direct supervision for contrast procedures and supervision by physicians, APRNs, or PAs in some cases; supporters said it aligns with current practice and improves rural access, while radiology groups asked for a distance/proximity requirement for virtual physician supervision. HB 2168 would require the Department of Health to rapidly share overdose data from the state EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use. Supporters from Yakima County, public health, and the poison center said near-real-time overdose mapping would improve spike alerts, prevention, and response, and could save lives; the Washington Poison Center asked that its data be included and that the bill clarify language around opioid versus other overdoses. No votes or final committee actions were taken in the hearing; the meeting ended after public testimony on HB 2168.

Transcript Highlights:

• Pamela Rouse, registered nurse and member of California Nurses Association, in support.
• Pamela Rouse, registered nurse and member of California Nurses Association in support.
• Kathy Dennis, active bedside registered nurse director on the California Board of Nurses.
• Shirley Toy, registered nurse and member of the California Nurses Association, in support.
• Kamala Rouse, registered nurse and member of the California Nurses Association, in support.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.

Transcript Highlights:

• This is for their PET building cyclotron equipment program.
• Is this for day programs, for waiver, or just for studying those programs?
• So it's an intensive in-home program for those children.
• nursing is quite a bit expensive.
• Nurses and LPNs are under a special compensation award program where they can obtain $5,000 extra a year

Keywords: 1204, all

Transcript Highlights:

• So a diploma program versus an ADN program, which is our two-year programs, over the last several years
• The diploma programs had a 78.31% pass rate. The ADN programs had a 77.91% pass rate.
• So I'm the son of a nurse. I'm the grandson of a nurse.
• But whenever we're tens of thousands of nurses shy of what we need, 200 nurses a year going through a
• program is not going to make a difference.

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.

Transcript Highlights:

• Hope Wallen, registered nurse, on behalf of the California Nurses Association, in support.
• I'm a registered nurse and board member of the California Nurses Association.
• I'm a registered nurse and board member of the California Nurses Association.
• Hope Wallen, registered nurse with the California Nurses Association, and I support.
• Jane Churchon, registered nurse, California Nurses Association, in support. Judy E.

Keywords: 988, house, all

Transcript Highlights:

• hit his nursing home.
• APRNs, two nurse nurses, and two APRNs.
• Because, as one of the nurse nurses testified earlier, it's on the consent.
• Because, as one of the nurse nurses testified earlier, it's on the consent.
• nursing school?

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:

• , Associate Degree Nursing Scholarship Program, the Bachelor of Science Nursing Scholarship Program.
• So you just mentioned, for example, two nursing programs.
• “So you just mentioned, for example, two nursing programs.
• Nurse Midwifery Education Programs Funding. DHS, you left too early.
• Nurse Midwifery Education Programs Funding. Thank you. Chair Menjivar, excuse me.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• </c> kind of what um you know the nursing kind of what um you know the nursing homes<01:41:06.080><c>
• 07.360><c> are</c> homes and nursing facilities are are homes and nursing facilities are are kind<01:
• nursing enter a nursing home<01:49:42.239><c> go</c><01:49:42.480><c> in</c><01:49:42.800><c> as</c><
• not just for nursing homes, uh, because<01:55:50.080><c> nursing</c><01:55:50.480><c> homes</c><01:55
• And if we have a call nursing home.

Keywords: 1191, senate, all

Transcript Highlights:

• not charge fees for any other training programs.
• Doing so for this program would be inconsistent and create a disparity with other training programs.
• The back-door cases are typically those nurses that have violated the nurse practice act.
• I am both a registered nurse and an attorney, and for more than 25 years, I've represented nurses and
• The nurse experienced years of prolonged uncertainty, and importantly, if the nurse posed a risk, the

Summary: The committee met as a Joint Health and Human Services Committee of Reference to hear sunset reviews and performance audit findings for several health-related boards. The first action taken was on the Arizona State Board of Pharmacy. The Auditor General reported that while the board met some licensing deadlines, it had significant problems enforcing controlled substances prescription monitoring program (CSPMP) requirements, timely investigating complaints, and documenting fee analyses and other compliance items. The board director said the agency had implemented some recommendations, was seeking legislative help on CSPMP enforcement and data issues, and described staffing and vendor challenges. A public member testified that the board was generally efficient but that statutory gaps limited its effectiveness. The committee then voted 13-0, with six not voting, to continue the Board of Pharmacy for six years until July 1, 2032, with statutory changes to improve its operations. The committee next reviewed the Arizona State Board of Nursing. The Auditor General found the board timely processed licenses but continued to resolve too many complaints late, with a large and growing backlog of open cases, and identified additional issues in oversight, accounting, public records, and conflict-of-interest practices. The executive director said the board had been under-resourced as nursing volume and complaints increased, requested 28 additional investigative positions, and described efforts to triage cases and improve tracking. The Arizona Nurses Association supported the board’s role and said it was working on a bill, House Bill 2408, to improve accountability, prioritization, and fairness in the disciplinary process. A nurse attorney testified that changes to complaint notice, the scope of investigations, and triage could shorten delays. The committee approved continuation of the Board of Nursing for four years until July 1, 2030, by a 14-0 vote with five not voting. The committee then heard the sunset review for the Arizona Board of Occupational Therapy Examiners. The Auditor General reported that the board generally met licensing timelines but had documentation problems verifying fingerprint clearance cards or criminal history checks, and it failed to act promptly on a renewal application involving serious sex-trafficking-related charges. The board said it had accepted all recommendations, had implemented most of them, had moved to a new licensing platform, and had hired help to address rulemaking delays. Members asked about fingerprint verification and the handling of the serious criminal charges. The committee voted 16-0 to continue the board for four years until July 1, 2030, with statutory changes to improve its performance. Finally, the committee began the review of the Arizona Regulatory Board of Physician Assistants. The Auditor General found the board had met some licensing and enforcement requirements but lacked adequate executive oversight, accountability, and tracking systems, and it had very high complaint-resolution delays. The report also criticized the board’s incentive pay structure, which paid all staff based on measures unrelated to complaint timeliness. The new executive director said the board had created formal investigative timelines, improved reporting, sought additional support staff, and was updating IT and incentive metrics; she also explained that the board is a shared agency with the Medical Board. The transcript ends during this presentation, before any vote on the physician assistant board is shown.