Transcript Highlights:

• Nurses Association, in support.
• Nurses Association in support.
• Nurses are not anti-tech. I'm an O.R. nurse.
• Hi, Selina Howe, nurse practitioner, nurse for 13 years, strongly support.
• Hi, Selina Howe, nurse practitioner, a nurse for 13 years, strongly support. Thank you.

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• Nurses Association, in support.
• Nurses are not anti-tech. I'm an OR nurse.
• Hi, Selina Howe, nurse practitioner, nurse for 13 years, strongly support.
• Hi, Selina Howe, nurse practitioner, a nurse for 13 years, strongly support. Thank you.
• I want my nurse or I want my nurse.

Committee: House Privacy and Consumer Protection

Keywords: 988, house, all

Transcript Highlights:

• So whether that's nurses' stations, storage for nurses' equipment, storage for other equipment, kitchen
• And the third one is the withholding program for the nursing homes.
• facility incentive program.
• We already have an existing quality program.
• This is a new program.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• I direct a program at Boston Children's Hospital called Roberts Program.
• These programs work.
• service agencies at skilled nursing facilities.
• directly employed CNAs and nurses do.
• They are not forced to comply with state-defined programs.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• Section four is for the nursing pre-N nursing pathway program. Right.
• Section four is for the nursing pre-N nursing pathway program. Right.
• pre- N nursing four is for the nursing pre- N nursing pathway<00:10:50.640><c> program.
• So not the pathway program. Right.
• </c> a Monoa Manoa West Oahu Nursing a Monoa Manoa West Oahu Nursing Collaboration<00:11:02.399><c> phase

Keywords: 912, senate, all

Transcript Highlights:

• THE MASTERS PROGRAM OFTEN ARE TIED TO THE PHD PROGRAMS.
• PROGRAM.
• NURSING IS INCREDIBLY IMPORTANT PROGRAM TO THE STATE OF FLORIDA TO THE STATE OF FLORIDA.
• WE INCREASE THE NUMBER OF GRADUATES OVER THE LAST FEW YEARS AND NURSING PROGRAMS AS WELL BUT THESE GRADUATES
• SAY WITH THE NURSING PROGRAM THAT IS CRITICAL TO FLORIDA WHAT PERCENTAGE OF THESE STUDENTS ARE REMAINING

Transcript Highlights:

• Within our traditional Medicaid program, we have our health system value-based program that operates
• into that program.
• Chair, that is because these rates are used by our SPED program and our expanded SPED program, which
• Today, our nursing facility value-based program is set up entirely as an incentive-based payment.
• Way to administer this program, or the right federal authority to administer the program under.

Committee: Senate Appropriations - Human Resources Division

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• assistants, and nurses.
• Program managers at DOH provided a few reasons for the worsening delay.
• For context, employers for all types of long-term care workers, including nurses and nursing assistants
• assistants, nurses, or any other similar professions.
• For nursing assistants, for nurses, or any other similar profession. Thank you.

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on the Restoring Quality Home Care Initiative (I-1163), which created home care aide certification requirements, FBI background checks, and an abuse/neglect registry. Auditors said some requirements likely improve safety, especially background checks and training, but the state lacked pre-2011 data to measure outcomes directly. They also found Washington has a long-term care workforce shortage, though its workforce supply ranks better than many states, and that more stringent entry requirements do not appear to reduce workforce participation compared with other states. The audit’s main concern was that the certification process is slow and burdensome. Auditors reported that most applicants never finish certification, that only about one-third of fiscal year 2025 applicants were certified within the 200-day legal deadline, and that the average time to certification was 463 days. They identified delays between training and testing, limited testing access in some areas, and redundant Department of Health verification of FBI background checks as key causes. The audit recommended streamlining the process by accepting applications later in the process, expanding testing within training programs, and eliminating the redundant background-check verification. Department of Health and Department of Social and Health Services staff largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including moving exams into more than 110 training programs, increasing credentialing staff, and reducing barriers through rule changes. DSHS noted testing is offered in 13 languages. Committee members asked about testing contract incentives, language access, and whether the agencies would seek statutory or budget changes to implement the recommendations. No public testimony was offered, and the meeting adjourned without any vote or formal action by the committee.

Transcript Highlights:

• The witness responded that there are plenty of nurses in Massachusetts—more nurses per capita than any
• And I've met with all the nurses represented by the MNA, the Mass Nurses Association, and the workers
• I am fortunate enough to be a nurse, a registered nurse.
• This program is now called the CAM program, complementary alternative medicine, and the medical department
• We can welcome students from medical schools, nursing programs, and schools of education from across

Summary: The hearing focused on the future of the Pappas Rehabilitation Hospital for Children and the work of the special legislative commission studying whether and how the facility should continue. Senators and representatives said the Legislature has continued funding Pappas, that the hospital cannot be closed before the commission reports, and that they are seeking to extend the commission’s deadline. Multiple commissioners and witnesses described Pappas as a unique setting combining inpatient medical care, residential programming, special education, therapy, and campus-based activities for children with complex medical needs. Union leaders, staff, parents, and local officials argued that Pappas is being quietly depopulated through blocked admissions and continued discharges despite the formal pause on closure. They said the hospital’s integrated model cannot be replicated elsewhere, that families and staff are being left in limbo, and that the state should invest in repairs, modernization, and possibly temporary modular space to reopen admissions. Several witnesses emphasized the impact on children who have benefited from Pappas and on workers who fear losing a specialized workforce built over decades. Department of Public Health Commissioner Robert Goldstein said the state is committed to keeping Pappas open and stable while the commission works, but that admissions must meet hospital-level-of-care standards and the current infrastructure limits who can safely be served. He said the administration has been expanding outreach, hiring staff, and exploring ways to broaden services, including outpatient and therapy programs over time. Commissioners pressed him on why admissions remain so limited and whether the facility is being effectively depopulated, while Goldstein maintained that the restrictions reflect legal and safety requirements rather than an effort to close the hospital.

Transcript Highlights:

• FTP that are organized under four budgeted programs.
• So it’s a very valuable program.
• That is in lieu of using contracted nursing staff.
• So we're expanding that program.
• It is organized into two budgeted programs.

Summary: The Joint Finance-Appropriations Committee heard budget presentations for the Idaho Military Division, the Division of Veterans Services, and PERSI. For the Military Division, analysts reviewed the agency’s structure, recent transfers of emergency medical services into the division, and the fiscal year 2027 request, which included hazardous materials response funding, a pay-parity adjustment for 223 state employees, a small enhancement for grant administration overhead, and rescissions tied to vacant positions and reduced tuition assistance and state match funding. General Donnellan said the division had absorbed the 3% rescission, but further cuts to state education assistance for Guardsmen would be concerning. Members also asked about the EMS transition, CEC-related pay parity, and the general’s military service. The committee then reviewed the Division of Veterans Services budget. Analysts described the state veterans homes, cemeteries, and veterans assistance programs, along with ongoing staffing challenges and the use of a temporary nursing pool to reduce reliance on contract nurses. Administrator Mark Champal said the division is making progress on staffing, expects to save nearly half a million dollars through the new pool, and continues to manage near-capacity homes while the new Boise veterans home is under construction. He also highlighted outreach efforts for homeless and vulnerable veterans, the division’s high satisfaction rates, and recent gains in benefits claims, education certifications, and community support connections. Finally, PERSI’s budget and operations were discussed. Analysts outlined the retirement system’s dedicated funding, the ongoing pension software upgrade, and requested one-time funding for the final year of that project, a continuity-of-operations and records management plan, and IT replacements. Director Mike Hampton reported strong investment returns, a funded ratio around 90%, and more than $1.3 billion in annual benefits paid. Committee members asked about retiree cost-of-living adjustments, the PERSI Choice 401 plan, the possibility of moving toward defined contribution or hybrid plans, and the meaning of “other” participating employers. Hampton said the board had recommended a retroactive retirement allowance adjustment through 2022, explained that PERSI’s structure supports retention, and noted that board meetings are now livestreamed. The committee adjourned until the next morning.

Transcript Highlights:

• Budget neutrality requires the state to cut spending to nursing homes as nursing home costs rise.
• </c><00:42:02.319><c> homes</c> Only one of the seven nursing homes Only one of the seven nursing homes
• ,</c><00:43:01.520><c> which</c> nursing on nursing home care, which nursing on nursing home care, which
• </c> still struggled for LNAS for nurses still struggled for LNAS for nurses um<00:46:37.359><c> to</
• </c> risk poolled risk management program. risk poolled risk management program.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• 56.080><c> model</c> their PDPM program versus the rug model their PDPM program versus the rug model
• c> home</c> for the nursing homes, the nursing home for the nursing homes, the nursing home workforce
• had from PCA to, uh, nursing homes to home care program.
• had from PCA to uh nursing homes to home<00:12:32.399><c> care</c><00:12:32.639><c> program.
• </c> to be charged to nursing home employees. to be charged to nursing home employees.

Bills: HF2433 , HF2434

Committee: House Ways and Means

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• . nursing. nursing.
• program.
• But one thing that set our nursing program apart from other institutions is we don't want to just train
• Our provost was talking with me just yesterday about looking at some ideas about the nursing program
• </c> looking at some ideas about the nursing looking at some ideas about the nursing program<00:53:48.480

Keywords: This meeting is taking place on location at the Kentucky State University Cooperative Extension Building Room 238 using on site equipment., 958, all

Summary: The interim Commission on Race and Access to Opportunity met at Kentucky State University and heard a presentation from President Kofi Aapo and Vice President Michael Dorsy on the university’s role as an HBCU and its current priorities. They emphasized Kentucky State’s impact on Black student outcomes nationally, its focus on workforce development, civic leadership, innovation, and economic mobility, and its efforts to grow enrollment, expand dual-credit partnerships, and launch a prison education program. They also described House Bill 250’s role in prompting program review and the creation or expansion of market-aligned offerings, including manufacturing engineering, agricultural engineering, biological and agricultural engineering, social work, criminal justice, and expanded online programs through “Thoroughbred Global.” A major topic was Kentucky State’s move toward STEM and applied programs. President Aapo said the university is diversifying beyond liberal arts to meet workforce demand and cited plans for a PhD in agroecology, which he said would help farmers adapt to climate conditions and would be federally funded. He also discussed the nursing program as the fastest-growing on campus, partnerships with health systems that pay tuition and guarantee jobs, and the need for a new nursing facility. He said the current nursing space is inadequate and that a new building could double or triple enrollment in the program. He also described a mobile health initiative intended to bring preventive care and health education to underserved areas of the state. Members asked questions about the nursing building, STEM strategy, teacher preparation, dual credit, prison education, and student readiness. Senator Bledsoe asked about the shift toward STEM, and Aapo said the strategy is based on student demand and data from House Bill 250. Senator Berg requested a list of dual-credit partners and encouraged long-term tracking of prison education participants to study outcomes such as recidivism; Aapo said the university has not yet begun that research but intends to. Senator Tidner asked about remedial needs, and Aapo said KSU found more than 100 students with zero GPAs when he arrived and is using co-requisite support and tutoring to address English and math deficiencies. Representative Brown and others highlighted the historical and ongoing value of HBCUs, and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• </c> to end a program or start a new program to end a program or start a new program based<00:39:22.040
• One: about 265 graduates of our nursing programs last year — that's for the RN program, plus an additional
• c> that's</c> our nursing programs last year that's our nursing programs last year that's for<01:08:21.920
• Can you cycle back to the successes around the nursing program?
• </c><01:33:55.119><c> program</c> the successes around the nursing program the successes around the nursing

Keywords: 928, house, all

Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.

Transcript Highlights:

• are organized under four budgeted programs.
• So it's a very valuable program.
• and being able to have the nursing staff we need.
• That is in lieu of using contracted nursing staff.
• So we're expanding that program.

Keywords: 989, all

Summary: The Joint Finance-Appropriations Committee heard budget presentations for the Idaho Military Division, the Division of Veterans Services, and the Public Employee Retirement System of Idaho (PERSI). For the Military Division, analysts and Major General Tim Donnellan reviewed the division’s structure, recent transfer of emergency medical services into the division, and the fiscal year 2027 request. The request included a small general fund amount for hazardous materials response, a pay-parity adjustment for state employees tied to federal military pay scales, and a dedicated-fund enhancement for overhead recovery, offset by rescissions including vacant positions and reduced tuition assistance. Members asked about the 3% rescission, EMS transition costs, and why certain CEC-related positions appeared in and out of the budget; the general said the division had absorbed the cut but that further reductions could affect education assistance for Guardsmen. He also described the EMS transition as smooth and said the division was modernizing its Army and Air components. The committee then reviewed the Division of Veterans Services budget and heard from Administrator Mark Champal. The analyst outlined the division’s homes, cemeteries, veteran assistance programs, and fiscal year 2027 requests, including one-time equipment and replacement items, an ongoing reduction for expiring software fees, and reductions for long-vacant positions. Questions focused on nursing shortages, contract labor, the miscellaneous revenue fund, and memory-care capacity. Champal said the division is using a temporary nursing pool to reduce reliance on contract nurses and expects to save nearly half a million dollars, while continuing to struggle with staffing. He said the Boise home currently meets memory-care needs and that the new Boise facility could expand if needed. He also highlighted outreach efforts, claims assistance, cemetery services, and the division’s efforts to connect veterans with outside support. Finally, PERSI’s budget was presented and discussed with Director Mike Hampton. The analyst described the retirement system’s defined benefit and defined contribution plans, the ongoing pension software upgrade, and one-time requests for the final software phase, disaster recovery planning, and IT replacements. Committee members asked about administrative growth, who participates in PERSI, software maintenance costs, and why there was no general fund rescission. Hampton explained that PERSI is fully funded by employer and employee contributions, that the software project is nearing completion, and that the annual maintenance increase reflects licensing costs. He also discussed post-retirement allowance adjustments, saying the board recommended a retroactive catch-up through 2022 and that future increases depend on fund performance and legislative action. The committee also discussed the merits and risks of defined benefit versus defined contribution plans, and Hampton said PERSI remains well funded, with strong investment returns and broad participation across Idaho public employers. The meeting ended with adjournment until the next morning.

Transcript Highlights:

• This program wasn't developed in a vacuum.
• This program wasn't developed in a vacuum.
• So I think it's a great program.
• Wes Hadaway with the Louisiana Nursing Home Association.
• Louisiana's extremely fortunate to have nursing homes like that.

Committee: Senate Health & Welfare

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• She's a registered nurse and nurse practitioner.
• What the original bill had, Nurses.
• What the original bill had was Tier 3 nurses supervising and evaluating Tier 1 new nurses.
• It helps with retaining and recruiting level three nurses, which would be master's-prepared nurses, so
• I'm a nurse practitioner and a registered nurse. Thank you.

Summary: The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation. The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation. House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation. The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.

Transcript Highlights:

• In case You're unaware, the federal government has a program that they call the Continuum of Care program
• to perform the nursing task.
• Nursing tasks. There were exceptions.
• All right. nursing tasks. There were exceptions.
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• We're the trade association for all the skilled nursing facilities, assisted livings, and nursing homes
• Many of you have seen an evolution happen with respect to what an average nursing home or skilled nursing
• But when I say skilled nursing facility versus nursing home, it really is a reflection of how the entire
• So my focus going forward is really going to be on the nursing home skilled nursing side of data.
• occupation within a nursing home is going to be certified nursing assistants, CNA, or nurse aides.

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• I'm a real nurse and a nurse practitioner.
• Practitioner Council representation, and deans of colleges of nursing. ...nurse practitioner council
• that we feel for our local nurses.
• I've been a nurse for 40 years.
• programs.

Summary: The committee first took up House Bill 279, on a committee substitute that narrowed the bill to privacy and safety protections for reproductive and gender-affirming health care. The substitute would strengthen limits on disclosure of protected health information, restrict geofencing around care facilities with exceptions for security and research, clarify emergency stabilization obligations under state licensing law, and allow abortion-medication labels to omit a prescriber’s personal name and address. Supporters including ACOG, the ACLU, the League of Women Voters, the Health Care Authority, and advocacy groups said the bill protects patients and providers from surveillance, harassment, and out-of-state investigations. Some members raised concerns about HIPAA, research data, and whether the bill could go too far, but the substitute passed 6-2. The committee then approved House Memorial 1, which asks the Legislative Finance Committee to study whether a constitutional amendment should create an independent commission to manage CYFD. Supporters said the department needs a comprehensive structural review, while opponents argued New Mexico already has enough reports and should act on existing recommendations instead of commissioning another study. House Memorial 31 also passed; it directs the Health Care Authority to re-evaluate a rule limiting home health agencies to serving patients within 100 miles of their licensed locations, in light of access needs in remote areas such as the Navajo Nation and anticipated demand from uranium workers. House Bill 306, dealing with facility fees, was amended by substitute to prohibit such fees for certain preventive services, vaccinations, telehealth, and some services provided in vehicles, while exempting rural hospitals and requiring notice to patients. Hospital representatives opposed the bill, warning it would add financial pressure and could still be passed through to patients or premiums, while insurers, retiree advocates, and consumer groups supported it as a way to curb confusing and costly add-on charges. The committee also advanced House Memorial 36 to create an unfunded nursing shortage task force focused on graduation rates, retention, and barriers to training, and House Memorial 35, which would ask HCA to seek a Medicaid state plan amendment for pediatric palliative care. Supporters of the palliative care memorial described major access gaps for children with complex conditions, especially in rural areas, and the memorial passed after testimony from a rural pediatric hospice nurse and committee discussion about the small number of eligible children and the burden on families.