Transcript Highlights:

• Elon Musk said, 'I'm in favor of AI regulation and that we should have some sort of regulatory oversight
• Sam Altman of OpenAI said government regulation will be critical to mitigate the risks of powerful AI
• We can protect innovation, and licensed professions, doctors, nurses, pharmacists, counselors, teachers
• We can only regulate what’s produced here in this state, what’s disseminated.
• Again, the patchwork of regulations as this is being discussed in states all over the country.

Committees: House Emerging Issues , House Emerging Issues and Professional Registration

Transcript Highlights:

• This is not a costly regulation.
• This is not a costly regulation.
• California is projected to be short over 44,000 registered nurses by 2030.
• Notwithstanding the comments of my colleague, ...you can be a nurse, you can become a nurse with the
• Also regulations, whether it's state regulations or local regulations on movie productions.

Summary: The Assembly met after a quorum call and first dealt with a procedural dispute over four amendments to AB 1240. The Speaker ruled the amendments out of order as not germane, and the Assembly sustained that ruling on a 49-16 vote. Members then added co-authors to several consent-calendar resolutions, including measures on the National Conference of State Legislators, Suicide Prevention Awareness Month, ALS Awareness Month, and Men’s Mental Health Month, before adopting the consent calendar. The chamber also heard guest introductions, including a welcome for Oakland Mayor Barbara Lee, and took up a motion to bring AB 41 up out of file, which failed 19-48. The bulk of the meeting was floor action on a long series of bills and resolutions, many of which passed with broad bipartisan support. Measures approved included ACR 40 supporting immigrant students and FAFSA privacy; AB 917 on permanent status for certain school employees; AB 985 on anesthesia access; AB 7 and AB 42 on higher education and student services; AB 245 providing property tax relief for wildfire victims; AB 255 allowing funding for drug-free recovery housing; AB 279 updating K-12 library standards; AB 289 creating a pilot for automated speed enforcement in highway construction zones; AB 291 on an educator apprentice program; AB 327 addressing swatting; AB 340 on confidential union communications; AB 341 creating an oral health technical assistance center for people with disabilities; AB 356 on San Diego health care infrastructure; AB 410 on bot disclosure; AB 476 on copper theft enforcement; AB 477 on educator pay targets; AB 485 on stolen wages and business licensing; AB 487, the insurance committee’s technical omnibus bill; AB 573 on tobacco retail license fees; AB 598 on school mapping technology; AB 635 on mobile home law enforcement referrals; AB 651 on remote participation for incarcerated parents in dependency hearings; AB 654 on homelessness hotline assistance in Los Angeles County; AB 662 creating a South County higher education task force; AB 667 on language access in professional licensing; AB 669 limiting early denial of addiction treatment; AB 670 on naturally occurring affordable housing; AB 695 on online continuation of community college for deported students; AB 723 on disclosure for digitally altered real estate images; AB 727 placing Trevor Project information on student IDs; and AB 736, a $10 billion affordable housing bond for the June 2026 ballot, which passed on a 61-11 urgency vote after extensive debate. Debate on AB 736 was the most extensive of the day, with supporters arguing the bond would help address California’s housing crisis and give voters a chance to weigh in, while opponents criticized the state’s bond debt and past spending results. The Assembly then recessed for caucus meetings and later returned to continue the daily file, where additional measures were taken up, including AB 798 adding diapers and wipes to the emergency food bank reserve program, which passed 56-0, and AB 821 on career technical education, which was presented as bipartisan-supported as the transcript continued.

Transcript Highlights:

• So this maintains the skilled nursing facility or SNAP.
• I'm the director of nursing from Pine Creek Care Center in Roseville.
• She said these payments are necessary to support important therapy and nursing services in skilled nursing
• skilled nursing facilities.
• services that are happening in school nursing facilities.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• The hospitals are highly regulated regardless of who owns them. Thank you. Thank you.
• So you're like telling the nurse, get me out of here by five, you know, so that I can basically... ..
• And the nurse was great.
• And the nurse was great.
• So, Representative, and Doctor, the Medical Board regulates MD-type doctors.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, a medical malpractice reform measure. Sponsor Chair Chandler and Minority Leader Armstrong described months of stakeholder negotiations aimed at balancing patient compensation with concerns from physicians, hospitals, and insurers about litigation costs, punitive damages, and access to care. The committee substitute kept the existing monetary damage caps but changed several provisions, including definitions of “occurrence” and “value of medical care,” treatment of future medical expenses, a higher clear-and-convincing standard for punitive damages, a two-step process before punitive damages can be pled, and a lower punitive-damages cap for smaller providers versus a higher cap for large hospital systems. Supporters said the bill would help recruit and retain doctors and stabilize the malpractice market; opponents argued it weakens accountability, especially for corporate and out-of-state hospital systems, and several speakers urged a stronger amendment to preserve patient rights. After debate, the committee voted 10-0 to give the House Judiciary Committee substitute for HB 99 a do-pass recommendation. The committee then heard House Joint Resolution 5, which would amend the state constitution to allow legislative compensation. Sponsors and supporters said paying legislators would make service more accessible to working people, parents, rural residents, and others without independent wealth, and would broaden representation. Several advocacy groups and individual commenters backed the proposal, while members raised questions about the pay formula, with the resolution tying compensation to the state median income. Some members supported the idea but preferred a salary commission or a different mechanism. The committee approved HJR 5 on a 7-3 vote. Finally, the committee began hearing House Memorial 39, which calls for a task force to study the current state of sexual assault examination kits and report on backlog progress. Sponsor Rep. Ferrari and the New Mexico Coalition of Sexual Assault Programs explained that a prior task force a decade ago found more than 5,000 untested kits and led to policy changes, including the Sexual Assault Survivors Bill of Rights and a statewide tracking system. The memorial is intended to reassess whether backlogs remain and recommend further fixes.

Transcript Highlights:

• They are not regulated whatsoever.
• They are not regulated whatsoever.
• It is a Board of Governors regulation.
• If you choose to be a nurse, then be a nurse.
• If we want to just have nurses become doctors, then just have nurses and don't have doctors no more.

Summary: The House convened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum confirmation. Members then adopted the special order report and a rules report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber also heard several recognitions and a farewell speech from Representative Nixon, who reflected on constituent service and her legislative priorities. On the floor, HB 1405, relating to a statewide project for missing persons with special needs, passed unanimously. The House then took up CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, which drew questions about the handling of surplus conservation lands and agricultural uses; it passed 94-10. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, was explained as a broad package restricting foreign-country influence in government, procurement, gifts, cultural agreements, and related areas. An amendment adding restrictions on surrogacy and adoption involving citizens or residents of foreign countries of concern was adopted after debate over possible impacts on families and adoption practices, and the bill then passed 80-20. The House also passed CS/CS/HB 1197, a bill to modernize state information technology procurement and contracting, unanimously after debate about improving oversight of large IT projects. HB 1103, allowing local governments to fast-track action on derelict vessels, also passed unanimously. The chamber then considered CS/CS/CS/HB 399 on land use development and development regulations, including limits on development fees, changes to local voting thresholds for comprehensive plan and boundary actions, manufactured homes in RV parks, and resort-related provisions. Several amendments were debated, including one on local control and rural boundaries that failed and another strike-all amendment ruled out of order; the bill ultimately passed 71-38. The final item reached before the transcript ended was a local bill for the Pace Fire Rescue District in Santa Rosa County, described as adjusting its assessment formula to provide tax relief.

Transcript Highlights:

• practical nurse.
• In Washington, it is unlawful for an individual to use the title of nurse, registered nurse, licensed
• practical nurse, nurse practitioner, advanced registered nurse practitioner, or advanced practice registered
• He's a nurse legislator in Oregon. He also happens to work for WSNA as a nurse representative.
• I am an advanced registered nurse practitioner and certified nurse midwife.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• And the regulations that were required through 1618 define eligibility for the veteran certifications
• I'm Marie Lopez, legislative advocate for the California Nurses Association.
• CNA proudly represents thousands of VA medical center nurses throughout the country.
• , but that means nurses are taken away from patients, and this puts patients in jeopardy.
• Nurses will not stand by and watch veterans' health care be dismantled.

Committee: House Military and Veterans Affairs

Summary: The Assembly Committee on Military and Veterans Affairs held an informational hearing focused on the effects of federal budget and staffing cuts on veterans and on California’s systems for delivering veteran services. In opening remarks, the chair argued that cuts to the VA, federal workforce, Medi-Cal, SNAP/CalFresh, and related programs would disproportionately harm veterans, citing impacts on health care, suicide prevention, housing, and employment. The committee then heard from the California Military Department, CalVet, county veteran service offices, and veterans legal and housing organizations about how state and local programs are responding. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness, training, equipment, and funding for programs such as Work for Warriors, STARBASE, and counterdrug operations. Members asked about how service members access VA benefits, the impact of federal cuts on readiness, and what the Legislature can do to help. Beavers said the state should advocate for recapitalized equipment and stable funding, and he criticized some federal efficiency reviews as wasteful while warning that reduced readiness would ultimately affect Californians. CalVet Deputy Secretary Roberto Herrera, L.A. County veteran services director Jim Zenner, and Swords to Plowshares legal director Mo Cedar emphasized that county veteran service officers and legal aid are essential for claims, appeals, housing, and mental health access. They said the PACT Act and federal staffing strains have increased demand, while county offices remain underfunded. Testimony highlighted the value of CalVet strike teams, MHSA-funded legal services, and county programs that bring in federal benefits and reduce homelessness and incarceration costs. Committee members generally agreed that California should sustain and expand these supports, improve data sharing, and protect state programs from federal cuts. In the final panel on mental health and suicide prevention, Herrera, Amy Fairweather of Swords to Plowshares, and Robert Storr of U.S. Vets described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative. They reported improved outcomes for veterans in supportive housing and expanded no-cost counseling statewide, but warned that step-down funding and federal uncertainty could jeopardize services. Members asked about wait times, access, and who can use VA services, and witnesses explained that the main barriers are workforce shortages and capacity, not just eligibility. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• Board offers land, home, and home improvement loans to veterans, operates 9, soon to be 10 veterans nursing
• I thought Veterans Affairs deals with a lot of issues with veterans, but I hear that GLO is doing nursing
• The 9 nursing homes that we have currently are Amarillo, Big Spring, Bonham, El Paso, Floresville, Houston
• So much of our regulation is at the local level, whether it be city or county.
• And on top of that, the industry is burdened by heavy regulation and slow approvals, as you've already

Committee: House Land & Resource Management

Transcript Highlights:

• This forces people into the impossible situation of being institutionalized in a nursing home or becoming
• Moving on, S. 1716, an act regulating illegal exhaust systems for motor vehicles, is Jamie Banks with
• I'm also speaking on behalf of Mary Titian, a registered nurse, founder of Quiet Florida, and chair of
• Senate Bill S. 1716, a bill to regulate the legal exhaust systems for motor vehicles.
• policy statements from the American Public Health Association in 2021 and the American Academy of Nursing

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills affecting correctional facilities, disability access, public health, youth education, parole, and vehicle noise. Early testimony focused on H. 2736/S. 1762, “Matt’s Law,” which would permanently ban free weights in medium- and maximum-security correctional facilities and require exercise equipment to be secured. The bill was supported by the Tidman family, Rep. Wells, and the Massachusetts Correction Officers Federated Union, who described the assault on Corrections Officer Matthew Tidman and argued the measure would prevent similar attacks. Committee members expressed sympathy and asked whether the Department of Correction could make the change administratively; witnesses said free weights had already been removed but that codifying the policy in law was needed. The committee also heard S. 1753 on synthetic drugs in correctional facilities, which would make possession, distribution, and use of Class C synthetic substances in prisons and jails a felony with a mandatory minimum sentence. Senator O’Connor and MCOFU said synthetic drugs like K2 are being smuggled in through mail and are causing violence and medical emergencies among inmates and staff. H. 4123, filed by Rep. Donahue and Chair Vargas, would require correctional facilities to offer two doses of naloxone to people upon direct release; Donahue cited overdose risk after incarceration and her personal loss of a son to overdose. Sheriff Donna Buckley also testified in support of a commission to study sentencing jurisdiction and whether more people should be sentenced to county houses of correction rather than DOC facilities. A large portion of the hearing was devoted to S. 1733, “An Act Building a More Accessible Massachusetts,” which would expand the Architectural Access Board’s authority over older buildings, workplace areas, and adaptable housing units. Chris Ho, disability advocates, and people with disabilities testified that the bill would help close gaps in accessibility for employment and housing, reduce long waits for accessible units, and support aging in place and independent living. The committee also heard S. 1721 on educational rights for incarcerated youth, with Avery Farmer arguing that 18- to 21-year-olds in DOC and houses of correction should receive the same educational services and disability supports as youth in DYS custody. Additional testimony supported S. 1716 regulating illegal exhaust systems, with one witness citing public health harms from vehicle noise and another opposing the bill as overbroad and harmful to classic car owners. Finally, Claire Massington testified for H. 2694 on equitable access to parole, calling for a more transparent, best-practices-based parole system with a revised board composition and a presumption of parole unless the board shows otherwise. The hearing ended with the chair adjourning the meeting due to a roll call in the House and Senate.

Transcript Highlights:

• What's the cost to a corporation to have environmental regulations?
• We are not adjusting any environmental regulations or processes.
• That hospital, that doctor, that nurse... herself.
• Members, Florida currently has a nursing shortage which is predicted to grow to 56,380 nurses by 2037
• The legislation... 56,380 nurses by 2037.

Summary: The House convened with prayer, the Pledge of Allegiance, and quorum established, then adopted the Rules and Ethics Committee’s special order report for the day. The chamber first took up HB 167 on former phosphate mining lands. Sponsor Rep. McClure said the bill would remove strict liability for previously mined phosphate lands if a Department of Health study is done at the owner’s request and the former mining status is recorded publicly. Opponents, including Reps. Cross, Nixon, and Eskamani, argued the bill did not provide enough notice to future buyers and renters and could create health and disclosure concerns. The bill passed 87-24. The House then passed HB 145 on suits against the government, which Rep. McFarland said updates Florida’s sovereign immunity caps for the first time since 2010, raising them to $500,000 per person and $1 million per incident with future automatic increases, aligning the statute of limitations with private claims, and allowing governments to settle above the caps if they choose. He said the bill would make redress more accessible without eliminating the liability shield. The bill passed 104-7. The chamber then considered CS/HB 289 on civil liability for the wrongful death of an unborn child, a bill by Rep. Greco that would amend the Wrongful Death Act to allow parents and other survivors to bring claims for the death of an unborn child, while exempting the mother and lawful medical care provided within the standard of care. Debate centered on whether the bill could affect abortion access, fertility treatment, miscarriage care, surrogacy, and liability for doctors, friends, family members, and others. Multiple amendments were offered to narrow the bill or add carve-outs for abortion, fertility care, surrogates, perinatal professionals, rape/incest/human trafficking situations, and to require the mother’s consent before suit; sponsors and opponents argued over whether these changes would prevent frivolous lawsuits or instead create loopholes and weaken the bill. None of the amendments were adopted during the portion of the transcript provided.

Transcript Highlights:

• : prayer, Pledge of Allegiance, introduction of Veteran of the Week, introduction of doctor and/or nurse
• Please recognize Representative Munson to present the Nurse of the Day.
• Leader Munson, you're recognized to present the Nurse of the Day. Thank you, Mr. Speaker.
• Members, I have Tammy Powell, my constituent, who is the Nurse of the Day today.
• On April 19, 1995, Tammy served as a nursing manager at St.

Bills: HR1046 , SB1733 , SB1439

Summary: The House convened with prayer, the Pledge of Allegiance, and several special recognitions tied to the 31st anniversary of the Oklahoma City bombing. The chamber honored the 138th Fighter Wing Civil Engineer Squadron Fire Department as Veterans of the Week, and also recognized Dr. Camissa Stewart as Doctor of the Day and Tammy Powell as Nurse of the Day for their roles in the 1995 bombing response. A lengthy floor presentation followed, featuring remarks from legislators, Lieutenant Governor Matt Pinnell, memorial museum leaders, Justice Stephen Taylor, and Pastor Ronnie Fields, all focused on remembrance, the Oklahoma standard, the victims and survivors, and the importance of hope, civility, and the rule of law. On legislation, Senate Bill 1733 was presented and debated. The bill requires school personnel who have reason to believe a student is a victim of child sexual abuse or sexual misconduct to report it to law enforcement within 24 hours. Supporters said it clarifies and strengthens reporting requirements to protect children, while opponents warned it could trigger harmful public accusations and undermine trust in educators and administrators. The House passed the bill 92-1, and the emergency clause also passed 92-1. The House also considered Senate Bill 1439, an oil and gas measure intended to bar speculative climate-related lawsuits and limit liability to actual violations and provable harm. Supporters argued it would prevent frivolous litigation, protect the state’s energy economy, and keep costs down for consumers; opponents said it would create a special legal carve-out for industry and shift costs to taxpayers and families. The bill passed 74-16. In addition, Senate Bill 2184 was assigned to Rules, and H.J.R. 1078 and H.J.R. 1079 were withdrawn from Rules and sent to appropriations and budget committees. The House adjourned after announcements and introductions.

Transcript Highlights:

• And so we have no regulation.
• And so we have no regulation.
• to regulate with consistency.
• I'm a nurse and intensive care unit nurse and a community mental health nurse clinical specialist.
• I'm a nurse and intensive care unit nurse and a community mental health nurse clinical specialist.

Committee: Joint Joint Committee on Environment and Natural Resources

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• medical care or assistance with activities of daily living, such as an assisted living facility, a nursing
• All of the rights of residents in licensed long-term care settings are based on federal rights of nursing
• who's in an assisted living facility might have a little less care needs than somebody in skilled nursing
• I want to say that on May 1, 2022, all of the residents received a 25-page house rules and regulations
• If they're not one of the categories that the state already regulates, like a long-term care facility

Bills: HB2299 , HB2118 , HB2236

Committee: House Housing

Keywords: seniors, independent living, ombudsman, elderly support, continuing care retirement communities, common interest communities, restrictions, property rights, homeowners association, community governance, housing finance, affordable housing, housing commission, state agency, financial assistance

Transcript Highlights:

• There's a proposal to delay rebases for the assisted living facilities and nursing home rates.
• Hospitals discharge 46,000 individuals to skilled nursing every year.
• The program launched last week under new regulations now in effect.
• I'm an administrator for Bainbridge Island Health and Rehab, a nursing home.
• We are a nursing home in the 41st district.

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses

Transcript Highlights:

• the Board of Nursing on the implementation.
• We happen to be fortunate enough to have a phenomenal nurse practitioner.
• Nurse practitioners are also...
• We happen to be fortunate enough to have a phenomenal nurse practitioner.
• Nurse practitioners are awesome. Yes, they are. And she did blood analyzation.

Bills: SB1983 , SB444 , SB1503 , SB1561 , SB592 , SB1501 , SB1946 , SB1567 , SB1833 , SB2026 , SB904 , SB2178 , SB1651 , SB1558 , SB1565 , SB1553 , SB1257 , SB65 , SB1749 , SB1242 , SB1642 , SB640 , SB667 , SB1436 , SB1484 , SB1562 , SB1794 , SB1644 , SB1533 , SB933 , SB1555

Committee: House Health and Human Services Oversight

Summary: The committee opened with prayer and then heard a long series of Senate bills, many of them agency request or cleanup measures. Early bills included SB 1983, directing DHS to provide foster care data to resource family partners to better identify foster family needs; SB 444, allowing hospice personnel to control or destroy controlled substances after a patient’s death; and SB 1503, a PCS related to pregnancy resource center outreach and in-state referrals, which drew discussion about virtual versus face-to-face support and was reported out after members agreed to continue working on the language. Other measures advanced included SB 1561 on progressive discipline for certain M.T.M.S. personnel, SB 592 and SB 1946 on alcohol-related licensing/sales issues, SB 1501 and SB 1567 as cleanup or implementation bills, and SB 1833 codifying a SNAP waiver barring candy and soft drinks purchases. The committee also considered several health and human services bills. SB 2026 expanded access to military discharge papers to grandchildren; SB 904 addressed public funds and state facilities, with members raising concerns about legislative interference in medical decision-making and liability; SB 2178 modified alcohol licensing insurance requirements; SB 1651 updated Oklahoma Medical Board license language; SB 1558 clarified the definition of a child for level E group homes; SB 1565 promoted Food is Medicine efforts to improve maternal and infant outcomes; and SB 1553 required psychologist review of appealed adverse determinations involving mental health claims. SB 1257, with a policy recommendation, expanded THC/controlled substance language to align with federal guidelines, and SB 1749 made a cleanup change related to food trailers and LP gas inspections. Later in the meeting, the committee advanced SB 65 with a policy amendment adding fentanyl and xylazine test strips; SB 1242, which included OMMA education and abandoned grow cleanup provisions; SB 1642, allowing shorter acute prescriptions to help reduce addiction risk; SB 640, treating abandoned grow facilities as public nuisances so local governments can abate them; SB 667, clarifying accreditation language for chiropractic programs; SB 1436, requiring hospitals to provide information on obtaining records after stillbirth or miscarriage; SB 1484, codifying medical examiner practices in infant or child deaths; SB 1562, addressing hospice patient solicitation; SB 1794, creating a mental health bed-availability database; SB 1644, seeking data on alpha-gal syndrome to support federal research funding; SB 1533, ensuring burial assistance for Oklahoma veterans who die out of state; SB 933, creating a right-to-try pathway for individualized treatments; and SB 1555, aligning the definition of intellectual disability with federal law. Most bills were reported out do pass, with recorded votes ranging from unanimous to a few nays on some measures. SB 1304 was laid over, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• Health carriers regulated by OIC are required to report certain information annually.
• Health carriers regulated by OIC are required to report certain information annually.
• I'm an advanced registered nurse practitioner and certified nurse midwife.
• My current role is as the clinical nurse specialist and nursing subject matter expert at the largest
• It's an untenable position for any nurse, legally and ethically.

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.

Transcript Highlights:

• The Bureau has become far more adept at promulgating regulations efficiently and effectively, using the
• Current law and regulations require institutions themselves to permanently maintain copies of students
• We had to promulgate regulations.
• All of them are certainly regulated by the Bureau.
• trucks, cosmetology, you name it, nurse practitioners.

Transcript Highlights:

• Regulation.
• arise, DFS can work directly with the Florida regulator.
• Regulation.
• rise, DFS can work directly with the Florida regulator.
• But instead of closing them, we found a way to regulate them.

Transcript Highlights:

• They have regulations that they promulgate.
• Individuals receiving long-term care in a nursing facility.
• Individuals receiving long-term care in a nursing facility.
• The campaign will provide financial incentives for nurses to work in skilled nursing facilities, and
• The campaign will provide financial incentives for nurses to work in skilled nursing facilities, and

Transcript Highlights:

• I've been a nurse, a registered nurse in primarily in New Hampshire for 38 years in various settings
• Um, so I'm representing myself as a nurse as well as the New Hampshire Nurses Association, which is a
• Um, so I'm representing myself as a nurse as well as the New Hampshire Nurses Association, which is a
• Um, so I'm representing myself as a nurse as well as the New Hampshire Nurses Association, which is a
• Um, so I'm representing myself as a nurse as well as the New Hampshire Nurses Association, which is a

Committee: Senate Executive Departments and Administration