Transcript Highlights:

• </c><00:25:45.520><c> of</c> Coalition, uh, which is a program of Coalition, uh, which is a program of
• Ultimately, program integrity efforts.
• Nurses in Hawaii and facility lensure.
• </c><01:20:34.400><c> the</c><01:20:34.719><c> nursing</c> home care agency or nursing the nursing home
• care agency or nursing the nursing homes<01:20:35.360><c> are</c><01:20:35.520><c> starting</c><01:20

Bills: SB2275 , SB2390 , SB2540 , SB3142 , SB2414 , SB2340 , SB2848

Committee: House Health

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• On the other side of the program, program, program, our<00:12:17.279><c> new</c><00:12:17.519><c> dental
• program program and<00:18:54.320><c> that</c><00:18:54.559><c> they're</c><00:18:54.799><c> working<
• to 5% of the program.
• </c> nursing. Let's fix it for everyone else. nursing. Let's fix it for everyone else.
• CMS approval for those programs.

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• > a</c><00:16:51.920><c> world</c> nursing practice program with a world nursing practice program with
• And then at Maui College, the practical nursing bridge program that was initially funded via Act 74 in
• This year these requests are very targeted around nursing and the nursing programs.
• nursing and the nursing programs programs programs um<00:29:35.360><c> uh</c><00:29:35.480><c> there
• Our pre-nursing program, since we began it three cohorts ago, has expanded, I'd say, at least 200%.

Summary: The House Finance Committee held an informational briefing with the University of Hawaiʻi, led by new President Wendy Hensel and Vice President for Budget and Finance Calbert Young. Hensel outlined the university system’s scope, student demographics, research activity, and campus missions, emphasizing four strategic priorities: serving Native Hawaiians and Hawaiʻi, student success, workforce development, and economic diversification through innovation and research. She highlighted the system’s enrollment, research funding, and the roles of Mānoa, Hilo, West Oʻahu, the community colleges, and specialized institutions such as JABSOM and the Cancer Center. Young then reviewed the budget request, focusing largely on making prior one-time appropriations permanent and supporting recurring needs. Items included funding for Mānoa athletics, the Hawaiʻi Institute for Marine Biology, K-12 teacher education, Pamantasan Council support, Hilo programs, Windward’s mental health technician certificate, Maui’s practical nursing bridge program, and student support positions such as financial aid and admissions counselors. He also described workforce-related requests tied to nursing expansion at Mānoa and West Oʻahu, as well as facilities support at West Oʻahu. A major portion of the testimony addressed the university’s two Kakaʻako medical facilities. Young explained that declining tobacco settlement and cigarette tax revenues are no longer sufficient to cover debt service for JABSOM and the Cancer Center, so the governor’s budget includes general fund support to supplement those obligations. He also described a regents-approved request not included in the governor’s proposal: expanding the Hawaiʻi Promise financial aid program to the four-year campuses, estimated at about $11–12 million. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• sexual assault nurse examiner program.
• </c> Assault Nurse Examiner Program. Assault Nurse Examiner Program.
• opposed it are in charge of the SANE nurse program.
• I support the SANE nurse program wholeheartedly.
• I support the same nurse program. I support the same nurse program<04:37:27.039><c> wholeheartedly.

Committee: House Criminal Justice and Public Safety

Summary: The committee held a public hearing on House Bill 1651, which would create a civil sexual assault protective order for survivors who do not have a domestic violence or stalking relationship with the offender, and would also update the sexual assault survivors’ bill of rights regarding evidence kit retention and tracking. Representative Jennifer Rhodes, the sponsor, said the bill is intended to fill gaps for survivors assaulted by strangers, acquaintances, or others outside existing protective-order categories, and to ensure evidence is preserved for the longer of the statute of limitations or the retention period. Committee members asked whether the new order could be misused and how the bill would prevent frivolous petitions; the sponsor said the same legal process would apply and a victim would still have to prove they were actually assaulted. Representative Eileen Kelly and Lynn Shallet of the New Hampshire Coalition Against Domestic and Sexual Violence testified in support, saying current law leaves many sexual assault survivors without a meaningful civil remedy unless they qualify for domestic violence or stalking relief. Shallet said the gap has existed for decades and noted that other states already have standalone sexual assault protective orders. She also said the bill would clarify survivors’ rights to know the status and location of their evidence kits. Shauna Foster of New Beginnings Without Violence and Abuse described local cases where survivors were denied protective orders because they lacked the required relationship with the offender, including a co-worker assault and an assault involving an unhoused survivor. Lisa Curtis, a survivor and founder of Safe Haven Ballet, gave emotional testimony in support, describing her own sexual assault and the difficulty of seeking protection and justice. She said survivors need safety to recover and that the bill would better align the justice system with trauma-informed support. Janet Carroll, a sexual assault nurse examiner and advisory board co-chair, testified that the bill’s evidence-kit provisions reflect federal changes and existing tracking practices. She explained that New Hampshire uses a kit tracking system that lets patients and professionals follow kits through the process, and said the bill would codify the right to be informed of a kit’s status and location. No vote was taken during the hearing.

Transcript Highlights:

• That's the Arkansas Linking Industry to Grow Nurses Program. Any discussion on the motion?
• That's the Arkansas Linking Industry to Grow Nurses Program.
• The Align program, that’s the Arkansas Linking Industry to Grow Nurses program, is requesting to move
• or the crime victims program.
• And then we manage that program.

Committee: All ALC-PEER

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• Our state has a shortage of nurses, and that's well known, especially in our rural communities.
• Our state has a shortage of nurses, and that's well known, especially in our rural communities.
• ADE or the SBE may require such entities to apply before providing an alternative education program or
• An alternative education program or alternative school may appeal the decision to the SBE and remain
• This is not only true for charter schools; this is true for public school alternative school programs

Bills: SB1026 , SB1126 , SB1143 , SB1166

Committees: Senate Education , Senate Senate Education Committee of Reference

Keywords: alternative education, school funding, student accountability, education reform, school district governance, educational records, student privacy, FERPA, family educational rights and privacy act, Department of Child Safety, DCS caseworker, child welfare, abuse or neglect, juvenile justice, juvenile court, juvenile corrections, school records, discipline records, attendance records, school district

Transcript Highlights:

• Preston-Sindler of the UCF Women and Gender Studies Program. Great program, despite debate here.
• I started my PhD program before I filed for office.
• , or our Medicaid program, especially our Medicaid program, I was a better legislator regardless of whether
• , or our Medicaid program, especially our Medicaid program, I was a better legislator regardless of whether
• programs.

Summary: The House convened with prayer, a moment of silence for Army Sgt. Benjamin Pennington, the Pledge of Allegiance, quorum call, and several recognitions, including law enforcement guests, a Spina Bifida Week presentation, and a salute to the 2025 IPSC Handgun World Shoot team. The chamber then adopted the special order report and moved to floor consideration of Senate bills. Members passed several bills unanimously or near-unanimously after brief debate and, in some cases, floor amendments. CS/SB 590 clarified that changes to the statute of limitations for mandatory reporters of child abuse apply prospectively and passed 111-0. SB 418 required law enforcement autism-interaction training and allowed the blue-envelope program to be offered in electronic or physical form; it passed 111-0. CS/CS/SB 1668 addressed NICA’s actuarial soundness and passed 112-0. CS/SB 1246 expanded the Linking Industry to Nursing Education fund to broader health science programs and passed 112-0. CS/CS/SB 1404 set baseline standards for memory care providers and passed 111-0. CS/CS/SB 1030 revised recovery residence rules, including MAT-related provisions, and passed 168-0. CS/CS/SB 178 changed FHSAA rules so school coaches may use limited personal funds for student welfare with parent consent and passed 112-0. CS/CS/SB 422 barred use of ADS-B data for airport billing and passed 108-2. CS/CS/SB 598 modernized funeral, cemetery, and consumer services licensing and passed 111-0. The House also considered CS/CS/SB 1134, a controversial bill restricting county and municipal DEI-related official actions and contracting. Sponsor Rep. Black described broad prohibitions with numerous exceptions, while members asked about effects on observances, special events, parade participation, and local economic-vitality offices. Rep. Gant offered an amendment to narrow the bill’s DEI definition by removing vague prongs, arguing the language was ambiguous and could chill local government action; debate on that amendment was underway when the transcript ended. The chamber then moved into farewell remarks, including an extended address from Rep. Eskamani reflecting on her service, family, staff, constituents, and policy priorities, followed by remarks from the Speaker praising her energy and preparation. Rep. Overdorf also delivered farewell remarks highlighting his work on environmental policy, human trafficking, development regulation, property rights, and property taxes, with the Speaker commending his contributions.

Transcript Highlights:

• And so, good handle on this program?
• And that's another piece of the program: the people who build the program have to be licensed by our
• or be a licensed nurse.
• </c> community college and our CTE programs. community college and our CTE programs.
• program.

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• </c> with the trails program in that reality? with the trails program in that reality?
• Uh, they seem to into the program.
• nurses.
• </c> division, and our Wyoming bred program. division, and our Wyoming bred program.
• </c> program. So, hopefully that helps. program. So, hopefully that helps.

Committee: Joint Appropriations

Transcript Highlights:

• Senate Bill 135, an act relating to the provision of the Supplemental Nutrition Assistance Program and
• His team included doctors, nurses, family members, friends, and so many others. Kentucky.
• His team included doctors, nurses, family members, friends, and so many others.
• His team included doctors, nurses, family members, friends, and so many others.
• /c> included doctors, nurses, family included doctors, nurses, family members,<00:18:58.400><c> friends

Transcript Highlights:

• The amendment creates two new tax credit programs and amends an existing program.
• health programs.
• programs.
• health programs.
• Does Medicaid cover this program?

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• And we have in Broward County a smart growth program.
• It requires certified nursing assistants serving in a nursing home to receive training on recognizing
• Back to our regularly scheduled programming. Please read the next bill.
• home beds in a skilled nursing facility.
• the program.

Summary: The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session. The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0. The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.

Transcript Highlights:

• Chairman Cook said it was a great program and a great idea, and he voted yes.
• In this instance, one of the nurse practitioners decides to run a pill mill.
• </c> he has people that work under him nurse he has people that work under him nurse practitioners<00
• </c><00:49:19.640><c> practitioners</c> um one of the nurse practitioners um one of the nurse practitioners
• nurse nurse practitioners<00:49:32.720><c> um</c><00:49:32.920><c> and</c><00:49:33.040><c> he</c><00

Summary: The committee first took up House Bill 90 / Senate Bill 17, a birth-related measure backed by the Kentucky Birth Coalition. Sponsors said the bill had been worked on for several years and described changes including a transfer agreement, insurance requirements, proximity to a hospital, informed consent, and accreditation/medical director standards that helped win neutral or non-opposition from the Hospital Association. The bill was reported favorably after a roll call vote with unanimous support. The committee then heard Senate Bill 65, presented by Senator Steve West and Representative Derrick Lewis. They said the bill would make regulations found deficient through the committee review process null and void by statute, and would bar agencies from reissuing the same or similar language for up to a year. Supporters argued this was needed to hold agencies accountable because deficiency findings alone had not led to action. After questions about specific Medicaid behavioral health regulations and concerns about legislative overreach, the bill passed the committee on a roll call vote, with some members passing or explaining reservations. Finally, the committee considered Senate Bill 84, with a House committee substitute. Sponsors said the substitute was intended to strengthen the bill and reflect the U.S. Supreme Court’s Loper Bright decision by ending Chevron deference and requiring courts, not agencies, to interpret law. Opponents, including Audrey Ernsberger and Katherine Hargraves, argued the bill would intrude on the judiciary, violate separation of powers, and could harm public health, environmental, and workplace protections. Committee members also raised concerns about whether the bill told courts what standard to use; sponsors responded that agencies could still present persuasive arguments, but courts should not defer to them. The committee substitute was adopted, and the bill then passed the committee on a roll call vote, with several members passing or expressing constitutional concerns.

Transcript Highlights:

• The information and training programs are for both workers and supervisors.
• L&I administers and enforces a broad range of programs, including the workers' comp program, the Washington
• This bill started with a couple of our programs saying, we all... ...started with a couple of our programs
• For example, our retro program with employers.
• And so we found a couple of our programs who were...

Summary: The committee held public hearings on several Labor and Workplace Standards bills. HB 2492 would require building and construction apprenticeship programs, beginning in 2027, to include two hours of behavioral health and wellness training covering topics such as suicide prevention, substance use disorder, recognizing distress, peer support, and connecting to resources. The prime sponsor and many labor, apprenticeship, and contractor witnesses supported the bill, describing high suicide and overdose rates in construction and sharing personal stories about losses and struggles in the trades. No vote was taken on the bill during the hearing. The committee then heard HB 2405, a Department of Labor and Industries request bill creating a pilot to allow earlier treatment for PTSD claims in workers’ compensation, including up to 11 treatment sessions before claim adjudication and limited follow-up treatment after closure. L&I and NFIB supported the measure as a way to speed treatment and reduce barriers, while one legal advocate supported it but raised technical concerns about pre-claim treatment and urged more focus on workplace prevention; another witness cautioned against emphasizing psychiatric drug treatment. The bill was heard only; no action was taken. HB 2406 would expand L&I’s ability to send notices electronically, with opt-in/opt-out provisions and some changes to timing rules for workers’ compensation and WISHA notices. L&I supported the bill as a modernization measure, while labor and workers’ advocates opposed changes affecting workers’ compensation notices, arguing that email should not become the default for vulnerable workers who may miss deadlines. HB 2478 would give L&I discretion, rather than a mandate, to investigate wage complaints and allow penalties when the department initiates an investigation; L&I supported it as a more efficient enforcement tool, and the committee discussed how complaints would still be handled and communicated. Finally, HB 2471 would create a state collective bargaining framework for private-sector workers if federal labor law or the NLRB no longer covers them. Supporters said it would preserve organizing and dispute-resolution rights if federal protections fail, while agricultural employers and NFIB opposed it, arguing it would inappropriately apply to agriculture and small businesses, could disrupt perishable harvests, and should rely on secret-ballot elections rather than card check. No votes were taken on any of the bills in the hearing.

Transcript Highlights:

• No taxpayer dollars are used to fund this program beyond the cost of oversight of the program by the
• Some of those programs include improvements to the general surgery program, an orthopedic surgery program
• This is a chronic care program.
• This is a chronic care program.
• This is a chronic care program.

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• </c> general overview of the Medicaid Program general overview of the Medicaid Program how<00:02:30.200
• </c><00:02:31.760><c> that</c> how we are the largest program that how we are the largest program that
• </c><00:03:53.079><c> we</c> children's health insurance program we children's health insurance program
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• practice provided by the Board of Nursing and RSA 326-B, the Nurse Practice Act.
• of practice provided by the Board of Nursing and RSA 326-B, the Nurse Practice Act.
• ><c> nurse</c><00:04:12.439><c> practices</c><00:04:13.439><c> nurse</c><00:04:13.760><c> practices</
• c> uh the nurse practices nurse practices uh the nurse practices nurse practices act.<00:04:14.720><c
• It does leave intact um nurse, having medical supervisory nurse, having medical supervisory oversight

Summary: The committee opened with Senate Bill 197, which would remove supervision of the legislative facilities committee nurse from the Department of Health and Human Services and instead place the nurse under the Board of Nursing’s scope of practice and the Nurse Practice Act. Ryan Maliti introduced the bill for Senator Pearl, and John Williams of DHHS explained that the current statutory language is outdated, dating back to 1995, and improperly gives medical supervisory authority to a non-clinician. He said the change would align the statute with current practice and that the department, the Joint Legislative Committee’s chief operating officer, and the Office of Professional Licensure and Certification were all comfortable with the language. Committee members asked about the need for the change and confirmed the old supervisory language was no longer being meaningfully used. The chair closed the hearing on SB 197, noting there may be additional amendments before final action. The committee then heard Senate Bill 186, which would authorize the Joint Legislative Historical Committee to accept and display a portrait of former Senator Jeb Bradley in the State House. Max Taylor, speaking for Senator Rashardi, described Bradley’s long public service and urged the committee to move the bill. Members asked whether the portrait was completed, where it would be displayed, and how size and placement would be determined. Taylor said the portrait had not yet been commissioned but would be paid for by Bradley, and that the exact location had not been set. Committee members and staff noted that the Joint Historical Committee is already working on portrait placement and space issues, and that the bill may need to be coordinated with broader updates to the statutes governing portraits and memorials. The committee also heard Senate Bill 200, introduced by Senator Reardon, to allow the Joint Legislative Historical Committee to accept and hang a portrait of former Senator Sylvia Larson. Reardon and Donna Susi, who painted the portrait and had served as Larson’s chief of staff, gave strong testimony about Larson’s legislative record, leadership as Senate President, and bipartisan service. Members asked about the portrait’s status, size, and where it would be displayed; witnesses said the portrait was completed, framed, and currently stored in a box pending approval, and that the committee would decide placement. In the later work session, the chair used the two portrait bills to discuss broader problems in the statutes and the Joint Historical Committee’s responsibilities, including possible size limits, placement rules, and whether New Hampshire should adopt practices used in other states such as waiting periods or moratoriums on portraits. No votes were taken during the work session, but members discussed using the bills as vehicles for larger statutory cleanup.

Transcript Highlights:

• even created a position now for the first time in the nursing profession called a boarding nurse.
• They had nurses trying to take care of those people.
• I'm the project director for the Greater Cambridge Energy Program.
• I did whatever the nurses told me to do, which I still do today.
• Nurses Association. Okay. Apparently elected to speak first. Yeah. Oh, okay. Thank you.

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• This would create a new testing program, $5 million in each fiscal year to develop a comprehensive program
• The whole blood pilot program, this would appropriate $10 million for a whole blood pilot program and
• This is not a current program at the agency. That's Article 11.
• Is additional funding to maintain women's health, uh, program services.
• Page 119 home visiting program is Representative Ross.

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• This is a bill brought forth by school nurses.
• I am Heather Hedeen, the state school nurse.
• So the Direct Admissions Program, this is.
• and education programs.
• Participation, because of all the benefits of this program, it's a wonderful, wonderful program.

Committee: House Education Policy