Transcript Highlights:

• Um, maybe they were going to be a nurse and now they're a CNA at a nursing home.
• </c><00:58:40.400><c> So</c><00:58:40.559><c> they're</c><00:58:40.720><c> a</c><00:58:40.880><c> CNA
• So they're a CNA at a it's not for them. So they're a CNA at a nursing<00:58:41.760><c> home.

Bills: HF2634, HF2241, HF2649, HF2520, HF2610

Keywords: North Star Promise, scholarship, higher education, Minnesota Office of Higher Education, in-demand jobs, workforce development, career training, job market, high-demand occupations, high-demand industries, college aid, state financial aid, FAFSA, student eligibility, program of study, degree program, certificate program, community college, university, labor market data

Transcript Highlights:

• prior hearings, all the other long-term care facilities have a staffing shortage, particularly with CNAs
• have a staffing shortage particularly have a staffing shortage particularly with<00:14:52.920><c> CNAs
• 54.079><c> have</c><00:14:54.240><c> the</c><00:14:54.440><c> staff</c><00:14:54.759><c> to</c> with CNAs
• as we have the staff to with CNAs as we have the staff to accommodate<00:14:55.480><c> further</c><00

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• not able to get the food that she needs for her chronic illness that she acquired while working as a CNA
• acquire while working illness that she acquire while working as<01:26:48.320><c> a</c><01:26:48.719><c> CNA
• :51.280><c> years</c><01:26:52.280><c> my</c><01:26:52.440><c> mom</c><01:26:52.719><c> is</c> as a CNA
• um for over 15 years my mom is as a CNA um for over 15 years my mom is a<01:26:53.080><c> prideful</

Keywords: 1187, senate, all

Transcript Highlights:

• get taxes from the housing: 30 units of housing, plus benefits from the daycare, the food pantry, the CNA

Keywords: 995, all

Summary: The committee opened by explaining new attendance and public-testimony procedures, including that testimony would be recorded, livestreamed, and generally made public, with possible redactions for sensitive material. The chairs also noted that no committee rules were being formally adopted yet and that no votes would be taken during the hearing. Senator Collins briefly emphasized the committee’s oversight role on land takings and Article 97 issues, including concerns about proposed regulatory changes and the legislature’s constitutional role. The first major bill discussed was H. 3324, concerning the former Christos site on Crescent Street in Brockton and a proposed transfer of state-owned land from DCAM. Representative Michelle DuBois, Representative Rita Mendes, Mayor Sullivan, the Metro South Chamber’s Chris Cooney, Catholic Charities’ Larry Mayne, and Brockton planning director Rob May all supported the bill, describing the parcel as long vacant and arguing it should be reused for a mixed-use project with Catholic Charities, including affordable/workforce housing, an early education center, food pantry, workforce development, and language classes. Several speakers said the project would help retain Catholic Charities in Brockton and bring tax revenue and community services. DuBois outlined expected amendments, including moving one parcel into a municipal sale partnership and changing a “shall” to “may” regarding a right-turn lane. Some members raised questions about whether a deed transfer to a nonprofit was preferable to a long-term lease and about affordability definitions, but the bill was generally supported. Representative Connolly then testified on two Cambridge bills: H. 3308, relating to the Riverside Boat Club and a reconfigured DCR parcel boundary to support a lease with no loss of public space, and H. 3309, which would facilitate access to justice by preserving consideration of a vacant former probate court site for future court use. Senator DiDomenico supported the Riverside Boat Club measure and the broader goal of restoring court access in Cambridge. Members discussed accessibility, possible future court configurations, and the site’s prior use as an emergency shelter. The committee then heard testimony on S. 2217/H. 2108 concerning Columbia Point and access around the UMass/Bayside area. Harbor Point residents, including Orlando Perrella, Michael Corcoran, Richard Fulham, and Miles Byrne, described severe traffic congestion, emergency-access concerns, and frustration with the UMass Building Authority’s handling of the site and prior community commitments. Senator Collins said the committee should consider seeking an SJC opinion, and possibly an Attorney General opinion, on Article 97 and public-access rights. After the in-person testimony concluded, the committee attempted to reach remaining virtual witnesses on S. 2217 but did not receive testimony. With no further witnesses, the committee adjourned without taking any votes.

Transcript Highlights:

• Additionally, we made a change to the number of hours that are required to become a CNA.

Keywords: 1204, all

Transcript Highlights:

• My name is Norma, CNA, at Cardia Health. I support. My name is Martina, caregiver.

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• I have been a nurse in the state of Florida for over 30 years, operating as a CNA all the way up to an

Summary: The subcommittee first heard HB 103, which would require hospitals and surgical centers to adopt policies using surgical smoke evacuation systems during procedures. Representative Woodson and several nurses and health care advocates testified that surgical smoke contains harmful chemicals and pathogens, poses respiratory risks to operating room staff and patients, and that the bill is needed to protect nurses and address workforce shortages. Members from both parties voiced support, and the bill was reported favorably by a 17-0 vote. The committee then took up HB 223, as amended, which would allow residents of nursing home or assisted living rooms to use fixed cameras, with guardrails on consent, non-rotatable placement, and prohibitions on posting footage online. The sponsor said the measure is intended to help families monitor loved ones and deter abuse or neglect, while supporters from AARP and some caregivers described cameras as tools for accountability and peace of mind. Facility and industry representatives raised concerns about privacy, dignity, roommate consent, and the potential impact on personal care conversations and resident autonomy. After questions and debate, members discussed how consent would work, who could access recordings, and how the bill would handle roommate changes and misuse of footage. The sponsor said the bill would continue to be refined in later committees. HB 223 was reported favorably as amended by a 16-2 vote, with Representatives Campbell and Franklin voting no. The meeting then adjourned.

Transcript Highlights:

• such as affiliated physicians and nurses on staff with certain staff, patient nurse, patient ratio or CNA

Keywords: 999, senate, all

Transcript Highlights:

• CNA, thank you, Don. Members, any final discussion? Thank you. See none. Thank you, Don.

Summary: The Committee on Public Safety and Law Enforcement heard several public safety measures. SB 1520 would have required state agencies to share certain immigration-related data with the federal government and included a repeal date in 2029. Representative Abatia offered a strike-everything amendment to replace the bill with a firefighter support grant program to help pay for station food, supplies, and small appliances, but the committee rejected the amendment and then gave the underlying SB 1520 a due pass recommendation. SB 1216 would repeal the sunset on traumatic event counseling for public safety employees and expand coverage to crime scene and digital forensics technicians. Supporters said the program helps officers and firefighters cope with trauma and that utilization is relatively low, while members asked about costs and usage. The bill passed 12-0. SB 1391 would create an AZ POST pilot program for law enforcement stress management, funded at $950,000 and run through a nonprofit, with emphasis on prevention, peer support, and family impacts. Some members objected that it was too prescriptive and looked like a vendor bill, and the committee failed to give it a due pass recommendation. SB 1493 would require employers to pay taxable costs, attorney fees, and expert fees when a law enforcement officer wins a wrongful termination appeal and the employer still refuses reinstatement. Supporters argued it was a fairness and due process measure for officers who must appeal twice to be made whole, while members debated whether similar treatment should apply in criminal cases and whether the bill should also restore other lost compensation. After adopting a chairman’s amendment, the committee gave SB 1493 as amended a due pass recommendation and then adjourned.

Transcript Highlights:

• And so if you were somebody who, say, did a semester and got a CNA or a commercial truck driving license

Keywords: 959, house, all

Transcript Highlights:

• And so if we're training somebody with a welding program or a commercial truck driver program, a CNA

Summary: The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces. Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning. The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.

Transcript Highlights:

• Then we have specific wages for three occupations: certified nursing assistants, or CNAs; training medical
• Then we have specific wages for three occupations: certified nursing assistants, or CNAs; training medical
• 09:14.720><c> nursing</c><00:09:15.120><c> assistants</c><00:09:15.519><c> or</c><00:09:15.880><c> CNAs
• ,</c> certified nursing assistants or CNAs, certified nursing assistants or CNAs, training<00:09:17.360

Keywords: 1187, senate, all

Transcript Highlights:

• our campuses, and you see it whether it's somebody that is there for a certificate program to be a CNA
• certificate program<01:26:55.600><c> to</c><01:26:55.840><c> be</c><01:26:56.000><c> a</c><01:26:56.159><c> CNA
• /c><01:26:57.199><c> somebody</c><01:26:57.440><c> that</c><01:26:57.679><c> is</c> program to be a CNA
• or somebody that is program to be a CNA or somebody that is in<01:26:58.080><c> a</c><01:26:58.239><

Keywords: 1187, senate, all

Transcript Highlights:

• In a 6-hour shift, when I was a CNA and it hasn't changed today in the care models, there are times when
• In a 6-hour shift, when I was a CNA and it hasn't changed today in the care models, there are times when
• might be shopping at the store in that 6 hours and when they come back, then they're able to do it. ...CNA
• At 16 years old, I became a CNA.

Bills: HF4110, HF4101, HF4144, HF3546

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• So, education awards for CNAs, nurses, etc.
• So um education<00:24:33.760><c> awards</c><00:24:34.240><c> for</c><00:24:34.640><c> CNAs,</c><00:24
• </c> education awards for CNAs, nurses, etc. education awards for CNAs, nurses, etc.

Keywords: 916, all

Transcript Highlights:

• the department to approve curriculum for TMA programs to be done in nursing facilities, much like our CNA
• facilities<00:32:05.600><c> much</c><00:32:05.919><c> like</c><00:32:06.200><c> our</c><00:32:06.519><c> CNA
• </c><00:32:07.080><c> or</c> facilities much like our CNA or facilities much like our CNA or certified

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• The team has been identifying opportunities such as visiting CNA courses to promote our health care programs
• as</c> identifying opportunities such as identifying opportunities such as visiting<00:51:09.599><c> CNA
• courses</c><00:51:10.559><c> to</c><00:51:10.760><c> promote</c><00:51:11.040><c> our</c> visiting CNA
• courses to promote our visiting CNA courses to promote our Healthcare<00:51:11.720><c> programs</c><

Keywords: 1187, senate, all

Transcript Highlights:

• We do not provide CNAs or personal care attendants.
• team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours, and 4.38 CNA
• delivers 6.99 hours of direct care per veteran day, including 1.48 RN hours, 0.79 LPN hours, and 4.72 CNA

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• We do not provide CNAs or personal care attendants.
• team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours, and 4.38 CNA
• delivers 6.99 hours of direct care per veteran day, including 1.48 RN hours, 0.79 LPN hours, and 4.72 CNA

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• We do not provide CNAs or personal care attendants.
• team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours, and 4.38 CNA
• delivers 6.99 hours of direct care per veteran day, including 1.48 RN hours, 0.79 LPN hours, and 4.72 CNA

Keywords: 1212, all