Video & Transcript : 'hospital protocols' :

Page 10 of 500
LA
Transcript Highlights:
  • And we do have... ...hospital-wide protocols in place.
  • They help hospitals build protocols for human trafficking.
  • They help hospitals build protocols for human trafficking.
  • Eighty percent of respondents said that their agency, their hospital, did not have written protocols
  • Next, protocols. 80% of respondents said that their agency, their hospital, did not have written protocols
Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.
LA
Transcript Highlights:
  • And we do have... ...hospital-wide protocols in place.
  • They help hospitals build protocols for human trafficking.
  • They help hospitals build protocols for human trafficking.
  • Eighty percent of respondents said that their agency, their hospital, did not have written protocols
  • Next, protocols. 80% of respondents said that their agency, their hospital, did not have written protocols
Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version. Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors. Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.
FL

Florida 2025 Regular Session

March 24, 2025 - 04:00 PM

Transcript Highlights:
  • So 43 other states do not have this paper protocol.
  • So 43 other states do not have this paper protocol.
  • I understand removing protocol because, you know, sometimes a paper protocol gets in the way of process
  • I'm surprised at the lack of pediatric preparedness at hospitals.
  • Or is it all hospitals that do not have these protocols in place? You're recognized.
Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 3rd, 2026 at 06:20 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • This bill directs hospitals, nursing homes, and hospice care centers to allow for the limited use of
  • He was able to be moved to a hospital where medical cannabis was used.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 3rd, 2026 at 10:00 am

Washington Senate Floor Meeting

Transcript Highlights:
  • enlighten our minds to see what we can't see or who we can't see, that we might extend radical hospitality
  • We did exempt temporary staffing in hospital settings.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 3rd, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • This bill directs hospitals, nursing homes, and hospice care centers to allow for the limited use of
  • He was able to be moved to a hospital where medical cannabis was used.
Summary: The Senate considered and passed several House bills. Substitute House Bill 2152, known as Ryan’s Law, would allow limited medical cannabis use for qualifying end-of-life patients in hospitals, nursing homes, and hospice facilities; supporters said it would improve quality of life, and it passed 46-2. Engrossed Substitute House Bill 1604, dealing with search procedures for transgender and intersex individuals confined in local jails and codifying federal Prison Rape Elimination Act-related standards, drew debate over whether amendments were needed and whether the bill would burden or protect staff and inmates; two amendments were rejected, and the bill passed 30-19. Second Substitute House Bill 1906, as amended, increased transparency and consumer protections for water system rates, especially for older or smaller systems, and passed unanimously 49-0. Engrossed Substitute House Bill 1916 tightened voter registration challenge procedures and gave county auditors more discretion in handling challenges; an amendment to broaden who could challenge voters statewide was rejected, and the bill passed 49-0. Engrossed Substitute House Bill 2110, as amended, allowed registered nurses without EMT certification to staff certain inter-facility ambulance transports under specified conditions to reduce delays, and it also passed 49-0. The Senate also passed Second Substitute House Bill 2429, which extends and updates the Children and Youth Behavioral Health Work Group and aligns agency planning with the Washington Thriving Strategic Plan; a committee striker was adopted despite concerns about added government structure, and the bill passed 49-0. Second Substitute House Bill 2384, increasing oversight of continuing care retirement communities through actuarial review and Office of Insurance Commissioner oversight, passed 37-12 after the chamber rejected the committee striker and adopted a revised striking amendment. The session ended with a point of personal privilege from Senator Lovick and an adjournment motion, and the Senate adjourned until March 4, 2026.
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 9th, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • The proposed substitute narrows the reporting requirement in the bill to only apply to hospital-covered
  • entities, so it removes the manufacturer reporting requirements, and it modifies the information that hospitals
  • Instead, hospitals are required to report... ...payment and claims information.
  • Instead, hospitals are required to report an estimate of their 340B savings, a comparison of their savings
  • And two were revived at Seattle Children's Hospital.
MO

Missouri 2026 Regular Session

Health and Mental Health Mar 26th, 2026

Health and Mental Health

Transcript Highlights:
  • So some hospitals, if they were ever traveling, would immediately look at the mom's protocol and follow
  • It uses technology hospitals already have. It uses technology hospitals already have.
  • All hospitals, most hospitals, run Epic.
  • Louis Children's Hospital, Galasano Children's Hospital, and Norton Children's Hospital.
  • Golisano Children's Hospital and Norton Children's Hospital.
Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.
TX

Texas 89th Regular

89th Legislative Session May 30th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • This relates to when violent criminals are going to be allowed to go to. ...hospitals, that the hospitals
  • You'll recall there was a terrible tragedy in Dallas at Methodist Hospital which gave rise to this act
  • The Huffman Amendment simply changed the way that... ...that hospitals were going to receive notice.
  • on this in honor of the Akua Flowers Act. ...and the Flowers families and the over 400 hospitals in
  • Van Dever has been transported to the hospital.
MO

Missouri 2026 Regular Session

Health and Mental Health Mar 26th, 2026 at 08:00 am

Health and Mental Health

Transcript Highlights:
  • So some hospitals, if they were ever traveling, would immediately look at the mom's protocol and follow
  • It uses technology hospitals already have. All hospitals, most hospitals, run Epic.
  • They would continue on into the hospital.
  • Louis Children's Hospital, Galasano Children's Hospital, and Norton Children's Hospital.
  • And to your point, yeah, I wish we could have security in all hospitals and more security in all hospitals
LA

Louisiana 2026 Regular Session

House of Representatives Apr 16th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • House Bill 1118 by Representative Fisher provides relative to certain agreements between hospitals and
  • , and to provide for the establishment of a level basis of hospital assessments, reimbursement enhancements
  • HCR 3 is the annual resolution to help fund the hospital reimbursements in Medicaid.
  • The resolution authorizes LDH to levy and collect an assessment upon certain hospitals at varying rates
  • This year's resolution adjusts the assessment rates for the participating hospitals and benchmarks the
TX

Texas 89th Regular

89th Legislative Session May 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • It's the leading cause of hospitalization in early pregnancy.
  • Hospitals, neighborhood organizations, there...
  • Charitable hospitals, I move passage.
  • Do they have the same type of protocols, or do they have different ones?
  • County Hospital District of Kimball County, Texas.
Bills: HB75 , HB188 , HB199 , HB4029 , HB330 , HB507 , HB524 , HB1517 , HB 1065 , HB1375 , HB1630 , HB1398 , HB 1227 , HB689 , HB1814 , HB2160 , HB2140 , HB4897 , HB5600 , HB5489 , HB4188 , HB2881 , HB2048 , HB3900 , HB4074 , HB5568 , HB5528 , HB3811 , HB3726 , HB3382 , HB4507 , HB4775 , HB3626 , HB3569 , HB5212 , HB5248 , HB5178 , HB3453 , HB3231 , HB3941 , HB1571 , HB1969 , HB1865 , HB2879 , HB2643 , HB4799 , HB4891 , HB5567 , HB5549 , HB5187 , HB5118 , HB3191 , HB1730 , HB1687 , HB2192 , HB4511 , HB4805 , HB1863 , HB3195 , HB3199 , HB5562 , HB5551 , HB5169 , HB3290 , HB3712 , HB3996 , HB5098 , HB5097 , HB5089 , HB3897 , HB3868 , HB3829 , HB4840 , HB3753 , HB4368 , HB4142 , HB2841 , HB3457 , HB3784 , HCR46 , HCR109 , HCR10 , SB1844 , SB1833 , SB2284 , SB2052 , SB1666 , SB1265 , SB1146 , SB1921 , SB480 , SB1734 , SB296 , SB2039 , SB462 , SB1646 , SB2173 , SB2925 , SB682 , SB1173 , HB4535 , HB4520 , HB3824 , HB3066 , HB2442 , HB3863 , HB4773 , HB4327 , HB5115 , HB5515 , HB3372 , HB5659 , HB 127 , HB386 , HB 115 , HB2868 , HB 1249 , HB4766 , HB3720 , HB4879 , HB5383 , HB4621 , HB5431 , HB5678 , HB5534 , HB4212 , HB3954 , HB3966 , HB3918 , HB1422 , HB4765 , HB4732 , HB4742 , HB4518 , HB5084 , HB3986 , HB4144 , HB3976 , HB4473 , HB3425 , HB3641 , HB3642 , HB3475 , HB3424 , HB4744 , HB4539 , HB3159 , HB5228 , HB5370 , HB4359 , HB4443 , HB4466 , HB3849 , HB4240 , HB5141 , HB5686 , HB3629 , HB3554 , HB3567 , HB2015 , HB3575 , HB5381 , HB4398 , HB3514 , HB4614 , HB4546 , HB5681 , HB5663 , HB4271 , HB4350 , HB4035 , HB3812 , HB3540 , HB3715 , HB3664 , HB4233 , HB3333 , HB3510 , HB4222 , HB2070 , HB2854 , HB2347 , HB 113 , HJR218 , HB5623 , HB4921 , HB5673 , HB5520 , HB 105 , HB4685 , HB5354 , HB4683 , HB75 , HB983 , HB4847 , HB1449 , HB3833 , HB5151 , HB265 , HB1845 , HB782 , HB 108 , HB1960 , HB158 , HB1954 , HB1955 , HB2512 , HB605 , HB2581 , HB2803 , HB627 , HB2667 , HB1738 , HB636 , HB3679 , HB2638 , HB2655 , HB871 , HB2438 , HB 1107 , HB1765 , HB1822 , HB2153 , HB4099 , HB3732 , HB3171 , HB3178 , HB3182 , HB3749 , HB2814 , HB3977 , HB4204 , HB4207 , HB4449 , HB1820 , HB1876 , HB1939 , HB1347 , HB2593 , HB2136 , HB2132 , HB2658 , HB2413 , HB2757 , HB2080 , HB3154 , HB3063 , HB3009 , HB3448 , HB3006 , HB2844 , HB3241 , HB3680 , HB3169 , HB2078 , HB2507 , HB4559 , HB3946 , HB3460 , HB3405 , HB475 , HB3463 , HB3441 , HB3441 , HB3520 , HB2060 , HB4731 , HB4991 , HB1991 , HB5596 , HB2014 , HB2142 , HB2673 , HB2731 , HB2417 , HB2399 , HB2301 , HB2301 , HB3335 , HB3234 , HB3320 , HB5573 , HB5573 , HB4848 , HB4848 , HB4748 , HB4769 , HB4795 , HB2086 , HB2086 , HB2234 , HB2234 , HB2203 , HB4916 , HB5624 , HB4505 , HB139 , HB5093 , HB5302 , HB5402 , HB5606 , HB2333 , HB4630 , HB4701 , HB2583 , HB2983 , HB4924 , HB3339 , HB3339 , HB3793 , HB3631 , HB4882 , HB5509 , HB5499 , HB5430 , HB5561 , HB5561 , HB5611 , HB5043 , HB5064 , HB5064 , HB3733 , HB3733 , HB3781 , HB3219 , HB32 , HB4515 , HB5348 , HB3902 , HB4420 , HB3269 , HB469 , HB336 , HB316 , HB5396 , HB993 , HB1342 , HB1342 , HB5216 , HB2046 , HB2046 , HB2188 , HB2188 , HB2450 , HB2813 , HB2857 , HB4075 , HB4075 , HB2911 , HB4682 , HB4682 , HB3117 , HB3253 , HB3442 , HB4820 , HB4336 , HB5356 , HB3669 , HB3428 , HB5465 , HB3662 , HB2590 , HB2288 , HB2288 , HB1886 , HB3458 , HB3458 , HB5603 , HB5620 , HB1489 , HB1489 , HB4101 , HB4990 , HB5685 , HB5685 , HB4950 , HB4950 , HB4980 , HB5684 , HB3507 , HB3507 , HB3566 , HB4487 , HB4487 , HB4462 , HB4462 , HB4876 , HB4915 , HB4663 , HB5570 , HB2929 , HB5261 , HB2920 , HB4642 , HB4746 , HB1609 , HB5403 , HB5453 , HB3844 , HB2336 , HB1572 , HB 1226 , HB 1226 , HB2806 , HB2806 , HB2617 , HB2617 , HB2827 , HB3948 , HB3948 , HB3945 , HB4266 , HB4542 , HB3319 , HB1772 , HB2496 , HB1970 , HB3434 , HB5545 , HB5545 , HB5577 , HB5577 , HB31 , HB31 , HB279 , HB370 , HB370 , HB4768 , HB513 , HB875 , HB982 , HB 1085 , HB 1085 , HB2677 , HB2874 , HB5478 , HB4880 , HB4798 , HB4514 , HB4958 , HB4958 , HB4508 , HB4508 , HB3758 , HB3830 , HB3744 , HB3622 , HB741 , HB741 , HB2204 , HB2204 , HB2860 , HB4659 , HB4578 , HB813 , HB712 , HB712 , HB1551 , HB2790 , HB2698 , HB3365 , HB3504 , HB3118 , HB3118 , HB2959 , HB1862 , HB1862 , HB 1026 , HB4401 , HB4401 , HB4164 , HB4164 , HB3920 , HB4737 , HB4966 , HB4966 , HB4967 , HB1958 , HB4979 , HB4979 , HB5459 , HB3862 , HB1823 , HB1823 , HB4415 , HB4893 , HB2343 , HB 1228 , HB4337 , HB188 , HB199 , HB4029 , HB330 , HB507 , HB524 , HB1517 , HB 1065 , HB1375 , HB1630 , HB1398 , HB 1227 , HB689 , HB689 , HB1814 , HB2160 , HB2140 , HB4897 , HB5600 , HB5489 , HB4188 , HB2881 , HB2048 , HB3900 , HB4074 , HB5568 , HB5528 , HB3811 , HB3726 , HB3382 , HB3382 , HB4507 , HB4775 , HB3626 , HB3569 , HB5212 , HB5248 , HB5178 , HB3453 , HB3231 , HB3941 , HB1571 , HB1969 , HB1865 , HB2879 , HB2879 , HB2643 , HB4799 , HB4891 , HB5567 , HB5549 , HB5187 , HB5118 , HB3191 , HB1730 , HB1687 , HB1687 , HB2192 , HB4511 , HB4805 , HB4805 , HB1863 , HB3195 , HB3199 , HB5562 , HB5562 , HB5551 , HB5169 , HB3290 , HB3712 , HB3996 , HB5098 , HB5098 , HB5097 , HB5089 , HB5089 , HB3897 , HB3868 , HB3829 , HB4840 , HB3753 , HB4368 , HB4142 , HB2841 , HB3457 , HB3784 , HCR76 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR59 , HCR135 , HCR141 , HCR46 , HCR46 , HCR109 , HCR10
LA
Transcript Highlights:
  • The guy's in the hospital. He's got his bone sticking out of his leg.
  • You're in the hospital. He's finished the surgery.
  • And we're saying, in this case, the state is adopting the protocol.
  • the protocol.
  • , as long as they're following the protocol.
Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.
FL

Florida 2025 Regular Session

March 5, 2025 - 01:30 PM

Transcript Highlights:
  • Currently in law, it's required for all nurse anesthetists to have a paper protocol, paper supervision
  • What this bill does is remove that paper protocol to allow them the opportunity to practice autonomously
  • There is some sort of removal of the paper protocol process.
  • The requirement of duplicative and unnecessary written protocol supervision.
  • After the removal of protocol supervision, CRNAs will continue to collaborate with surgical teams to
Summary: The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays. The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.
CA
Transcript Highlights:
  • . where 988 and mobile crisis for this matter are part of that protocol.
  • Our goals of our program are to reduce unnecessary hospitalizations.
  • So when people don't need to go to the hospital, we don't want to take them to the hospital.
  • We don't need to go to the hospital. We don't want to take them to the hospital.
  • We must prioritize funding for effective alternatives to hospitalization.
Summary: The Assembly Select Committee on California’s Mental Health Crisis held an informational hearing focused on the 988 suicide and crisis lifeline and the broader crisis response system around it. Chair Pellerin and Assembly Member Schiavo opened with personal remarks about the importance of the issue and the need to strengthen California’s crisis infrastructure, especially as federal actions and funding uncertainty threaten services for youth and LGBTQ+ callers. The hearing was organized into panels covering state implementation, county coordination, and community crisis services, with public comment to follow. State officials from CalHHS, DHCS, Cal OES, and the 988 California Consortium described progress since AB 988 and the five-year implementation plan, including governance structures, statewide network buildout, call-routing technology, public awareness campaigns, and integration with Medi-Cal mobile crisis services. They said California has created or enhanced more than 485 mobile crisis teams, built crisis stabilization and residential facilities, and expanded youth behavioral health supports such as BrightLife Kids and Soluna. They also noted ongoing work to replace lost Trevor Project support with enhanced LGBTQ+ youth training, and to develop a 988 resource directory and future public awareness campaign. Cal OES explained that the 988 surcharge is recalculated annually based on budgeted needs and fund balance, and that text-to-911 and next-gen 911 interoperability are being expanded. County and community witnesses emphasized that the system is still strained by rising demand and uneven local integration. Lake County described a peer-led rural mobile crisis model that has reduced law-enforcement holds and helped place residents into housing, but said 988 calls still do not reliably route to the county’s mobile crisis team and that rural counties need more flexible funding, vehicles, technology, and reimbursement support. Santa Clara County reported strong performance metrics and major growth in 988 call and text volume, but said sustained funding is needed to support staffing, text/chat expansion, and commercial payer reimbursement. The Mental Health Association of San Francisco said the California Peer Run Warm Line is a key part of the continuum of care, but recent budget changes forced cuts to Spanish-language services, federation support, and hours, despite high demand. Across the hearing, members and witnesses agreed that 988 is saving lives but still misses thousands of calls each month and needs more stable, multi-year funding, better coordination, and clearer roles among state agencies, counties, and crisis centers. Witnesses repeatedly called for stronger feedback loops, better integration between 988 and mobile crisis dispatch, and more investment in staffing, technology, and outreach so Californians can be connected to the right help without unnecessary law enforcement or emergency room involvement.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 8th, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • She began her career working in intensive care units at OU Medical Center Mercy Hospital and the Heart
  • Hospitals, gaining extensive experience in high acuity patient care.
  • to achieve, and if the Cherokee Nation is to achieve what we want to achieve, we'll open a me a hospital
  • These investments, whether it's the nursing school the medical school, the hospital, the clinics, the