Transcript Highlights:

• </c><01:12:08.960><c> as</c> be subject to the same regulations as be subject to the same regulations
• If those programs are regulated or exempt from regulation based on the content of what the course is,
• </c> content basis regulation or exemption. content basis regulation or exemption.
• </c><01:31:20.639><c> uh</c> removed all contentbased regulation uh removed all contentbased regulation
• So, then the regulation regulation regulation um<01:36:06.639><c> I</c><01:36:06.800><c> think</c><01

Bills: HF4362 , HF4252 , HF4440

Committee: House Higher Education Finance and Policy

Keywords: firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry

Transcript Highlights:

• But how do you regulate public feedings?
• Is it totally federally regulated?
• to perform the nursing task.
• Nursing tasks. There were exceptions.
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply

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

Transcript Highlights:

• Ashley Davis, Director of the Arkansas State Board of Nursing.
• by the nursing board.
• by the nursing board.
• There's a history to wrestling regulation in this state.
• It was regulated at one time, and it was considered exempt.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• Note the Clean Air Act deals with regulation.
• If anything's going to be regulated, it should be that.
• Aides in nursing facilities.
• We have a significant shortage of certified nurse aides.
• Can you help me find a good nursing home for her?' So she ended up in a nursing home.

Keywords: 1146, all

Transcript Highlights:

• Rules of the Board of Examiners of Nursing Home Administrators.
• However, due to the merger of the Board of Examiners of Nursing Home Administrators and the Board of
• The Board of Examiners of Nursing Home Administrators and the Board of Examiners of Residential Care
• Idaho and our A&A Idaho members with Nurses Day at the Capitol.
• A&A Idaho members with Nurses Day at the Capitol. Awesome, thank you for being with us.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• <00:06:12.800><c> care</c><00:06:13.080><c> at</c><00:06:13.240><c> home</c> nursing care at home nursing
• Are you aware that private duty nursing is what home care nursing had been called before 2014, and that
• what</c><00:14:57.880><c> home</c><00:14:58.160><c> care</c><00:14:58.400><c> nursing</c> duty nursing
• is what home care nursing duty nursing is what home care nursing had<00:14:59.160><c> been</c><00:14
• telling them they had nursing covering telling them they had nursing covering for<00:17:21.280><c> all

Keywords: 919, house, all

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

• I don't think the regulation bill does anything.
• I agree that the regulation does not go far enough in my mind.
• I mean, we can do some of the regulation stuff. It's probably okay.
• So again, I would love to be able to see a proper regulated bill.
• school after I graduate and becoming a nurse.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• In practice, each professional licensing board, which is a Board of Healing Arts, Board of Nursing, Board
• by the Administrative Hearing Commission, including physicians and surgeons, physical assistants, nurses
• , advanced practice nurses, physical therapists, occupational therapists, respiratory therapists, athletic
• But in Missouri, if we do need to waive those regulations and waivers for how a pharmacy has to operate
• You know, currently the Board of Healing Arts regulates physician assistants.

Committee: House Professional Registration and Licensing

Keywords: 959, house, all

Transcript Highlights:

• licensed nurses.
• These details reflect the board's responsibilities under Florida law to regulate nursing education and
• nurse, and PN, practical nursing program.
• nurse, and PN, practical nursing program.
• These nurses.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• HB 497. regulating that arm or what they're regulating that arm or what they're supposed<00:51:10.359
• </c><00:51:11.880><c> for</c> supposed to be doing or regulating for supposed to be doing or regulating
• You're representing the University of Hawaiʻi system and also the Center for Nursing, School of Nursing
• Center for Nursing School of Nursing um Center for Nursing School of Nursing and<01:17:52.920><c> dental
• </c><01:18:13.480><c> I</c> the hawwai State Center for Nursing I the hawwai State Center for Nursing

Keywords: 910, house, all

Summary: The Committee on Education heard several Department of Education-related bills and received extensive testimony on school meals and veteran diplomas. HB 628 would restore authority for the Department of Education to issue high school diplomas to veterans whose schooling was interrupted by World War II, the Korean War, or the Vietnam War. The superintendent testified in support, explaining the authority had sunset in 2020 and describing the measure as a way to recognize veterans. No opposition or questions were raised, and the bill was left without further action in the excerpt. The committee also heard HB 1074 and HB 110, both supported by the Department of Education and the School Facilities Authority. HB 1074 was described as a cleanup measure to clarify land-related language and make the statute more consistent across state agencies and DOE. HB 110 concerned benchmarking and the farm-to-school/local food effort; DOE and several supporters, including county councils, the Hawaii Public Health Institute, the Hawaii Farm Bureau, and the Hawaii Farmers Union, said the bill would help align metrics and support the 30% local food goal by 2030. Members questioned DOE about progress, and DOE said it was working on menus, procurement, and coordination with distributors and farmers. A Farm to School representative said the current bottleneck was poor communication with farmers and the need to bring them into planning earlier; DOE said it was still figuring out the process and that island-based procurement and separate RFPs were being explored. HB 328, relating to school meals and local resource food and plant-based options, drew the most testimony. DOE testified with comments, and the Attorney General’s office suggested revisions to clarify that the bill would apply to both DOE and charter schools, to separate public and private funds if donations or grants are accepted, and to add standards if nonprofit or private entities receive public money. Supporters included HSTA, the Hawaii Public Health Institute/Farm to School Network, Climate Protection Hawaii, the Hawaii Cattlemen’s Council, and numerous individuals and organizations. Supporters emphasized healthier school meals, student-requested plant-based options, support for local farms, and the 30% by 2030 goal. Some testimony urged more local purchasing and raised concerns about decentralization, while DOE said it was considering island-based procurement and separate contracts to better support local producers. No votes were taken in the excerpt.

Transcript Highlights:

• </c> we set those in our Kentucky regulations we set those in our Kentucky regulations and<00:30:11.120
• </c> nursing. Let's fix it for everyone else. nursing. Let's fix it for everyone else.
• ,</c> then within um the regulations, then within um the regulations, especially<00:53:52.880><c> if<
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity

Keywords: 958, all

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:

• The LSP is responsible under the regulations to implement cleanup regulations, really ultimately to protect
• I'm a registered nurse, and I also have sickle cell.
• So as a nurse in this group, we advocate, as Sharon said, triage and educate about disease, educate nurses
• So as a nurse in this group, we advocate, as Sharon said, triage and educate about disease, educate nurses
• When we regulate the vagus nerve, we regulate the nervous system.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The hearing opened with the Senate and House chairs of the Joint Committee on Financial Services explaining that the day’s agenda would focus on health insurance and other insurance matters, with a large number of witnesses and a request for brief testimony. Legislators were taken out of order to accommodate their schedules, and the committee heard testimony on several bills, including coverage for hair prostheses for alopecia (H. 1223/S. 832), medically necessary oral and dental care for head and neck cancer survivors (H. 1258), modernizing fertility and family-building coverage (H. 715/H. 1190 and related bills), coverage for prosthetic devices to support physical activity for people with limb loss (the “So Everybody Can Move” bill), remediation coverage for home heating oil releases (S. 813/H. 1302), and expanded access to physical therapy for Ehlers-Danlos syndrome (H. 1170). A separate bill on sickle cell care and registry development (S. 788) was also discussed by Senator Liz Miranda. Witnesses largely offered personal stories and expert testimony in support of the bills. Advocates for alopecia coverage described the medical and emotional impact of hair loss, the high cost of quality wigs, and the argument that scalp and facial hair prostheses should be treated like other medically necessary prosthetics. Cancer survivors and supporters of H. 1258 said oral and dental care after head and neck cancer treatment is a quality-of-life issue and often not covered despite major out-of-pocket costs. Fertility specialists, LGBTQ+ advocates, and legislators supporting the modern family-building bills said the current infertility definition is outdated and discriminatory, excluding same-sex couples, people needing donors or gestational carriers, and others with medical barriers to conception. For the limb-loss bill, parents and adults with prosthetic needs stressed that activity-specific prostheses are essential for children and adults to run, swim, play sports, and stay healthy, but are often excluded from coverage. The home heating oil testimony focused on the financial devastation caused by residential oil spills and the need to make spill coverage automatic in homeowners policies. Environmental professionals and homeowners described cleanup costs ranging from tens of thousands to hundreds of thousands of dollars, the strict liability homeowners face, and the fact that many policyholders do not know the rider exists. The insurance industry testified in opposition to the mandatory-coverage approach, arguing for clearer distinctions between first- and third-party coverage, risk-mitigation standards, a delayed effective date, and more emphasis on education and notification rather than mandates. Committee members pressed the industry witness on why agents do not routinely tell customers about the rider and suggested that the issue may require broader disclosure by insurers, agents, and fuel dealers. No votes were taken during the hearing; the committee heard testimony and discussed possible compromise language and future action.

Transcript Highlights:

• Yeah, I'm assuming that the nurses, the incoming nurses, make roughly a pretty significant increase,
• </c> requiring the usage of uh agency nursing requiring the usage of uh agency nursing staff<00:29:24.480
• So it's a temporary nursing contract.
• expect to be under the agency nursing expect to be under the agency nursing staff?
• </c> nurses do as far as 1959 RISE. nurses do as far as 1959 RISE.

Keywords: 958, all

Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.

Transcript Highlights:

• We have a very specific regulation called freedom of choice.
• We have a very specific regulation called freedom of choice.
• We're talking about all of those regulations I just brought up.
• Nurse workforce costs rise.
• And again, yeah, we needed more nurses everywhere.

Committee: Senate Health & Human Services

Keywords: 1185, senate, all

Transcript Highlights:

• that were implemented in the regulations that were implemented in the last<00:02:39.480><c> two</c><
• </c><00:02:57.680><c> that</c><00:02:57.800><c> are</c> and rules and regulations that are and rules
• and regulations that are making<00:02:58.280><c> it</c><00:02:58.560><c> really</c><00:02:58.879><c>
• and fees are vitality and regulations and fees are hampering<00:03:11.720><c> us</c><00:03:11.920><c
• Senator Housley on nursing homes, it's something you fought for before.

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:14:11.680><c> home</c><00:14:12.360><c> nursing</c><00:14:12.720><c> home</c> like nursing home
• nursing home like nursing home nursing home protection.<00:14:13.280><c> There's</c><00:14:13.440><c
• </c> and nursing homes. and nursing homes.
• </c> assisted living facilities and nursing assisted living facilities and nursing homes,<00:23:14.280
• cares provided in nursing homes.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• :54.400><c> for</c><01:40:54.639><c> all</c> the clinical nurse consultant for all the clinical nurse
• </c> the special entry rate for nursing the special entry rate for nursing staff.<01:43:23.280><c> Uh
• </c> funded make sure we could hire nursing funded make sure we could hire nursing staff<01:43:41.920
• We got if we can't regulate heat.
• </c> in and wanting to get in the nursing in and wanting to get in the nursing home,<01:54:28.560><c>

Keywords: Call to Order and Roll Call- 00:00:14 Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:02:02 Response from the Kentucky Fire Commission-00:32:06 Judge Testimony on Child Removal-00:42:47 Update on Child Removal and Reunification-01:11:19 Staffing at Kentucky Veteran Centers-01:40:15 Adjournment-02:05:55, 958, all

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.

Transcript Highlights:

• We're going to be in hospitals, probably nursing homes.
• Yeah, thank you very much. to be in hospitals probably nursing to be in hospitals probably nursing homes
• Uh, so, as a water utility, that’s regulated by the Department of Health and subject to the state’s regulations
• First up, SB 1242, relating to nurses. We have the Department of Health in support.
• First up, SB 1242, relating to nurses. We have the Department of Health in support.

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The committee heard testimony on several bills related to cesspools, Red Hill cleanup, water testing, environmental governance, and beverage container recycling. For SB 472, SB 501, SB 675, and SB 958 on cesspools, most testimony supported accelerating cesspool conversion and expanding Department of Health capacity, though the Attorney General flagged a single-subject issue on SB 472 and the Department of Health and others raised concerns about funding, program structure, and coordination. Supporters emphasized cesspools as a major water pollution source and urged earlier deadlines, while some testimony questioned the tax credit approach and asked for clearer grant and staffing language. For SB 639 on underground storage tanks and Red Hill cleanup, the Department of Health asked for clearer cleanup standards and noted limits on laboratory detection and sampling, while supporters argued the bill would create a binding legal standard for remediation and help prevent reopening of the facility. Testimony also stressed the need to remove all contamination to the extent practicable and protect aquifers and drinking water. SB 664 on water quality testing drew strong support from residents and water advocates, but the Department of Health warned the measure could duplicate existing authority and create significant cost; the Board of Water Supply supported the concept while noting it would expand responsibilities into private-property testing. SB 674 on environmental advisory council and waste reduction received mixed testimony: supporters said it would help address landfill siting and protect water resources, while industry groups requested changes to advisory council membership and exemptions for certain products, and one witness opposed the measure. For SB 1067 on deposit beverage container recycling, the Attorney General said the grant language may be constitutionally problematic because it lacks standards, while industry testimony both supported the recycling goals and asked for amendments, including broader representation on the advisory council and clearer treatment of compostable and packaging-related issues. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• Just very quickly, 26 other states license and regulate natural paths of physicians.
• Victoria's app with Florida Association of Nurse Practitioners waiving in support.
• Victoria's app with Florida Association of Nurse Practitioners waiving in support.
• You're giving everyone the ability to practice on supervised from cardiac nurse nurse is to every kind
• of nurse, and philosophically, I think that's going way too far.

Transcript Highlights:

• ACNA's work led to the American Nurses Association, or ANA, officially recognizing cannabis nursing as
• Nurses must have hands... ...approved training for nurses who are put in the back of the ambulance.
• more unsafe for those nurses and patients?
• All of that changes when a licensed nurse is in a vehicle.
• But who declared the nurse has appropriate competencies?

Summary: The House Health Care and Wellness Committee held public hearings on several bills. HB 2152 would allow terminally ill qualifying patients to use medical cannabis in hospitals, nursing homes, and hospice facilities under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and allow facilities to suspend compliance if federal enforcement arises. The prime sponsor and supporters, including family members, cannabis advocates, nurses, and hospital-related groups, described the bill as a compassionate end-of-life measure based on California’s Ryan’s Law; the Washington State Hospital Association asked for clarifying amendments to limit the bill to inpatient beds and to bar staff from retrieving cannabis as well as administering it. HB 2122 would require hospitals, starting in 2027 and during flu season, to offer influenza vaccines to inpatients age 65 and older and to inpatients with chronic health conditions when not contraindicated. The sponsor and supporters from diabetes, infectious disease, AARP, and public health emphasized rising flu deaths, the benefits for high-risk patients, and the chance to reduce severe illness and costs. The Washington State Hospital Association supported the goal but said the bill would create an unfunded mandate and requested amendments related to vaccine availability, emergency declarations, and operational flexibility. One witness from Informed Choice Washington opposed the bill but suggested adding vaccine information statements to strengthen informed consent. HB 2110 would change staffing rules for inter-facility specialty care ambulance transports so a registered nurse without EMT certification could satisfy the personnel requirement when no paramedic or EMT-certified nurse is available, provided an EMT-certified EMS provider is in the ambulance and the nurse has appropriate competencies. Rural hospitals and ambulance providers said the current rule delays transfers and can force long waits or air transport, while the Washington State Nurses Association supported the concept but raised concerns about standardized training, medical oversight, and staffing impacts on hospitals. HB 2113 would update radiologic technologist supervision rules for IV contrast and other procedures, allowing virtual direct supervision for contrast procedures and supervision by physicians, APRNs, or PAs in some cases; supporters said it aligns with current practice and improves rural access, while radiology groups asked for a distance/proximity requirement for virtual physician supervision. HB 2168 would require the Department of Health to rapidly share overdose data from the state EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use. Supporters from Yakima County, public health, and the poison center said near-real-time overdose mapping would improve spike alerts, prevention, and response, and could save lives; the Washington Poison Center asked that its data be included and that the bill clarify language around opioid versus other overdoses. No votes or final committee actions were taken in the hearing; the meeting ended after public testimony on HB 2168.