Transcript Highlights:

• in health science education programs as well as nursing education programs.
• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. 440,000 nurses
• Nurses are the most trusted profession in America, and we all know that, our nurses and our medical professionals
• Nurses Association, as well as Sandra Falk, a retired operating room nurse.

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and heard several introductions and announcements before moving to a long special-order calendar. Early bills passed included a trust law measure allowing a nonjudicial process for trustee settlement and discharge, a military affairs bill expanding leave protections and retirement eligibility for certain Guard and Coast Guard-related public employees, a penny-rounding bill for cash transactions, a podiatric medicine bill restricting certain cellular/tissue-based products and adding notice and consent requirements, a veterans’ courts bill expanding access to those courts statewide, an RV assessment clarification bill, a military-installation jurisdiction bill giving juveniles on bases access to state juvenile justice resources, an alcohol-tax deduction bill restoring DBPR’s authority to allow deductions for unsellable alcohol, a bail bonds bill revising training, fees, remission timing, and electronic procedures, an eyewear insurance bill updating definitions for modern products, a nursing education fund bill expanding support to health science programs, a recovery residences bill streamlining regulation and background-check rules, a felony battery bill adding resisting an officer with violence as a qualifying prior offense, a child welfare bill extending visitor definitions, making the Step Into Success program permanent, and creating a best-practices repository, and a candidate qualification bill tightening party-affiliation requirements and, via the House version, adding a name-change disclosure provision. Most of these bills were substituted with House companions where applicable and passed on near-unanimous votes, with one recorded dissent on the bail bonds bill. Several measures drew brief debate or explanation. Senator Wright’s military affairs bill was amended to restore two Florida National Guard special project officer positions to retirement eligibility, and Senator Gates’ veterans’ courts bill was described as a way to better address PTSD, brain injury, and substance-abuse-related offenses through problem-solving courts. Senator Trunow’s bail bonds bill prompted questions about charitable bail bonds, with the sponsor saying the current statute would remain in place and that further discussion could occur later. Senator Massullo’s podiatric medicine bill was framed as a bipartisan patient-protection measure, and Senator Leak’s felony battery bill was presented as closing a loophole that allowed repeat violent offenders to avoid enhancement. The chamber also took up a candidate qualification bill that would create an enforceable party-affiliation requirement and, in the House version, restrict recent petition-based name changes for candidates. A major portion of the meeting was devoted to a farewell ceremony for Senator Lori Berman, with family, staff, former colleagues, and guests in attendance. Senators from both parties offered extended remarks praising her leadership, collegiality, policy work, and advocacy on issues including voting rights, women’s rights, Israel and antisemitism, school safety, breast cancer, Everglades restoration, and other constituent services. Berman’s own remarks reflected on her 16 years in the Legislature, her family, and her belief in dignity, respect, and practical problem-solving. The Senate then adopted a motion to spread her remarks upon the journal and recessed before returning to continue the calendar.

Transcript Highlights:

• </c><01:13:31.639><c> for</c> resource and impartial regulator for resource and impartial regulator for
• </c><01:28:48.199><c> home</c> Health and Welfare of nursing home Health and Welfare of nursing home
• Paul, and the Minneapolis VA nursing home.
• </c> ensures Fair competition so we regulate ensures Fair competition so we regulate things<01:37:32.400
• </c><01:42:27.960><c> homes</c> hearing from several nursing homes hearing from several nursing homes

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• And they said, we want to be regulated.
• Through stakeholder meetings and input from physicians and nurse midwives, nurses, and other colleagues
• Jordan was a nurse and aspired to be a midwife.
• I am a certified nurse midwife, which means I hold degrees both in nursing and midwifery.
• I've been a professor at the College of Nursing for six years now.

Bills: HB2190 , HB2202 , HB2233 , HB2251 , HB2252 , HB2396 , HB2437 , HB2689 , HB2796

Committee: House Health & Human Services

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• submitted by regulated utilities related submitted by regulated utilities related to<00:30:25.200><c>
• </c> we that we regulate we that we regulate so<00:48:11.640><c> we</c><00:48:11.800><c> could</c><00
• But, you know, the regulation part, I can see, increases regulation.
• But, you know, the regulation part, I can see, increases regulation.
• But, you know, the regulation part, I can see, increases regulation.

Keywords: 912, senate, all

Summary: The Joint Committee on Ways and Means and Commerce and Consumer Protection heard the Department of Commerce and Consumer Affairs present its biennium budget request for fiscal years 2025 to 2027. Director Nainoa Ando said the department’s requests were primarily special-fund ceiling increases to meet operational needs. Major items included an additional $12 million to complete the King Kamehameha V Post Office building roof project after hidden deterioration and water intrusion were discovered, plus funding related to fringe benefits and central services assessments. The department also outlined requests for a new medical compact implementation cost, an auditor position, an engineer position, and a captive insurance IT modernization project. A significant portion of the discussion focused on the Office of Consumer Protection’s landlord-tenant call line and public service access. Senators raised concerns that callers often reach voicemail, are told to leave a message, and sometimes are referred to look up the law themselves. DCCA said the Oʻahu line is staffed by one full-time employee backed by two to three investigators, with one investigator each on Maui and Hawaiʻi Island, and that calls are tracked in a case management system. The department said it plans to add one more Oʻahu staff position through a transfer from another division and that a new call-center/web system with time tracking is expected to go live in the summer. Members also discussed a possible bill related to Pearson VUE nursing certification testing, with one senator describing the burden on neighbor-island nursing graduates who must travel to Honolulu for a one-hour test. The senator said she intended to introduce legislation after receiving no response to repeated outreach. DCCA did not take action on that proposal during the hearing. For the PUC-related requests, the department explained a one-time $1 million request for outside consulting tied to Maui wildfire-related filings, including wildfire safety mitigation and hazard mitigation plans, and a separate $900,000 request through the Consumer Advocacy Division to hire consultants for review and analysis. The committee also discussed a captive insurance IT modernization request, which DCCA said would replace manual and spreadsheet-based processes with a cloud-based system to better handle filings, payments, and workflow; no vote or final action was taken on the budget items during the hearing.

Transcript Highlights:

• Today, I'm presenting AB1082 that would allow California nursing students to enroll in out-of-state nursing
• And these accreditors, these nurses.
• I am Carmen Comstey with the California Nurses Association representing over 100,000 registered nurses
• We empathize with the students who've enrolled in these non-BRN approved nursing distance nursing programs
• , it's actually a licensed human nurse.

Committee: House Business and Professions

Keywords: 988, house, all

Transcript Highlights:

• SB 1302 is a sunset bill for the Board of Registered Nursing.
• Good morning, Roxanne Gould on behalf of the American Nurses Association.
• Good morning, Olina Svetloff, President of California Clinical Nurse Specialist.
• You asked about education, and so Lori from the Board of Registered Nursing, the nurse practitioner education
• Karen Stout here on behalf of the California Nurse Midwives Association. Appreciate it.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• “Time limit and return of refund, bankruptcy, and regulation.
• It’s also important to protect the refunds and offer regulations.
• My profession is a nurse.
• We have nursing home care. And we are all provided by professional health care.
• I've been a licensed nursing home administrator for 25 years.

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities held a public hearing focused on studying CCRCs in Massachusetts, including their financial viability, consumer protections, oversight, entrance fee and refund policies, advertising, and procedures for closure or ownership changes. Chair Rep. Tom Stanley and co-chair Sen. Pat Jehlen opened by explaining the commission’s mandate under Chapter 197 of the Acts of 2024 and asked speakers to keep testimony brief. Several commissioners and staff also emphasized the importance of hearing directly from residents, providers, and advocates. Resident testimony largely centered on two themes: the need for stronger resident representation and the need for clearer, faster refund protections. Multiple residents urged the legislature to require resident seats on governing boards, including full voting rights on national or nonprofit boards, and to make board minutes and meetings more transparent. Several speakers described long delays in receiving entrance-fee refunds after leaving a community, with one family reporting an 18-month wait and financial hardship; they called for a one-year refund limit, vacancy-order systems, escrow or reserve protections, and state oversight or guarantee funds. One resident also argued that CCRCs should be more clearly defined in state law and possibly licensed or certified so only approved communities can market themselves as CCRCs. Providers and operators generally described CCRCs as valuable models for aging in place and emphasized transparency, resident engagement, and the benefits of nonprofit ownership. Speakers from nonprofit communities said residents often serve on boards or committees, participate in budgeting and planning, and benefit from integrated care, amenities, and financial stability. A for-profit operator also said residents receive disclosure and input, while noting that CCRCs vary widely and that consumer education is important. Commissioners echoed several recurring issues at the end of the hearing, especially the need to define what a CCRC is and to address refund timelines and information sharing. No votes were taken; the hearing concluded with notice that the next virtual meeting would be on June 23 at 10:00 a.m., and written testimony was invited by email.

Transcript Highlights:

• and Rachel Hetzner from the Michigan Council of Nurse Practitioners.
• Now, for many years, nurse practitioners had been signing these applications without issue.
• I am here today representing the Michigan Council of Nurse Practitioners and nurse practitioners across
• I am a family nurse practitioner and an active member of A&A Michigan.
• So what the substitute does is it reorganizes regulations such that...

Committee: Senate Transportation and Infrastructure

Summary: The Senate Committee on Transportation and Infrastructure met with a quorum present and adopted the June 16, 2026 minutes. The committee first took up House Bill 5644, which would allow nurse practitioners, physical therapists, and occupational therapists to certify applications for disability windshield placards and disability license plates. The sponsor and witnesses from the nursing profession said the bill restores a practice that had worked for years, reduces delays and extra costs for patients, and improves access, especially in rural and underserved areas. A Department of State representative explained the issue arose after an Auditor General review found the statute was unclear. The bill was reported to the floor on a 10-0 vote. The committee then heard Senate Bill 791, which would designate a portion of I-475 in Genesee County as the St. John Street Community Memorial Highway. Senator Cherry and representatives of the St. John Street Historical Committee described the history of the St. John Street neighborhood in Flint, its displacement by urban renewal and highway construction, and the effort to memorialize the community’s cultural significance and trauma. No members asked questions, and the bill was reported to the floor unanimously, 10-0. House Bill 4415, previously heard by the committee, was also reported to the floor without further testimony. The committee then considered Senate Bill 959, which had a new S-2 substitute. Senator Klinefelt explained the substitute as a compromise that reorganizes rail detector regulations and changes distance and speed thresholds for Class 1, 2, and 3 rail lines. The substitute was adopted 10-0. After additional comments from Senator McBroom opposing the bill due to concerns about impacts on Upper Peninsula commerce and rail operations, the committee reported the S-2 version of Senate Bill 959 to the floor by a 6-4 vote. The committee then adjourned.

Transcript Highlights:

• This bill is about making it clear that only the Board of Nursing is allowed to regulate nursing, the
• So if a nurse were violating the law and endangering the public, you're telling me that the nursing board
• They set the rules, they provide the regulation.
• Scope is about, as a nurse, staying within the scope of what the Nurse Practice Act says is. is able
• Actually, what I am saying is that the nursing board for nurses, the chiropractic board for chiropractors

Bills: HCR158 , HCR159 , HCR160 , HCR161 , HCR162 , HCR163 , HCR164 , HR174 , HR427 , HR790 , HR810 , HR857 , HR866 , HR882 , HR883 , HR962 , HR966 , HR1001 , HR1045 , HR1085 , HR1097 , HR1127 , HR1138 , HR1141 , HR1150 , HR1152 , HR1292 , HR1296 , HR1304 , HR1305 , HR1306 , HR1308 , HR1309 , HR1310 , HR1311 , HR1312 , HR1313 , HR1315 , HR1317 , HR1318 , HR1320 , HR1321 , HR1322 , HR1323 , HR1324 , HR1325 , HR1327 , HR1328 , HR1329 , HR1330 , HR1331 , HR1332 , HR1333 , HR1334 , HR1335 , HR1338 , HR1340 , HR1341 , HR1342 , HR1343 , HR1344 , HR1345 , HR1346 , HR1347 , HR1348 , HR1349 , HR1352 , HR1353 , HR1354 , HR1355 , HR1358 , HR1359 , HR1360 , HR1361 , HR1362 , HR1363 , HR1364 , HR1365 , HR1366 , HR1368 , HR1369 , HR1370 , HR1380 , HR1383 , HR1384 , HR1385 , HR1386 , HR1387 , HR1388 , HR1389 , HR1390 , HR1392 , HR1393 , HR1396 , HR1397 , HR1398 , HR1399 , HR1400 , HR1402 , HR1403 , HR1404 , HR1405 , HR1406 , HR1407 , HR1408 , HR1409 , HR1410 , HR1411 , HR1412 , HR1413 , HR1414 , HR1415 , HR1417 , HR1418 , HR1419 , HR1420 , HR1421 , HR1422 , HR1424 , HR1425 , HR1426 , HR1427 , HR1428 , HR1429 , HR1430 , HR1431 , HR1432 , HR1433 , HR1434 , HR1435 , HR1436 , HR1437 , HR1438 , HR1440 , HR1441 , HR1442 , HR1443 , HR1444 , HR1445 , HR1447 , HR1448 , HR1449 , HR1450 , HR1452 , HR1453 , HR1454 , HR1455 , HR1456 , HR1458 , HR1459 , HR1460 , HR1461 , HR1462 , HR1463 , HR1464 , HR1465 , HR1466 , HR1467 , HR1469 , HR1470 , HR1471 , HR1472 , HR1473 , HR1475 , HR1477 , HCR132 , HCR154 , HR17 , HR49 , HR170 , HR275 , HR355 , HR356 , HR364 , HR369 , HR672 , HR690 , HR755 , HR756 , HR759 , HR762 , HR763 , HR781 , HR785 , HR848 , HR1240 , HR1265 , HR1303 , HR1307 , HR1314 , HR1316 , HR1319 , HR1326 , HR1336 , HR1337 , HR1350 , HR1351 , HR1367 , HR1371 , HR1372 , HR1373 , HR1374 , HR1375 , HR1376 , HR1377 , HR1378 , HR1379 , HR1382 , HR1391 , HR1395 , HR1451 , HR1457 , HR1468 , HR1474 , HR1476 , SB1637 , SB2878 , HB2885 , HB2017 , HB5246 , SB8 , SB2308 , SB1405 , HB 119 , SB3059 , SB15 , SB568 , SB2900 , HB3642 , HB3909 , SB268 , HB493 , SB2217 , HB2516 , SB650 , HB2963 , SB1610 , HB705 , SB2972 , SB1540 , HB40 , SB2753 , SB1660 , SB2024 , HB1545 , HB46

Keywords: World War II, V-J Day, Victory over Japan Day, Japan surrender, atomic bomb, Hiroshima, Nagasaki, USS Missouri, Douglas MacArthur, Harry S. Truman, Winston Churchill, Joseph Stalin, Potsdam Conference, Pacific Theater, Greatest Generation, veterans, military history, commemoration, concurrent resolution, Texas Legislature

Transcript Highlights:

• detailed statutory definitions of cellular or tissue-based products, minimally manipulated, and regulated
• procedure terms to clarify what products and procedures fall under the regulation.
• I've been a nurse for over 48 years. Ten years of that have been in emergency trauma.
• I'm a lifelong public servant with experience in both law enforcement and nursing.
• Thank you for the Association of Nurse Practitioners. That does it for public testimony.

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Transcript Highlights:

• Medicare has a whole different regulation and guidelines.
• Members, next we are going to take up HB 797, Veteran and Spouse Nursing Home Beds, by Representative
• home beds in a skilled nursing facility.
• services and will provide them with Medicaid-eligible children who receive skilled nursing services
• The hospitals had the same kind of issue happen to them with nurses and nurses.

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• House Bill 2729 continues the Arizona State Board of Nursing for four years.
• I understand there's been some difficulties with the Nursing Board at this time.
• We watch California crumble because of regulation. We watch people leave New York.
• We watch California crumble because of regulation. We watch people leave New York.
• This bill addresses the regulation so that we can keep regulation equal or a little bit below the demand

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• How will regulators verify that services are truly the same across different provider types?
• It's a standard rulemaking process and allows the insurance department the flexibility to regulate and
• Chris Ropee here on behalf of the Missouri Association of Nurse Anesthetists.
• We're regulated by the Department of Insurance.
• The insurance regulator is heavily involved.

Committee: House Insurance and Banking

Summary: The Committee for Insurance met with a quorum and first took up three bills in executive session. House Bill 2902 was amended with a committee substitute that removed the commission language while keeping provisions on software and key-emulating devices, and members confirmed it still included a Class D felony penalty. The committee adopted the substitute and voted the bill do pass, with one member voting no. House Bill 1789, dealing with delivery network companies and insurance coverage during the delivery availability period, was also amended and adopted; the substitute clarified that the availability period is not commercial activity and that auto insurance applies until a driver is actually engaged in delivery. The committee then voted the bill do pass, with one no vote and one present. House Bill 1647 was amended to remove it from the collateral source rule section and clarify that it applies only to civil actions for damages and property claims; the substitute was adopted and the bill voted do pass, with several no votes recorded. The committee then held a public hearing on House Bill 1894, which would implement federal nondiscrimination requirements for licensed health care providers in Missouri insurance law. The sponsor said the bill is about patient choice, fairness, and access, especially in rural areas, and does not expand scope of practice or require coverage of new services. Supporters from chiropractic, nursing, occupational therapy, podiatry, and nurse anesthetist groups said the bill would ensure equal reimbursement for the same covered services and improve access to local providers. Opponents from the insurance industry argued the bill would interfere with network design, reduce negotiating leverage, and require equal payment regardless of provider type or credentials; they also said current federal law already governs network adequacy and that the bill’s rulemaking language was standard but the reimbursement mandate was the main concern. The committee also heard House Bill 3314, which updates Missouri’s insurance guaranty association laws. The sponsor and supporters explained that the bill would clarify coverage for cyber policies, ensure coverage follows the policyholder in insurance business transfer or corporate division transactions, and allow limited pre-liquidation information sharing from the Department of Commerce and Insurance to guaranty associations so claims can be handled faster after insolvency. Witnesses said the bill is technical and intended to modernize the system without expanding coverage or increasing taxpayer exposure. Members asked about the $300,000 property and casualty claims cap, the definition of high-net-worth individual, oversight of guaranty associations, and confidentiality concerns; supporters said the cap is longstanding, high-net-worth means over $25 million, and the department’s existing oversight and confidentiality protections are sufficient. The hearing closed after a final supportive statement from the Missouri Insurance Coalition, and the committee adjourned.

Transcript Highlights:

• So right now, a nurse graduates. That in our nursing programs.
• So right now, a nurse graduates from nursing school, hopefully passes the NCLEX, and then goes to practice
• So this bill simply requires that nursing, that nursing, that, So this bill simply requires that nursing
• , that individual nursing students in a nursing program must have two hours of identification specifically
• So with that, we want to make sure that all our nurses, all our nurses from day one can identify the

Committee: Senate Fiscal Policy

Keywords: 999, senate, all

Transcript Highlights:

• Nurses Association, the largest voluntary professional organization representing 5 million nurses nationally
• Given the contributions of nurses, acute care and nursing home facilities in the Commonwealth would only
• Federal rules require nurses, or RNs, to be on site 24/7 overseeing care, yet most nursing homes and
• boards lack nursing perspective in governance.
• Nurses are there 24/7. Nurses know their patients.

Committee: Joint Joint Committee on Aging and Independence

Keywords: 995, all

Summary: The Committee on Aging and Independence heard testimony on a package of long-term care and elder care bills focused on building on the state’s 2024 long-term care reform law (Chapter 197). Richard Moore of Dignity Alliance urged favorable action on the bills as a “long-term care 2.0” effort, arguing they would strengthen the workforce, protect residents’ rights, improve clinical quality, and increase transparency and sustainability in nursing homes and other facilities. He also raised concerns about staffing funds not reaching direct care workers and suggested further oversight of how appropriated money is spent. Patricia Crispy of the American Nurses Association testified in support of House Bill 766, which would require at least one registered nurse with full voting rights on the board of directors or trustees of every acute care hospital and nursing home. She and the bill’s sponsor, Representative Vanado, said nurses’ clinical expertise and 24/7 presence make them valuable contributors to governance and patient safety. Committee members asked whether the bill would cover assisted living and how many facilities already have nurse board members; the witness said she would provide more data and clarify the assisted living question. Senator Lovely testified on two bills: Senate 479, which would expand transparency and accountability in long-term care by tightening fire safety, smoking, hearing-loss, and ownership disclosure requirements, adding advocacy groups to an advisory committee, and increasing penalties; and Senate 480/House 795, which would require single-occupancy rooms in nursing homes unless residents consent to share, to improve privacy and reduce infection spread. Deborah De Benedictus also testified in support of House 759, describing her father’s experience in assisted living and arguing for the use of cameras in elder care facilities to monitor care and deter neglect. The committee discussed privacy concerns, notification rules, and the need for honest staffing and care practices, and then adjourned without taking any recorded votes or formal actions in the transcript.

Transcript Highlights:

• DOH staff interview hospital staff, including administrators, nurses, and doctors.
• This AI feels like the technology is outstripping regulation.
• Because in my community, that's what we keep hearing: more nurses are being cut, more nurses are being
• You're cutting physicians, you're cutting nurses.
• We're not cutting nurse-to-patient ratios. I'm speaking specifically for Providence.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• How will regulators verify that services are truly the same across different provider types?
• Chris Ropee here on behalf of the Missouri Association of Nurse Anesthetists.
• We're regulated by the Department of Insurance.
• The insurance regulator is heavily involved.
• The insurance regulator is heavily involved.

Committee: House Insurance

Keywords: 959, house, all

Transcript Highlights:

• This is especially applicable with skilled nursing facilities, behavioral health centers, and long-term
• I'm a registered nurse by background.
• Unhoused Oklahomans or various workforce initiatives for nursing facility staff.
• For those who might need a higher level of care, they're working with nursing care and nursing home systems
• Next, we recommend extended private duty nursing hours.

Committee: House Public Health

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• </c> Regulations for informational review. Regulations for informational review.
• . regulation. regulation.
• </c> getting the regulations. getting the regulations.
• </c> regulations on kinship care. regulations on kinship care.
• </c> to regulation. to regulation.

Keywords: 958, all

Summary: The committee first reviewed several Fish and Wildlife regulations. Staff explained amendments to 301 KAR 2:176, 4:112, and 6:030, including updating wildlife control tag language, creating an impoundment agent program for seized wildlife, and clarifying boating safety rules. A member raised a concern about boat wakes near docks, and staff said the commission had recently voted on related changes that were not yet included because the regulation had been filed earlier; those changes would have to come back later. The committee approved the staff amendments without objection. The Board of Veterinary Examiners then presented 201 KAR 16:767, which would require veterinary managers to be physically present during business hours and limit them to five registered facilities. Board representatives said they had tried to meet with affected parties before the hearing but had not reached agreement. A representative for Kentucky Pet IQ argued the rule was written for full-service hospitals and would be impractical for short, limited-service clinics that only provide vaccinations, preventive care, and parasite testing. Members expressed concern about the rule’s impact on veterinary access in underserved areas, and the committee voted to defer the regulation until the next month so the parties could continue negotiating. The committee next considered Transportation Cabinet 601 KAR 9:120, the online insurance verification system, in both ordinary and emergency form. The chair said staff had identified conflicts with a bill passed the prior year and moved to find the regulations deficient. The motion passed on a roll call vote, with six ayes and two pass votes. The committee then found ordinary ABC regulations 804 KAR 12:020 and 12:030 deficient as well, again by six ayes and two pass votes, after noting that the emergency versions had already been found deficient the previous month. Finally, the committee reviewed Cabinet for Health and Family Services 902 KAR 55:110, which would require veterinarians to report dispensed controlled substances to KASPER while exempting administered medications. OIG staff said the rule was meant to align regulation with statute, which includes veterinarians as prescribers, and emphasized that the reporting duty applies to prescriptions, not administration to animals. Some members supported the change as a needed anti-diversion measure, while others worried about implementation burdens and timing. After discussion, the committee found the regulation deficient by a 6-2 vote. The meeting then moved into full review of 922 KAR 1:565, a Department for Community Based Services rule implementing kinship care provisions from Senate Bill 151; staff said it was needed for implementation once funding is available, but a member criticized the two-year delay and the inclusion of language conditioning implementation on funding. A public witness from the Kinship Families Coalition argued the rule should not shift the 120-day application window in a way that could affect federal funding eligibility and urged the committee to reject the regulation as written.

Transcript Highlights:

• Did not take the state board, but did finish nursing school.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• It does not set denial limits, and it does not regulate rates.
• For Arizona plans reported to Arizona regulators.
• You know, it's been noted in this committee that Access is a regulator.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved the minutes and then took up a large agenda of health-related bills. SB 1214, the Arizona Stem Cell Therapy Act, drew extensive testimony from supporters who said it would create guardrails for regenerative medicine, protect patients, and encourage biotech investment, while opponents argued it was tied to abortion politics and imposed harsh penalties. The bill passed on a 4-3 vote. SB 1194, which would prohibit health professionals and institutions from denying care based on vaccination status, also passed 4-3 after testimony from supporters framing it as an access-to-care and religious-freedom measure and opponents warning it would interfere with private practice policies and parental choice. SB 1814, creating a study committee on substance use disorder treatment standards and oversight, passed unanimously 7-0. SB 1602, increasing stipends for kinship foster parents, passed as amended 7-0, and SB 1603, expanding child-only cash assistance eligibility, also passed as amended 7-0. The committee then considered several bills focused on gender-related care and public funding. SB 1177, which bars public monies from funding gender transition procedures and makes intentional violations a felony, passed 4-3 amid testimony that it protects taxpayers and counterarguments that it is discriminatory and unsupported by evidence. SB 1014, requiring insurance coverage for detransition procedures when transition care is covered and directing data reporting on transition and detransition, passed 4-3 after supporters said it would help detransitioners and collect needed data, while opponents argued it would chill providers and target transgender patients. SB 1094, creating civil liability for physicians who perform irreversible gender reassignment surgery on minors, was heard with testimony from supporters citing malpractice concerns and detransitioner harms and from opponents saying it would create a hostile environment for providers and treat trans patients differently; the transcript cuts off before the vote is shown. SB 1752, which classifies commercial harvesting or sale of mescaline as a felony while preserving bona fide religious use defenses, passed unanimously 7-0. Later, SB 1628, requiring insurers to report claims-denial and prior-authorization data and DIFI to publish standardized reports, passed unanimously 7-0 after supporters emphasized transparency and opponents called it redundant to federal reporting. SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause, also passed 7-0; supporters said it would prevent patients from losing access to behavioral health care, while health plans and Access said existing oversight already covers much of this and warned the bill could slow necessary network changes. Throughout the meeting, the committee repeatedly adopted motions for due-pass recommendations and, where applicable, amendments, with several bills passing on party-line or near-party-line votes.