Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House convened, completed the roll call, prayer, Pledge of Allegiance, and recognized Eileen Cooper Grubbs as Nurse of the Day. The chamber then took up several procedural items, including second-reading referrals of Senate Joint Resolutions 50, 52, and 53 to Administrative Rules. Speaker Hilbert also announced the House would continue working despite uncertainty about action in the other chamber, and members were told dinner had been ordered for a long day of floor work. On legislation, the House rejected Senate amendments to House Bill 1728 and House Bill 3021 and requested conference on both. It adopted Senate amendments to House Bill 2137, a criminal procedure bill, and then passed the bill. The House also approved a motion by Speaker Hilbert to override the governor’s veto of House Bill 4432, with a recorded vote of 68-15, allowing the bill to become law notwithstanding the governor’s objections. The House then adopted House Concurrent Resolution 1028, which authorizes the House or Senate to modify legislative deadlines for the remainder of the 60th Legislature. Members discussed that the change was intended to keep legislation moving while the Senate was not meeting and to preserve the ability to hear bills and return them between chambers. The resolution passed after a recorded vote of 77-4. Finally, the House suspended certain rules for the rest of the session by a 68-15 vote and recessed until 1 p.m., with a reminder that the rural caucus would meet in Room 206.

Transcript Highlights:

• As you are probably aware, there's currently, I think, seven facilities across the state that do this
• It requires facilities. It requires a chain of custody.
• Self-Service Storage Facility Lien Act. Representative Hall, you are recognized. Thank you, Mr.
• Senate Bill 1326 modernizes and improves the operation of self-storage facilities and allows them to
• Hospices that are going in and hijacking patients that are already on hospice with another facility,

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates. Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation. The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.

Transcript Highlights:

• regarding law enforcement others regarding law enforcement others regarding law enforcement training facilities
• On page 32, House training facilities. On page 32, House training facilities.
• help Loun County, our um, which will help Loun County, our um, which will help Loun County, our facility
• We on the other hand are facility there. We on the other hand are facility there.

Bills: SB 66, SB 317, SB 393, SB 397, SB 456, SB 614, SB 628, SB 629, SB 636, SB 715, SB 731, SB 801, SB 872, SB 905, SB 986, SB 1012, SB 1013, SB 1015, SB 1032, SB 1113, SB 1181, SB 1212, SB 1241, SB 1250, SB 1278, SB 1285, SB 1376, SB 1444, SB 1449, SB 1524, SB 1525, SB 1528, SB 1556, SB 1588, SB 1660, SB 1704, SB 1708, SB 1802, SB 1833, SB 1844, SB 1854, SB 1863, SB 1957, SB 1959, SB 1965, SB 1999, SB 2035, SB 2056, SB 2082, SB 2119, SB 2138, SB 2165, SB 2199, SB 2201, SB 2203, SB 2245, SB 2284, SB 2419, SB 2422, SB 2452, SB 2487, SB 2523, SB 2529, SB 2533, SB 2541, SB 2586, SB 2595, SB 2605, SB 2615, SB 2675, SB 2690, SB 2717, SB 2753, SB 2778, SB 2835, SB 2841, SB 2891, SB 2929, SB 2933, SB 3016, SB 3039, SB 3044, HB 912, HB 2525, SJR 3, SB 5, SB 29, SB 326, SB 494, SB 530, SB 769, SB 783, SB 963, SB 1238, SB 1271, SB 1786, SB 1967, SB 2312, SB 72, SB 616, SB 1143, SB 1172, SB 1267, SB 1273, SB 1506, SB 1759, SB 2361, SB 1, SB 260, SB 1637, SJR 36, SJR 50, SJR 63, SJR 59, SCR 12, SCR 39, SCR 48, SCR 19, SB 2023, SB 1524, SB 2422, SB 2119, SB 2753, SB 1863, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1376, SB 1772, SB 2016, SB 1163, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1845, SB 2681, SB 2199, SB 2458, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 1013, SB 2797, SB 2076, SB 2876, SB 2284, SB 2929, SB 2595, SB 715, SB 1640, SB 1241, SB 2538, SB 1449, SB 2529, SB 986, SB 1181, SB 1359, SB 2245, SB 410, SB 1234, SB 456, SB 1012, SB 2926, SB 2138, SB 2615, SB 2972, SB 2841, SB 3016, SB 1856, SB 2035, SB 1528, SB 1373, SB 672, SB 2891, SB 1854, SB 317, SB 2539, SB 2532, SB 1250, SB 2082, SB 2203, SB 1285, SB 1959, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 3039, SB 2819, SB 66, SB 629, SB 1015, SB 2342, SB 2903, SB 2933, SB 1965, SB 2477, SB 3029, SB 2605, SB 2419, SB 1957, SB 375, SB 250, SB 777, SB 628, SB 2523, SB 2367, SB 2703, SB 2608, SB 2778, SB 3044, SB 2965, SB 2521, SB 865, SB 1032, SB 2165, SB 2501, SB 2675, SB 2452, SB 2835, SB 872, SB 1212, SB 1278, SB 1588, SB 1602, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2177, SB 2460, SB 2785, SB 2373, SB 1660, SB 614, SB 867, SB 1608, SB 1525, SB 905, SB 640, SB 2487, SB 1698, SB 383, SB 705, SB 748, SB 1113, SB 1117, SB 1802, SB 2340, SB 2586, SB 2680, SB 2690, SB 2994, SB 2747, SB 1950, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 3059, SB 2782, SB 2781, SB 2637, SB 2633, SB 2337, SB 2334, SB 1861, SB 2043, SB 1367, SB 946, SB 945, SB 2857, SB 128, SB 571, SB 1263, SB 3058, SB 612, SB 2221, SB 2587, SB 2044, SB 2363, SB 2713, HB 1109, HB 1392, HB 22, HB 2525, HB 3093, HB 517, HB 912, HB 1130, HB 142, HB 1689, HB 2018, SB 2311, SB 1986, SB 2565, SB 2943, SB 1888, SB 2417, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3037, SB 3050, SB 3063, SB 3047, SB 3035, HJR 98, HJR 99, HB 136, HB 2884, HB 1393, HB 2730, HB 1399, HB 1244, HB 467, HB 331, HB 2559, SB 66, SB 456, SB 628, SB 1012, SB 1015, SB 1032, SB 1241, SB 1376, SB 1708, SB 1959, SB 1965, SB 2035, SB 2199, SB 2245, SB 2284, SB 2419, SB 2523, SB 2529, SB 2541, SB 2595, SB 2605, SB 2778, SB 2933, SB 3039, SB 3044, SB 1524, SB 1863, SB 2119, SB 2422, SB 2753, SB 1844, SB 2533, SR 417, SR 500, SR 501, SR 502, HCR 128, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290

Keywords: disability, supported decision-making, legal assistance, confidentiality, access to justice, autonomy, civil rights, advocacy, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 393, Sparks, Middleton, local government, political subdivision, public securities

Transcript Highlights:

• electric facilities. electric facilities.
• classify large use electric facilities classify large use electric facilities with<05:04:10.320>
• facility um relies on the NAKES code. facility um relies on the NAKES code.
• been impacted by these facilities. been impacted by these facilities.
• exactly like these data facilities, so that we can prepare and plan for those types of facilities.

Keywords: 1189, house, all

Transcript Highlights:

• Additionally, we have three 24/7 facilities.
• <00:09:58.560> food homes Child Care Facilities food homes Child Care Facilities food protection
• We have expansion of designated receiving facility beds.
• We have expansion of designated receiving facility beds.
• requires a physical address a facility requires a physical address a facility name<02:34:12.279>

Keywords: 1191, senate, all

Transcript Highlights:

• these facilities these facilities uh<02:05:02.159> are<02:05:02.480> these<02:05:03.159
• facilities facilities by<02:09:03.440> uh<02:09:03.599> having<02:09:04.000> our
• My family lives in North facility.
• There are 31,000 people large facility.
• It's It's the uh the facility itself.

Keywords: 1191, senate, all

Transcript Highlights:

• Our obligation to operate safe constitutional facilities does not change.
• Our obligation to operate safe constitutional facilities does not change.
• Our obligation to operate safe constitutional facilities does not change.
• It is a DOC operated facilities as well.
• <00:52:10.319> without correctional facilities without correctional facilities without incorporating

Bills: HF962, HF3541, HF2936, HF3762, HF2879

Keywords: Capitol security, public safety, emergency management, state buildings, law enforcement, corrections, legislative approval, rule-making, financial impact, jail regulations, expungement, firearm eligibility, criminal records, organized retail crime, retail theft, supply chain theft, theft enterprise, organized theft, cargo theft, shoplifting

Transcript Highlights:

• <00:25:18.240> to human resources in those facilities to human resources in those facilities
• <00:30:03.200> that to the provider in a in a facility that to the provider in a in a facility
• <00:31:17.520> with<00:31:18.240> a facility and go to a facility with a facility and
• <00:45:58.480> for works in an a level one ER facility for works in an a level one ER facility
• We have two level one trauma facilities.

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and approval of the prior journal. The House communicated that it had passed House Bill 4 and requested concurrence. The chamber then received second-reading reports for Senate Bills 18, 33, 85, and 132, and committee reports indicating Senate Bills 136, 183, 2, 4, and 71 should pass, with some substitutes and title amendments. The Senate also introduced Senate Resolutions 79 and 80 honoring Joseph Harden McFarland and Jeremiah Parsons. The main floor action centered on Senate Bill 5, relating to Kentucky-grown agricultural product procurement. The sponsor described it as a way to improve school nutrition, support Kentucky producers, and keep food dollars in local communities. Several senators spoke in support, including references to the Make America Healthy Task Force and the idea of using food procurement as a tool for rural prosperity and better nutrition in schools. Senate Bill 5 passed by roll call, 38-0. The Senate also passed Senate Bill 73, which would allow home-based processors to use beef tallow in cosmetic products. The sponsor said the bill would expand existing home-processing authority beyond food products to cosmetics. It passed unanimously, 38-0. Senate Bill 12, relating to medical provider coverage and level four trauma centers, drew the most extended debate. Supporters argued it would help rural hospitals join the trauma network by allowing nurse practitioners and physician assistants to work under physician supervision, including remote supervision, and said it would improve access and save lives in underserved areas. Opponents, including a physician senator, argued the bill would lower trauma-care standards and could put patients at risk by allowing non-physician staffing in facilities that need immediate hands-on medical expertise. After lengthy discussion, the bill was advanced and then passed by roll call, with supporters emphasizing rural access and opponents warning about patient safety and the adequacy of physician coverage.

Transcript Highlights:

• Approval of this request is vital to ensure the continued operation of state correctional facilities
• efficient operation of our facilities efficient operation of our facilities and<00:25:26.120>
• <00:42:47.520> are come from a correctional facilities are come from a correctional facilities
• We are not talking about every single phone and every single facility and every single unit.
• , which will turn the facility safer along with everyone in the general public.

Keywords: 1183, house

Transcript Highlights:

• <00:19:02.919> that in our and there were 23 facilities that in our and there were 23 facilities
• What's the long-term strategy with that facility that it's been closed?
• , an assisted living facility, a veterans home, a group home, etc.
• , an assisted living facility, a veterans home, a group home, etc.
• I'm assuming you have some Canadians that come down to your facility.

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• <01:52:17.520> are So the the nursing facilities are So the the nursing facilities are carrying
• Um, recently, Senator Carson visited a facility in her district.
• Um, recently, Senator Carson visited a facility in her district.
• Senator Bertz, Brendan, how many nursing facilities are in this similar?
• They have three facilities under common ownership, and they really work it.

Keywords: 1191, senate, all

Transcript Highlights:

• The HASSMI grant is the earth facility.
• Cloud facility, and House File 1579 would allow this facility, as well as the Minneapolis facility, to
• Villages to the list of facilities Villages to the list of facilities approved<01:44:35.760>
• And those rates vary by facility.
• And those rates vary by facility.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• We can buy the equipment, rebuild facilities, parks, trails, and ensure we have up-to-date information
• that serve a certain number of people or licensed daycare facilities.
• Um and then that the facilities.
• Which is why a conditional use permit for residential licensed facilities and other facilities that are
• that<00:40:41.119> are facilities and other facilities that are facilities and other facilities

Keywords: 1183, house

Transcript Highlights:

• How many people are living in skilled nursing facilities? Do you know offhand?
• How many people are living in skilled nursing facilities? Do you know offhand?
• So moving on. nursing facilities.
• How many people are living in skilled nursing facilities? Do you know offhand?
• All of the LTSS programs are represented, including skilled nursing facilities.

Keywords: 995, all

Summary: The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas. Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services. Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.

Transcript Highlights:

• of the ways that we can do that too is like having these aggregated spaces or shared processing facilities
• Like we don't have enough processing facilities, we don't even have enough kitchens, right?
• or we just don't know what the processes are to get certain facilities certified.
• Like we don't have enough processing facilities, we don't even have enough kitchens, right?
• or we just don't know what the processes are to get certain facilities certified.

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard several governor’s nominations for advisory and regulatory boards. The first group included William Smith, Michelle Ige, and Kayana Neman for the Community-Based Economic Development Advisory Council; Leland Park and Cynthia Hobson for the Small Business Regulatory Review Board; and Nicole Kacal for the Hawaiʻi Technology Development Corporation board. DBEDT and related witnesses testified in support of all nominees, and each nominee described experience in small business, finance, community engagement, or technology. Much of the discussion focused on strengthening Hawaiʻi’s economy through small business support, financial literacy, and better access to capital and grants. Committee members questioned nominees about priorities for Hawaiʻi Island and the state more broadly. Topics included agricultural infrastructure, value-added food production, shared processing facilities and commercial kitchens, workforce housing, and ways government and nonprofits can partner to help small businesses navigate permitting, licensing, and grant processes. Several nominees emphasized community impact, measurable outcomes, and practical regulatory reform. Nicole Kacal also discussed diversifying the economy beyond tourism, expanding technology and AI opportunities, and creating locally governed training and research pathways so workers can adapt to changing jobs. At the end of the hearing, the committee voted to recommend advice and consent for all nominees. The nominations for GM 608, GM 609, GM 612, and GM 613 were adopted by voice vote, with Senators Kim and Fevella excused. The committee then voted separately on GM 794 for Nicole Kacal, and that recommendation was also adopted. The hearing concluded with adjournment.

Transcript Highlights:

• Additionally, the National Fire Protection Association's 2024 health care facilities code requires the
• The state of Florida needs this legislation to extend these protections to all pre-existing facilities
• For the facilities who do evacuate smoke, we are most grateful, but again, we need the consistency of
• , for nursing homes, for assisted living facilities, for hospitals... ...for health care facilities,
• And sometimes those who work there or own the facilities may be a little upset about that.

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• intermediate care facility under certain circumstances. circumstances. circumstances.
• <01:25:06.080> is a research and development facility is a research and development facility
• is not a nursing home or skilled nursing facility.
• requirements for healthcare facilities requirements for healthcare facilities that<02:08:11.599>
• The bill also establishes a p facility.

Keywords: 1191, senate, all

Transcript Highlights:

• This measure authorizes state facilities to wheel electricity that is produced by their own facility
• from renewable energy sources to another state facility pursuant to rules established by the PUC.
• ><00:01:47.960> from<00:01:48.159> renewable<00:01:48.600> energy their own facility
• from renewable energy their own facility from renewable energy sources<00:01:50.079> to<00:01
• facility sources to another state facility pursuant<00:01:52.640> to<00:01:52.799> rules

Keywords: 912, senate, all

Summary: The Hawaii State Senate Committee on Commerce and Consumer Protection met in decision-making session and took up a series of previously heard bills. SB 21 on water carriers was passed with amendments to make the inflationary cost-indexed adjustment mechanism permissive rather than required, along with technical changes and a non-defective effective date. SB 133 on energy was passed with amendments adopting PUC recommendations and changing the effective date to July 1, 2050. SB 391 on recycling, creating an end-of-life lithium-ion battery management working group, was passed unamended. SB 532 on DOE medication administration in public schools was passed with amendments incorporating Hawaii State Center for Nursing proposals and a defective effective date. SB 230 on wild game meat donations was passed with technical amendments and a July 1, 2050 defective date. SB 1279 on pharmacists and telehealth supervision under the 340B program was also passed with a defective effective date of July 1, 2050. SB 1494 on optional hearing aid coverage was passed with technical amendments and a defective effective date of July 1, 2050. The committee deferred action on SB 588, which would allow self-certification for certain behind-the-meter solar systems and exempt them from FEA no-rise/no-impact declarations, citing the testimony submitted. It also deferred SB 281 on telehealth conformity with federal Medicare rules and SB 49 on prior authorization data reporting, both until Tuesday, February 25, 2025, at 9:30 a.m. in Conference Room 229. SB 838 on health insurance coverage for continuous glucose monitors was passed with amendments adopting technical changes and Department of Human Services proposals, plus a defective effective date of July 1, 2050; one member noted support but urged future consideration of including Medicaid managed care. All measures acted on were adopted without objections or reservations, with Senator Richards excused from voting on the measures discussed.

Transcript Highlights:

• For example, it can't be used to build a new facility from the ground up.
• But we can't be used to build a new facility from the ground up. ...For expansion, yes.
• Our facilities aren’t big enough to handle the need.
• As of April, ICE is detaining over 5,800 Californians in for-profit private detention facilities, facilities
• that the California Californians in for-profit private detention facilities, facilities that the California

Keywords: 987, senate, all

Summary: The committee heard a lengthy budget and policy discussion on child care, child welfare, and related early education issues, beginning with child care funding and slot utilization. Department of Social Services officials outlined the Governor’s proposed 2026-27 child care budget, including $6.8 billion for child care programs, an $11.5 million Prop. 64-funded disaster repair mini-grant program for licensed facilities affected by 2025 disasters, and projected reductions tied to federal CCDF formula changes and lower Prop. 64 revenues. DSS said the reductions could mean about 4,176 CCTR slots, but emphasized they were assessing how to absorb the cuts without disrupting children currently in care. The LAO supported aligning funding to lower revenues and asked for more detail on the disaster grant program. Senators pressed the department on why so many slots remain uncontracted or unfilled, why unspent funds revert to the General Fund, and whether more flexibility could move dollars from contracts to vouchers; DSS said delays are largely due to infrastructure, licensing, staffing, and enrollment ramp-up, and that it is working on readiness reviews, technical assistance, and possible reallocation of relinquished slots. The committee also discussed Emergency Child Care Bridge reallocations among counties and confirmed that no currently enrolled children would be disenrolled under the proposed slot reductions. A second panel focused on the state’s broader commitment to expand child care and reform reimbursement rates. DSS said California has nearly doubled child care funding in five years and increased monthly children served from about 294,100 in 2019-20 to more than 366,700 currently, while also advancing the single rate structure process through the alternative methodology and a joint labor-management committee report. Stanislaus County Office of Education described local shortages, especially for infant and toddler care, and argued that rate disparities between programs make it harder to sustain mixed delivery systems. Parent Voices California testified that the current system is confusing, unstable, and inequitable, with one speaker describing repeated paperwork burdens, waiting lists, and periods of homelessness while trying to maintain child care. The California Budget and Policy Center argued that only 16% of eligible children were enrolled in 2024, that Universal TK has drawn major resources into school-based care, and that providers remain paid far below the cost of care; it urged more revenue, faster rate reform, and expansion across the mixed delivery system. The LAO estimated that aligning CCTR adjustment factors for three-year-olds and children with disabilities with CSPP would cost $88 million to $131 million ongoing. Senators and staff also discussed the need for deadlines on automation and implementation of the single rate structure, with DSS and CDE noting that policy decisions, system changes, and collective bargaining issues are still being worked through. The committee then reviewed several child care trailer bill proposals. DSS proposed applying the 2026-27 COLA as an increase to cost-of-care-plus payments rather than as a traditional COLA, with $87.8 million General Fund initially proposed; DSS later acknowledged it had omitted CalWORKs Child Care and the Emergency Child Care Bridge from the calculation and said the amount would be revised upward. The LAO recommended making the COLA treatment uniform across child care and state preschool programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology survey on a triennial schedule, limiting temporary absences for licensed family child care homes to 20% of care hours in a month, defining excessive unexplained absences as more than 30 days in a 12-month period, and aligning family fee collection so contractors collect the fee without reducing the voucher value. The department said these changes are intended to bring state law into compliance with federal requirements and to better reflect current practice. Finally, the committee discussed the Early Childhood Policy Council, including a reappropriation of previously unused funds and a new reporting requirement under AB 563; members questioned staffing needs and whether existing contractor support could absorb the work, while DSS said the funds are used for stipends, facilitation, translation, and contract oversight and may still be needed as participation patterns change.

Transcript Highlights:

• how many of these facilities?
• What's the limiting factor for how many of these facilities could be licensed?
• across 1,200 facilities currently in the state right now.
• It could be, depending on what the facility offers.
• Are these daycare centers babysitting facilities?

Keywords: 996, all