Transcript Highlights:

• There is a reason nurses have panic buttons on their badges.
• There is a reason nurses have panic buttons on their badges.
• standards for its training programs.
• That's before they even enter the possibility of taking their board exams.
• He discharged home to us with no treatment order in place.

Committee: House House Health & Human Services Committee of Reference

Summary: The House Committee on Health and Human Services heard and advanced a series of Senate bills focused largely on mental health, public health, child welfare, and insurance coverage. SB 1113 would allow screening or evaluation agency employees to personally serve court documents on patients in involuntary mental health proceedings; supporters said this would reduce burdens on police and be less disruptive for patients. The committee adopted the Bliss amendment limiting reimbursement to services provided under county contract, and SB 1113 was given a due pass recommendation 12-0. SB 1122 would limit Access from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; Access was neutral and said it had worked with the sponsor, and the bill passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during autopsies; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve coordination on tribal children in state care; DCS said it was already working on pending MOUs, and the bill passed 12-0. The committee also heard several bills tied to breast cancer screening and court-ordered treatment. SB 1165 would prohibit cost-sharing for follow-up breast cancer diagnostic and supplemental screening services in private insurance; the sponsor and advocates described it as removing financial barriers that can delay diagnosis, and it passed 12-0. SB 1243 would require guardians to be notified before discharge or release of patients under court-ordered treatment and allow guardians to seek continuation of treatment; family members and advocates testified that missed renewals can create dangerous gaps, and the bill passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a newer federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. Later, SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling; the sponsor said it would speed access to new treatments, while one member opposed it over concerns about relying on federal agencies, and it passed 8-2. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent; the sponsor said the bill was prompted by concerns about vendors buying licensee data, and members discussed whether broader privacy protections should be considered, but the bill passed 10-0. Finally, SB 1477 would require referral agencies serving assisted living facilities to verify background-screening practices, registry status, and insurance coverage; the sponsor and PASSRS said it would raise standards in senior placement services, and it passed 10-0 after a technical amendment. The committee then adjourned.

Transcript Highlights:

• In 1969, I came out to New Mexico for nursing school, and my journey has brought me to here.
• As you well know, I sit on the board for the Holy Cross Hospital.
• Then they turned it over to a gym board.
• IEEE is especially at the forefront of leading standards especially coming out in AI and technology standards
• I think it was there might have in their nursing program or something else.

Committee: House House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:

• In 2013, the Texas Higher Education Coordinating Board underwent the Sunset Review. The Sunset.
• general admissions eligibility, broadening student access to various standard standardized tests aligned
• Second, it refines the authority granted to governing boards. to our regents.
• and governing boards have the authority to overturn. any hiring decision.
• It's a betrayal, and it puts our standards, our students, and our economy at risk.

Bills: SB530 , SB757 , SB769 , SB1085 , SB1241 , SB1242 , SB1409 , SB1878 , SB2138 , SB2314 , SB2231 , SB2361 , SB2431 , SJR59

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• development initiatives, and workforce grants.
• with law and regulations of the state board.
• Again, it's the article of code dealing with county boards of education and states that county boards
• , a county board shall approve the request for home instruction if the county board receives written
• And it does not criminalize homes.

Summary: The Senate considered and passed a series of House bills on third reading, with several title amendments and a few effective-date motions adopted. Early in the session, members passed HB 4452 removing acreage limits on land owned by church or religious trustees, HB 4577 creating reciprocal driver’s license recognition agreements with Ireland and Japan, HB 4588 authorizing West Virginia participation in a federal tax credit scholarship program, and HB 4592 requiring higher education institutions to create coordinated campus safety maps. HB 4602 was amended to align with a prior Senate child welfare pilot program, and members discussed its projected cost and implementation timeline before passing it. HB 4603 created a pre-adjudicatory alternative disposition process in abuse and neglect cases, and HB 4606 narrowed bail rules by requiring consideration of residency and community ties while prohibiting personal recognizance bonds for violent felony offenses after an adopted amendment. The Senate also passed HB 4710 changing the party-registration deadline for candidates from 60 to 180 days before an election, with debate over its impact on independents, and made it effective January 1, 2027. HB 4712, known as Bailey’s Law, increased penalties for DUI causing death and related conduct, with emotional testimony from members about the victim and similar tragedies. HB 4765 established a pay raise for teachers, school personnel, and state police and added a market-pay enhancement system based on county cost-of-living differences; an amendment to the amendment capped county differentials and guaranteed at least a 1% increase in every county. HB 4865 created an optional program for high school and homeschool students to serve as election official trainees, and HB 4869 established narrow guaranteed-issue rights for Medicare supplement policies. Later bills included HB 4995, which strengthened video/audio recording rules in special education classrooms and was passed, then reconsidered and passed again; HB 4996 creating a new crime for making threats of violence against schools or children; HB 5048 guaranteeing virtual instruction for foster children in temporary placement; HB 5065 adding recordkeeping and geolocation requirements for hotel marketplace facilitators to ensure proper hotel tax remittance; and HB 5074 reallocating medical cannabis fund revenues to child protection, homeless services, research, law enforcement, and other purposes. The Senate also passed HB 5101, the Joanna Phillips Domestic Violence Prevention Act, which increased penalties for domestic violence offenses and adjusted bail provisions, after amending it to conform with the earlier bail bill. Additional measures passed included HB 5166 requiring notice before political committees are fined for filing violations and allowing limited extensions, HB 5168 directing $12 million in lottery funds to EMS first responders and county EMS support, HB 5182 authorizing certain state treasurer security personnel to carry concealed firearms, HB 5212 streamlining higher-education financial aid rules, HB 5214 allowing court-ordered drug testing of parents before reunification in abuse and neglect cases, HB 5353 regulating virtual currency kiosks with licensing, disclosures, and transaction limits, and HB 5366 exempting J-LAP records from FOIA to protect confidentiality for lawyers and judges seeking assistance. Most bills passed with strong bipartisan support, though HB 5074 and HB 5353 drew some dissenting votes.

Transcript Highlights:

• So annually we produce this report after the State Board approves the room, board, and fees, as well
• But that is, again, brought to the board every year and reviewed and approved by the board. Any?
• Could you just talk about who's on the board and who appoints board members? Mr.
• We just view this as growing the workforce, and we need a bigger workforce.
• Those kids are working, living, maybe living at home, or they're close to home.

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• The graduates of these. institutions make lasting contributions to our workforce.
• Texas is home to several premier research institutions and organizations.
• The teams are for the subcommittee on workforce.
• Refer the committee to trade workforce. and economic development.
• subcommittee on. workforce.

Bills: HB9 , HB22 , HB908 , HB1392

Transcript Highlights:

• Ron Cook, I'm a board member and a parent.
• I'm a board-certified behavior analyst.
• ..in the Northwest Arkansas workforce.
• That had a ripple effect inside our home.
• How will they be supported at home and in community?

Committee: All TASK FORCE ON AUTISM

Transcript Highlights:

• The return on investment... investment for keeping people out of nursing homes, reducing that caregiver
• up going to a nursing home.
• without having to go to a nursing home and losing who they are.
• But at the same time, and we were getting nurse nursing home cases where you had nursing home residents
• But I also set up the National Board of Directors for Association of Perioperative Registered Nurses,

Bills: HB5 , HJR3 , HB155 , HB513 , HB5 , HB155

Committee: House Public Health

Transcript Highlights:

• I was a trustee to my children's school board and most recently a member of the state Board of Education
• of the board of trustees.
• , especially workforce.
• and boards before have built.
• or to any board.

Transcript Highlights:

• standards that require instruction on fetal and prenatal development.
• two years and the home has to be owner occupied for two years.
• Yeah, the dental board needs an oral surgeon on the board, and this just allows the governor to appoint
• No, this just puts a freeze across the board.
• No, this just puts a freeze across the board.

Summary: The meeting was a rapid review of a very large bill package, with the chair repeatedly asking staff to keep descriptions high level and many bills placed on third-read consent or consent calendars. A major theme was artificial intelligence: bills would require minors to be told when they are interacting with AI, allow AI-assisted divorce arbitration by consent, create an AI education program, privilege certain AI communications, and require K-12 instruction on ethical and practical AI use. Other education measures addressed school district superintendents, health instruction, anti-Semitism prohibitions, fetal development standards, and school safety, including a bill allowing concealed firearms on school grounds under specified conditions. Several health and public safety bills were also discussed. These included funding and oversight measures for childhood cancer research, nursing care complaint timelines, firefighter cancer data collection, limits on pharmacy penalties, and a bill making it a felony to administer abortion-inducing drugs without consent. Members also heard bills on overtime wage enforcement, domestic violence evidence standards in parenting cases, probation limits for dangerous crimes against children, and a measure expanding manslaughter liability to online encouragement of teen suicide. One sponsor strongly opposed a provisional medical licensing bill for foreign-trained applicants, while other sponsors emphasized rural health access, nurse anesthetist reimbursement parity, and the need for a dental board member who is an oral surgeon. A large portion of the meeting focused on water, land, energy, and state agency oversight. Bills would streamline or change rules for small modular reactors, new power plants, water supply determinations, groundwater transportation fees, water hauling, and state land disposition. Members also considered measures affecting the State Land Department, including audits, oversight boards, continuation, land-use maps for data centers and energy projects, and rules for mineral leases and solar or wind siting. Other topics included wildlife and ranching, Mexican wolf policy, annexation, housing and development incentives, transportation and towing rules, digital driver licenses, and a proposed four-year moratorium on municipal and county fee, tax, and utility-rate increases, which drew questions about stakeholder input and the impact on enterprise funds and local utilities. No recorded roll-call votes were taken in the transcript; most items were simply presented, briefly discussed, and left on consent or calendar status, with one bill noted as held in rules and another pulled for further discussion.

Transcript Highlights:

• to be near her grandkids, not in a nursing home.
• We've gotten our communities on board with ADUs.
• We've gotten our communities on board with ADUs.
• They told me that the homes restricted homes that had been built by KB homes under the density bonus
• They can, you know, put liens on your home.

Committee: Senate Housing

Transcript Highlights:

• Secretary will unlock the board, and senators will proceed to vote.
• The bill includes standard guardrails, including a tariff.
• That means workforce development.
• Can we open the board and all co-sponsor this bill, please?
• Secretary will unlock the board. Senators will proceed to vote.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several guest introductions before moving into a long special-order calendar. The chamber first considered two claims bills: SB 6/HB 6507 for relief of L.E. through the Department of Children and Families, described as compensation for severe injuries after DCF returned the child to unsafe parents, and SB 26/HB 6509 for the estate of Mark Legata, involving catastrophic injuries tied to FDOT negligence. Both bills were substituted with their House companions and passed overwhelmingly. Members then approved several policy bills focused on child welfare, education, and professional regulation. CS/CS/SB 42/HB 47 required child protective investigators to consider certain medical diagnoses before proceeding in abuse cases; CS/SB 206/HB 851 expanded autism-related training and incentives for teacher preparation programs; SB 556/HB 453 allowed Special Olympics participation to satisfy PE requirements for students with disabilities and clarified marching band credit; SB 688 reestablished licensure and regulation for naturopathic doctors; SB 878/HB 1347 addressed clinical laboratory personnel shortages by aligning more closely with federal CLIA standards; and SB 914/HB 867 clarified that licensed occupational therapists may perform dry needling. Each of these measures passed, most by unanimous or near-unanimous votes. The chamber also approved bills on court administration, public records, financial disclosure, and child welfare. SB 326/HB 131 modernized rules for curators of estates; SB 758/HB 625 updated the composition of the Justice Administrative Commission, with an amendment broadening the judicial member to a judge or senior judge; SB 830 created a public records exemption for certain local government executives and their families; SB 964/HB 6011 revised how gifts and honoraria are reported and, via amendment, restored a percentage-based reporting option for financial disclosures; and SB 1002 clarified that acute or chronic parental drug abuse can constitute harm or neglect and allow courts to order assessment and services. These bills all passed, with SB 830 drawing the most opposition among them. The most contentious debate centered on CS/CS/CS/SB 354, the Blue Ribbon Projects bill, which would create a framework for very large planned communities with substantial conservation set-asides. Supporters argued it would provide a new growth-management tool and economic opportunity, while opponents warned it was too broad, lacked specificity, weakened local control, and could be exploited by large developers. After extensive debate and an amendment limiting data centers in commercial areas, the bill was temporarily postponed rather than brought to a final vote. The Senate also passed SB 530 on lottery operations, SB 1632/HB 1471 on foreign law and domestic terrorist designations after a lengthy and divisive amendment debate over references to Sharia law, and SB 21/HB 218 on land-use regulations tied to hurricane recovery, which preserves SB 180 restrictions in storm-affected counties while lifting them later for unaffected counties.

Transcript Highlights:

• Christopher Otto, Executive Director of the Delaware Nurses Association, registered nurse, here and offering
• Private equity firms typically load nursing homes with debt, extract cash through management fees and
• I speak on behalf of the Delaware College of Nurse Practitioners, as well as the Delaware Nurses Association
• I’m a board member... My name is Jill Friedel. I’m a board member with Attack Addiction.
• and nursing community.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• approved by the State Board of Education.
• The State Board is required to develop a standard monitoring tool.
• The State Board is required to develop a standard monitoring tool.
• In 2007, Marcus Button's parents sued the school board.
• I know this person served in my school district on the board as a school board member, actually in the

Committee: Senate Education Pre-K - 12

Summary: The Senate Education Pre-K-12 Committee heard and advanced a series of education-related bills, beginning with SB 540, the Evan B. Hartzell Act, which would require age-appropriate disability history and awareness instruction across grade bands. The committee adopted a delete-all amendment, heard emotional testimony from Melissa Hartzell about her son Evan’s experience with disability and inclusion, and reported the bill favorably. The committee also passed SB 1296, creating a pilot study on school cellphone bans; SB 1590, creating a task force to review educator preparation, certification, and professional learning; SB 1702, a broad education bill with provisions on private school facilities, marching band credit, school readiness reimbursements, and charter school monitoring tools; SB 1150, exempting school social workers from certain certification testing requirements; SB 1708, revising School of Hope rules and adding a Miami-Dade co-location framework; SB 822, updating charter school governance and operations; SB 444, requiring annual human trafficking awareness training for school personnel; and SB 742, expanding workforce development and money-back guarantee programs. Most of these bills were amended before being reported favorably by committee vote. The committee also considered and reported favorably SB 8, a claims bill providing a $1.2 million settlement for Marcus Button and his family arising from a 2006 Pasco County school bus crash that caused severe lifelong injuries. Senator Gaetz opposed claims bills in general, arguing the sovereign immunity cap should be raised so such cases can be resolved locally. Several bills drew questions and debate over implementation details, including concerns about charter school dress and hair policies under SB 822, the scope of human trafficking training under SB 444, and the zoning implications of private school facility provisions in SB 1702. Sponsor responses generally emphasized that the bills were intended to clarify existing policy or improve student safety, access, or educational outcomes. The committee also took up confirmation appointments. It recommended confirmation of the slate of appointees on Tabs 12 and 14 through 21 by voice vote, and separately recommended confirmation of Daniel Fogunoli to the State Board of Education after debate in which Senator Davis and Senator Osgood opposed the appointment. The meeting concluded with members recording additional votes, including Senator Burgess’s affirmative vote on SB 1150, and then adjourned.

Transcript Highlights:

• Randy Gilbert to the career tech board.
• And the board of education is really the only.
• I have a quick question about the social studies standards.
• But our board at Oklahoma and M is all workers.
• He is succeeding himself on the Orile regent's board.

Committee: Senate Education

Transcript Highlights:

• I'm proud to say that in my previous time in the state, when I was workforce director at the State Board
• All of our workforce programs have advisory boards that are made up of local businesses and labor partners
• I would like to invite Marina Parr, Director of Workforce System Advancement at the Workforce Board,
• As you can see, H.R. 1 requires the governor to consult with the state's workforce board to determine
• That's a hefty task, but it's one the workforce board is well suited for.

Summary: The committee held a work session on the state of Washington’s community and technical college system with State Board executive director Nate Humphrey and Tacoma Community College president Ivan Harrell. They described the system’s open-access mission, 34 colleges serving more than 307,000 students, relatively low tuition, enrollment growth over 12 consecutive quarters, and strong outcomes such as more than 46,000 credentials awarded last year. They also highlighted system initiatives including guided pathways, I-BEST, dual enrollment, tribal partnerships, a new program search tool, and six colleges named Aspen Prize finalists. At the same time, they emphasized major challenges: high rates of student food, housing, and homelessness insecurity; sharply rising emergency aid requests; and federal funding disruptions affecting TANF, BFET, adult basic education, Carl Perkins, NOAA-related tribal work, and several federal grants. Members asked about SNAP impacts, declining high school graduates, and how BFET and TANF interact with other aid programs. The presenters also discussed system priorities such as AI, Workforce Pell, capital planning, nursing accreditation alignment, and the Washington College Grant. The committee then heard testimony from AFT Washington and the Washington Association of Higher Education on faculty and staff conditions in the community and technical college system. Jackie Kane and Suzanne Sutherland argued that classified staff, professional staff, and contingent faculty are essential to student success but face low pay, instability, and weak retention, and they urged lawmakers to protect existing funding and avoid further cuts. They said working conditions for faculty and staff are student learning conditions, and that underfunding leads to reduced services, shortened advising, and program instability. Marina Parr of the Workforce Board presented on federal H.R. 1’s new Workforce Pell provisions and the updated Career Bridge website. She explained that Workforce Pell would allow federal aid for short-term training programs of 8 to 15 weeks, with high completion, employment, and earnings thresholds and a requirement that credentials be stackable and portable. She said Washington is well positioned to implement the program because of its existing eligible training provider evaluation system and Career Bridge, which now has a redesigned public portal, digital portfolios, multilingual access, and performance data on programs. Members asked about rulemaking, possible gaps in state services, and how the wage and completion standards would be applied. The Washington Student Achievement Council then briefed the committee on the new Washington Completes FAFSA campaign created by executive order. Staff described an advisory board with statewide representation, a pilot that used microgrants and other supports at 25 priority schools, and a new goal of 46,000 FAFSA or WASFA completions this year. They reported that completion rates were tracking slightly ahead of last year, with 24% of high school seniors having completed a FAFSA by the end of November, and they showcased a public dashboard with subgroup data and a WIAA-based leaderboard. Members asked about outreach to rural and homeschool students, legislative communications, Pierce County representation, and barriers to FAFSA completion, and staff said they would provide toolkits and continue expanding outreach. The committee then began hearing from student presenters about affordability, access, equity, and student experience.

Transcript Highlights:

• test options that meet those standards.
• board, specifically Miami-Dade.
• DeFesco firing a firearm outside of his home.
• Like what happened, honestly, in my home community, in my neighborhood, 50 of 270 homes in my neighborhood
• Senator Boyd and I had 750 homes, inland homes, flooded through some of these storms this year.

Committee: Senate Fiscal Policy

Summary: The committee first heard CS for CS for SB 344, which would modernize the Telecommunications Access System Act of 1991 based on Public Service Commission recommendations. The bill drew no opposition and was reported favorably. Members then took up several Senator Burton measures: CS for SB 714 on non-opioid advanced directives, which was amended to create a Department of Health website access point for a voluntary form allowing patients to notify providers they do not want opioid medications; CS for SB 738 on child care and early learning providers, which streamlines and updates child care regulation and was supported by industry and business groups; CS for SB 756 on health insurance coverage for individuals with developmental disabilities, which removes the age-8 diagnosis limit and age cap for mandated autism-related coverage; and CS for CS for SB 1356, creating a Florida Institute for Pediatric Rare Diseases at FSU and a newborn genetic testing pilot, later amended to add FIU and Nicklaus Children’s Hospital to the board and remove specific appropriations. All of these bills were reported favorably. The committee also approved CS for CS for SB 1624 on higher education, a broad bill affecting tuition policies, workforce programs, institutional governance, and naming changes. The bill generated extended discussion over replacing references to “minority” with “underrepresented,” with the sponsor explaining the intent was to focus on low-income access and student support, while members raised concerns about impacts on majority-minority institutions and preeminence pathways. An amendment added guardrails for private religious postsecondary institutions by requiring public review of affidavits of compliance and giving the Commission for Independent Education enforcement authority. After debate, the bill was reported favorably. The committee then passed CS for SB 1626 on child welfare, which addresses military-family investigations, emergency shelter certification, children’s services council appointments, criminal-background exemptions, group-home rates, licensing extensions, small residential group homes, missing-children procedures, and psychotropic medication refills; it was amended to adjust council board composition and then reported favorably. Additional bills approved included SB 178, directing Florida A&M University to conduct an agronomic study on emerging crops for land taken out of production; SB 1162, expanding boating improvement funding for trailer parking and offering lease incentives for clean marine manufacturers; CS for CS for SB 958, creating a type 1 diabetes early detection information program for parents and schools; CS for CS for CS for SB 1070, requiring ECGs for student athletes with phased implementation and exemptions, after extensive testimony from parents and advocates about sudden cardiac arrest; CS for SB 774, requiring electronic transmission of certain court orders to sheriffs within six hours; SB 1516, creating an International Aerospace Innovation Fund administered by Space Florida; SB 994, revising driver education requirements and prompting a commitment to add distracted-driving instruction; and CS for CS for SB 1402, expanding eligibility for dropout retrieval programs. The committee also took up SB 810 on stormwater management systems, amending it to focus annual inspections on vulnerable MS4 infrastructure. That bill drew significant opposition from the Florida League of Cities, counties, and stormwater groups, who argued the mandate would duplicate existing permit requirements and impose major costs, but supporters said it was a basic flood-prevention measure. The transcript ends during debate on SB 810, before a final vote is shown.

Transcript Highlights:

• Home health are not the same as nursing homes. It's not the same, and I concede that. But U.S.
• Members, I'll just also state the actual Nursing Home Association board, I think, voted like 15 to 1
• All three in nursing. So they may be out here that the nursing home is looking for staff.
• Tammany for more nursing homes.
• in the nursing homes.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• homes or Medicare home health rather than Medicaid home- and community-based services, due in part to
• And so that is kind of the CMS standard approach.
• And so the commission also has a workforce support subcommittee.
• We got 2,300 people out of nursing homes in a five-year period.
• And really, Money Follows the Person, it's all about getting people out of nursing homes with the things

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.

Transcript Highlights:

• Now, I get a concern here is this also would apply to a nursing home.
• Would someone, a nurse, a health tech, an employee in a nursing facility.
• Transpire, so whether It's someone sitting in a nursing home needing help.
• Can it occur at home, in a home birth circumstance?
• Does this depart from the traditional standard? It's a standard of proof in tort claims.

Bills: SJR59 , SCR30 , SCR46 , SB31 , SB127 , SB324 , SB401 , SB407 , SB467 , SB482 , SB506 , SB529 , SB584 , SB619 , SB636 , SB646 , SB647 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB816 , SB1013 , SB1026 , SB1049 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1383 , SB1395 , SB1410 , SB1433 , SB1524 , SB1531 , SB1568 , SB1640 , SB1666 , SB1681 , SB1718 , SB1754 , SB1757 , SB1972 , SB1980 , SB2004 , SB2007 , SB2041 , SB2046 , SB2050 , SB2075 , SB2076 , SB2154 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2306 , SB2308 , SB2314 , SB2322 , SB2330 , SB2351 , SB2366 , SB2371 , SB2392 , SB2398 , SB2476 , SB2533 , SB2540 , SB2544 , SB2589 , SB2610 , SB2623 , SB2660 , SB2662 , SB2693 , SB2707 , SB2717 , SB2722 , SB2742 , SB2753 , SB2779 , SB2807 , SB2843 , SB2844 , SB2858 , SB2877 , SB2880 , SB2885 , SB2920 , SB2938 , SB2986 , HJR4 , HCR35 , SJR3 , SJR18 , SB5 , SB260 , SB1786 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB1433 , SB2322 , SB2877 , SB407 , SB1718 , SB1395 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB2253 , SB584 , SB1085 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1410 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB647 , SB1721 , SB2268 , SB2366 , SB1013 , SB2797 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB2779 , SB2004 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HJR4 , HB135 , HB 1109 , HCR35 , HCR64 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586