Transcript Highlights:

• That’s exactly what nursing homes are facing.
• And what it does is it provides resources and support Program.
• So many of the CCA programs that will be cut are affordability programs that lower energy and transportation
• In 2025, the markets program awarded $6.3 million.
• Many of the CCA programs that will be cut are affordability programs that lower energy and transportation

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• The Center for Nursing Workforce Studies, of course, projects severe nursing workforce shortages by 2036
• set aside programs?
• program, um, that is available.
• , when the program started.
• And our midshipment programs.

Transcript Highlights:

• </c> this month is talking about that program this month is talking about that program Integrity<00:03
• </c> well um so this just has that program well um so this just has that program level<00:34:46.359><
• facilities and long-term care services for older adults, waiver programs, home care and PCA programs
• integrity for those programs?
• DCF—we moved several programs over there, such as the Child Care Program.

Keywords: 1187, senate, all

Transcript Highlights:

• students in the area and around the state, especially the nursing program, the water program, the entrepreneur
• program, and the hospitality program.
• But also, I wanted to speak specifically about the water program.
• And also your commitment to sports programs as well.
• USF's record research growth, nationally ranked medical and nursing programs, and workforce-focused initiatives

Summary: The Senate Appropriations Committee on Higher Education met to continue confirmation hearings, but the chair announced the committee would not present its budget that day and would instead roll it out the following week in coordination with House partners and Senate notice requirements. After a quorum was confirmed, the committee discussed how it would handle a large number of university board appointments, noting that some reappointments would be grouped for a block vote while others could be heard individually if members requested it. The committee then heard testimony from a series of appointees and reappointees to university boards. Florida A&M University nominees Roderick Harris, Victor Young, and Rafael Vasquez emphasized service to FAMU, student success, and support for the university’s national standing; Harris highlighted his FAMU background and faculty experience, Young cited his business and health care leadership, and Vasquez described scholarship support through his company. Florida Atlantic University appointees Linda Stock and Thomas Mersh focused on servant leadership, research growth, entrepreneurship, and FAU’s recent R1 designation and quantum computing initiatives. University of Central Florida reappointee Alex Martins discussed UCF’s preeminence goal, workforce needs, and strong nursing outcomes. The committee also heard from Florida Gulf Coast University appointees James Gris-Mall, Douglas Van Orte, Robert Rommel, Sarah Partial Perry, and reappointment Joseph Fogg, who spoke about workforce development, affordability, student success, water and nursing programs, and FGCU’s role in regional economic growth. University of South Florida reappointee Rogan Donnelly highlighted USF’s AAU status, research growth, and workforce-focused programs. Members and the chair responded positively throughout, praising the universities’ achievements and the nominees’ qualifications. At the end of the hearing, the committee voted by block on all nominees in tabs 2 through 13 and recommended them for confirmation without objection. The meeting then adjourned.

Transcript Highlights:

• I also have a scholarship program within my company.
• students in the area and around the state, especially the nursing program, the water program, the entrepreneur
• program, and the hospitality program.
• But also, I wanted to speak specifically about the water program.
• And also your commitment to sports programs as well.

Keywords: 999, senate, all

Transcript Highlights:

• c> Leaders in Nursing.
• As a nurse and Leaders in Nursing.
• If it's nurses that need this protection, it should be limited to nurses.
• If it's nurses and limited to nurses.
• that might include program evaluation to demonstrate program effectiveness so that more programs can

Keywords: 1187, senate, all

Transcript Highlights:

• programs that are ongoing programs?
• Are they limited programs? It's a mix of programming.
• Or are these programs, so are these long-term programs, majority of them?
• Are these programs that are ongoing programs? Are they limited programs? It's a mix of programming.
• nursing facilities.

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• Programs.
• CDPH OA administers the Ryan White Part B program throughout the state via two programs: the HIV Care
• Program, or HCP, and the aforementioned ADAP program.
• I've learned the program inside and out. HOPWA is my specialty. I know that program. I love ADAP.
• I love administering the programs for the elderly, the MPP program, O-A-HIP program, E.B.

Keywords: 987, senate, all

Transcript Highlights:

• programs that are ongoing programs?
• Are they limited programs? It's a mix of programming.
• Or are these programs, so are these long-term programs, majority of them? Yeah.
• Or are these programs, so are these long-term programs, majority of them? Yeah.
• or existing programs.

Keywords: 987, senate, all

Transcript Highlights:

• This fund was created to incentivize collaboration between nursing education programs and health care
• programs would be included in this?
• Thank you very much, and I absolutely would support the expansion of this program from not just nursing
• education programs.
• programs as well as career technical programs.

Keywords: 999, senate, all

Transcript Highlights:

• Those programs are provided in group settings, so they're not individual education programs.
• the farmers' market program.
• So the Our Kids B program, 897, that’s for operational expenses administering the program?”
• That is for our Our Kids B program. It is for our CHIP program, Children’s Health Insurance.”
• That is for our Our Kids B program. It is for our CHIP program, Children’s Health Insurance.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• the payment withhold for nursing homes.
• the payment withhold for nursing homes.
• for nursing facilities.
• for nursing facilities.
• I wonder if we can back up to that voluntary treatment program for qualified residential treatment program

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.

Transcript Highlights:

• Okay, first up, we have Laura Reichert, Board of Nursing, Hawaii State Center for Nursing, providing
• The Center for Nursing, as you can see in the testimony, has already started the work on this.
• Next, we have Hawaii American Nurses Association in support. Stand on my testimony.
• </c><00:09:06.000><c> on</c> full-time medical residency program on full-time medical residency program
• And we think rural health transformation dollars will fund this kind of a program.

Keywords: 912, senate, all

Summary: The Senate Health and Human Services Committee met on April 17, 2026, and heard testimony on several concurrent resolutions. HCR 18 would request the Department of Health to convene a hospice working group; the Department testified in opposition, saying its enforcement role created a conflict of interest and that the work exceeded its compliance-focused scope. The measure’s introducer proposed amendments to have a legislator, rather than DOH, chair the group and to remove a date restriction on hospices. The committee later recommended HCR 18 be passed with amendments. HCR 32 sought a plan to increase access to the Hawaii State Hospital for certain mentally ill criminal defendants. The Department of Health Behavioral Health Administration and the governor’s office indicated support or willingness to work on the issue, while the ACLU provided comments and OHA supported the measure. The committee recommended passage with technical amendments. HCR 35, on an audit of the social and financial effects of mandatory insurance coverage for biomarker testing, drew broad support from medical, patient advocacy, and professional organizations, and a surgical oncologist testified in favor, emphasizing the importance of biomarker testing for cancer treatment. The committee recommended passage as is. HCR 105 asked the Hawaii State Center for Nursing to compile recommended safe patient staffing ratios and maintain a repository; the Center said it had already begun the work and was happy to continue, and the committee adopted an amendment changing the focus from “ratios” to “strategies and ratios” before recommending passage. HCR 173 urged Maui Health to work with stakeholders to establish a full-time medical residency program on Maui; testimony supported the idea as a way to formalize and expand an existing informal program and improve local health care access, including maternity care. The committee recommended HCR 173 pass with technical amendments. All recommendations were adopted without objection, and the meeting adjourned.

Transcript Highlights:

• That program worked.
• as a regulated program.
• and nursing community.
• Today, I oversee that same program.
• Today, I oversee that same program.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

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:

• our nursing program is one of the very best in the nation.
• Our nursing program is one of the very best in the nation. A 100% pass rate for BSN this past year.
• This building was funded in the 2022 budget session in response to our growing nursing program, as well
• </c> in response to our growing nursing in response to our growing nursing program<01:10:36.640><c> as
• as well as the need for more program as well as the need for more nurses<01:10:38.560><c> and</c><01

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:55 Approval of Minutes 00:02:01 Information Items 00:02:10 Review of Executive Branch Agency Plans 00:02:20 A. A. Eastern Kentucky University 00:02:48 B. B. Kentucky Community and Technical College System 00:15:21 C. C. Kentucky State University 00:31:43 D. D. Morehead State University 00:41:44 E. E. Murray State University 01:01:56 F. F. Northern Kentucky University 01:16:09 G. G. University of Kentucky and Hospital 01:25:00 H. H. University of Louisville 01:42:52 I. I. Western Kentucky University 01:56:17, 958, all

Summary: The meeting opened with prayer and the Pledge of Allegiance, followed by a roll call establishing a quorum. The committee then approved the prior meeting’s minutes. Members were reminded to silence cell phones, and the chair noted an informational item on capital plan amendments made by state agencies during the latest revision period before moving to university capital plan presentations. Eastern Kentucky University President David McFaden outlined EKU’s enrollment growth, strong Kentucky student retention, and signature programs in nursing, occupational therapy, criminal justice, education, manufacturing engineering, and aviation. EKU’s main capital priorities were a new health innovation project to support a proposed osteopathic medical program, including a $50 million escrow requirement until accreditation; a collaborative center for health innovation to address outdated health sciences facilities; a $5 million startup request for an air traffic control program; aircraft upgrades for the aviation fleet; and continued asset preservation funding. In response to questions, EKU said roughly 40% of the new health facility would be dedicated to the medical school, with shared simulation space for multiple health programs, and that aviation maintenance needs are currently being met through KCTCS partners but could be expanded if demand grows. KCTCS representatives then described the system’s scale and capital needs, noting service to 107,000 students, extensive dual credit and workforce training, and a network of 342 buildings across 70 campuses. They said prior legislative support, including $277 million in asset preservation and $90 million released for approved projects, had helped with safety, roofs, energy efficiency, and campus security. Their current priorities include about $30 million for systemwide safety and security upgrades, renovations tied to consolidation and footprint reduction under Senate Joint Resolution 179, and broader asset preservation needs estimated at roughly $300 million to $325 million. Members discussed the need to preserve and expand skilled trades training, and KCTCS said its plan includes construction trades and flexible, multiuse facilities that can adapt to changing workforce needs. No votes were taken beyond approval of the minutes, and the presentations concluded with questions and discussion only.

Transcript Highlights:

• We have a nurse anesthesia program as well.
• We have a nurse anesthesia program as well.
• </c> participants in this particular program participants in this particular program or<01:10:28.760>
• </c><01:41:50.679><c> coordinator</c> Community forestry program coordinator Community forestry program
• </c><01:43:43.040><c> isn't</c> left unfunded if the program isn't left unfunded if the program isn't

Keywords: 958, all

Summary: The committee first reorganized by electing Representative Hart as House co-chair and Senator Douglas as Senate co-chair by acclamation, then approved the December 10 minutes. It then took up deferred and routine contract items, beginning with a Council on Postsecondary Education item that was withdrawn after staff explained the contract had been canceled and should not have come before the committee because the granting authority, not CPE, was issuing it. The committee next reviewed a Department for Local Government contract tied to an Eastern Kentucky flood recovery housing project in Jackson. Members questioned the high per-unit cost and whether renovation was more expensive than new construction. Staff explained the cost included acquisition of an existing downtown building and needed water and sewer infrastructure upgrades, and said developable land was limited in the area. With no motion to object, the contract was allowed to move forward. The committee then considered Kentucky Transportation Cabinet professional services contracts for highway design work. Members asked about the size of the contracts and how much of the available funding is typically used; staff said the contracts are two-year agreements, that the prior cycle reached close to $2 million per contract, and that this year’s limits were reduced because less money is available in the Highway Plan. The committee also approved a PSC amendment contract for the Bridging Kentucky program after staff explained the $150 hourly loaded rate was within the normal range for consultants. Both Transportation Cabinet items were approved without objection. Finally, the committee heard a Kentucky Communications Network Authority contract for an $85,000 study of the dark fiber market. Members asked what dark fiber is, why the study was needed, whether there was coordination with the Office of Broadband Development, and whether existing service meant there was already a market. KCNA said dark fiber is unused fiber that local providers can light to deliver service, that the study was needed because the contractor said no market existed while ISPs said demand exists, and that the report would help both KCNA oversight and broadband development planning. The contract was reviewed without objection.

Transcript Highlights:

• I am a state and national nurse leader representing the Hawaii Organization of Nurse Leaders, as well
• So on behalf of Hawaii Organization of Nurse Leaders, the Hawaii Nurses Association, the Red Cross, and
• </c> Bartles for Hawaii Organization of Nurse Bartles for Hawaii Organization of Nurse Leaders<00:01:
• /c><00:02:17.840><c> representing</c> national nurse leader uh representing national nurse leader uh
• So on behalf of Hawaii Organization of Nurse Leaders, the Hawaii Nurses Association, the Red Cross, and

Keywords: 912, senate, all

Summary: The committees heard testimony on several public safety and emergency-related measures. SB 3192, on emergency healthcare license waivers, drew support from nursing and healthcare advocates who said automatic emergency licensure during a governor-declared emergency would help avoid delays in bringing qualified clinicians to disaster areas, citing the Lahaina wildfire response. The committee reported 13 supportive testimonies, none in opposition, and one comment. It later recommended passage of SB 3192 with technical non-substantive amendments and a defective effective date, and the recommendation was adopted by vote. SB 2121, requiring ASL interpretation and visible picture-in-picture display during official emergency announcements, received supportive testimony from the Disability and Communications Access Board and the Hawaii Association of Broadcasters. DAP demonstrated why captions alone are not sufficient and why an interpreter on screen improves effective communication. Broadcasters supported the bill’s intent but raised practical concerns about implementation and staffing, suggesting amendments. SB 3239, which would appropriate funds to HMA for bilingual resources and services for residents with limited English proficiency, was supported by legal aid and immigrant-rights advocates who emphasized the need for language access during disasters and noted the large LEP population in Hawaii. After discussion, the chair proposed folding the sign-language and multilingual access concepts into SB 21109, a broader emergency preparedness communications bill, and the committee deferred SB 2121 and SB 3239. The committee also heard SB 2645 on fire prevention and the Office of the State Fire Marshal. The fire marshal supported the bill’s provisions to modernize the office, create cross-certified assistant fire marshals, shift inspections to a risk-based schedule, establish the state fire code as the baseline, and create a special fund, but DLNR opposed the section changing the marshal selection process from a council-based appointment to gubernatorial appointment. The chair ultimately recommended passage of the proposed SD2 with blank appropriation amounts and committee-report concerns, and the recommendation was adopted. The committee then passed SB 21109 with amendments, incorporating the deferred sign-language and language-access ideas into the broader emergency communications framework. It also later took up measures from the prior day’s agenda, passing SB 2882, SB 3191, and SB 2339 with amendments, including changes to the state buildings, water safety/drowning prevention, and building code council measures.

Transcript Highlights:

• Rules of the Board of Examiners of Nursing Home Administrators.
• However, due to the merger of the Board of Examiners of Nursing Home Administrators and the Board of
• For the record, my name is Allegra Earle, and I am the Licensing and Registration Program Manager for
• Idaho and our A&A Idaho members with Nurses Day at the Capitol.
• A&A Idaho members with Nurses Day at the Capitol. Awesome, thank you for being with us.

Keywords: 989, all

Transcript Highlights:

• combine independent living with access to higher levels of care, like assisted living and skilled nursing
• My husband, whose health was failing, had to move into skilled nursing eventually.
• 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:

• </c> behalf of the Minnesota Nurses behalf of the Minnesota Nurses Association<00:13:22.560><c> or</c
• </c><00:41:42.520><c> this</c> had on my child care programs this had on my child care programs this
• They will not want to be nurses and doctors and chiropractors and nurse practitioners and PAs.
• Nurses will not regulate nurses. The boards still have that responsibility.
• </c><01:15:03.760><c> the</c> the nurses will not regulate nurses the the nurses will not regulate nurses

Keywords: 1187, senate, all