Transcript Highlights:

• Budget neutrality requires the state to cut spending to nursing homes as nursing home costs rise.
• <00:42:02.319> homes Only one of the seven nursing homes Only one of the seven nursing homes
• ,<00:43:01.520> which nursing on nursing home care, which nursing on nursing home care, which
• Um, with that, as we were the worst impacted nursing home of all of the impacted nursing homes with the
• still struggled for LNAS for nurses still struggled for LNAS for nurses um<00:46:37.359> to

Keywords: 1191, senate, all

Transcript Highlights:

• And of course, we've dedicated recently a LPN (Licensed Practical Nurse) or Nurse Practitioner who is
• I've been working with the UNM College of Nursing and the Highlands University College of Nursing and
• So we're always proud to work with the state School Nurses Association.
• That's going to help school nurses recruit school nurses.
• The nursing home, quality surcharge program is another one where the nursing homes pay the state of New

Transcript Highlights:

• TO A SURGEON OR A NURSE OR A PATIENT?
• NURSES IS A TRUSTED PROFESSION IN AMERICA ACCORDING TO A RECENT POLL.
• AND THE VICE PRESIDENT OF FLORIDA NURSES ASSOCIATION.
• TO ALL THE NURSES WHO ARE HERE THEY HAVE BEEN COMING EVERY YEAR.
• NEWS REPORT THAT RANG FLORIDA'S NURSING CENTERS AMONG THE NATIONS BEST.

Transcript Highlights:

• Thank you so much. approximately 315 to 320 nursing homes approximately 315 to 320 nursing homes across
• could safely assume that every nursing could safely assume that every nursing home<00:19:01.799>
• <00:20:18.720> home those rules uh the nursing home those rules uh the nursing home Workforce
• relationship to the ability of a nursing relationship to the ability of a nursing home<00:21:57.039
• then uh the ability to sta a nursing then uh the ability to sta a nursing home<00:22:09.960>

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• for the nurse.
• for the nurse.
• for the nurse.
• You know, the nonpublic pupil aid for nursing that we get is just the time for the nurse.
• Nurse Suzanne has a few hours to come to school and work collaboratively with Nurse Katie.

Keywords: 1187, senate, all

Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.

Transcript Highlights:

• about nursing education often.
• Nurses here in the state of Florida, where we also talk about nursing education often.
• and practical nurses.
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into a series of special-order bills and House messages. Early floor action included passage of a claim bill for Mandy Penny Lemon (HB 6503) and bills on sewer collection systems (HB 1123) and farm products (HB 211), all passing unanimously. The chamber also took up an ad valorem tax exemption resolution for agricultural tangible personal property (CS/HJR 1215), which passed 37-0. Several other measures were temporarily postponed before the Senate recessed and later returned to House messages and additional special orders. The Senate then addressed multiple House amendments and conference-style motions. It concurred in amended versions of SB 994 on driver safety, SB 180 on emergency preparedness and response, and HB 1609 on waste incineration/auxiliary containers after extended debate over hurricane recovery rules, local government restrictions, and plastic container preemption. The chamber also concurred in CS/HB 1205 on citizen initiative petitions, increasing the number of petitions a volunteer may carry from 2 to 25, and in CS/HB 733 on Brownfields. Other House amendments were rejected or sent back, including SB 234 on offenses against law enforcement, SB 116 on veterans policy, SB 168 on mental health, and HB 1101 on out-of-network provider referrals. Later, the Senate approved CS/HB 1255 on education and CS/HB 875 on educator preparation, with discussion focused on school readiness, teacher training, and changes to certification and testing requirements. It also concurred in CS/HB 1427, a broad health care bill, after the House added a major nursing education amendment that tightened Board of Nursing oversight, required standardized evaluation and remediation, and imposed accountability measures tied to NCLEX pass rates and program performance. Several members raised concerns or praised negotiated compromises throughout the day, but the recorded actions were mainly concurrence motions, refusals to concur, and final passage votes on the bills considered.

Transcript Highlights:

• Hospitals also need nurses. Hospitals in Manchester also need nurses.
• Hospitals also need nurses. Hospitals in Manchester also need nurses.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.

Keywords: 1191, senate, all

Transcript Highlights:

• census for our veterans the more nurses census for our veterans the more nurses and<00:27:21.559
• <00:28:02.120> and temporary um the contracted nurses and temporary um the contracted nurses
• Many nurses, the ones that...
• If you look at nursing, nurses are at a 51% vacancy rate, and LNA are at 52% vacancy rate.
• <01:41:16.840> Nurse<01:41:17.119> managers Which could be nurses, nurse managers,

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• And then also with the nursing shortage, we’ve got a college of nursing.
• And then also with the nursing shortage, we've got a college of nursing.
• And then also with the nursing shortage, we've got a college of nursing.
• I'm acutely aware of the need for nurses.
• That's one good thing about our nurses that I want to bring up. Our nurses are local kids.

Summary: The Appropriations Committee on Higher Education received a presentation from the Governor’s Office and the Commissioner of Education on the proposed higher education budget. The presentation highlighted a $117.4 billion overall state budget, with education at $32.5 billion and higher education receiving a modest overall increase. Key items included no tuition or fee increases for Florida residents, major financial aid funding such as Bright Futures, Benacquisto, EASE, Open Door, and first responder scholarships, as well as workforce investments including apprenticeship programs, career and technical education, nursing pipeline funding, and performance-based funding for colleges and universities. Committee members asked questions about the proposed expansion of the Guardian program at state colleges and the $100 million university recruitment and retention fund. Officials said the Guardian funding would give colleges flexibility to use trained personnel for campus safety, sometimes alongside or in place of campus police or private security. The Chancellor explained that the recruitment and retention money would be distributed to universities with no specific directives beyond using it for faculty recruitment and retention, emphasizing Florida’s favorable demographics and the opportunity to attract faculty from states facing enrollment declines. The committee then heard testimony from multiple appointees and reappointees to boards of trustees at state colleges and universities, including Eastern Florida State College, Lake-Sumter State College, State College of Florida Manatee-Sarasota, Miami Dade College, Northwest Florida State College, and St. Johns River State College. Each described their backgrounds and stressed themes of affordability, workforce alignment, nursing and technical programs, dual enrollment, and local community needs. Several cited strong nursing licensure pass rates and college outcomes. After hearing all appointees, the committee voted unanimously to confirm the full block of nominees, and the confirmations were reported favorably before the meeting adjourned.

Transcript Highlights:

• Oh, and by the way, we help nursing Oh, and by the way, we help nursing homes<00:21:38.720> as
• <00:27:06.559> homes, the $2.5 million for the nursing homes, the $2.5 million for the nursing
• But what I really want to talk about is the nursing home piece because nursing homes underpin our entire
• talk about is the nursing home piece because<00:31:18.880> nursing<00:31:19.279> homes<
• The House was not the body that added the $2.5 million for the nursing homes or the nursing home policy

Keywords: 1189, house, all

Summary: The committee of conference on HB 155 continued discussion of a compromise over business tax relief, small-business filing thresholds, and nursing home funding. Representative Sweeney proposed raising the filing threshold to $400,000 and creating a trigger for future Business Enterprise Tax reductions if business tax revenues produce a $200 million biennial surplus, with the Department of Revenue Administration commissioner able to exclude one-time or non-sustainable funds. Supporters said the proposal would provide a clear policy direction, immediate relief to about 4,500 small and micro businesses, and a future path back to the BET’s original 0.25% rate. Opponents, led by the Senate side, argued the trigger language was premature, better handled in a budget year with more revenue data, and inappropriate to decide in a short conference committee meeting. The Senate also emphasized that the tax policy should not be locked in without a fuller public process, while House members argued the trigger would not take effect until a future biennium and was therefore a prudent way to signal New Hampshire’s direction on taxes. A separate point of discussion involved nursing homes: the House said its report would include $2.5 million for nursing homes with non-lapsing language, and senators stressed the importance of that funding for the health care system and county property taxpayers. One senator warned that triggers could encourage revenue underestimation and noted bond rating concerns about a structural deficit. Several motions were made to accept the Senate position with the $400,000 threshold and related amendments, but the first motion failed on a party-line style split, with the Senate voting yes and the House voting no. A second House motion to accede to the Senate position while also including the nursing home funding, the threshold increase, and the future trigger language was also rejected by the Senate. The meeting ended with the report filed without agreement on the trigger language, and the transcript then notes a separate reconvened committee of conference on HB 751 being postponed until 12:30 the next day.

Transcript Highlights:

• Okay, but you mentioned a nursing home.
• So I'll use a nursing home, for instance.
• You have the nurses with the nursing home, but then hospice comes in with a whole different care delivery
• And so I hope there's no nursing homes that go through this process.
• Something that... ...up to and including closing the nursing home.

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• to cover up to three years of public sector nursing work.
• the retirement system to cover up to three years of public sector nursing work.
• I'm also a board member of the Massachusetts School Nurse Organization.
• School nurses make up less than 0.17% of the school population.
• ; 8.3% said two years, 11 nurses; 6% said one year, 8 nurses.

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hearing on a wide range of credible service and retirement-related bills, with testimony largely focused on allowing public employees to buy back prior service time or receive more appropriate retirement classifications. Bills discussed included retirement buyback for Joint Base Cape Cod firefighters (H. 4317), clarification of call firefighter buyback rights (H. 2883/S. 1915), veterans’ buyback (H. 2957), a Bridgewater State University police death-benefit/heart-law issue (filed by Rep. Gallagher), unpaid parental leave buyback for municipal employees (H. 2946), school nurse creditable service (H. 2887/S. 1787), former private/parochial school teacher buyback (S. 1900/H. 2873), Massport police retirement classification (S. 1888), contract employee buyback (H. 2795), Retirement Plus late entry (H. 2792), CVTE/teacher-related buyback issues (H. 2762), Peace Corps/AmeriCorps creditable service (H. 2927), and institutional school teacher retirement fairness (H. 2757). Several speakers also referenced related bills for teachers and nurses that had been heard previously or were filed in parallel in the other branch. Testimony was overwhelmingly in support of the bills. Speakers argued that the measures would correct inequities, recognize prior public service, and help recruit and retain workers in hard-to-fill public jobs. Firefighters described the unique federal-to-state transition at Joint Base Cape Cod and said some members were left out of earlier buyback opportunities. Veterans, teachers, school nurses, correctional educators, and Massport police all described service requirements, administrative gaps, or outdated statutory language that they said unfairly limited retirement credit or placed them in the wrong retirement group. Several witnesses emphasized that the proposals were fiscally responsible because employees would pay the cost of the buybacks, and some noted that similar bills had been filed repeatedly in prior sessions. Committee members asked a few clarifying questions, mostly about why certain employees had been excluded under current law or how the retirement provisions would work. No opposition testimony was presented. The hearing concluded after all scheduled witnesses testified, with the chairs thanking participants for their service and the committee voting to adjourn.

Transcript Highlights:

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

Keywords: 988, house, all

Transcript Highlights:

• licenses out of nursing programs in Florida.
• as we all know we're in a nursing shortage.
• This is the data center for all things nursing.
• . nurses get a lot of love for obvious reasons.
• I am here to testify on the item. of Nursing.

Keywords: 1184, house, all

Transcript Highlights:

• NURSING EDUCATION.
• HERE AND NURSING EDUCATION OFTEN.
• STATES IN FIRST TIME PASS RATES WITH REGISTERED NURSES AND PRACTICAL NURSES.
• I WOULD NOT BE A GOOD NURSE.
• YOU'RE IN A NURSING HOME, AND WE WANT GREAT, HIGHLY TRAINED INDIVIDUALS CARING FOR THOSE OF US IN A NURSING

Keywords: 999, senate, all

Transcript Highlights:

• Um, fraudulent and substandard nursing licenses out of, uh, nursing programs in Florida.
• the number of nurses.
• She's, she's a nurse, but she moved away to work at the University of Maryland School of Nursing, um,
• I represent the Texas Nurses Association.
• Um, but as we expand the nursing profession and the number of licenses, the Board of Nursing is definitely

Transcript Highlights:

• Robin Armstrong, who, uh, takes care of a nurse, nursing homes down in Galveston.
• The nurse will have to provide a description of any formal charges against the nurse initiated.
• Shows four different APRNs, two nurse nurses and two... APRNs, their names have been redacted.
• Nurse anesthetist has to say.
• nursing school?

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• Pick nursing. Let's just do nursing.
• in the nursing program.
• nurse, an associate degree is entry to practice as a registered nurse.
• nurses, are going.
• nurses are going.

Keywords: 996, all

Transcript Highlights:

• Despite me having a background now as a nurse, because I recently just finished school to become a nurse
• to be done by a nurse to take care.
• If I have a nurse, I am usually have to be available, even when I have a nurse.
• That's when our nurses are charting.
• My name is Jen, and I am currently a nurse and a nurse leader for Angels of Care.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• We have a very strong nursing and medical board.
• I am a board-certified nurse. My name is Michelle Doran.
• I also lead a team of 40 women, including nurse practitioners, registered nurses, and support staff.
• I explained to them that the day a nurse graduates nursing school or NP school, they can start practicing
• an aesthetic nurse practitioner program, because when many of these nurses then decide to become NPs,

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.