Transcript Highlights:

• government is particularly interested in the Medicaid program and the DTA program and the Medicaid program
• , the adult foster care program, and the adult day health program.
• The personal care attendant program, the adult foster care program, and the adult day health program
• programs, I am.
• Programs on that campus, which includes substance use disorder treatment programs, residential programs

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• When he was a junior in high school, I did find a program—now programs—that did help him.
• When he was a junior in high school, I did find a program—now programs—that did help him.
• He did the same program.
• She said students who need nurses, such as one-on-one nurses, typically have to find nurses through district
• There's a nursing shortage.

Summary: The committee first met in executive session on House Bill 3070, a firearms-related bill. Representative Koslow argued the bill was not truly Second Amendment friendly, saying it could block return of stolen firearms, expose taxpayers to large payouts, and harm firearm dealers. Representative Greg said local law enforcement did not support it. The committee then voted 3 ayes and 9 noes, and HB 3070 failed to be reported do pass. The committee then held a public hearing on House Bill 2904, which would expand animal mistreatment law to include starvation and add a House committee substitute addressing false reports of animal abuse. Representative Don Mayhew said the bill responds to cases of animals left chained and neglected, and supporters from the Animal Legal Defense Fund, Humane World for Animals, and the Missouri Alliance for Animal Legislation backed the measure. No opposition testimony was offered. The bulk of the meeting focused on House Bill 2933, which would allow school districts in St. Louis County to withdraw from the Special School District of St. Louis County through board action and a local vote. The sponsor and supporters, including Lindbergh officials, parents, and an attorney, said the current SSD structure is too rigid, lacks accountability, and can fail to meet students’ individualized needs; they cited service delays, litigation, and concerns raised by families. Opponents, including SSD administrators, superintendents, parents, and advocates, said SSD provides specialized services that many districts could not replicate, warned the bill could fragment services and create instability, and pointed to the countywide history and existing review mechanisms for SSD. The hearing ended without a vote on HB 2933.

Transcript Highlights:

• We've seen mental health programs and substance abuse programs in Massachusetts closed, seems like every
• Is it going to be the PCA program?
• It leads to people going to nursing homes.
• I'm a nurse at St.
• We represent more than 25,000 nurses and health care professionals.

Keywords: 995, all

Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.

Transcript Highlights:

• and rewards programs.
• a loyalty program and then within that program they're offering coupons, right?
• my loyalty programs.
• Programs and coupons live.
• Can you help me find a good nursing home for her?' So she ended up in a nursing home.

Keywords: 1146, all

Transcript Highlights:

• There is one single nursing care.
• </c><00:19:47.120><c> is</c> whose compassionate release program is whose compassionate release program
• </c> and they're being accepted to nursing and they're being accepted to nursing homes<00:38:26.400><
• :27.359><c> that</c> homes because nursing homes know that homes because nursing homes know that they
• Care program.

Keywords: 910, house, all

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• <00:06:12.800><c> care</c><00:06:13.080><c> at</c><00:06:13.240><c> home</c> nursing care at home nursing
• Are you aware that private duty nursing is what home care nursing had been called before 2014, and that
• what</c><00:14:57.880><c> home</c><00:14:58.160><c> care</c><00:14:58.400><c> nursing</c> duty nursing
• is what home care nursing duty nursing is what home care nursing had<00:14:59.160><c> been</c><00:14
• telling them they had nursing covering telling them they had nursing covering for<00:17:21.280><c> all

Keywords: 919, house, all

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

• Here to testify are Kathy Kennedy, who is a registered nurse and president of the California Nurses Association
• I'm a registered nurse of 46 years, president of the California Nurses Association, and proud sponsor
• Bedside nurses do not just execute tasks.
• Arles Farba, registered nurse with the California Nurses Association: I support. Good afternoon.
• I'm an ICU registered nurse at Sutter, and I support.

Summary: The committee heard AB 1887, which would speed prior authorization for FDA-approved rare disease treatments prescribed by specialists and, if a plan does not act within 30 days, deem the request approved. The author and supporters, including patients and clinicians, said delays can cause irreversible harm, hospitalizations, and death, especially for children and people with progressive rare diseases. Health plans and insurers opposed the bill’s automatic-approval provision and said the measure lacked safeguards for incomplete requests and shared responsibility for timely information. The chair encouraged continued work with opponents, and the author said the bill was narrowed from an earlier version that would have waived prior authorization entirely. The committee also heard AB 1979 on artificial intelligence in health care, AB 2161 on Medi-Cal work requirements, AB 539 on extending approved prior authorizations, AB 2311 on physician employment at public hospital districts, AB 1148 on banning phthalates and bisphenols in food packaging, AB 1825 on mental health offender reentry coordination, and AB 2282 on a temporary emergency stabilization unit in Patterson. AB 1979 would preserve licensed clinicians’ professional judgment, bar AI from directing unlicensed clinical functions, and protect medical records used by consumer chatbots; after amendments, several hospital, medical, and industry groups moved from opposition to neutral. AB 2161 would limit the harm of federal Medi-Cal work-reporting rules by using existing data, improving notices, and protecting due process; it drew broad support from patient, provider, and advocacy groups. AB 539 would keep prior authorization approvals valid for up to one year or the course of treatment, with supporters citing continuity of care and opponents warning about utilization, fraud, and cost concerns. AB 2311, as amended, would let certain high-payer-mix or distressed public health care districts directly employ physicians; CMA withdrew opposition after the bill was narrowed, while some hospital interests still objected to the carve-out. AB 1148 would prohibit two chemicals commonly used in food packaging, with supporters citing cancer and endocrine-disruption risks and opponents arguing DTSC should handle the issue through its existing regulatory process. AB 1825 would improve transition planning and Medi-Cal enrollment for offenders with mental health disorders leaving state hospitals, and AB 2282 would authorize a temporary rural emergency stabilization care unit in Patterson until a permanent hospital is built. Several bills were held for later action because the committee lacked a quorum, and the chair repeatedly noted that motions would be taken once enough members returned.

Transcript Highlights:

• Her background is in nursing.
• We are at capacity in most of our programs and starting new programs.
• We are at capacity in most of our programs and starting new programs.
• I joined the practical nursing program on campus, and I was the first class in our new Allied Health
• There's now practical nursing. We've added registered nursing, LPN to RN, and such.

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• /c> mile of any existing residential program mile of any existing residential program program<00:45:57.839
• </c> the assisted living facility or nursing the assisted living facility or nursing home<00:51:48.960
• <00:52:18.680><c> Services</c> nursing Services nursing Services agencies<00:52:21.720><c> section</c
• </c><00:53:12.240><c> for</c> responsibility of registered nurses for responsibility of registered nurses
• </c><02:16:42.200><c> homes</c> things more for our our nursing homes things more for our our nursing

Keywords: 1187, senate, all

Transcript Highlights:

• </c> program uh in questions as to program program uh in questions as to program utilization<00:05:22.280
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• </c> costs uh while Medicaid waiver programs costs uh while Medicaid waiver programs fund<00:51:07.160
• </c><01:04:16.960><c> is</c> 2025 they alleged that the program is 2025 they alleged that the program

Keywords: 1187, senate, all

Transcript Highlights:

• </c> the administration of the program. the administration of the program.
• </c> a service or program a service or program um<01:15:22.800><c> in</c><01:15:23.040><c> in</c><01:
• uh reinstatement of the the program. And uh reinstatement of the the program.
• </c><01:44:36.920><c> home</c> last week and another nursing home last week and another nursing home
• </c><01:44:45.760><c> Um,</c> nursing home facilities. Um, nursing home facilities.

Keywords: 1189, house, all

Summary: Division Three of the Finance Committee met in work session on April 20, 2026, to consider Senate Bills 481, 603, and 663, with the discussion focused primarily on SB 481, relative to the sale of the Sununu Youth Services Center property. The chair explained that the bill was advisory only and that the committee’s recommendations would go to full Finance on April 27. For SB 481, members reviewed conflicting provisions in the prior budget law about whether sale proceeds should go to the general fund or the Youth Development Center Claims and Administration Settlement Fund, and the bill was described as a compromise that would direct proceeds to the general fund before June 30, 2027, and to the settlement fund after that date. It was noted that the settlement fund had originally received about $20 million and had roughly $10 million remaining. The committee also received an extensive update from DCYF Director Marie Noonan on the new Youth Development Center in Hampstead. She reported that construction remained on schedule, with major structural and interior work complete, substantial completion expected in late summer or early fall 2026, and occupancy anticipated in early 2027. The presentation highlighted the facility’s design features, including single-occupancy bedrooms, sensory rooms, an education wing, medical and clinical suites, visitation space, a gym, and multiple outdoor courtyards, all intended to support a trauma-informed setting. Members asked about the facility’s funding, square footage, fencing, and scanner; staff said the building is about 34,000 square feet, funded entirely with federal ARPA state recovery funds to date, and that the scanner is on site but not yet operational pending policy and staff training. Committee members also raised concerns about the facility’s design and security. In response, DCYF said some concrete walls are required for structural and safety reasons, but they are being painted to maintain a brighter environment, and that the fencing will be about 15 feet high with privacy netting because the campus is shared with Hampstead. Officials said the new facility is legislatively limited to a maximum of 12 youth, while the current center can house 12 to 18, and emphasized that courts ultimately determine placements. No votes or final actions were taken during the work session.

Transcript Highlights:

• and our One Care Program.
• The Senior Care Options Program is a program that is a partnership between UnitedHealthcare, MassHealth
• Just to go about one minute back on this program, the Quality and Equity Incentive Program at MassHealth
• And this program, though, the HECM Center program is designed based on feedback from stakeholders with
• So through this program, the entities are incentivized for the first two years of the program to assess

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• A registered nurse will not be able to delegate to a regular home health aide or certified nursing assistant
• A registered nurse will not be able to delegate to a regular home health aid or certified nursing assistant
• Basically, it's limited in scope to the nurse delegation statute.
• It's limited in scope to the nurse delegation statute.
• Medicaid program.

Keywords: 999, senate, all

Transcript Highlights:

• What this bill is asking is to make that mandatory, and that program, a mandatory employment program,
• In nursing, if it's not charted, it's not done.
• and implementation of the program.
• I stood here before you three years ago to start this program.
• I'm also a nurse, and I've been a nurse for 25 years.

Summary: The Senate Health and Human Services Committee met and first recognized Physical Therapy Day at the Capitol, welcoming Arizona physical therapy leaders and students. The committee then took up several bills related to SNAP, health care regulation, child welfare, dementia services, and safe haven newborn surrender. SB 1334 would bar DES from seeking or renewing SNAP work-requirement waivers for able-bodied adults without dependents unless required by federal or state law; supporters said it would curb administrative expansion and opponents argued it would reduce flexibility during high unemployment and harm food-insecure Arizonans. The bill received a do-pass recommendation on a 4-1 vote. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with annual reporting, corrective action plans, Auditor General oversight, and possible funding penalties if targets are missed. After adopting a committee amendment changing reporting to quarterly updates and replacing a forensic audit with a special audit, the committee approved the bill as amended on a 4-1 vote. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; proponents said it would strengthen work expectations, while opponents and DES raised concerns about administrative burden and food bank impacts. The bill passed 4-2, with members explaining no votes due to child care, rural access, and food insecurity concerns. The committee also advanced SB 1162, which clarifies DHS’s role in licensing and monitoring health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to reduce duplicative oversight and report periodically to the legislature; it passed 6-0. SB 1017, requiring additional signatures and witness verification on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, which adds reporting and procedural requirements for DCS periodic review hearings, passed as amended 5-1. SB 1249, designating DHS as the lead agency on Alzheimer’s and dementia and creating a state plan and services program funded through lottery monies rather than the general fund after amendment, passed 6-0. Finally, SB 1253 clarified that a parent may surrender a newborn at the hospital of birth without leaving and returning, and requires updated safe-haven reporting; it passed 5-0, after testimony from hospital and safe-haven advocates in support. The committee then adjourned.

Transcript Highlights:

• However, nursing and transportation have been repeatedly identified as significant gaps in this program
• However, nursing and transportation have been repeatedly identified as significant gaps in this program
• However, nursing and transportation have been repeatedly identified as significant gaps in this program
• </c><00:03:58.280><c> services</c> required and critical nursing services required and critical nursing
• ><c> want</c><00:59:36.400><c> to</c> in these programs and I also want to in these programs and I also

Keywords: 1187, senate, all

Transcript Highlights:

• So I hold a doctorate in nursing practice.
• I'm a nationally certified school nurse, a member of the Texas School Nurses Association. organization
• You're here on behalf of school nurses. I'm a school nurse and yes. And then Ms.
• We've got school social workers, school nurses and school counselors.
• I'm grateful for the work of social workers and nurses and school counselors.

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• You heard that 35 states like us have a program of this sort.
• You heard that 35 states like us have a program of this sort.
• We took deep cuts to the PEBB and SEB program.
• Because in my community, that's what we keep hearing: more nurses are being cut, more nurses are being
• You're cutting physicians, you're cutting nurses.

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

Transcript Highlights:

• ECNS, which uses nurses to triage 9-1-1 calls to reduce unnecessary ambulance use.
• Emergency Communications Nurse System, EC&S, which uses nurses to triage 9-11 calls to reduce unnecessary
• And how the state can use programs like CONFIRE as a model to use statewide.
• We need to evacuate that nursing home, for example.
• Are you concerned about it in any of your programs? Yeah.

Summary: The Senate Committee on Rules convened with quorum and first approved several governor’s appointments not required to appear, including Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair and membership appointments, the 2026 session schedule, the 2026 Senate holiday schedule, and floor acknowledgments, all by 4-0 votes. The committee then heard confirmation testimony from Hernando Garzon, M.D., nominated as Chief Medical Officer of the Emergency Medical Services Authority. Senators asked about EMSA’s strategic plan, data integration, local flexibility in statewide standards, ambulance patient offload regulations, stakeholder engagement, disaster response, rural access, and alternatives to transporting 9-1-1 callers to emergency departments. Garzon emphasized data-driven decision-making, technical assistance to local EMS agencies, collaboration with hospitals and providers, and the use of community paramedicine, telehealth, and pre-positioned resources in disasters. Public commenters and members supported his confirmation, and the committee approved the appointment 4-0 for referral to the full Senate. The committee also heard from Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health. She described her tribal background, prior state, county, tribal, and nonprofit experience, and her focus on serving communities facing health disparities. Senators questioned her about how the office sets priorities, measures outcomes, balances equity work amid political opposition to DEI language, and tailors technical assistance to rural and tribal communities. Weldon pointed to work on tribal consultation, behavioral health, youth mental health, the California Reducing Disparities Project, gender-affirming care, reproductive health, housing and climate-related supports, and community advisory boards. Numerous public witnesses, including tribal and health equity advocates, spoke in strong support, and the committee approved her appointment 4-0 for the full Senate.

Transcript Highlights:

• And so, it is important that we not only work through programs in trying to improve access, but also
• I rise to recognize Nurses Week in New York State and to honor the extraordinary nurses who serve patients
• role nurses play not just during one week or month but every day of the year.
• At a time when our healthcare system continues to face serious demands, nurses are indispensable.
• "We have examples from a Wegmans in Brooklyn which was doing a facial recognition program.

Keywords: 993, senate, all

Summary: The Senate opened with routine business, approved the prior journal, and received several motions to discharge identical Assembly bills from committee and substitute corresponding Senate bills. Members also offered brief recognitions for visitors, including Yemeni American community advocates and Cheri Davis, who was honored for her Alzheimer’s advocacy and support work. The chamber then took up several previously adopted resolutions, including Armenian Genocide Remembrance Day, Period Poverty Awareness Week, and Nurses Week, with senators speaking in support of each measure’s purpose and importance. The body then moved through a long calendar of bills, passing a wide range of measures on education, public health, correction law, environmental conservation, municipal law, agriculture, and consumer protection. Notable floor discussion included Senator Ramos explaining her support for a bill requiring salons and similar businesses to display multilingual domestic violence resource information, and Senator Gianaris and Senator Borrello debating a bill to prohibit electronic shelf labeling in stores over concerns about surveillance, dynamic pricing, and impacts on brick-and-mortar retailers. Senator May and Senator Skoufis also spoke on an environmental conservation bill concerning American eel management, with May supporting the species protections and Skoufis objecting to the bill’s structure. Most bills were adopted by wide margins, though several drew recorded negative votes. The Senate passed the domestic violence information bill, the electronic shelf-labeling bill, and multiple other measures, including bills on eviction notice procedures, surrogate court procedure, and environmental conservation. After completing the calendar, the Senate reported no further business and adjourned until the next day at 11:00 a.m.

Transcript Highlights:

• as the administrator of the Linking Industry to Nursing Education, the LINE funding program, which is
• to Nursing Education, the LINE funding program that is so, so important to helping educate our nurses
• It expands it to include health science education programs in addition to nursing, as I said, and it
• , creates the foster and family support grant program, revises the parameters for the Medicaid nursing
• disabled programming, waiver programs, why are we not including ...programming waiver programs?

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.