Transcript Highlights:

• of oversight for registered nurses.
• nursing education programs, setting standards for maintaining competence, and disciplining nurses for
• nurses right now.
• who are nurses who apply to become nurses that have positive criminal backgrounds.
• And some areas that we are looking at is with our nurses in our alternative-to-discipline program.

Summary: The Occupational Licensing Review Subcommittee met to review two occupational licensing reports: the Arkansas State Board of Nursing and the State Board of Registration for Professional Soil Classifiers. For nursing, board officials described the board’s history, scope, and licensure categories, noting it regulates about 72,000 nurses and oversees RNs, LPNs, advanced practice nurses, medication assistants, and a new dialysis patient care technician registry. Members asked about workforce shortages, complaint types, and the board’s finances; the board said Arkansas has enough licensed nurses overall but has vacancy issues in some areas, complaints commonly involve criminal backgrounds, fraud, misrepresentation, drug abuse, and misappropriation, and the average case length is 191 days though some cases remain open much longer while awaiting criminal adjudication. Officials also said they are working on efficiency improvements and have added help positions with Department of Health support. The report was accepted without objection. The committee then reviewed the soil classifier program, now housed under the Natural Resources Commission after the former board was abolished in 2023. Agriculture Department officials explained that soil classifiers are a small, specialized profession requiring a four-year degree with coursework in biological, earth, and soil sciences, and that the state currently has 29 registered soil classifiers. Members asked whether that number is sufficient, what the work involves, and how the program’s finances are used. Officials said the profession is mainly used for septic system design, wetland determinations, nutrient management, and other soil-related work, and that current staffing appears adequate. They also noted the program has about $20,000 in reserves, above the statutory three-year balance, and discussed possible uses such as training, curriculum upgrades, and expanded administrative funding. The report was also accepted without objection, and the meeting adjourned with the next meeting scheduled for February 19 at 1:30 p.m.

Transcript Highlights:

• So this is really great that we have this universal home visiting program where nurses can come into
• I think the program is universal home visit where a nurse actually visit the whole.
• A nurse can educator on the program. A physician can educate on that program.
• Healthy start to home visiting program that provides education and care, coordination of pregnant women
• also known as WIC as a federally funded nutrition program that provides healthy foods, nutrition, education

Keywords: 999, senate, all

Transcript Highlights:

• a<00:47:51.119> nurse<00:47:51.440> currently<00:47:52.240> talk former nurse
• or a nurse currently talk former nurse or a nurse currently talk about<00:47:52.720> the<00:47
• type of thing nurse license for the same type of thing with<00:52:18.319> nurses<00:52:18.720>
• The nurse is in the building.
• /c><00:53:59.040> the have to happen. the nurse is in the have to happen. the nurse is in the

Keywords: 1183, house

Transcript Highlights:

• <00:27:54.320> I'm Doctor of Pharmacy program. I'm Doctor of Pharmacy program.
• duty nursing and not home care agencies. duty nursing and not home care agencies.
• four-year program, would more stay put? four-year program, would more stay put?
• I'm a pediatric nurse practitioner with the Hawaiʻi program, and I serve as a clinical consultant to
• c><01:38:29.920> to education is uh using nurses to education is uh using nurses to administer

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• 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.
• 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, OAHIP program, and EBHIP program,

Summary: The Select Committee on Older LGBTQ Californians held an inaugural hearing focused on the health care and support landscape for older LGBTQ Californians, including people aging with HIV and transgender, gender non-conforming, and intersex seniors. Opening remarks emphasized the long history of discrimination faced by older LGBTQ adults, the growth of the aging LGBTQ population, and the need to translate existing state commitments into concrete services. Senators highlighted concerns about nursing home vulnerability, the aging of people living with HIV, and the impact of federal actions and Medicaid cuts on California’s safety net. The first panel featured Justice in Aging, CalHHS, the Department of Aging, and the Aging and HIV Institute. Testimony described widespread inequities, including discrimination, social isolation, economic insecurity, and gaps in culturally competent care. State officials outlined the Master Plan for Aging, the first statewide survey of LGBTQIA older adults, gender-affirming care protections in Medi-Cal, and efforts to improve coordination across departments. Advocates argued the state has been too slow to respond to federal threats and that services are often hard to find or fragmented. Committee members pressed the departments on how survey findings are being turned into action, how rural and underserved communities are being reached, and whether more formal stakeholder coordination or “no wrong door” access systems are needed. The second panel focused on seniors living with HIV. A long-term survivor gave emotional testimony about the “survivorship penalty,” loss of benefits, housing insecurity, and the need for legal and navigation support, housing assistance, and protection from outdated disability standards. The Department of Aging reported on implementation of SB 258, which added HIV status to the definition of greatest social need for area agencies on aging; it said 20 of 33 area plans now identify HIV as a target population and many include specific strategies, such as LGBTQIA mental health connections programs. The Office of AIDS described Project Cornerstone, Ryan White, ADAP, HOPWA, the Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and rely on whole-person case management. Case management testimony underscored persistent needs for medication subsidies, transportation, food, and housing. Committee members questioned how ADAP rebate funds might be used, how SB 258 is enforced across local agencies, and how to reduce administrative barriers and auto-connect eligible people to benefits. The final panel began with the Department of Social Services outlining protections for TGI seniors in licensed care facilities, including SB 219’s nondiscrimination requirements and related provider notices and resident rights materials. The hearing remained focused on identifying service gaps, improving coordination across aging, health, and social service systems, and ensuring state programs better reflect the lived experience of older LGBTQ Californians.

Transcript Highlights:

• services, and research programs.
• Leave for fellowship programs.
• So, does OSU have an ER residency program?
• and nursing programs because that is very beneficial to JD McCarty Center.
• But we're able to look at a new program, for instance, our ABA program.

Keywords: 914, all

Transcript Highlights:

• Having stable housing will allow them to focus on their education and work.
• The whole program is geared to taking care of the individual child.
• Every other managed care program is under AHCA.
• AHCA is handling the whole program now.
• With regard to nursing homes, it aligns us with the federal standard.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• As a nurse and Leaders in Nursing.
• If it's nurses and limited to nurses.
• Not all applicants or individuals can afford or have access to premarital education programs, which often
• have access to premarital education have access to premarital education programs,<00:45:54.800><
• that might include program evaluation to demonstrate program effectiveness so that more programs can

Keywords: 1187, senate, all

Transcript Highlights:

• Ben Kolinsky, I'm a pediatric nurse practitioner with YK and a consultant to the Department of Education
• program if this does get off the ground and rolling, but not all educational assistants want to become
• So we have done a pilot program in the last few years in the Y9 Nula area, where it is an educational
• Well, the apprenticeship program, you know, they would start out in Educational Assistant 1, Educational
• They would also have to go through a state-approved teacher education, um, student teaching program when

Keywords: 912, senate, all

Summary: The joint Committee on Education and Committee on Public Safety and Military Affairs heard Senate Bill 422, which would authorize the Department of Education to award a high school diploma to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The Department of Education testified in support, noting a prior law that created the Kono diploma program before it sunset in 2020. Several members of the public also testified in support. Both committees later recommended passage of SB 422 without amendments, and the recommendation was adopted by voice votes. The committees then heard Senate Bill 530 on Braille literacy. The bill would establish Braille literacy as state policy, require Braille-related literacy assessments for eligible blind and low-vision students, authorize DOE rulemaking, create a Braille Literacy Resource Center, and appropriate funds. DOE and the Department of Human Services supported the measure, as did the National Federation of the Blind, Hawaii Disability Rights Center, and a blind testifier who described the importance of early Braille instruction. The Attorney General’s office raised concerns about statutory language requiring yearly assessments and suggested revisions so annual decisions remain with IEP teams. The committees voted to pass SB 530 with amendments, including the Attorney General’s suggested changes, and adopted the recommendation. The next measure was Senate Bill 532, which would allow school staff and agents trained by a licensed clinician to volunteer to administer medication to students in public schools under certain conditions and clarify who may prescribe such medication. DOE and Department of Health testimony supported the bill. The Attorney General recommended replacing the term “licensed clinician” with the defined term “health care professional.” The Hawaii Academy of Physician Assistants supported the bill but asked that physician assistants be included among providers who may prescribe medications for school administration. After questions about current school health aide duties and field-trip medication procedures, the committees voted to pass SB 532 with amendments, including the Attorney General’s terminology change, and adopted the recommendation.

Transcript Highlights:

• program to education uh our manufacturing engineering program uh we are now in year three of that program
• our criminal justice program to to our criminal justice program to education<00:04:38.240> uh
• our nursing program is one of the very best in the nation.
• education, nutrition programs. education, nutrition programs. um<00:36:59.119> that<00:36
• in response to our growing nursing in response to our growing nursing program<01:10:36.640> as

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:

• that Bachelor of Science and nursing that Bachelor of Science and nursing course<00:07:46.599>
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.

Keywords: 958, all

Summary: The committee first heard House Bill 305, which would clarify and expand a healthcare workforce bill to explicitly include physician assistants and dietitians in efforts to address shortages, especially in rural areas. Rep. Fleming said the change was intended to help with Medicaid-related needs such as diabetes care and noted a decline in dietitian internship applications. Rep. Roarx supported the bill, emphasizing the value of dietitians in helping patients make practical nutrition changes. The bill received a unanimous favorable expression, 14-0, and was reported to the House floor. The committee then considered House Bill 427, which would create statewide 60-credit-hour transfer pathways for high-demand bachelor’s degree programs under the Council on Postsecondary Education. Rep. Grossl explained the bill is meant to prevent students from losing major credit when transferring between KCTCS and four-year institutions, using nursing as an example. Questions focused on rigor, dual credit, how high-demand programs would be selected, and the July 1, 2026 implementation date; the sponsor said CPE and faculty would map curricula and align standards. The Kentucky Student Rights Coalition testified in support, saying the bill would help students complete degrees faster and make credits count toward majors. HB 427 also passed unanimously, 14-0, with favorable expression. The committee then took up House Bill 424, as amended by a committee substitute. Rep. Tipton said the substitute removed language allowing up to six-year contracts and instead set up a process for four-year contracts and periodic performance reviews for faculty, including presidents, at public postsecondary institutions. He said the bill is intended to give universities clearer authority to remove underperforming employees and be more efficient with taxpayer dollars. Several faculty witnesses opposed the bill, arguing it would erode tenure protections, create arbitrary performance standards, and harm recruitment, retention, and academic freedom. The committee adopted the substitute and heard testimony, but no final vote on HB 424 is shown in the transcript excerpt.

Transcript Highlights:

• and registered nurse public health nurse and registered nurse public health nurse and I'm<00:
• So we've designed a package for our nurses, and this is Nurse Mary over here.
• So we've designed a package for our nurses, and this is Nurse Mary over here.
• So we've designed a package for our nurses, and this is Nurse Mary over here.
• nurse Ben who's we have another nurse nurse Ben who's been<00:48:26.240> with<00:48:26.359>

Keywords: 1187, senate, all

Transcript Highlights:

• , and 56% to provide youth programs.
• We rely on Title X funding to support family planning, community outreach, and our education programs
• programs.
• So the program rules were changed, which devastated... ...the entire program system, right?
• My mom was a public health nurse.

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• in local communities and in the lives of nurses through public events, educational outreach, and partnerships
• with the ...lives of nurses through public events, educational outreach, and partnerships with other
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.

Keywords: 1204, all

Transcript Highlights:

• program.
• program.
• Indirect Medical Education Program.
• This program provides payments to eligible public teaching hospitals to address the nursing shortage
• Indirect Medical Education Program.

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• of critical need program, or I'll refer to as ACN, allowing advanced practice registered nurses and physician
• , or FRAME, program, and also for the dental loan repayment program.
• National programs nationally.
• This program is a new program that aims to provide an This program is a new program that aims to provide
• The maternity health care program.

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.

Transcript Highlights:

• education committee. education committee.
• education standards. education standards.
• It replaces dental school or schools with dental and allied dental education programs to align with code
• > with dental education programs to align with dental education programs to align with uh uh uh code
• choices and education I might add. choices and education I might add.

Keywords: 1187, senate, all

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, and E.B.

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• program?
• We need all the nurses we can get. Thank you for nurses and doctors, right? Thank you.
• Association of Nurse Anesthesiology.
• I think that nurse anesthetists, even though we are advanced practice nurses like our nurse practitioner
• Thank you for the education.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• CalVet contains CSAVE, which approves programs of higher education across the state so that veterans
• can use their education benefits such as the GI Bill, and CSAVE also helps in ensuring that these programs
• not just come work for us, but you can move up the ladder in the nursing program.
• Cohort 2 program.
• Programming statewide through grants, programs, and services.

Keywords: 988, house, all