Transcript Highlights:

• Department of Education Office of Special Education Programs a guide to these types of parent advisory
• Department of Education Office of Special Education Programs a guide to these types of parent advisory
• Department of Education Office of Special Education Programs a guide to these types of parent advisory
• <00:28:29.480> programs the District special education programs the District special education
• <01:57:12.040> programs eliminating general education programs eliminating general education

Keywords: 928, house, all

Summary: The committee opened with the Pledge of Allegiance and noted weather-related absences and a large number of new bills. The chair said a subcommittee would be formed to review three cell phone bills, and a full committee work session on bullying would be scheduled for the week after next. The committee then began a hearing on House Bill 121, which would create local special education advisory councils in school districts. Representative Glenn Cordelli, the sponsor, said the councils would be parent-driven, with parents of children with disabilities advising districts on education, safety, program development, evaluation, planning, policies, and communication with administrators. He said the bill would require at least quarterly meetings with district administration, an annual parent workshop, and a year-end report to the school board. He also cited federal guidance from the U.S. Department of Education on parent advisory councils and said the goal was to improve collaboration between parents and schools. Members raised questions about the use of “shall,” how councils would be formed in districts without PTAs/PTOs, whether the councils could function in very small districts, privacy concerns about parents disclosing their children’s disabilities, whether the councils should include guardians or educational professionals, and whether the councils would have any direct tie to the state advisory council. The sponsor said the requirement was intended to make the councils mandatory, that local districts could organize them organically if needed, that participation would be voluntary, that parents would not be required to disclose private information, and that the councils would remain advisory rather than determinative. He also said costs should be minimal. Testimony then began from Nicole Sheath, a pediatric occupational therapist and parent of four children with disabilities, who described her experience balancing advocacy, school collaboration, and the demands of her children’s therapies and education.

Transcript Highlights:

• , and not just expanding the program, but they're opposed to the program itself.
• truly a universal program with no cap. truly a universal program with no cap.
• expansion of uh of this voucher program. expansion of uh of this voucher program.
• million next year um on the EFA program. million next year um on the EFA program.
• program. We did not inquire into that. program. We did not inquire into that.

Keywords: 928, house, all

Summary: The Finance Committee first took up Senate Bill 63, which Representative Maguire described as a straightforward bill setting funding for the Division of Travel and Tourism. He said it was not controversial. The committee voted to retain the bill by roll call, with one no vote and one member absent, and the motion passed 23-1-1. The committee then considered Senate Bill 74, dealing with annual reporting requirements for state departments that issue permits. Representative Maguire explained Amendment 2282 would shorten the reporting burden by requiring summary data on delayed permits rather than listing every permit, and would delay the first report until 2027 so agencies would not have to reconstruct old data. The amendment was adopted by voice vote, and the bill was then approved as amended by a 24-1 roll call vote. Next, the committee heard Senate Bill 241 on construction of a public pier at Hampton Beach. Representative Sweeney moved inexpedient to legislate, saying the project was ambitious and lacked public support. The motion passed unanimously 25-0, sending the bill to consent. Division Two then took up Senate Bill 145, a replace-all amendment to the education freedom account bill. Supporters said the amendment clarified the bill, kept the policy intact, removed a reimbursement program and an open-ended appropriation, and established a cap of 10,000 students with priority for current students and certain other groups. Opponents argued the measure was still a major expansion, would increase spending after crossover, and that the cap was not meaningful. After discussion, Amendment 2301H was adopted and the bill was approved as amended by a 25-0 vote, with members noting it could go on consent because no money remained in it.

Transcript Highlights:

• Should we expect to see increased numbers admitted to nursing programs?
• Should we expect to see increased numbers admitted to nursing programs?
• <02:07:50.000> And with our nursing program at uh Hilo.
• And with our nursing program at uh Hilo.
• <02:08:07.760> and<02:08:08.000> doing nursing program is is vibrant and doing nursing

Keywords: 910, house, all

Transcript Highlights:

• A bill to be entitled an act relating to the linking industry to nursing education fund.
• education fund. ...bill that expands the scope of the linking industry to nursing education fund to
• address workforce shortages in health science education programs as well as nursing education programs
• programs aligned with the State Board of Education career Health Science Education programs aligned
• career and technical education-aligned programs, as well as using workforce demand data to inform funding

Summary: The Senate convened with prayer, the Pledge of Allegiance, several introductions, and an announcement that there would be no conference that weekend. The chamber then took up a long special order calendar and passed a series of bills, often by substituting House companions. Early measures included trust law modernization to create a nonjudicial trustee discharge process, military affairs changes expanding leave and retirement-related provisions, a bill to prepare for the end of penny use by standardizing cash rounding, and a podiatric medicine bill regulating cellular or tissue-based products and informed consent. The Senate also approved veterans court expansion, RV park assessment clarification, alcohol-loss tax deduction authority, bail bond and pretrial release revisions, and a military-installation jurisdiction bill to allow juvenile cases on bases to be handled in state juvenile court under certain conditions. Most bills passed unanimously or near-unanimously, with the bail bond bill passing 36-1 after questions about charitable bail bonds and confirmation that existing law on return of charitable bail funds would remain unchanged. The chamber then paused for a lengthy farewell presentation honoring Senator Lori Berman, featuring a video, remarks from many senators, and Berman’s own closing speech reflecting on her 16 years of service, her legislative priorities, and her call for civility, bipartisanship, and continued support for issues such as school safety, Israel, anti-Semitism, and affordability. After the tribute, the Senate resumed and passed additional bills, including one expanding insurance coverage definitions for portable electronics and eyewear, a workforce and nursing education funding bill broadening support for health science programs, a recovery residences regulatory streamlining bill, a felony battery enhancement bill adding resisting an officer with violence as a qualifying prior offense, and a child welfare bill extending visitor thresholds in out-of-home placements, making the Step Into Success program permanent, and creating a best-practices program. The chamber also advanced a candidate qualification bill tightening party-affiliation requirements and adding a House provision on recent legal name changes; debate began on that measure as the transcript ended.

Transcript Highlights:

• My name is Shannon Bitsa and I'm the Associate Director of Education for the Board of Nursing, and I
• “The agency will do a doctor-to-doctor or nurse-to-nurse handoff.
• I'm proud of my education.
• Pharmacists are educated with a doctorate-level education.
• trainer Naloxone education curriculum for the public. programs that train the trainer Neloxone education

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• The purpose of the Education Freedom Account program is to offer an alternative educational experience
• So the purpose of the Education Freedom Account program is to offer an alternative educational experience
• I'm a homeschool educator, and I want to start by saying how grateful I am for the EFA program in the
• With the proposed rule changes, this program, which is intended to provide education, And unnecessary
• With the proposed rule changes, this program, which is intended to provide educational freedom, will

Keywords: 1204, all

Transcript Highlights:

• To provide grant funding to eligible medical education programs.
• All right, the rules governing the Arkansas Children's Educational Freedom Account Program were revised
• So the purpose of the Education Freedom Account Program is to offer an alternative educational experience
• Ultimately, my concern is that these proposed rules unintentionally move the EFA program away from educational
• With the proposed rule changes, this program, which is intended to provide educational freedom, will

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• <01:18:40.040> I multiple nursing programs and I know I multiple nursing programs and I know
• program at Leeward it's the KCC nursing program at Leeward so<01:20:40.960> it's<01:20:41.080
• <01:24:44.400> and current nursing uh program for BS and current nursing uh program for BS
• programs Che while we're on the nursing programs Che while we're on the nursing program<01:26:04.960
• <02:13:44.320> program Career and Technical education program Career and Technical education

Keywords: 912, senate, all

Transcript Highlights:

• better connected to the nurses.
• Programmed based on populations.
• I'm the education director for the California Nurses Association, where I also helped to coordinate some
• I'm the education director for the California Nurses Association, where I also helped to coordinate some
• working as registered nurses.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• We desperately need nurses and nursing assistants.
• And nursing is one way we think we could help address the nursing issue.
• , whether it's an AA, whether it's an AA with a transfer, a nursing program, whatever it is, you're finding
• programs.
• type programs.

Keywords: 987, senate, all

Transcript Highlights:

• these are not a nursing home setting. these are not a nursing home setting.
• residents really do not meet nursing residents really do not meet nursing home<00:05:25.120>
• the person's coming from a nursing home. the person's coming from a nursing home.
• Currently, we serve program.
• Senate where they wanted us to expand graduate medical education program, which we did because, you know

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• protection for nurses and mitigate their reluctance to work in the OR.
• My name is Eva Lim, and I am an operating room nurse.
• My name is Eva Lim, and I am an operating room nurse since 1985.
• A few years ago, I transitioned to quality improvement nurse.
• For example, 22.9% of OAR nurses reported twice the incidence of OR nurses reported. to the general population

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• practitioners, and nurse midwives.
• Cuts to outreach and education programs will reduce access to time-sensitive and full-range contraception
• We rely on Title X funding to support family planning, community outreach, and our education programs
• The program rules were changed, which devastated the entire program system.
• wrong in relation to the program.

Keywords: 988, house, all

Transcript Highlights:

• Board to provide grant funding to eligible medical education programs.
• So the purpose of the Education Freedom Account Program is to offer an alternative educational experience
• I'm a homeschool educator, and I want to start by saying how grateful I am for the EFA program in the
• freedom, and as a whole intentionally move the EFA program away from educational freedom.
• We as parents of... creating the EFA program to benefit the education of Arkansas students.

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• Just last fall, we had to turn away more than 80 qualified applicants to our nursing program.
• On the professional side, we worked and have worked very closely with FGCU, our nursing programs, our
• therapy programs, in educating the new leaders in health care moving forward.
• Program.
• nurses to the population, but the quality of the education that they get going to Daytona State College

Summary: The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably. The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU. The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.

Transcript Highlights:

• This is for education training programs focused on opioid abuse prevention and stigma reduction in the
• This is for education training programs focused on opioid abuse prevention and stigma reduction in the
• contract nurses and not nurses that are hired by you directly?
• waiver program.
• waiver program.

Summary: The subcommittee first considered a used tire program contract for Arkansas District 4, an $88,000 one-year contract with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could leave the district unable to pay. Questions also focused on solicitation language that excluded bidders under corrective action plans. On motion, the committee held the contract until next month and encouraged the tire board to appear. Members then reviewed and, without objection, moved forward a series of methods of finance, alternative delivery projects, and discretionary grants. These included multiple university and college projects such as renovations, roof replacements, a new UCA multipurpose arena, and a revised financing package for UA Fayetteville’s Maple Hill residence hall. The committee also reviewed DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition outreach, hearing-loss follow-up, HIV services, maternal health, and rural hospital quality improvement. The committee next handled contract items, including a UAMS ratification for FMLA Source after an amendment was not submitted for review and payments continued past expiration; UAMS said it had retrained staff and would review for other missed contracts. Members also reviewed numerous construction, intergovernmental, out-of-state, and in-state contracts across state agencies and universities. Questions were raised about an out-of-state aeronautics study, a U of A Fayetteville parking guidance system, and a Veterans Affairs nursing contract. Most items were reviewed without objection, and the meeting adjourned after informational reports on contract amendments and minor contracts.

Transcript Highlights:

• funding program.
• this program.
• nurses.
• nurses.
• , or FRAME, program and the dental loan repayment program.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• Section four is for the nursing pre-N nursing pathway program. Right.
• Section four is for the nursing pre-N nursing pathway program. Right.
• pre- N nursing four is for the nursing pre- N nursing pathway<00:10:50.640> program.
• So not the pathway program. Right.
• a Monoa Manoa West Oahu Nursing a Monoa Manoa West Oahu Nursing Collaboration<00:11:02.399> phase

Keywords: 912, senate, all

Transcript Highlights:

• The drug court program has been a really good program. $990,000.
• The Drug Court program has been a really good program, at least in Cass County.
• I also contacted a private nursing home director and asked him if they would actually use the program
• I also contacted a private nursing home director and asked him if they would actually use the program
• Do they get education there? Yes, they can get education. And that looks in different ways.

Keywords: 908, all

Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.

Transcript Highlights:

• Also caregiver education, caregiver support, Alzheimer's and dementia programming.
• Also caregiver education, caregiver support, Alzheimer's and dementia programming.
• Also caregiver education, caregiver support, Alzheimer's and dementia programming.
• It’s the New England Home Care Nurse Residency Program.
• The New England Home Care Nurse Residency Program is a demonstration grant.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.