Transcript Highlights:

• education, an experience.
• The cost for a general education degree is quite different from the cost to educate a nurse or an engineer
• a nurse versus general education?
• Chairman, my question was, how much does it cost to educate a nurse versus general education?
• But my guess, it's probably three or four times more expensive to educate a nurse than it is to educate

Committee: House Utilities

Summary: The committee spent most of the meeting discussing a proposed overhaul of Missouri’s higher education funding model, centered on shifting core funding toward an FTE-based formula. The chair and vice chair argued the current system is outdated and inequitable, saying the new approach would better align state dollars with student enrollment and workforce outcomes. Several members supported the need for change but raised concerns about the speed of implementation, the lack of advance consultation with universities, and the possibility that some institutions could face severe budget cuts, accreditation problems, or even closure. Community college representatives were noted as unanimously opposing the recommendation, and members repeatedly asked for clarification on whether graduate programs would be counted at 9, 12, or 15 credit hours, with no definitive answer provided during the meeting. Testimony and comments focused heavily on the consequences for specific institutions and programs. Some members warned that the proposal could hurt schools with expensive programs such as nursing, engineering, doctoral study, research, and specialized missions, while others argued that institutions should be rewarded for producing graduates who are in demand in the workforce. Truman State, Harris-Stowe, Missouri State, and several community colleges were discussed as examples of schools that could either gain or lose substantially under the model. The chair and vice chair said the proposal was not intended to force consolidation, but several members said the size of the cuts could indirectly lead to consolidation or closure and would require a phase-in to avoid harming students. After the higher education discussion, the committee moved through other budget items. The chair described cuts and restorations in several areas, including removing easement funding at the Department of Revenue, adding hearing officers for the State Tax Commission, restoring some MODOT requests, and shifting interest earnings from I-70 and I-44 project funds back to general revenue. Members also asked about Bartle Hall funding, a Bolivar road project, and new language restricting personal-service spending unless appropriations explicitly allow it. No formal votes were taken in the portion provided; the chair indicated the committee would continue moving through the budget items and follow up on unresolved questions with the department.

Transcript Highlights:

• There are very few sane nurses.
• assault nurse examiner.
• nurses at a very low cost.
• nurses at a very low cost.
• How many nurses does it take?

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• AND WELCOME TO THE APPROPRIATIONS COMMITTEE FOR HIGHER EDUCATION.
• WE HAVE TARIFF GOODMAN THE VICE CHANCELLOR OF CAREER AND ADULT EDUCATION FROM THE DEPARTMENT OF EDUCATION
• SO THAT THE GOAL OF ADULT GENERAL EDUCATION IS WORKFORCE DEVELOPMENT AND WORKFORCE EDUCATION BECAUSE
• I KNOW NURSING EDUCATION WE HAVE HAD A LOT OF DISCUSSION ON NURSING EDUCATION IN THIS COMMITTEE AND ESPECIALLY
• YOU KNOW TO HIRE SOMEONE IN THE NURSING PROGRAM AND NURSING IS PERHAPS DIFFERENT IT IS YOU KNOW COMPETING

Keywords: 999, senate, all

Transcript Highlights:

• I would go for education because I became an educator somehow by accident.
• I would still be an educator.
• I would still be an educator.
• She was a nurse.
• early childhood education.

Summary: The subcommittee began with an informal “college day” exercise in which members described what careers and colleges they would choose if starting over, often citing factors such as program reputation, location, cost, graduation rates, employment outcomes, and family or personal interests. Members mentioned a range of possible paths including law, aviation, education, construction management, psychology, social work, criminal justice, nursing, intelligence studies, and the arts. Several also highlighted the value of historically Black colleges and universities, dual enrollment, and career/technical education. The chair used the exercise to frame the meeting’s broader focus on Florida’s higher education pathways and student outcomes. Dr. Kathleen Plinsky of Valencia College then gave an overview of the Florida College System and Valencia’s role in it, emphasizing Florida’s statewide articulation and transfer framework, open-access mission, affordability, and workforce alignment. She described Valencia’s record enrollment, high retention, large share of first-generation and working students, and partnerships such as Direct Connect to UCF, Osceola Prosper, and Open Door grants for short-term training. Members asked about guaranteed transfer, apprenticeships, enrollment trends, student demographics, out-of-state residency, county scholarship costs, dual enrollment outcomes, and barriers to expanding career dual enrollment. Dr. Plinsky said the system supports transfer and acceleration well, but funding constraints limit growth in some areas; she also noted that dual enrollment participation is high and that Valencia’s affordability and student support efforts have driven recent enrollment gains. Dr. Jim Clark of Florida State University followed with an overview of the State University System, describing its governance, performance-based funding, low tuition, and strong graduation and research outcomes. He highlighted FSU’s enrollment, research profile, transfer student success, FSU Health, the National High Magnetic Field Laboratory, partnerships with K-12 schools and Tallahassee State College, and efforts to expand nursing and medical education to address workforce shortages. After the presentations, the committee heard from a panel on student acceleration and mobility: Shannon Mercer of the Department of Education explained the Office of Articulation, the statewide course numbering system, FASTER records, the 2+2 transfer model, specialized AA transfer degrees, and credit for industry certifications, military, medical, and law-enforcement training. Panelists from Kaiser University, Florida State University, and Pinellas County Schools described their institutions’ roles in transfer, advising, career pathways, apprenticeships, and dual enrollment. No formal votes or bills were taken up in the portion provided.

Transcript Highlights:

• I'm a sexual nurse examiner.
• As a doctor of nursing practice, my title reflects my advanced education, clinical. expertise and postgraduate
• If you're a nurse practitioner, you should identify as a nurse practitioner, not as a nurse anesthesiologist
• or a cancer nurse or a pediatric nurse.
• Is a doctor of nursing? Okay? Well, say doctor of nursing.

Bills: HB3000 , HB2622 , HB2283 , HB541 , HB1776 , HB1803 , HB1669 , HB2588 , HB220 , HB3415 , HB50 , HB1314 , HB 107 , HB220 , HB50 , HB107

Committee: House Public Health

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Transcript Highlights:

• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• It's a matter of of education.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• and your interest in higher education.
• In higher education, wonderful.
• I chair the Education Appropriations Committee, K-12. Education changed my life.
• bachelor's degree, elementary education.
• You know, we are number one for higher education.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Higher Education Appropriations Committee met for its first session of the year, took roll, welcomed new member Senator Bracey Davis, and had members briefly describe their backgrounds and interest in higher education. Chair Harrell framed the committee’s focus on maintaining Florida’s top national ranking in higher education and workforce development, with an emphasis on funding decisions tied to student success, workforce needs, and the state college system. Senior Chancellor Kevin O’Farrell presented the Department of Education’s workforce and Florida College System budget requests and data. He described requested increases for adult education, Florida College System program funding, workforce development, and several grant programs, including workforce capitalization, apprenticeship/teacher apprenticeship, Open Door, and CAPE industry certifications. He highlighted record enrollment and completion growth across Florida’s colleges and technical centers, major gains in career dual enrollment, and expansion in programs such as nursing, AI, cybersecurity, welding, HVAC, and manufacturing. Members asked about labor-market demand, the impact of artificial intelligence on future job training, teacher apprenticeship details, mission creep and duplication in CTE programs, student placement and wages after graduation, and articulation between technical college clock hours and college credit. South Florida State College President Fred Hawkins testified about challenges facing a rural college, including low local college-going rates, long travel distances, limited faculty recruitment due to salaries, and the need for more operational funding to expand capacity. He cited strong job placement and licensure outcomes in nursing, dental hygiene, EMT/paramedic, and radiography, and said the college is exploring AI tools to improve student services and reduce staffing pressure. Pinellas Technical College Executive Director Mark Hunter described strong dual enrollment, high job placement, employer partnerships, and a reported 400% return on investment, while also warning that many programs have waiting lists because of staffing and equipment constraints. He explained how technical college coursework is aligned with state college credit through content-based articulation agreements. The committee then opened the floor for public comment, but no additional business was taken up, and the meeting adjourned.

Transcript Highlights:

• And now today, we're here, and we have green cards from the nursing home association and AARP.
• Wes Hadaway with the Louisiana Nursing Home Association.
• of only three nursing homes in the nation to win the gold quality award.
• Louisiana's extremely fortunate to have nursing homes like that. That's unbelievable.
• Louisiana's extremely fortunate to have nursing homes like that.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• Pamela Rouse, registered nurse and member of California Nurses Association, in support.
• Pamela Rouse, registered nurse and member of California Nurses Association in support.
• Kathy Dennis, active bedside registered nurse director on the California Board of Nurses.
• Shirley Toy, registered nurse and member of the California Nurses Association, in support.
• Kamala Rouse, registered nurse and member of the California Nurses Association, in support.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.

Transcript Highlights:

• to provide them what they need for their nursing programs.
• I don't remember what they call that building other than the nursing center.
• This is what they're going to replace for the nursing center.
• Chairman, I bring to you Senate Bill 2213 from your Education Committee.
• COVID was disastrous on virtual education and out-of-classroom education, and we're recovering from that

Committee: House Appropriations

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• visit services, as well as home care nursing services.
• visit services, as well as home care nursing services.
• as well as home care nursing services.
• Home care nurses who agree to serve as a preceptor for nursing students are a critical part of the solution
• Home care nurses who agree to serve as a preceptor for nursing students are a critical part of the solution

Keywords: 1183, house

Transcript Highlights:

• CS for HB 353 is a bill that will allow for us to have sickle cell education, pain management education
• With this bill that will allow continuing education for new doctors, nurses, and professional staff to
• It's about education.
• Education leads to more consistent care, education reduces the stigma, education protects lives.
• nurses to every kind of nurse and philosophically, I think that's going way too far.

Transcript Highlights:

• service agencies at skilled nursing facilities.
• directly employed CNAs and nurses do.
• Nursing home in which they also have an ownership interest.
• And the nursing home industry to advance this bill this session.
• As an educator and researcher, I have written extensively about how As an educator and researcher, I

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• One profession that comes to mind, and it's nursing.
• Fasio, who is our reliable nurse who takes care of us.
• We have Tammy Jones, who's the chief nursing officer.
• We have Sarah Rhodes, who's the dean of the College of Nursing.
• Let's talk about education priorities in early childhood.

Keywords: 1204, all

Transcript Highlights:

• So it’s not the PCP sending a nurse.
• They send out one of their registered nurses.
• a primary care nurse out there?”
• You're not thinking about these nurse practitioners.
• You're not thinking about these nurse practitioners.

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• So total statewide, we've got 289 nursing homes.
• In terms of nursing home complaints received in February, it was 148, and yet we still completed 96 nursing
• So I'll stop there on nursing homes.
• was up in education.
• Are the inspectors for the nursing homes currently registered nurses?

Committee: House Health and Human Services

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• We have some Song-Brown program funding that supports nursing education, and we do some loan repayment
• We just entered into a new contract with our nurses, with our unionized nurses, that's, you know, at
• Nurse Midwifery Education Programs Funding. DHS, you left too early.
• Nurse Midwifery Education Programs Funding. Thank you. Chair Menjivar, excuse me.
• We're here today to discuss the urgent need to fund the California Nurse Midwifery Education Fund as

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• ><c> education.
• </c> deliver driver education. deliver driver education.
• of Education driver education instruction.
• </c> Education paid. Education paid.
• </c> it was nursing. it was nursing.

Keywords: 912, senate, all

Transcript Highlights:

• , but make basic education impossible.
• that our public education be fully funded?
• . funding education.
• . funding education.
• I am a retired school nurse administrator and a school nurse here in Washington State.

Summary: The committee first heard Senate Bill 5992, which would create a non-appropriated Youth Development Fund account to support grants for positive youth development programs serving ages 5 to 24. Staff explained that OSPI would administer grants to nonprofits, tribes, and local parks and recreation entities, with school districts and ESDs eligible mainly as partners; annual reporting would be required. The sponsor and many testifiers, including students, youth-serving nonprofits, tribal representatives, and agency partners, described after-school, mentoring, arts, sports, outdoor, and wraparound programs as important for mental health, belonging, safety, civic engagement, and prevention, especially for vulnerable and rural youth. The committee then moved to executive session and adopted a substitute and passed SB 5992 to the Rules Committee. The committee also took executive action on Senate Bill 5952, which would standardize the process for excusing high school students from physical education, and on Senate Bill 5961, which would transfer the Imagination Library of Washington from DCYF to OSPI. In both cases, the committee adopted proposed substitutes that narrowed or adjusted the bills, then voted them out of committee: SB 5952 was sent to Rules, and SB 5961 was sent to Ways and Means. The committee also heard Senate Bill 5969 on allowing an IEP transition plan to satisfy high school and beyond plan requirements; after discussion, a substitute was adopted that instead directs OSPI to reduce duplication in the statewide IEP system, and the bill was passed to Ways and Means. Later, the committee heard Senate Bill 5918, which would increase materials, supplies, and operating costs (MSOC) funding by $100 per student or $100,000 per district, whichever is greater, starting in the 2026-27 school year. Testimony from educators, administrators, school board members, PTA, and OSPI emphasized that districts are using local levy dollars to cover basic operating costs such as utilities, insurance, curriculum, and maintenance, leaving less for enrichment and forcing cuts or deferred purchases. One opponent argued against additional taxes and questioned the return on school spending. The sponsor framed the bill as necessary to meet the state’s paramount duty to fund basic education. The transcript then shifted to Senate Bill 5951 on school access to albuterol, which would allow schools to keep stock albuterol under a statewide standing order and let trained staff administer it under certain conditions; students, nurses, and advocates testified that stock albuterol could reduce absences and improve safety for students with asthma. Finally, the committee began hearing Senate Bill 6042 on school mapping, which would require school safety plans to include accurate, interoperable digital maps for first responders; the sponsor and emergency response witnesses said standardized maps are critical for coordinated, timely response in school emergencies.

Transcript Highlights:

• training for medical, nursing, mental health, and education students.
• I'm a nurse and a faculty member from the nursing school at the University of Hawaii.
• I'm a nurse and a faculty<00:18:45.600><c> from</c><00:18:45.840><c> the</c><00:18:46.080><c> nursing
• Um, as far as the education, you guys are the education committee, so I assume you care about education
• Yeah, we want to see higher education. I would love to see a bachelor's degree in nursing at Maui.

Committee: House Education

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on February 13 and heard several bills, with most testimony focused on House Bill 2340, an emergency appropriation for the University of Hawaii to expand and sustain the Maui wildfire exposure study and Maui Health Registry. Supporters described the program as a critical, community-based response to the Maui fires that provides health screenings, mental health support, referrals, and workforce training. Testifiers said the study has identified serious health issues, including respiratory problems, heavy metal exposure, high blood pressure, diabetes, and anemia, and several emphasized that the program has saved lives and should be expanded to reach more children and underserved residents. Committee members also noted broad written support from medical, public health, and community organizations. The committee then heard House Bill 65, HD1, on human and community resilience, which would fund development of a Human and Community Resilience Institute. The dean testifying for the University of Hawaii said the institute would take a data-driven, community-based approach to food and nutritional security, especially given Hawaii’s high food insecurity rate and the loss of SNAP-related positions. House Bill 6005, also on the agenda, drew testimony in support from the Hawaii Farm Bureau and others, though the transcript excerpt does not include the bill’s full description. The committee also heard House Bill 1605, HD1, expanding the Hawaii National Guard state tuition assistance program to graduate degrees; the Department of Defense, Hawaii Army National Guard, and University of Hawaii supported it, and members clarified that it is a state program separate from the federal GI Bill, though it may sometimes be combined depending on eligibility. Later, the committee heard House Bill 1967, HD1, on permitting workforce development, which would implement recommendations of the speed task force by creating a permitting workforce pipeline with community colleges and coordinating with state and county permitting agencies. The Office of Planning and Sustainable Development and the University of Hawaii supported the measure. House Bill 2139, HD1, on invasive species, would fund research on treatment methods for the Queensland Longhorn Beetle; DLNR, the Farm Bureau, CGAPS, University of Hawaii at Hilo researchers, farmers, and others supported it, citing damage to native trees, culturally important plants, and crops such as cacao, and noting promising early results from nematode biocontrol trials. The final bill heard was House Bill 2383, HD1, establishing a statewide workforce PELL grant framework for short-term training programs; the Department of Labor and Industrial Relations, the Workforce Development Council, and the University of Hawaii testified, and a committee discussion followed about how responsibilities would be divided among DIR, WDC, and the governor’s certification role. No votes or final committee actions were taken in the portion provided.