Transcript Highlights:

• are very, very complicated bills that have a lot of money that is spent in a lot of complicated programs
• review the language, not just politicians who aren't implementing the law. in a lot of complicated programs
• and um in a lot of complicated programs and um the<00:00:40.640><c> way</c><00:00:40.800><c> that</c
• We know that nurses received about, I think, somewhere between 750 and 950 notices that were sent to
• received notices that 750 and 950 nurses received notices that were<00:04:21.519><c> sent</c><00:04:

Transcript Highlights:

• Student Support Personnel Aid for our licensed social workers, school social workers, counselors, nurses
• This includes provisions relating to dual-language immersion programs and foundational reading skills
• Those dollars are kept 100% in the school district and used for students. and other summer programs.
• Our student support professional aid was meant to bring more counselors, psychologists, school nurses
• The people who make up the ESPs are like nurses in hospitals.

Bills: HF1049

Committee: House Taxes

Transcript Highlights:

• is</c> this program because this program is this program because this program is getting<00:39:24.800
• would also love to start a nursing program at the college.
• They said a nursing program is a really expensive thing to start, but it is obviously a critical need
• I would love to start a other programs I would love to start a nursing<00:59:47.559><c> program</c><
• program at the college it is a nursing program at the college it is a really<00:59:49.799><c> expensive

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• The program is designed with veterans in mind.
• But concerns have been raised that registered nurses in...
• The Water Development Board has about seven existing programs.
• What I'm saying is these programs are stoking the flame.
• On suspension, the bill before us does not address the HUB program.

Bills: SJR12 , SCR39 , SB7 , SB8 , SB27 , SB29 , SB125 , SB241 , SB371 , SB396 , SB406 , SB464 , SB568 , SB578 , SB608 , SB617 , SB660 , SB689 , SB693 , SB707 , SB731 , SB732 , SB763 , SB779 , SB836 , SB854 , SB857 , SB875 , SB878 , SB879 , SB906 , SB920 , SB921 , SB922 , SB942 , SB965 , SB985 , SB996 , SB1029 , SB1035 , SB1036 , SB1059 , SB1084 , SB1098 , SB1101 , SB1185 , SB1188 , SB1321 , SB1332 , SB1366 , SB1388 , SB1396 , SB1453 , SB1484 , SB1494 , SB1536 , SB1563 , SB1596 , SB1610 , SB1619 , SB1737 , SB1738 , SB1741 , SB1816 , SB1822 , SB1841 , SB1939 , SB2155 , SB2188 , SB2230 , SJR36 , SJR12 , SJR81 , SJR50 , SCR22 , SCR12 , SCR39 , SB765 , SB62 , SB666 , SB888 , SB687 , SB847 , SB1248 , SB504 , SB857 , SB305 , SB296 , SB284 , SB241 , SB304 , SB1023 , SB204 , SB609 , SB670 , SB850 , SB854 , SB413 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB1539 , SB447 , SB406 , SB985 , SB1119 , SB1505 , SB1215 , SB1302 , SB583 , SB673 , SB681 , SB1172 , SB608 , SB955 , SB957 , SB1120 , SB541 , SB1737 , SB266 , SB1415 , SB125 , SB53 , SB1352 , SB785 , SB1450 , SB1502 , SB1566 , SB414 , SB1062 , SB578 , SB711 , SB746 , SB942 , SB1404 , SB1448 , SB1738 , SB507 , SB689 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB763 , SB667 , SB1059 , SB617 , SB1567 , SB310 , SB311 , SB505 , SB1209 , SB1210 , SB1470 , SB264 , SB1029 , SB1358 , SB1364 , SB1569 , SB1376 , SB1228 , SB519 , SB878 , SB1350 , SB462 , SB827 , SB1585 , SB1396 , SB920 , SB1484 , SB1273 , SB1741 , SB7 , SB927 , SB1227 , SB1229 , SB1353 , SB1366 , SB1464 , SB1709 , SB1729 , SB1733 , SB1744 , SB1772 , SB1816 , SB1841 , SB2188 , SB1147 , SB879 , SB1008 , SB1536 , SB2016 , SB1453 , SB1173 , SB1163 , SB996 , SB27 , SB568 , SB1370 , SB1321 , SB1101 , SB906 , SB860 , SB1563 , SB993 , SB693 , SB1610 , SB1537 , SB836 , SB1332 , SB1307 , SB963 , SB493 , SB922 , SB984 , SB1084 , SB619 , SB1098 , SB1122 , SB455 , SB522 , SB1057 , SB1239 , SB1254 , SB1255 , SB1259 , SB1341 , SB1664 , SB1877 , SB464 , SB1277 , SB32 , SB732 , SB660 , SB731 , SB921 , SB268 , SB1822 , SB1188 , SB1939 , SB1589 , SB397 , SB1388 , SB2230 , SB1058 , SB1036 , SB1267 , SB2112 , SB1930 , SB532 , SB1035 , SB2155 , SB508 , SB29 , SB292 , SB291 , SB901 , SB1333 , SB1436 , SB1494 , SB964 , SB779 , SB1378 , SB2312 , SB1719 , SB1386 , SB287 , SB2143 , SB1245 , SB261 , SB1247 , SB1948 , SB2406 , SB2407 , SB1882 , SB1197 , SB1814 , SB618 , SB38 , SB393 , SB2065 , SB1371 , SB1394 , SB1365 , SB2243 , SB2226 , SB2039 , SB1919 , SB1895 , SB1598 , SB1493 , SB1810 , SB1791 , SB1706 , SB1644 , SB1238 , SB783 , SB458 , SB22 , SB651 , SB897 , SB7 , SB125 , SB578 , SB608 , SB617 , SB763 , SB836 , SB878 , SB906 , SB920 , SB942 , SB985 , SB1084 , SB1366 , SB1388 , SB1563 , SB1737 , SB1738 , SB1816 , SB1939 , SB406 , SB689 , SR327 , SR346 , SR351 , SR352

Transcript Highlights:

• , you've seen one Medicaid program.
• But what's not is your provider taxes, the way that you finance the program and your share of program
• </c> the program and your share of program the program and your share of program expenses<00:10:15.440
• </c><01:55:35.920><c> It</c> the program through the grants. It the program through the grants.
• Do you see this as um program.

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• into other services or programs by December 31, 2025.
• Registered nurses, physicians, or physician's assistants.
• And to be clear, everybody in this program is disabled.
• These folks who have been in this program have been in this program for a reason.
• It's a Community Protection Program.

Summary: The Senate Human Services Committee met on February 24 to executive a large docket of bills and one gubernatorial appointment. The committee first heard and then moved several bills in two packets. Topics included the Community Protection Program (SHB 1390), jail search policies for transgender and intersex individuals (EHB 1604), medically tailored meals (EHB 2211), limits on DSHS reviews of community residential service providers (SHB 2230), and a children and youth behavioral health coordination bill (2SHB 2429). Later, the committee also considered bills on foster care licensing and adult family homes (SHB 2505), DOC supervision of stalking convictions (HB 2510), inmate funds and indigency thresholds (SHB 2539), and transparency for residential habilitation centers (SHB 2350), along with the reappointment of Corey McNally to the Indeterminate Sentence Review Board. Most of the debate centered on SHB 1390 and EHB 1604, where Senator Christian offered numerous amendments aimed at adding restrictions, notifications, assessments, and delays; most of those amendments failed on party-line votes. On SHB 1390, the committee adopted only a technical amendment updating agency names and references, then advanced the bill to Rules. On EHB 1604, all proposed amendments failed and the bill was sent to Rules. On EHB 2211, an amendment to add a competitive bidding credit for nonprofit and small-business meal vendors failed, and the bill advanced. SHB 2230 moved forward without amendment, and 2SHB 2429 was amended with a striking amendment and referred to Ways and Means because of its fiscal impact. In the second packet, SHB 2505 and HB 2510 were both moved out of committee without amendment. On SHB 2539, the committee rejected an amendment to lower the indigency threshold to $50, adopted an amendment allowing the threshold to be at least $100 and adjustable, and then advanced the bill as amended. On SHB 2350, the committee adopted a negotiated amendment requiring notices about residential habilitation center noncompliance to be emailed to relevant legislative committees, withdrew a second notice amendment, and passed the bill. The committee also voted to recommend confirmation of Corey McNally’s appointment to the Indeterminate Sentence Review Board. Several bills were reported out subject to signatures, and the meeting adjourned after the final vote.

Transcript Highlights:

• Hannah with the California Nurses Association, in support.
• Other outreach programs, such as the domestic worker rights education program and the garment worker
• wage claim pilot program, are codified in the Labor Code.
• This program called CWOP is a lifeline.
• Hanna on behalf of the California Nurses Association, in support.

Summary: The Assembly Labor and Employment Committee heard and advanced several bills focused on worker protections, training access, wage enforcement, outreach, and workplace safety. SB 513 would require employees to have access to their training and certification records; supporters, including laid-off refinery workers and labor organizations, said employers sometimes withhold records during layoffs, while committee members called the practice unacceptable. The bill passed 5-0 and was re-referred to Appropriations. SB 809 addressed misclassification of construction truck owner-drivers by offering employers amnesty if they reclassify workers as employees and adopt a two-check payment system; labor and construction trades groups supported it, and it passed 5-0 to Judiciary. SB 578 would codify the California Workplace Outreach Program, which funds trusted community organizations to educate workers about their rights. Supporters described the program as a proven way to reach low-wage, immigrant, and hard-to-reach workers, especially amid wage theft, retaliation, and immigration enforcement concerns. The bill passed 5-0 to Appropriations. SB 261 would strengthen collection of wage theft judgments by creating a public list of nonpaying employers and adding penalties after six months of nonpayment; county enforcement officials and labor advocates said it would help workers recover unpaid wages. It passed 6-0 to Judiciary. The committee also approved SB 369, which would require skilled and trained workforce standards for Salton Sea restoration projects, with supporters saying the work is hazardous and should use trained labor; it passed 6-0 to Appropriations. Finally, SB 20 sought to address silicosis in stone countertop fabrication by requiring training and certification protections for workers; supporters said the disease has caused deaths among mostly Latino workers, while industry groups supported the bill with amendments and requested implementation resources. It passed 6-0 to Appropriations. The committee also adopted a consent calendar of four additional bills and adjourned after all listed measures were moved forward.

Transcript Highlights:

• She nursed me in many a sick room, lifted teaspoons of medicine to my lips, set cold facecloths on my
• She<00:02:17.640><c> nursed</c><00:02:18.000><c> me</c><00:02:18.160><c> in</c><00:02:18.320><c> many
• </c><00:02:18.600><c> a</c><00:02:18.640><c> sick</c><00:02:19.000><c> room,</c> She nursed me in many
• a sick room, She nursed me in many a sick room, lifted<00:02:20.040><c> teaspoons</c><00:02:20.640><
• And whereas the USTA proudly partners with local tennis programs to showcase the important health, social

Transcript Highlights:

• There is development of programs; it's finding the funds, it's... ...or there is development of programs
• We've also started engaging in our power-through programs, which allows certain businesses like nursing
• You mentioned hospitals and nursing homes.
• We've also started engaging in our power through programs, which allows certain businesses like nursing
• You mentioned hospitals and nursing homes.

Summary: The committee met on May 26, 2026, and first approved the minutes from the May 22, 2025 meeting. The main topic was the Northwest Louisiana earthquake cluster, with testimony from Louisiana Department of Conservation and Energy staff, LSU and Tulane geoscientists, and later LSU law professor Keith Hall. Witnesses said the cause of the swarm has not been definitively identified, but induced seismicity from wastewater injection or hydraulic fracturing remains a concern. They described 50 earthquakes reported by the USGS in Red River, Bienville, DeSoto, and Natchitoches Parishes, including a magnitude 4.9 event on March 5, 2026, and explained that Louisiana’s sparse seismic network limits detection and depth/location estimates. C&E said it inspected Class II injection wells within 12 miles of the events, found no violations, now requires more frequent injection reporting, and is working with researchers and LSU on a possible state monitoring network and future policy changes. Committee members asked about injection depths, fault locations, whether the activity could be natural, and whether Louisiana should adopt stronger monitoring or a traffic-light regulatory system like other states. The witnesses said more data is needed before firm conclusions can be drawn, but that denser monitoring can detect smaller quakes and help identify patterns. Professor Hall summarized responses in other states, including more frequent reporting, increased monitoring, injection reductions, moratoria, and traffic-light systems in Oklahoma, Kansas, Texas, Ohio, and Illinois. Members also discussed whether operators should share more seismic and geologic data, and several said the state should avoid jumping to conclusions while still improving oversight. The committee then heard from William Berger, a Texas geoscientist, who described using AI and operator data to model wastewater injection and seismic risk, and said broader data sharing would improve forecasting and siting decisions. He and another witness emphasized that many earthquakes arise from clusters of wells rather than a single well, and that proprietary concerns limit voluntary disclosure. The committee also received a brief update from GOSEP and the Louisiana National Guard on the Barksdale Air Force Base drone incursions. GOSEP said it logged the incident in WebEOC and shared releasable information, while State Police and the FBI said they were limited in what they could disclose. Officers said a task force has been formed, some personnel have received federal drone-mitigation training, and House Bill 940 is intended to mirror the task force MOU. Finally, Major General Thomas Friloux and Brigadier General Jason Maffus updated the committee on the merger of GOSEP into the Louisiana Military Department. They said the merger has reduced GOSEP from seven divisions to three, brought back employees to in-person work, modernized the state’s common operating picture, and produced about $10.5 million in first-year cost avoidance through staffing and contract changes. They also noted the planned transfer of the Louisiana Center for Safe Schools to the Louisiana Commission on Law Enforcement, ongoing hurricane preparedness, and continued coordination with parish emergency managers. No votes were taken on the substantive topics, and the meeting ended with the committee moving through its agenda items and receiving informational testimony.

Transcript Highlights:

• Slide 12, program support roll-up.
• Can you clarify specifically which program?
• Can you clarify specifically which program?
• So you're to pilot that program.
• They're a pilot program.

Summary: The Department of Public Safety presented its FY27 budget request, emphasizing three priorities: improving community engagement through a redesigned website and outreach, expanding statewide data and intelligence integration through intelligence-led policing, and improving emergency response and officer safety through fleet replacement, a driving track, and a requested helicopter. DPS said much of its increase is driven by rising health care premiums, and it is also seeking special appropriations for fleet replacement, the website rebuild, and an Honor Guard program created after the 2022 helicopter crash that killed four public servants. Members asked about vacancies, fleet costs, cybersecurity compliance, the real-time crime center, EV fleet participation, and the Metro DPS facility. DPS said its vacancy rate is about 9%, its fleet replacement needs are driven by mileage and condition, it is compliant with federal CJIS standards even though DoIT has raised concerns, the real-time crime center would be built as a regional model to complement Albuquerque’s center, and the Metro facility is moving toward a January groundbreaking. Committee members also discussed several DPS-related capital and IT requests, including the intelligence-led policing data lake, recurring maintenance for critical systems, and a $5.6 million reauthorization for state crime lab DNA backlog work and a $900,000 reauthorization for fingerprinting equipment. DPS explained that the website request is high because the current site must be rebuilt from scratch to support missing-person alerts, memorial updates, ADA compliance, and better communication with law enforcement and the public. Members also raised concerns about speed enforcement, construction-zone cameras, and whether EVs are practical for patrol use; DPS said it is not pursuing speed cameras and is only partially participating in the state EV initiative because patrol needs make full electrification difficult. The committee then received an LFC quarterly update on non-recurring appropriations from the 2025 General Appropriation Act. LFC reported that of the $1.4 billion appropriated in Section 5, $164 million had been expended and $333 million encumbered, leaving $897.4 million unspent, which is a slower pace than the prior year. Staff highlighted a number of reauthorization requests and slow-moving projects across agencies, including AOC cybersecurity funding, DFA housing and public safety grants, DoIT cybersecurity and higher education funds, EDD economic development and energy programs, OSI mitigation and malpractice funds, EMNRD energy and geothermal grants, Health Care Authority behavioral health-related appropriations, DPS crime lab and fingerprinting funds, PED career technical education and special education initiatives, and higher education loan repayment and technology funds. Members questioned why some large appropriations had little or no spending, discussed the need to monitor reauthorizations more closely, and asked for follow-up on several specific line items and project balances.

Transcript Highlights:

• Even more so, if there are mandatory programming that individuals are ordered to complete or educational
• bill would be good legislation is because it would attract more interest to correctional industries programs
• The four RHCs, as I mentioned, are Fircrest School in Shoreline, which is a nursing facility and an ICF
• ; Lakeland Village RHC in Medical Lake, which also includes a nursing facility and an ICF; Rainier School
• in Buckley, which is an ICF; and Yakima Valley School in Selah, which is a nursing facility.

Summary: The Senate Human Services Committee heard several House bills. Substitute House Bill 2539 would raise the indigent inmate account threshold from $25 to $100, allowing incarcerated people to retain more money for commissary items like hygiene products, postage, and medications before deductions for legal financial obligations, child support, and other debts. Representative Street said the bill is meant to better cover essentials without stopping debt repayment. Testifiers from Civil Survival, incarcerated people, and family advocates supported the bill, describing current commissary prices, low prison wages, and the burden on families. The committee also heard that the Department of Corrections expects some indeterminate implementation costs and IT expenses. No vote was taken. House Bill 2510 would require the Department of Corrections to supervise anyone sentenced to community custody for stalking, regardless of risk classification. Representative Burnett said the bill is intended to protect victims and give them peace of mind. Staff explained that the bill is narrower than a related measure heard earlier because it applies only to people sentenced to community custody, typically at the superior court level. Victim advocates and survivors testified in strong support, describing stalking cases that escalated to severe threats and violence and arguing that mandatory supervision could prevent future harm. The hearing was closed without action. The committee also heard Engrossed Substitute House Bill 2319 and Substitute House Bill 2350, both concerning residential habilitation centers. HB 2319 would rename Fircrest School and Rainier School to remove the word “school” and better reflect their current role as residential habilitation centers; supporters said the old terminology is outdated and confusing, while the sponsor said the bill is a clarification only and does not change services or funding. HB 2350 would require DSHS to notify residents, guardians, and other designated people when an RHC falls out of compliance with federal CMS requirements, and to post plain-language notices at the facility. Supporters from Disability Rights Washington, The Arc, and self-advocates said the bill would improve transparency and accountability. The committee closed public hearing on both bills, and the meeting adjourned.

Transcript Highlights:

• </c> veteran service and nurse veteran service and nurse &gt;&gt; chair<00:16:22.560><c> vice</c><00:
• The nurses were overwhelmed.
• Um the nurses be there at some point. Um the nurses was<01:09:01.920><c> overwhelmed.
• So it's a very that program is 3%. So it's a very effective<02:28:33.359><c> program.
• </c> successful MEO program. Thank you. successful MEO program. Thank you.

Bills: HB1531

Committee: House Public Safety

Summary: The committee heard testimony on House Bill 1913, which would create a mental health coordinator position within the Office of Veteran Services for the Daniel K. Akaka State Veterans Home and appropriate funds for it. Supporters said veterans, especially on the neighbor islands, need more mental health access and coordination. Several witnesses, including Sean Sonatada and Tom Driscoll, supported the intent but urged amendments to broaden the position beyond one facility and make it a statewide resource. Committee members questioned whether the bill would duplicate existing services at the veterans home and whether the position would be reimbursable through federal VA funding; testimony indicated the state would appropriate the money, while existing home services are already covered through current staff and federal reimbursement structures. The committee also heard testimony on House Bill 9, which would designate Hawaii as a Purple Heart state. Testifiers generally supported the measure as a way to honor wounded veterans and their families, though one member asked what benefits the designation would confer. Witnesses clarified that the bill was mainly symbolic and did not appear to create new benefits, and one testifier noted Honolulu County had already adopted a similar Purple Heart designation. The committee then took up House Bill 1628, which would establish a compassionate release protocol for certain seriously ill or debilitated incarcerated persons. The Department of Corrections and Rehabilitation and the Hawaii Paroling Authority opposed the bill, arguing that an existing administrative process already works, that the bill could improperly extend eligibility to people serving life without parole or mandatory minimum sentences, and that it lacked victim and family input and sufficient resources. In contrast, the Hawaii Correctional System Oversight Commission strongly supported the bill, saying it would reduce the high cost of incarcerating people with complex medical needs, ease burdens on staff and the prison population, and better reflect human dignity. The commission described having seen severe suffering and deaths in custody and said compassionate release is warranted in some cases. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• There's a program at Mississippi State, and it provides some protections for them in their practice in
• Uh there's a program technicians.
• Uh there's a program Mississippi<00:16:01.920><c> State</c><00:16:02.880><c> uh</c><00:16:02.959><c>
• </c> program. Is that correct? program. Is that correct? &gt;&gt; That's<00:28:47.039><c> correct.
• program to to petition<00:32:10.799><c> us</c><00:32:11.039><c> to</c><00:32:11.279><c> allow</c><00

Committee: Joint Public Health and Welfare

Transcript Highlights:

• It goes back into surgery, and the nurse was great.
• The coalition coordinates the statewide network of SANE programs.
• examiner programs, made that selection.
• HB 206 does not expand the scope of the program.
• Is it the same program?

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• </c> clinical doctoral training at programs clinical doctoral training at programs such<00:03:49.120>
• </c><00:04:04.680><c> are</c> physicians, nurses, and specialists are physicians, nurses, and specialists
• ,</c> open an audiology training program, open an audiology training program, which<00:08:37.080><c>
• They do not come through a separate MRI training program. >> Okay.
• . program. program.

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• And in California, the Medi-Cal program is one of the largest health care programs in the country.
• program, the detrimental nature.
• program, the detrimental nature.
• So we developed a program called Health Care Without Fear, where we send doctors and nurses and medical
• Reduced eligibility and access to these programs will put untenable strains on other county programs

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• This program has been in place for a couple of decades now. It’s a very successful program.
• The program has been in place for a couple of decades now. It is a very successful program.
• Advanced machine tool would be probably six credits, and some nursing programs are more than four credits
• </c><00:50:30.040><c> four</c><00:50:30.280><c> so</c> nursing programs are more than four so nursing
• </c> from typical associate degree program from typical associate degree program has<00:52:35.319><c>

Committee: Senate Education

Transcript Highlights:

• And in California, the Medi-Cal program is one of the largest health care programs in the country.
• Medi-Cal program, cuts to the Medicaid program, the detrimental nature of H.R. 1, and you may have covered
• So we developed a program called Health Care Without Fear, where we send doctors and nurses and medical
• ends the grad plus loan program.
• Reduced eligibility and access to these programs will put untenable strains on other county programs

Summary: The joint informational hearing focused first on the impacts of H.R. 1 on Medi-Cal and California’s health care system. Department of Health Care Services Director Michelle Bass outlined provisions including work requirements, semiannual redeterminations, reduced retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal matching for emergency services for some immigrants, restrictions on lawful immigrant coverage, and a one-year ban on Medicaid funding for certain abortion providers. She said the law could put tens of billions of federal dollars at risk, with estimates of up to 3 million members losing coverage from work requirements, about 400,000 from more frequent redeterminations, and major pressure on hospitals, clinics, and rural providers. She also noted the state is considering implementation timelines, possible delays, and planning for communications, county systems, and a rural health transformation fund. Testimony from Planned Parenthood Affiliates of California, the California Hospital Association, and the Western Center on Law and Poverty echoed those concerns. Planned Parenthood said the federal defunding provision would immediately threaten access to reproductive health care, with possible clinic closures, reduced hours, and workforce cuts if injunctions are lifted; it estimated about $305 million in annual federal matching funds are at stake in California. The hospital association warned that reduced provider taxes and state-directed payments could cut hospital revenue by an estimated $66 billion to $128 billion over 10 years, risking service reductions and closures, especially in rural areas. The Western Center argued the changes would reverse ACA-era coverage gains, increase churn and administrative burden, and disproportionately harm working poor people and those experiencing homelessness. Committee members asked about implementation, notification, state mitigation options, and the effect on hospitals and patients; no votes were taken. The second panel addressed community health impacts of recent immigration enforcement actions. CHIRLA described raids as a public health crisis that creates fear, trauma, family separation, and avoidance of health care. Los Angeles County Department of Health Services reported declines in emergency, urgent care, and clinic visits in immigrant-heavy areas after enforcement actions, and said it has responded with multilingual outreach, patient navigation, telehealth, and assurances that patient information remains protected. The Children’s Partnership said enforcement also disrupts children’s access to early childhood education and schools, citing increased absences and fear among families, and urged stronger protections, legal services, and funding for child care and school-based supports. Members asked for more data on visit declines, the effects on children and families, and how to reduce the chilling effect on care-seeking and benefit enrollment.

Transcript Highlights:

• It includes AED training as part of the program, and it's only about 10 minutes.
• The American Red Cross has no problem using the AED program and the majority of programs.
• HB 288, program language acquisition grant. ATT and Government.
• HB 2960, Veterans Court Fund grant program. MABS and ATT.
• HB 2960, Veterans Court Fund grant program. MABS and ATT.

Transcript Highlights:

• , the HIP program.
• It wouldn't fully fund the program, but it would help.
• Would the money fully fund the HIP program?
• We have the Commonwealth Builder program. It's an amazing program.
• And we have our own state rental assistance program, the Massachusetts Rental Voucher Program.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a public hearing on a series of bills focused largely on local-option real estate transfer fees and housing funding tools for communities facing severe affordability pressures. Testimony strongly favored bills for Somerville, Concord, Martha’s Vineyard, Nantucket, Chatham, and a statewide local-option transfer fee, with speakers arguing that high-end real estate transactions should help fund affordable housing, anti-displacement efforts, workforce housing, and related capital improvements. Elected officials and local housing leaders described rising rents and home prices, investor activity, shrinking year-round housing stock, and difficulty recruiting or retaining teachers, police, health care workers, and other essential employees. Several witnesses emphasized that the proposals would be optional for municipalities, could include exemptions for first-time homebuyers or seniors, and would direct revenue into local affordable housing trust funds or housing banks. Committee members asked questions about who would pay the fee and whether it could make housing less affordable, and supporters responded that the fees would be targeted at higher-value transactions and designed with local flexibility. For Somerville, the delegation and Mayor Katjana Ballantyne backed both a local home rule petition and statewide enabling legislation, saying the city has already used zoning reform, inclusionary zoning, and local housing funds but still needs a new revenue source to address displacement and investor-driven purchases. For Concord, Representative Carmine Gentile and Concord housing advocates supported a home rule petition and the statewide bill, arguing that a modest fee on sales above $1 million could generate predictable revenue for affordable housing production and preservation. One committee exchange focused on whether the fee would affect most Concord sales and whether it would be passed on to buyers; supporters said the policy was intended to shift costs toward higher-value properties and help leverage other funding sources. The committee also heard testimony on House 4105, which would redirect a casino-related revenue stream to the Healthy Incentives Program. Farmers, advocates, and residents said the current funding was originally intended to support horse racing but has not met that goal, and that the money would be better used to support Massachusetts farmers and food-insecure residents through HIP. In a separate bill, Senator Becca Rausch testified in support of Senate 268, which would create a state-level hostile learning environment complaint process for higher education institutions and potentially strip tax exemptions from colleges or universities found to have such environments; she cited anti-Semitic and transphobic incidents on campuses and argued that existing federal protections should be mirrored in state law. The hearing also included testimony on college tuition debt reduction legislation from Senator Michael Moore, who said the bill would allow a deduction for tuition and fees paid to Massachusetts public colleges and universities to ease student debt and support the state’s workforce. A major portion of the hearing focused on Martha’s Vineyard and Nantucket housing bank proposals. Hospital, school, housing, planning, and municipal officials from Martha’s Vineyard said the island’s year-round housing shortage is harming health care, schools, and the local workforce, and urged approval of a housing bank funded by a local-option transfer fee. Nantucket witnesses made similar arguments, pointing to a very high median home price, a large seasonal housing stock, and the need for a dedicated revenue stream to preserve and create year-round housing. Supporters repeatedly cited the long-running success of the islands’ land banks as evidence that transfer fees can work without harming real estate markets. Senator Julian Cyr and Representative Thomas Moakley Luddy also backed the Cape and Islands transfer-fee bills, saying the region needs bold action and a sustainable local funding source to address its housing crisis.