Transcript Highlights:

• home or multiple nursing homes close.
• We do support special education through—we have some special education teachers and things like that
• Rogers, Department of Education, correct?
• , economic education program.
• Some of them are nurses.

Committee: All JOINT BUDGET COMMITTEE

Keywords: 1204, all

Transcript Highlights:

• </c> for the Kentucky Nurses Association. for the Kentucky Nurses Association.
• I was it was I was a nurse. I had I had. I was it was I was a nurse.
• </c> them to have a school nurse. them to have a school nurse.
• Nurses Association School Nurse Kentucky Nurses Association School Nurse Committee<00:30:24.799><c>
• </c> the nurses in the building. the nurses in the building.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• Hope Wallen, registered nurse, on behalf of the California Nurses Association, in support.
• I'm a registered nurse and board member of the California Nurses Association.
• I'm a registered nurse and board member of the California Nurses Association.
• Hope Wallen, registered nurse with the California Nurses Association, and I support.
• Jane Churchon, registered nurse, California Nurses Association, in support. Judy E.

Committee: House Labor and Employment

Keywords: 988, house, all

Transcript Highlights:

• Um, maybe they were going to be a nurse and now they're a CNA at a nursing home.
• Um maybe they were going to<00:03:47.040><c> be</c><00:03:47.120><c> a</c><00:03:47.280><c> nurse</c>
• I would like to make sure nursing home.
• So why add more barriers to higher education? This bill threatens to take us backwards.
• This bill threatens to take education? This bill threatens to take us<00:12:08.959><c> backwards.

Keywords: 1183, house

Transcript Highlights:

• I just talked with my education counterpart.
• New Mexico's largest education funding from federal sources is more in the special education area.
• If it's a nurse practitioner or a PA, and they saw 2,000, because if I remember right, I think a nurse
• So, it's really driven to bring a nurse practitioner in, and that nurse practitioner probably can pull
• We have partnerships with UNM to produce certified nurse midwives and nurse practitioners for rural communities

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• You’re right, special education.
• So try to ...types of programs in education and teacher education.
• We'll switch to nursing. Dr. Amy Lee is our chair of our nursing department at Minot State.
• Commission for Education in Nursing, and had positive reviews and fully accredited by those program
• area, nursing, and that's a... in the education area, nursing, and that's a really great topic that

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• Nurses Organization, and Dr.
• nurses and Dr.
• I also serve as president of California Virtual Educators United, representing over 1,100 educators across
• As an educator for 17 years, I know that dismantling the United States Department of Education poses
• for our nation's education system.

Summary: The Assembly Education Committee met without a quorum for much of the hearing and heard several bills out of order. SB 249 by Senator Umberg would move county board of education elections from the primary to the statewide general election. Supporters, including the League of Women Voters and many educators, argued the change would increase turnout and make the electorate more representative. The Orange County Board of Education opposed the bill, saying it would increase costs, reduce local control, and bury education races on crowded general-election ballots. The chair and members discussed turnout, cost, and representation, but the bill was held pending a quorum. Senator Grove presented SB 373, which adds safeguards for California students placed in out-of-state non-public schools through IEPs. The bill would require more robust LEA and CDE oversight, including annual site visits, student interviews, quarterly contact, stronger certification standards, and restrictions on prone, supine, and mechanical restraints. Testimony from a survivor of an out-of-state placement and from advocates emphasized abuse, neglect, and the need for stronger monitoring. There was broad support and no opposition testimony, but the measure was also held pending a quorum. Senator Ashby presented SB 568, the epinephrine in schools modernization act, to clarify and expand requirements for stocked epinephrine so they clearly apply to all public schools, including preschool programs. School nurses and medical experts said the bill would close gaps created by universal preschool and ensure life-saving treatment is available for anaphylaxis. The committee discussed dosing and implementation, and the bill was supported without opposition testimony. The committee also heard SB 414, the Charter School Accountability Act, which would strengthen fiscal oversight, audit standards, and transparency for charter schools and authorizers. Supporters said it responds to fraud and audit findings while preserving charter flexibility; opponents, including school employees and teachers, said it did not go far enough on authorizer accountability and small-district oversight. After discussion, the committee voted 7-0 to pass SB 414 as amended to Appropriations. The committee also briefly heard SB 743 by Senator Cortese, which would create an equalization reserve account to provide additional funding to underfunded school districts and reduce funding inequities tied to ZIP code. The author said the bill would support student achievement and teacher retention over time. The transcript cuts off before testimony or action on SB 743 was completed.

Transcript Highlights:

• Education for Teacher Department of Education for Teacher requested<00:01:01.480><c> classroom</c><00
• education education sorry<00:25:10.000><c> this</c><00:25:10.240><c> establishes</c><00:25:10.880><c
• of Nursing.
• the Department of Education.
• of Education to audit operations and expenditures of the Department of Education.

Committee: Senate Education

Keywords: 912, senate, all

Transcript Highlights:

• Having stable housing will allow them to focus on their education and work.
• Whether the voucher is available or not should never limit our ability to pursue higher education.
• Whether the voucher is available or not should never limit our ability to pursue higher education.
• Thank you, Chair, and members, Senate Bill 78 is a veterans nursing homes bill.
• With regard to nursing homes, it aligns us with the federal standard.

Committee: Senate Appropriations Committee on Health and Human Services

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

Transcript Highlights:

• As an aside, in addition to the great work we're doing with the education and training that we provide
• Psychiatric nurses have the training capacity, and it's in their scope of work.
• Psychiatric nurses have the training capacity, and it's in their scope of work.
• If a psychiatric nurse is on the floor, you can get the order immediately.
• Resource sharing and education, funding flexibility, and peer support services.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• The Committee on Education has under consideration SB 1754; the bill should be passed as amended.
• I'm a certified EMT in addition to being a registered nurse.
• What this bill does is mandate equal reimbursements for anesthesiologists and nurse anesthetists, and
• Nurse anesthetists are a common component of the anesthetic treatment.
• They have roughly seven to ten years of total They have roughly seven to ten years of total education

Keywords: 1182, all

Transcript Highlights:

• So again, part of this is to educate the non-flying public.
• So again, part of this is to educate the non-flying public about the value of their airports and the
• Can you tell me why are we using an out-of-state company to contract for nurses here locally?
• The company actually has in-state contractors who do the nursing service for us.
• contract nurses and not nurses that are hired by you directly?

Committee: All ALC-REVIEW

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:

• So again, part of this is to educate the non-flying public.
• You can tell me why we are using an out-of-state company to contract for nurses here locally?
• The company actually has in-state contractors who do the nursing service for us.
• Can you tell me currently how many nurses you're contracting with, that you're just using contract nurses
• and not nurses that are hired by you directly?

Committee: All ALC-REVIEW

Keywords: 1204, all

Transcript Highlights:

• They really are to replace the skilled nursing facility at Holderman.
• ...which is the level below skilled nursing.
• I know we heard that nurses... ...out there.
• to be more and more nurses that want to be in that particular space of being a traveling nurse.
• It's about educating consumers, educating contractors, and making sure that everyone's aware of the consumer

Summary: The Assembly Budget Subcommittee on State Administration heard several CalVet budget updates first. CalVet reported progress on the Southern California Veterans Cemetery at Gypsum Canyon, explaining that DGS is revising the earlier feasibility study to reflect a smaller footprint and lower grading costs, with updated numbers expected by the end of April. Members and public commenters emphasized the project’s importance and asked whether additional budget authority or trailer bill language was needed; CalVet said it may need more spending authority but wanted to return after the revised study is complete. The committee also reviewed the Yountville skilled nursing facility replacement project, where CalVet said construction is nearing completion, a certificate of occupancy was received, and the new 240-bed facility will replace Holderman Hospital while older buildings will be repurposed for lower levels of care. CalVet also defended eliminating about 178 vacant positions at Yountville and West Los Angeles as a fiscal and staffing efficiency measure, saying current care levels can still be met and that retention and hiring efforts are improving. The committee then took up the Department of Cannabis Control’s enforcement and legal affairs proposal. DCC described the size of the illicit cannabis market, said enforcement alone cannot solve the problem, and asked for additional sworn staff, a new Redding-area field office, and more analysts to focus on distribution networks, organized crime, environmental harms, and high-priority public safety cases. Finance supported the proposal as a targeted investment, while the LAO had no additional comment. Members asked about funding impacts and local co-location options, and DCC said the request would be funded from cannabis excise tax revenues and could help shift sales into the legal market. Public testimony from the cannabis industry strongly supported more enforcement against illicit retail and said it would help legal operators compete. DCC also presented its hemp enforcement and regulation proposal tied to AB 8. The department said the law closes loopholes around intoxicating hemp products, strengthens enforcement across agencies, and prepares for hemp to enter the cannabis regulatory framework in 2028. DCC requested staff for a civil enforcement unit, field-testing equipment, lab capacity to detect synthetic cannabinoids, a track-and-trace specialist, and a policy specialist. Members asked about enforcement in informal retail settings and consumer confusion, and DCC said the biggest problems have been smoke shops and online sales. Public commenters from the legal cannabis industry supported the proposal, saying intoxicating hemp has harmed the regulated market and created public safety risks. The Cannabis Control Appeals Panel then requested ongoing funding of $3.4 million to support 12 positions and its quasi-judicial appeals function. The panel said that with provisional licenses largely phased out, more annual licensees now have appeal rights and the workload is beginning to increase, with two cases currently on the docket. The LAO recommended limiting funding to three years and requiring a workload and comparative analysis before making the funding permanent, while Finance supported ongoing funding as consistent with the panel’s permanent statutory role. Members questioned the panel’s compensation and workload, noting that the five-member body is paid at a high statutory rate despite historically meeting only quarterly, though panel staff said the work now includes substantial case preparation and monthly hearings. Finally, the Department of Consumer Affairs introduced two proposals: $2 million ongoing for the Contractors State License Board’s IT needs and $251,000 plus one limited-term position for the Board of Pharmacy to implement Proposition 34-related licensing policy and reduce barriers to licensure.

Transcript Highlights:

• She said the rule in question was within nursing homes.
• Before COVID, when someone died in a nursing home, the physician in the nursing home was tasked with
• They changed a rule, and the rule was within the nursing homes.
• Whenever someone died in a nursing home previous to COVID, the physician in the nursing home was just
• I've been a respiratory therapy educator for 37 years before my retirement.

Committee: House Professional Registration and Licensing

Summary: The committee first met in executive session on Senate Substitute No. 2 for Senate Bill 1233. Members adopted several amendments, including language allowing the Boards of Therapeutic Massage and Chiropractors to seek emergency suspension of licenses when there are criminal indictments or charges that could harm citizens; extending the RX CARES for Missouri prescription drug abuse prevention program by removing its sunset; updating pharmacy distributor licensing language to reflect national licensing practices; clarifying pharmacist immunization authority, including RSV immunizations and board oversight for future immunizations; allowing certain long-term care facility employees to administer additional subcutaneous medications; and adopting agreed-upon language related to interior designers. The committee then rolled those amendments into a committee substitute and voted the bill do pass by a 16-1 roll call vote. The committee then heard House Bills 2618 and 2644, which would join Missouri to the Respiratory Care Interstate Compact. The bill sponsors said the compact would improve licensure portability for respiratory therapists, help address workforce shortages, and allow Missouri to be among the first states shaping the compact’s commission. Supporters, including respiratory therapists, a hospital association representative, a student and military spouse, and a nursing association representative, said the compact would speed access to qualified therapists, aid rural and hospital care, help during emergencies like COVID-19, and benefit military families. Several witnesses emphasized that participating states would still retain their own licensing standards and scope-of-practice authority. Opponents argued that the compact would surrender state sovereignty to an unformed commission, create a “blank check” before the rules are written, and potentially allow rules to supersede state law. They also raised constitutional concerns about interstate compacts and questioned whether a reciprocal licensing approach would be preferable. Committee members asked about sovereignty, the legal basis for compacts, and whether Missouri could preserve its standards; sponsors and supporters responded that the compact would not remove state authority and that Missouri could still require its own standards. The hearing concluded without a vote on the respiratory compact bills.

Transcript Highlights:

• It's a, a nursing home that has multiple sites across the state.
• So for that nursing home, he created his own 501c3 as a separate nonprofit organization.
• So, they handle the administration and the nursing home actually hosts the apprentice.
• The nursing home ultimately gets paid by the state for the apprentice. There's a fee for that.
• school and become great contributors to the nursing profession.

Committee: House S/C on Workforce

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
• We have some nurses from the Florida Nurses Association.
• We have some nurses from the Florida Nurses Association.

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:

• complete controlled substance prescribing education, and there is an amendment that changes basically
• I've been a nurse for over 48 years. Ten years of that have been in emergency trauma.
• I'm a lifelong public servant with experience in both law enforcement and nursing.
• Thank you for the Association of Nurse Practitioners. That does it for public testimony.
• SB 1414, education on congenital cytomegalovirus. Oh. No.

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Transcript Highlights:

• Schools Board of Education.
• Unlike K-12 education, early childhood education in St.
• Partial education, like all education, is challenging.
• She said students who need nurses, such as one-on-one nurses, typically have to find nurses through district
• There's a nursing shortage.

Committee: House General Laws

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

Transcript Highlights:

• practitioners and psychiatric nurse mental health clinical specialists.
• Today, nurse practitioners and psychiatric nurse mental health clinical specialists in Massachusetts
• As a result, ASD diagnoses made by nurse practitioners and psychiatric nurse mental health clinical specialists
• As a result, ASD diagnoses made by nurse practitioners and psychiatric nurse mental health clinical specialists
• To be clear, this bill does not expand scope of practice for nurse practitioners or psychiatric nurse

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.