Transcript Highlights:

• THIS WAS MENTIONED BEFORE BUT WORKFORCE PROGRAMS.
• REGISTERED NURSES, CERTIFIED NURSING ASSISTANTS, AND LICENSED MENTAL HEALTH COUNSELORS MAKE OF THE MAJORITY
• IT REQUIRES THE BOARD OF CHIROPRACTIC MEDICINE TO ESTABLISH STANDARDS FOR CHIROPRACTIC PHYSICIANS PERFORMING
• I WILL START WITH WORKFORCE IF WE MAY.
• NOVEMBER THE DEPARTMENT ISSUED 22 TO THE BOARD.

Keywords: 999, senate, all

Transcript Highlights:

• home and assist investors of nursing home and assist nursing<00:23:50.400><c> homes</c><00:23:50.559
• </c><00:26:56.880><c> The</c> nursing home than another home. The nursing home than another home.
• We have a nearly $200 million expense in unfunded mandates by the nursing home Workforce Standards Board
• home Workforce<00:39:51.359><c> Standards</c><00:39:51.760><c> Board.
• </c><00:39:52.400><c> The</c> Workforce Standards Board. The Workforce Standards Board.

Committees: Senate Health and Human Services , Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Speaker, I have a nurse who left her job. Usually we have a house full, but we have a nurse.
• Nurse who left her job.
• Tim, come home to us safely.
• homes.
• School Counseling Standard Indicators as determined by the State Board of Education, and that is the

Summary: The House convened with prayer, a moment of silence for two fallen service members, the Pledge of Allegiance, quorum call, and several recognitions, including law enforcement officers and visiting students and advocates. Members then adopted the special order report and moved into the special-order calendar. The first major item was HB 7031, the annual tax package, which was explained as a broad measure covering sales tax holidays, property tax changes, tax credits, pari-mutuel tax reductions, vacation-rental tax collection, and decoupling from federal tax changes. Members asked about the fiscal impact of decoupling and the firearm-accessories holiday; supporters emphasized fiscal caution and the package’s mix of consumer and housing provisions, while opponents objected to the gun-related tax holiday. The bill passed 105-2. The House then passed CS/CS/CS HB 1177 on Space Florida and spaceport operations 107-0, with supporters saying it would strengthen Florida’s competitiveness in commercial aerospace. CS for SB 246 on specialty license plates also passed unanimously after a strike-all amendment that added several new plates, revised the Fraternal Order of Police plate, and tightened specialty-plate financial and nonprofit requirements. CS HB 697 on drug prices and coverage passed 100-0 after supporters said it built on prior PBM reforms by requiring fairer pharmacy reimbursement and limiting forced losses on drugs. CS/CS HB 1263 on the Office of Insurance Regulation passed 109-0 after an amendment clarifying fingerprinting requirements, and CS/CS HB 527 on insurance claim denials passed 100-0 with a requirement for human review before claims are denied or reduced solely by AI. The House also passed CS HB 1449 on the statewide provider and health plan claim dispute resolution program 100-0 after narrowing the bill to out-of-network emergency services and claims at or below $50,000. CS HB 93 on protection from surgical smoke passed 178-0 after extensive emotional debate, with supporters describing it as a long-sought patient and worker safety measure requiring smoke evacuation systems in hospitals and surgical centers. Later, CS HB 1217 on prohibited governmental greenhouse-gas policies passed 29-0 after questions clarified that it would bar net-zero policies and related funding arrangements but not general energy efficiency or incidental emissions reductions; opponents argued it would preempt local climate and resilience efforts, while supporters said it protected energy reliability and affordability. The House then began debate on CS/CS HB 1461 on advanced nuclear reactors, with sponsors describing a framework for licensing and oversight of small modular and microreactors and supporters arguing it would help meet future energy demand and improve reliability.

Transcript Highlights:

• So what happens if, like for Bedford Nursing Home or Hillsborough Nursing Home, they like the nurse,
• Bedford um nursing home a Hillsboro Bedford um nursing home a Hillsboro nursing<01:07:43.559><c> home
• </c><01:07:46.680><c> she</c> nursing home um they like the nurse she nursing home um they like the nurse
• </c> in a home or a hospital or a nursing in a home or a hospital or a nursing home<01:48:10.599><c>
• , prison, nursing home.

Committee: House Labor, Industrial and Rehabilitative Services

Keywords: 1189, house, all

Transcript Highlights:

• It really aligns well with the state's economy and workforce.
• NDSU is also home to the largest undergraduate nursing program in the state, and over time more than
• and allowed me to pursue my professional and academic goals close to home.
• We are the home of the largest nursing program in the state.
• That includes a 14-month accelerated nursing program here in Fargo to help address urgent workforce needs

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• and traveling nurses, and that was a very high cost to them.
• I also talked to nurses who were at home waiting to be called and didn't get called in to help in other
• That proposed budget will be taken to our board in May for public discussion.
• The board would then ...budget will be taken to our board in May for public discussion.
• Board pronouncements.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Nursing Practice in Nurse Anesthesiology program at USF.
• CRNAs are advanced practice nurses who begin with a four-year Bachelor of Science degree in nursing,
• than I do now as a board-certified nurse anesthetist in Florida.
• Nurse anesthetists have a four-year undergraduate nursing degree in basic nursing.
• That is the PA equivalent of a nurse anesthetist.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• We had five kids at home.
• Born from the exact same standards as other healthcare professions like doctors, nurses, and psychologists
• Rather than reducing entry-to-practice standards, I ask this committee to consider broader workforce
• This will not lower standards, but will actually use the right standards, most importantly, and that's
• All schools, institutions, and nursing homes should be places for people to be safe and supported.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• The nursing homes received an annual pay increase, and they seem to be the only entity, among Medicaid
• Can you talk to us about why the nursing homes were given this rate increase when other providers were
• So I think not only did we increase some funding for nursing homes, but we did not take away from some
• But it has been a priority of this Senate and of the House to get the nursing homes back to where they
• Very briefly, I want to ask you about the nursing home quality payment program.

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Transcript Highlights:

• A nurse that we know of, who is from Albuquerque, actually went to work in Australia and came back home
• However, it also goes home with you as well. These nurses are overworked. They're underappreciated.
• This bill does not impose any maximum standard of nurse-to-patient ratio.
• So there are CMS nursing standards set by the federal government.
• Okay, CMS does have standards when it comes to nursing.

Committee: House House Health & Human Services

Transcript Highlights:

• </c> this committee has not met this board this committee has not met this board has<00:05:32.760><c>
• </c> accountable to the board of trustees. accountable to the board of trustees.
• , Alabama's workforce is Additionally, Alabama's workforce is comparable<00:08:32.680><c> per</c><00:
• </c><00:13:54.560><c> already</c> So, for a for for a workforce already So, for a for for a workforce
• </c> those standards. those standards.

Bills: HB151 , HB152 , HB138 , SB221 , SB190 , SB69 , SB225 , SB272 , HB151 , HB152 , HB138 , SB221 , SB190 , SB69 , SB225 , SB272

Committee: Senate Finance and Taxation Education

Keywords: fire chaplains, distinctive license plate, firefighter, volunteer service, criminal penalties, sales tax exemption, baby supplies, baby formula, maternity clothing, menstrual hygiene products, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision

Transcript Highlights:

• They are required to adopt those standards within one year of implementation of those standards.
• Yes, the Duval County School Board did.
• , authorizing the board to approve hiring an additional attorney solely to represent the school board
• He said that not long after that, the superintendent sent an email to the board stating that no board
• , the Asian American Advisory Board, and Hispanic Advisory Board for the first time ever.

Bills: S0212 , S0218 , S0442 , S0460 , S0532 , S0554 , S0644 , S0686 , S0692 , S1054 , S1106 , S1128 , S1134 , S1138 , S1338 , S1434 , S1506 , S1620 , S1748

Committee: Senate Judiciary

Keywords: sexual offender, sexual predator, sex offender registry, child protection, residency restriction, loitering, proximity restriction, public swimming pool, school safety, child care facility, day care center, park, playground, conditional release, probation, community control, warrantless arrest, background check, registry screening, minor victims

Summary: The committee first considered SB 1434 on infill redevelopment. A late-filed strike-all amendment narrowed eligibility criteria, including environmental and adjacency requirements, density and intensity limits, and exclusions for certain lands and military areas. The amendment was adopted without opposition, and the bill then passed favorably on an 8-0 vote, with testimony both for and against from advocacy groups. Members then heard several bills related to criminal justice, land use, and local government operations. SB 212 on sexual offenders and sexual predators was amended to add public swimming pools and related restricted-location provisions; the committee heard extensive opposition testimony arguing the bill lacked empirical support and could worsen homelessness and burden families, while supporters said it would reduce temptation and improve safety. The amended bill passed 8-1. SB 686 on agricultural enclaves also received a strike-all amendment clarifying development allowances near interstates and protected-area non-preemption; after opposition from a county Republican committee and support from housing and business groups, it passed 10-0. SB 554 updating nonprofit corporation law, SB 1338 on charitable giving and endowment restrictions, SB 532 on court fee retention by clerks, and SB 218 on land use regulations after hurricanes all passed favorably, each with little or no opposition. The committee also approved SB 692 on cybersecurity standards and liability after debate over whether the bill created enough compliance incentives and whether its liability presumption should apply retroactively; supporters said it would encourage adoption of cybersecurity frameworks, while opponents warned it could weaken local standards and create litigation issues. The bill passed 9-2. SB 1138 on qualified contractors was amended to preserve local government authority while allowing licensed professionals to conduct limited pre-application reviews, and it passed 11-0. Finally, SJR 1104 on religious expression in public schools passed 8-3 after extensive public testimony and debate, with supporters saying it would enshrine existing protections in the Constitution and opponents warning it would favor majority religions and increase bullying and litigation. The committee then took up SB 1106 on requiring state agencies and instructional materials to use “Judea and Samaria” instead of “West Bank,” with the sponsor arguing it reflected historical truth and opponents saying it erased Palestinian identity and inserted the state into an international naming dispute; the transcript ends during public testimony on that bill before any vote is shown.

Transcript Highlights:

• , and for those who already call Texas home.
• We have a board of managers that . . . We develop a business plan. We go to that board of managers.
• . workforce.
• We are home to the four.
• That's correct so so the board itself and just to be clear the board of Austin Transit Partners are not

Bills: HB19 , HB30 , HB851 , HB1663 , HB1681 , HB1769 , HB1937 , HB1979 , HB2428 , HB2433 , HB2825 , HB3159 , HB3424 , HB3486 , HB3487 , HB3504 , HB3605 , HB3879 , HB3994 , HB4382 , HB4752 , HB5444 , HB5446 , HB5447 , HB3199 , HB4847 , HB19

Committee: House Ways & Means

Keywords: local government debt, property tax, ad valorem tax, bond election, certificate of obligation, anticipation note, school district tax rate, voter-approval rate, debt service cap, municipal finance, county bonds, flood control district, hospital district, public works, tax transparency, property tax notice, November uniform election date, general obligation bonds, local debt reform, taxpayer notice

Transcript Highlights:

• smaller home.
• I have served on planning boards. I have served on zoning boards.
• </c> zoning board I served on a zoning board zoning board I served on a zoning board for<01:16:58.520
• boards and planning boards those zoning boards and planning boards right<01:17:15.719><c> to</c><01:17
• </c> nurses it doesn't cover the nurse nurses it doesn't cover the nurse practitioners<01:32:46.920><

Keywords: 1191, senate, all

Transcript Highlights:

• For over 20 years, this place has felt like home.
• Currently, our rates are $100 for nursing homes and slightly higher for basic care, $135 per month.
• Currently, our rates are $100 for nursing homes and slightly higher for basic care, $135 per month.
• This is a workforce issue as well, in that largely some of the best opportunities for growth of workforce
• I am a mandated reporter as a nurse.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal. The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause. The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments. The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.

Transcript Highlights:

• Council of State Boards of Nursing, in a 2022 study examining nurse practitioner preparation for emergency
• is not to lower the standard of care or to compromise on safety standards.
• Costs that come with the board.
• What we're wanting to do now is actually just to blend this board with an existing board for private
• We want to blend this new board into an existing board.

Committee: House Professional Registration and Licensing

Keywords: 959, house, all

Transcript Highlights:

• In practice, each professional licensing board, which is a Board of Healing Arts, Board of Nursing, Board
• This maintains safety and licensing standards. It does not reduce any oversight.
• So if you lost your home, you lost your script for your insulin, you're, I take patients, right?
• You know, currently the Board of Healing Arts regulates physician assistants.
• Entered into the workforce. Thank you. Questions for this witness? Seeing none.

Committee: House Professional Registration and Licensing

Keywords: 959, house, all

Transcript Highlights:

• HB 2770, home confining. HB 2771, communities; Judiciary. HB 2776, private property process.
• assistant board, 2733 pharmacy board renewals, 2734 employment required, 2734 employee list welfare.
• home, 2032 STOZAs, 2848 appropriation Del Rio Spring, 2846 massage therapy board, 2015 appropriation
• Representative Blackman and I have appointed a Veterans Community Advisory Board.
• Representative Blackman and I have appointed a Veterans Community Advisory Board.

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the journal. Members then introduced the Doctor of the Day, Dr. John Lynch, and recognized several guest groups in the gallery, including Arizona electric co-op representatives, March of Dimes participants, CRNAs, AEA retirees, a University of Arizona legislative fellow, and ACLU visitors. Attendance was recorded at 58 present, one absent, and one excused. The chamber handled routine floor business, including temporary committee replacements, referral of HB 2677 from Judiciary to Public Safety and Law Enforcement, and the first reading and referral of a large number of House bills and one concurrent resolution. The bill list covered a wide range of topics, including education, appropriations, housing, taxes, health care, public safety, energy, water, labor, elections, and several measures related to abortion, firearms, and tribal affairs. Second reading of bills was also announced for another extensive set of measures. During announcements, members promoted a blood drive, a Veterans Caucus coffee-and-donuts event and lunch with a Department of Defense speaker, and several committee meetings or cancellations. No substantive debate or votes on legislation occurred beyond the procedural motions and the final motion to adjourn. The House adjourned until 10 a.m. on Thursday, January 22, 2026.

Transcript Highlights:

• These titles are registered nurse, nurse, or RN; advanced registered nurse practitioner, ARNP, or NP;
• The bill amends the Nurse Practice Act, which governs nursing practice and title protection for nurses
• for nurses.
• The bill amends the Nurse Practice Act, which governs nursing practice and title protection for nurses
• This is needed policy, establishing network adequacy standards for skilled nursing facilities and rehab

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• I'm a nurse.
• I have been a nurse for 25 years.
• And many of our residents cannot afford to buy a home.
• Teachers, firefighters, they can't purchase a home.
• The nurse at that moment is the first responder.

Committee: Senate Fiscal Policy

Keywords: 999, senate, all