Transcript Highlights:

• At the Ways and Means Committee on Education and Local Aid, it was made very clear that the Education
• However, this quality of education is not actually ranked top in education in this country.
• We're both retired educators.
• They will be our early childhood educators. They will be our early childhood educators.
• They're our nurses, they will be our cardiac sonographers, they will be our early childhood educators

Committee: Joint Joint Committee on Ways and Means

Keywords: 995, all

Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.

Transcript Highlights:

• home, personal care, private nursing facilities, and PACE.
• money back from the provider that was paid improperly and will educate them.
• These include any sort of nursing home, any boarding care facility.
• These include any sort of nursing home, any boarding care facility.
• I know there's also front-end education for providers provided by DHS.

Committee: All LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• c> Leaders in Nursing.
• As a nurse and Leaders in Nursing.
• If it's nurses that need this protection, it should be limited to nurses.
• </c> limited to nurses.
• If it's nurses and limited to nurses.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• And if we are not able to identify additional nursing support, then nursing leaders, charge nurses, supervisors
• And if we are not able to identify additional nursing support, then nursing leaders, charge nurses, supervisors
• ,</c> number of new nurses, number of new nurses, 5,272<00:37:44.800><c> new</c><00:37:45.040><c> nurses
• I was raised by a nurse. My mom was a nurse her whole career in Duluth also.
• My mom um was a nurse um her nurse.

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• The cost for a general education degree is quite different from the cost to educate a nurse or an engineer
• But fundamentally, did you look at what is the, and I'll ask you, what is the cost to educate a nurse
• Chairman, my question was, how much does it cost to educate a nurse versus general education?
• Chairman, my question was, how much does it cost it to educate a nurse versus general education?
• Well, and I guess my response, Does it cost to educate a nurse versus general education?

Committee: House Budget

Summary: The committee heard extended discussion of the chair’s House budget substitute, especially House Bill 2 for elementary and secondary education and House Bill 3 for higher education. The chair said the operating budget leaves roughly $300 million in reserve, explained several cuts and restorations, and described proposed changes to child care, including cutting enhancement payments and keeping attendance-based rather than enrollment-based subsidy payments. Representative Fogle objected to the child care cuts and the proposed language limiting the department’s move to prospective payment and enrollment-based reimbursement; State Budget Director Dan Hogg testified that the governor’s office still intended to move to payment on enrollment in May if the budget language did not block it, while prospective payment remained under review because of federal funding concerns. The chair also explained a restriction on Parents as Teachers services for children already in public pre-K, and members debated whether that would reduce duplication or improperly limit services. The chair further proposed a new competitive Title I innovation grant program funded by a reallocation of some Title I dollars, with questions raised about what services would be reduced to offset it. The bulk of the meeting focused on a major higher education funding overhaul in House Bill 3. The chair and vice chair proposed replacing the current base-plus model with an FTE-based formula that would distribute the same overall state funding according to student credit hours, with community colleges funded on a 12-hour FTE, four-year undergraduate students on a 15-hour FTE, and graduate enrollment discussed as a separate issue. They said the goal was to make funding follow students rather than institutions and to reduce long-standing disparities between schools. Several members supported the idea as overdue and more transparent, while others warned it was being done too quickly and could harm institutions with high-cost programs, research missions, or smaller enrollments. Concerns were raised about possible closures, accreditation problems, and unintended effects on workforce programs such as nursing, engineering, and technical training. The chair and vice chair said there was no intent to force consolidation, but acknowledged that some institutions would gain and others would lose under the new model. Members also questioned how the formula would treat research and doctoral funding, especially at the University of Missouri, and whether graduate programs were properly counted. The chair said some special-purpose lines were retained, but a large portion of MU’s research and doctoral funding was folded into the broader pool and redistributed through the FTE model. Several members asked for clarification on whether graduate hours were counted at nine credits, and the chair said he was not certain and would seek follow-up from staff or the department. Community college representatives were discussed as having unanimously opposed the recommendation, and the chair noted that the institutions were briefed only shortly before the hearing. No votes were taken during the exchange, and the committee appeared to be gathering testimony and concerns ahead of markup and future action on the budget bills.

Transcript Highlights:

• Behavioral health services for nursing homes and basic care facilities, $2 million. Mr.
• I also contacted a private nursing home director and asked him if they would actually use the program
• I also contacted a private nursing home director and asked him if they would actually use the program
• Do they get education there? Yes, they can get education. And that looks in different ways.
• Well, it says no, it says behavioral health education. I don't know what that is.

Committee: Senate Appropriations - Human Resources Division

Keywords: 908, all

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

Transcript Highlights:

• You have assisted living or another supportive living section, nursing care.
• So as Steve mentioned earlier, all of the nursing facility, any licensed nursing facility... ...mentioned
• earlier, all of the nursing facility, any licensed nursing facility that's part of the CCRC is licensed
• And then we have a small 12-bed skilled nursing facility.
• You did it with nursing homes.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• A bill to be entitled an act relating to the linking industry to nursing education fund.
• education. ...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.
• Health Science Education programs aligned with the State Board of Education, Career and Technical Education
• We have some nurses from the Florida Nurses Association.

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, several introductions, and an announcement that there would be no weekend conference. The chamber then took up a long special-order calendar of bills, generally moving each measure through third reading and final passage, often by substituting House companion bills. Early measures included trust law modernization (SB 786/HB 895), military affairs changes and Guard retirement corrections (SB 474), rounding rules for cash transactions as pennies phase out (SB 1074), podiatric medicine regulation and informed-consent requirements (SB 1092), veterans court expansion (SB 50/HB 199), RV park special assessment clarification (SB 118), concurrent jurisdiction for juvenile offenses on military installations (SB 502/HB 351), alcoholic beverage loss deductions (SB 678/HB 1137), and bail bond/pretrial release revisions (SB 600). Most passed unanimously or near-unanimously; SB 600 passed 36-1 after questions about charitable bail bonds and an amendment aligning with the House version and prosecutors’ concerns. The Senate also considered bills on portable electronics and eyewear insurance (SB 772), the linking industry to nursing education fund and health science workforce programs (SB 1246), recovery residences and behavioral health licensing (SB 1030, with a technical amendment on background checks and probationary licenses), felony battery enhancements for repeat offenders and offenses against law enforcement (SB 436), and child welfare changes including foster-home visitor screening, a permanent statewide Step Into Success program, and a best-practices repository (SB 1718). These measures were explained by sponsors as efforts to streamline regulation, improve workforce and health-care training, strengthen public safety, and reduce administrative burdens while preserving safeguards. Votes on these bills were overwhelmingly favorable, with final tallies typically 36-0 or 37-0. A major portion of the meeting was devoted to a farewell tribute to Senator Lori Berman. Members from both parties praised her leadership, collegiality, policy work, and advocacy on issues including voting rights, women’s rights, Israel and antisemitism, school safety, breast cancer, and family law. Berman delivered a lengthy farewell reflecting on her 16 years in the Legislature, her caucus leadership, and the importance of dignity, respect, and public service. The Senate adopted a motion to spread her remarks upon the journal and then recessed before returning to continue the calendar.

Transcript Highlights:

• nurse specialists, nurse practitioners, and physician assistants.
• Like other advanced practice providers, including nurse practitioners, clinical nurse specialists...
• nurse specialists, nurse practitioners, and physician assistants.
• In my academic role, I also train and educate nurse practitioners and physician assistants who are authorized
• I am a clinical education specialist as well as a professor of nursing, as well as an active AHA committee

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• Department of Education, and the State Board of Education—that are responsible for coordinating and
• We have 58 county offices of education.
• I think that's an Education Code. Okay, thank you. We can... I think that's an Education Code.
• Nursing programs at 20 universities award more than 3,000 Bachelor of Science in Nursing degrees a year
• Nursing programs at 20 universities award more than 3,000 bachelor's of science and nursing degrees a

Keywords: 988, house, all

Transcript Highlights:

• As you know, I've been very involved in improving our system of educating our nurses.
• as the administrator of the linking industry to nursing education line funding program, which is so,
• and support to grant recipients. ...educating our nurses, and this modifies statute to designate the
• to nursing education line funding program that is so, so important to helping educate our nurses, and
• It expands it to include health science education programs in addition to nursing, as I said, and it

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• Julie Miller from the Board of Nursing.
• That list includes a dental hygienist, licensed practical nurses, registered nurses, medical interns,
• I've been a nurse for 35 years. I've been a nurse practitioner for 13 years.
• I've been a nurse for 35 years. I've been a nurse practitioner for 13 years. So I am a prescriber.
• I'm on the State Board of Nursing. I've been on the State Board of Nursing for about eight years.

Committee: House Joint Committee on Administrative Rules

Summary: The Joint Committee on Administrative Rules met with a quorum and approved the minutes from the prior meeting. Members announced that two Department of Natural Resources rules had been withdrawn, leaving only the Missouri Prescription Drug Monitoring Program (PDMP) rule proposal for consideration. Public testimony focused on a proposed expansion of PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marriage and family therapists, professional counselors, and psychologists, along with related clarifications to delegate access categories such as medical assistants and clinical nurse specialists. Testimony from the PDMP director and supporters from Compass Health and the Department of Mental Health argued the changes would improve care coordination, medication reconciliation, and overdose prevention within multidisciplinary behavioral health teams, especially in CCBHC settings. They said access would remain limited to licensed Missouri professionals working under supervision or collaboration with a prescriber or dispenser, and that the system is intended for treatment-related, view-only use. Opponents and skeptical committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could create privacy risks or misuse in non-treatment contexts such as custody disputes, and might exceed the committee’s rulemaking authority. One public witness opposed the rule, warning it could deter patients from seeking counseling and arguing the change should be made, if at all, by statute. After testimony, committee members debated whether the proposal was a permissible clarification or an impermissible substantive expansion of the law. Supporters of disapproval said the issue was legality, not the merits of PDMP access, and urged the department to seek a bill sponsor if it wanted the change enacted. A motion was made and seconded to disapprove Rule 1 CSR 60-1.010 on the grounds of lack of statutory authority, conflict with state law, and arbitrariness/capriciousness. The committee then took a roll-call vote and approved the motion by 7 ayes to 1 no, disapproving the rule and adjourning with no further business.

Transcript Highlights:

• Department of Education, and the State Board of Education—that are responsible for coordinating and
• We have 58 county offices of education.
• I think that’s an education code. Okay. Thank you. We can...” “I think that’s an education code.
• Nursing programs at 20 universities award more than 3,000 Bachelor of Science in Nursing degrees a year
• Nursing programs at 20 universities award more than 3,000 Bachelor of Science in Nursing degrees a year

Summary: The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served. On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support. For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.

Transcript Highlights:

• home or multiple nursing homes close.
• We do support special education through... we have some special education teachers and things like that
• Greg Rogers, Department of Education, correct.
• Do we not receive any funding from the Department of Education, the United States Department of Education
• DESE meaning Department of Education? Yes, ma'am.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• A nurse can educator on the program. A physician can educate on that program.
• And also on the other end of the spectrum, we cover approximately 62% of nursing home care nursing days
• We have a nurse midwife social workers.
• They're working on breastfeeding education, and support unsafe sleep.
• We're also through RFP QC, do an education on that.

Keywords: 999, senate, all

Transcript Highlights:

• . education. education.
• </c> provide an adequate education. provide an adequate education.
• . education. education.
• Education.
• </c> special education. special education.

Committee: House Education Funding

Keywords: 1189, house, all

Transcript Highlights:

• Because I guess my question, maybe a nurse or a doctor. I'm trying to explain that.
• I'm the chief nursing officer of the only community-based sexual assault nursing program in the state
• So it would really, it would truly impact where us nurse, our nursing programs across the state would
• Kina, I'm in with Missouri Nurses Association. We're just here in support of these bills.
• Missouri Nurses Association. We're just here in support of these bills.

Committee: House Crime and Public Safety

Summary: The committee first met in executive session and took up House Bill 3174 by Representative Justice. Members adopted two committee amendments: one removed the bill’s mapping provisions so that the vendor-list portion could move forward separately, and another required schools to have at least one master key box for emergency responders. The amendments were rolled into a committee substitute, which the committee then voted do pass on a 10-0 roll call. A second executive-session bill was postponed until the following week because of a family emergency involving Representative Williams. The committee then heard Senate Bill 982, a cleanup and reorganization bill dealing with Missouri’s sex offender registry and related registration rules. Senator Mary Elizabeth Coleman said the bill was intended to align the registry statutes with prior changes, clarify tiering and registration requirements, address offenders with ties to Missouri but living elsewhere, and improve information-sharing rules for law enforcement and victims, including notice when a registrant dies or moves. Testimony in support came from the Missouri Alliance for Family Restoration, which said the bill codifies case law and reduces administrative confusion for the Highway Patrol and registrants. No opposition was offered. The committee also heard House Bill 3414, which would create a state offense modeled on a federal online-fraud law to help law enforcement pursue internet-based fraud, including schemes involving credit cards, account numbers, telecommunication identifiers, and similar access devices. The sponsor and a law-enforcement witness said the bill would give investigators another tool against increasingly common fraud, including elder fraud and VoIP-based schemes; a Maverick convenience stores representative also supported it as a response to changing technology. No opposition was presented. Finally, the committee heard House Bills 2628 and 3460, the CARE Act, which would require hospitals and health facilities treating sexual-assault survivors to inform patients about emergency contraception, provide it if requested, test and treat for sexually transmitted infections, and seek reimbursement through the Department of Public Safety. Sponsor Jacqueline Zimmerman said the bill is meant to reduce trauma and prevent pregnancies resulting from rape, and witnesses from sexual-assault nursing, reproductive-health, anti-poverty, medical, and nursing organizations supported it as a way to standardize care, especially in rural areas. Several members raised questions about whether the bill would require abortion-inducing drugs, whether hospitals could opt out on conscientious grounds, and how reimbursement would work; the sponsor said she intended to add language excluding abortion-inducing medications and that the current DPS forensic-exam payment structure would not change. No votes were taken on the later bills in the portion of the transcript provided.

Transcript Highlights:

• Nursing, and I appreciate this committee's ongoing efforts to... ...the Arizona State Board of Nursing
• And continuing up, 2729, Nursing Board.
• Nursing, and I'm here to testify in support of House Bill 2729.
• The primary mandate of the Board of Nursing is to protect the public.
• In my role overseeing education, I also see firsthand how the board expedites the pipeline of new nurses

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

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.
• Senate Bill 788 is a veterans nursing homes bill.
• I'm also very concerned about nursing homes and how... ...handle this.
• With regard to nursing homes, it aligns us with the federal standard.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• </c> that Bachelor of Science and nursing that Bachelor of Science and nursing course<00:07:46.599><c
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.
• I urge you all to cut the government overreach out and leave higher education to higher education.

Keywords: 958, all

Summary: The committee first heard House Bill 305, which would clarify and expand a healthcare workforce bill to explicitly include physician assistants and dietitians in efforts to address shortages, especially in rural areas. Rep. Fleming said the change was intended to help with Medicaid-related needs such as diabetes care and noted a decline in dietitian internship applications. Rep. Roarx supported the bill, emphasizing the value of dietitians in helping patients make practical nutrition changes. The bill received a unanimous favorable expression, 14-0, and was reported to the House floor. The committee then considered House Bill 427, which would create statewide 60-credit-hour transfer pathways for high-demand bachelor’s degree programs under the Council on Postsecondary Education. Rep. Grossl explained the bill is meant to prevent students from losing major credit when transferring between KCTCS and four-year institutions, using nursing as an example. Questions focused on rigor, dual credit, how high-demand programs would be selected, and the July 1, 2026 implementation date; the sponsor said CPE and faculty would map curricula and align standards. The Kentucky Student Rights Coalition testified in support, saying the bill would help students complete degrees faster and make credits count toward majors. HB 427 also passed unanimously, 14-0, with favorable expression. The committee then took up House Bill 424, as amended by a committee substitute. Rep. Tipton said the substitute removed language allowing up to six-year contracts and instead set up a process for four-year contracts and periodic performance reviews for faculty, including presidents, at public postsecondary institutions. He said the bill is intended to give universities clearer authority to remove underperforming employees and be more efficient with taxpayer dollars. Several faculty witnesses opposed the bill, arguing it would erode tenure protections, create arbitrary performance standards, and harm recruitment, retention, and academic freedom. The committee adopted the substitute and heard testimony, but no final vote on HB 424 is shown in the transcript excerpt.