Transcript Highlights:

• We start with CNAs, got them to be CMAs, and then got them to be registered nurses.
• Uh<01:05:43.520><c> we</c><01:05:44.400><c> start</c><01:05:44.800><c> with</c><01:05:45.040><c> CNAs
• ,</c> Uh we start with CNAs, Uh we start with CNAs, got<01:05:46.720><c> them</c><01:05:46.840><c> to

Keywords: 916, all

Transcript Highlights:

• So you should know that it's very common for CNAs, home health care aids, RNs, to be subject to non-competes

Keywords: 916, all

Transcript Highlights:

• CNA programs on the non-credit side for clock hours typically are around 90 clock hours.

Summary: The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs. Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor. Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.

Transcript Highlights:

• cannot believe I forgot to mention it, but we do have two youth from the female facility enrolled in a CNA

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• CNA, do we have anybody to speak? Yes, we do.

Summary: The committee first took up SB 1167, which would allow municipalities and counties to satisfy certain public-notice requirements by posting advertisements, publications, and printings on their official websites. The sponsor argued the bill is permissive, intended to modernize notice practices, reduce costs, and help governments meet statutory deadlines, while a Blackmun amendment required a six-month transition period in which notices would still be published in newspapers and the public would be alerted to the change. Newspaper and media representatives, along with tribal and rural community advocates, opposed the bill, arguing that print notices remain important for transparency, historical recordkeeping, and access in areas with limited internet service. Supporters from county and local government said newspaper publication schedules have become unreliable and that websites are a more effective way to reach the public. The committee adopted the Blackmun amendment and then passed SB 1167 as amended on a 4-3 vote. The committee then considered SB 1021, as amended by a strike-everything that would require the Auditor General to refer evidence of possible criminal activity involving health profession regulatory boards to the Attorney General, with procedures for investigation and conflict-of-interest handling. The sponsor and amendment sponsor said the measure would create a mechanism for criminal findings in audit work to be acted on. With no opposition testimony, the committee adopted the amendment and passed SB 1021 as amended on a 4-3 vote. Next was SB 1011, which would require county medical examiners or forensic pathologists to review an infant’s immunization and vaccination history, along with any countermeasures administered in the prior 90 days, in sudden unexplained infant death cases. The sponsor said the bill was a data-collection measure meant to improve accuracy, transparency, and prevention efforts. Opponents, including vaccine advocacy and disability representatives, said Arizona already collects this information, that unsafe sleep is the primary issue in most SIDS cases, and that the bill could fuel misinformation about vaccines. The committee passed SB 1011 on a 4-3 vote. The committee also heard SB 1013, a merit-based public employment bill that would prohibit hiring based on conditions other than merit. Supporters said it would ensure public employees are selected by qualifications and objective criteria; opponents argued existing law already bars discrimination and that the bill could create litigation risks and hinder outreach to underrepresented communities. The committee passed SB 1013 on a 4-3 vote. Finally, the committee considered SB 1015 and a strike-everything amendment that would replace the bill’s original detransition-liability language with the Arizona Thriving Families Act, creating a family and medical leave insurance program within Medicaid beginning in 2029. The original bill sponsor defended the underlying detransition-related liability concept as accountability and support for detransitioners, while opponents said it would function as a discriminatory backdoor ban on transition care for minors. The transcript ends during debate and explanation of the strike-everything amendment, before a final vote on SB 1015 is shown.

Transcript Highlights:

• CNA, we have anybody to speak? Yes, we do. We have three. Thank you, Senator.

Keywords: 1182, all

Transcript Highlights:

• The other component is for engaged professionals already in the workforce, CNAs to LPNs.
• The component is for engaged professionals already in the workforce, CNAs to LPNs.

Keywords: 910, house, all

Transcript Highlights:

• There are higher minimum wages for CNAs, TMAs, and LPNs.
• There are higher minimum wages for CNAs, TMAs, and LPNs.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Whether it's CNA, CMA, LPN, HVAC, or any of those programs, we partner with them to provide that training

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• it was very tough to watch the end of her life, um, because she suffered a stroke and I used to be a CNA

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• CNA, I heard you on the radio before. KUNM, Sunday mornings, 8 o'clock.

Bills: HB111, HB103, HB109, HB128, HJM2, HJM3, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB49, HB60, HB108, HB120, HB124, HB145, HB154, HB158, HB164, HB180, HB291, HJR6, HJR7, HR1, HJM1, HM13, HM47

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• CNA DA. DA. Second the motion. The chair appoints Representatives Garrett, Anya Narnu.

Transcript Highlights:

• IF THE FOLEY STUFF MEDICAL RECORDS IT IS ONE PERSON USUALLY A DUAL ROLE EMPLOYEE WHO IS A CNA REQUIRED

Keywords: 999, senate, all

Transcript Highlights:

• not be able to pay, even though I pay 30% of my measly income after years of teaching and years as a CNA

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• “But I guess for the author, are there any responses to some of these concerns coming up from CNA, CMA

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

Transcript Highlights:

• I'm a CNA at Sherwood Health Care. I want to reinstate WQIP.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• I'm a CNA at Sherwood Health Care. I want to reinstate WQIP.

Keywords: 988, house, all

Transcript Highlights:

• the executive director for the Wyoming Board of Nursing, where we license, regulate, and discipline CNAs

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• One is a CNA and one works at the Training for Life Special Olympics facility.

Keywords: 959, house, all

Summary: The committee first heard from State Auditor Scott Fitzpatrick on his fiscal year 2027 budget request. He said the office had been rebuilt from a historic staffing low and is now at 119 FTE, but still is not fully staffed and needs more time to train auditors into management roles. He also discussed the office’s use of lapses, the workload of required audits, and the need for more authority to investigate subrecipients of public funds. Members asked about the auditor’s ability to examine state agencies, the Department of Conservation decision, general revenue projections, the effect of eliminating the state income tax, and the use of “E” appropriations. Fitzpatrick also requested $290,000 to raise CPA stipends, citing a shortage of CPAs and pending legislation to ease CPA education requirements. His core budget request was about $14 million, including payroll, E&E, and a small amount for sports betting audit work. The committee then moved to public testimony on House Bill 10, focusing mainly on Department of Mental Health funding for day habilitation and self-directed services. Witnesses representing providers, families, and service recipients opposed proposed cuts, arguing that lower reimbursement rates would reduce access, force staff losses, and push people into more expensive institutional or emergency care. Several speakers described the personal and financial impact of SDS and dayhab services, including the ability to keep disabled family members at home and the higher cost of facility care. One witness from the Alzheimer’s Association also urged the committee to preserve caregiver program funding in the Department of Health and Senior Services, warning that a proposed $1 million reduction would harm families and increase Medicaid and institutional costs. Committee members asked questions about provider costs, the share of services delivered by private providers versus state facilities, and whether the cuts would fall mainly on community providers. The chair repeatedly reminded witnesses about the three-minute limit and the need to identify whether they were testifying in support, opposition, or for information. The hearing was briefly recessed for floor activity and later resumed, with the chair apologizing for earlier tension and noting that an ASL interpreter was available for a limited time. No votes were taken in the portion provided.

Transcript Highlights:

• One is a CNA and one works at the Training for Life Special Olympics facility.

Summary: The committee first heard the State Auditor’s fiscal year 2027 budget request. Auditor Scott Fitzpatrick described rebuilding the office after staffing had fallen to a historic low, explaining that the office has grown from 92.5 to 119 FTE but still needs several years to reach full staffing, especially at the manager level. He said most of the budget is payroll, noted the office’s use of lapsing general revenue while staffing is rebuilt, and outlined requests including core operating funds, a small sports betting audit NDI, and a $290,000 increase to the CPA stipend to address recruitment and retention problems. Members also discussed the auditor’s authority to audit state agencies and subrecipients, the office’s role in performance audits, and the meaning of “E” appropriations and the auditor’s recent general revenue conditions report. The committee then moved to public testimony on House Bill 10, focusing on Department of Health and Senior Services and Department of Mental Health issues. One witness from the American Heart Association supported continued funding for cardiac emergency response planning in schools, citing AEDs, CPR training, and about 480 schools served. Another witness from the Alzheimer’s Association urged rejection of a proposed $1 million reduction to the Missouri caregiver program, arguing it supports families caring for people with dementia and helps avoid more expensive institutional care. Most of the testimony concerned proposed cuts to developmental disability services, especially day habilitation and self-directed supports (SDS). Providers, family members, and workers said the proposed reductions would force service cuts, reduce wages, and threaten community-based care that keeps people at home and out of more costly facilities. They argued the cuts would shift costs to emergency, residential, or institutional settings and asked the committee to preserve current funding levels. Several members asked questions about provider rates, the share of services delivered by private providers, and the cost difference between SDS and institutional care. The hearing ended with the chair apologizing for earlier tension, explaining the schedule, and recessing the committee to return later because of House floor obligations.