Transcript Highlights:

• It requires certified nursing assistants serving in a nursing home to receive training on recognizing
• Being a former special education teacher, this bill for me caught my eye.
• Senate Bill 78, a bill to be entitled and not relating to veterans, nursing homes.
• Senate Bill 78, a bill to be entitled: An act relating to veterans' nursing homes.
• home beds in a skilled nursing facility.

Summary: The Senate convened with a quorum, prayer, pledge, and several recognitions, including remarks from Senator Berman on Democratic priorities and introductions of military leaders and an intern. The chamber then moved through a long special-order calendar, with many bills substituted to House companions, amended, and passed, while several others were temporarily postponed. Major measures approved included the dangerous dogs/Pam Rock Act (SB 572/HB 593), which tightened penalties and procedures for dog attacks and passed 36-0; local government land regulation (SB 1080), which was amended to remove agricultural enclave language and passed 26-8; vessel/freedom-related legislation (SB 1388/HB 1137), which passed 35-0; blood clot screening and treatment (SB 890/HB 1421), which added registry and training provisions and passed 36-0; fleeing or eluding law enforcement (SB 468/HB 113), which increased offense levels and passed 36-0; concealed carry/licensing for certain officers and service members (SB 490/HB 383), which passed 33-3; timeshare management (SB 496/HB 897), which clarified governance and annual meeting requirements and passed 36-0; background screening education (SB 614/HB 531), which created a public webpage and passed 36-0; utility service restrictions (SB 1002/HB 1137), which preempted local energy-source restrictions and passed 36-0; Medicaid oversight (SB 1060), which created a joint oversight committee and passed 35-0; health facilities authorities (SB 68), amended to make fentanyl urine screening more discretionary, and passed 36-0; and veterans’ nursing home beds (SB 78/HB 797), which authorized veteran- and spouse-designated beds and passed 36-0. The chamber also passed disability history and awareness instruction (SB 540/HB 447), a highly personal bill honoring Evan Hartzell that drew extended debate about disability language, inclusion, and education; it passed 35-0 after 35 co-sponsors were added. Manufacturing policy bills SB 600 and SB 602 were approved after amendments to add reporting, ranking metrics, and fee-use restrictions, both passing 35-0. Educational opportunities for military children (SB 1528) passed 36-0 after testimony from student sponsors and senators praising the bill’s origin. Several other bills, including Medicaid oversight, mammograms, Parkinson’s disease, condominium/cooperative associations, waste management, human trafficking, and Bright Futures, were postponed or not taken up during this segment.

Transcript Highlights:

• Page three, we know the requirements for training, education, and experience, and the requirements of
• </c> training, education, and experience. training, education, and experience.
• The nursing, uh, nurses function under a standard of care.
• The nursing, uh, nurses function under a standard of care.
• The nursing, uh, nurses function under a standard of care.

Bills: HB0143 , HB0129

Committee: Senate Labor, Health & Social Services

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:

• We have had interim chief nursing officers.
• We recently brought on an interim chief nursing officer that Dr.
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• So we're MHTs and with nurses, very, very expensive.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• We're better than You know, we are the agency that works on nursing homes.
• Copus nursing home in our area, and I'm so delighted.
• care, and they go into a nursing home, and we do wonderful with that.
• I want to help those veterans before they need to get into a nursing home.
• And/or we do it at a facility or a location close to the nursing home.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• I'm Marie Lopez, legislative advocate for the California Nurses Association.
• proper training and education, but it's not right for staff to do this.
• Nurses will not stand by and watch veterans' health care be dismantled.
• That's one of the reasons I was able to get a college education is because of that.
• That's one of the reasons I was able to get a college education is because of that.

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• As a reminder, education will meet in room 216 at 10:30 or 5 minutes after adjournment, whichever is
• Education today, 5 minutes after adjournment. Everybody hustle down, please.
• </c><00:25:47.039><c> 2:30,</c> at 1:30, PT at 2:15, nursing 2:30, at 1:30, PT at 2:15, nursing 2:30,
• Education will meet today at 10:30 a.m. or 5 minutes after recess.
• Education will meet today at 10:30 a.m. or 5 minutes after recess.

Keywords: MS Senate Floor - 22 January, 2026; 10:00 AM, 925, all

Transcript Highlights:

• There's also assisted living facilities and nursing homes, where the primary Keeping some transportation
• There's also assisted living facilities and nursing homes, where the primary focus is on providing personal
• that provide residents with the option to transition from independent living to assisted living or nursing
• Assisted living facilities, nursing homes, and CCRCs are so To a new community.
• Nursing homes.

Summary: The Housing Committee heard two bills and received updates on scheduling. Chair Peterson announced that HB 2266 may move from Thursday to Monday for executive action due to ongoing talks with the city, and HB 2489 will move to next week for additional amendment work. HB 1542, concerning senior independent housing, was briefly opened, then suspended so HB 2527 could be heard first; the committee later returned to HB 1542 for public testimony. The committee adjourned after closing the hearing on HB 1542, with no votes taken during this meeting. HB 1542 would establish rights for residents of senior independent housing, allow enforcement under the Consumer Protection Act, and require a Commerce report to the legislature. The staff summary described the bill as creating protections such as respectful treatment, the ability to install certain safety devices, resident meetings, and timely management responses in emergencies. Rep. Reeves said the bill responds to seniors in Federal Way who lack protections in independent living settings and noted likely amendments to extend the reporting deadline and possibly add a registry to clarify which communities are covered. Testimony from the Alzheimer’s Association and AARP supported the bill as a needed consumer-protection measure for vulnerable older adults, while other witnesses asked for broader coverage, including manufactured home communities, and LeadingAge Washington requested more stakeholder work and a technical amendment related to CCRCs. HB 2527 would regulate eventual tenant ownership programs tied to federal low-income housing tax credits. Staff explained that the bill would require developers to create reserve or escrow accounts, inform tenants and partners of their rights and responsibilities, and comply with timely transfer obligations, with enforcement by the Housing Finance Commission and possible debarment from future tax-credit participation for violations. Rep. Pollet said the bill is intended to address cases where Native families were promised eventual ownership of homes but did not receive deeds or keys after years of renting, citing an audit and describing the bill as a needed accountability tool. Supportive testimony from Indigenous rights attorney Gabe Galanda emphasized that hundreds of families, many in tribal communities, were affected. The Housing Finance Commission opposed the punitive approach, saying it had already updated policies after the audit, that the projects are complex and vary by tribal housing authority, and that the bill could undermine collaborative work and potentially misdirect penalties away from the actual responsible parties. Committee members pressed the commission on accountability, ownership structures, escrow obligations, and the status of remaining households, and the exchange highlighted disagreement over whether the bill’s enforcement provisions are appropriate.

Transcript Highlights:

• A doula is there alongside a pregnant woman's doctor, nurses, and other healthcare professionals to help
• Uh, informational, educational, emotional, physical, and advocacy support for people who are experiencing
• It gives me the information and education and experience to slow down decision making and make sure that
• Maybe let's bring in a nurse or doctor, and you can raise that concern.
• Train healthcare professionals on patient outreach and education initiatives.

Committee: House S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:

• </c> that um a PE teacher or a school nurse that um a PE teacher or a school nurse could<00:27:11.240
• </c> you also bring this to the Education you also bring this to the Education Committee?
• We are very educated in many areas.
• </c> educated um in many areas. educated um in many areas.
• </c> nutrition continuing medical education nutrition continuing medical education for<01:24:42.400><

Keywords: 916, all

Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.

Transcript Highlights:

• The money is appropriated to the Higher Education Department.
• The room education undergraduate program is similar to the building trades.
• I think I said the same thing when we were discussing our nurse mandates.
• Right now, at nurse stations or in the student health centers?
• There is one that could be at a nursing station.

Committee: House House Health & Human Services

Transcript Highlights:

• The Higher Education Budget Subcommittee will come to order.
• Representative Booth, you're recognized to explain House Bill 1325 relating to the linking industry to nursing
• education program.
• I'm happy to bring before you today House Bill 1325, which expands the linking industry to nursing education
• As Florida continues to face persistent shortages in the nursing field, this bill helps to strengthen

Transcript Highlights:

• Do you feel that Missouri needs less early childhood educators, general educators, elementary educators
• educators, elementary educators, special educators, performing arts majors, such as liberal arts, fine
• The educator said the market has not met the needs of an educator.
• And to me, higher education, all education helps lead to that.
• willing to fund their educators.

Committee: House Higher Education and Workforce Development

Summary: The Committee on Higher Education and Workforce Development heard two bills. House Bill 3221, sponsored by Rep. Castile, would bar state funds from supporting higher education degree programs that the federal government designates as low-earning, with the Coordinating Board for Higher Education reviewing the federal list and reporting impacts. The sponsor framed it as taxpayer accountability and return on investment, while many committee members and witnesses argued it was premature, lacked data, and could harm essential but lower-paid fields such as education, social work, early childhood education, counseling, and the arts. Supporters said the bill would mirror federal policy and affect only a small number of programs; opponents warned it could discourage universities from offering needed programs and would not account for long-term career outcomes or transferable skills. No vote was taken, and the sponsor said the bill was still a work in progress. Testimony in support of HB 3221 came from a lobbyist for FGA Action and others who said federal law is already moving in this direction and cited a small number of affected programs. Opposition came from representatives of independent colleges, community colleges, and other witnesses who said the federal rules are still being developed, the earnings test is based on a limited snapshot, and some low-wage programs serve important workforce needs or lead to later advancement. Several members asked for more information on the federal list, the number and demographics of affected students, and possible unintended consequences for rural schools and workforce development. The committee then heard House Bill 3416, sponsored by Rep. Bosley, which would create the Strengthening HBCUs Fund and direct a portion of gaming and classroom trust revenues to Lincoln University and Harris-Stowe State University for capital improvements and related support. The sponsor said the bill is intended to address historic underfunding of HBCUs and align Missouri with similar efforts in other states and at the federal level. Lincoln University President John Mosley testified in support, describing recent growth, major campus projects, and the need for additional infrastructure funding without increasing debt. Committee members asked about the funding amounts, whether Lincoln receives any special state support, and how the money would be distributed. No opposition testimony was heard, and the committee adjourned after the HB 3416 hearing without taking a vote.

Transcript Highlights:

• </c><00:19:56.280><c> versus</c> noted in the Board of Education versus noted in the Board of Education
• </c><00:42:06.760><c> and</c> treatment seing sealance education and treatment seing sealance education
• </c> he has people that work under him nurse he has people that work under him nurse practitioners<00
• </c><00:49:19.640><c> practitioners</c> um one of the nurse practitioners um one of the nurse practitioners
• nurse nurse practitioners<00:49:32.720><c> um</c><00:49:32.920><c> and</c><00:49:33.040><c> he</c><00

Keywords: 958, all

Summary: The committee first took up House Bill 90 / Senate Bill 17, a birth-related measure backed by the Kentucky Birth Coalition. Sponsors said the bill had been worked on for several years and described changes including a transfer agreement, insurance requirements, proximity to a hospital, informed consent, and accreditation/medical director standards that helped win neutral or non-opposition from the Hospital Association. The bill was reported favorably after a roll call vote with unanimous support. The committee then heard Senate Bill 65, presented by Senator Steve West and Representative Derrick Lewis. They said the bill would make regulations found deficient through the committee review process null and void by statute, and would bar agencies from reissuing the same or similar language for up to a year. Supporters argued this was needed to hold agencies accountable because deficiency findings alone had not led to action. After questions about specific Medicaid behavioral health regulations and concerns about legislative overreach, the bill passed the committee on a roll call vote, with some members passing or explaining reservations. Finally, the committee considered Senate Bill 84, with a House committee substitute. Sponsors said the substitute was intended to strengthen the bill and reflect the U.S. Supreme Court’s Loper Bright decision by ending Chevron deference and requiring courts, not agencies, to interpret law. Opponents, including Audrey Ernsberger and Katherine Hargraves, argued the bill would intrude on the judiciary, violate separation of powers, and could harm public health, environmental, and workplace protections. Committee members also raised concerns about whether the bill told courts what standard to use; sponsors responded that agencies could still present persuasive arguments, but courts should not defer to them. The committee substitute was adopted, and the bill then passed the committee on a roll call vote, with several members passing or expressing constitutional concerns.

Transcript Highlights:

• Is the moratorium on assisted living and nursing homes, new nursing homes?
• living and nursing homes, new nursing<00:24:32.080><c> homes.
• :27:10.480><c> people</c> the nursing home people the nursing home people and<00:27:11.840><c> they</
• I've known nursing home staff.
• I've had customers in my insurance agency in nursing homes. I've known nursing home staff.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• B8 is the last letter from the Department of Education, Division of Higher Education.
• This is a letter from the Department of Education, Division of Higher Education.
• K-5 is the Education Adequacy Fund Report.
• It was not just for the nursing homes.
• The bulk of the rest of the transfers are our weekly transfers for the nursing home payments.

Committee: All ALC-PEER

Keywords: 1204, all

Transcript Highlights:

• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• Are these settings like private nursing homes, public nursing homes, CFI?
• over nursing homes but nursing<01:00:56.680><c> homes</c><01:00:56.960><c> were</c><01:00:57.640><c>
• Nobody says, “I can’t wait to get into the nursing home,” but the nursing home is still a vital part

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• The initial assumption was that nursing supports would not need to be provided through this service.
• </c><00:03:58.280><c> services</c> required and critical nursing services required and critical nursing
• I am one of the site nurses that works for Accessible Space.
• I am one of the site nurses that works for Accessible Space.
• A grievous impact on group homes and nursing homes, and a huge shift to counties.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Second, our doctors and our nurse consultants provide prospective...
• We do have over 7,000 posted positions in our system in nursing.
• “We provide 24-7 nursing, primary care.
• To have a registry of nurses, I believe, was the topic—nurses in a particular area—so that if a vacancy
• Somebody that would be in a nursing home with complete care.

Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.

Transcript Highlights:

• C is a letter from Education, Division of Elementary and Secondary Education.
• E is a letter from the Department of Education, Arkansas Educational Television Commission.
• E is a letter from the Department of Education, Arkansas Educational Television Commission.
• B is a letter from the Division of Higher Education.
• B is a letter from the Division of Higher Education.

Committee: All ALC-PEER

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• Chair and members, Monica Miller, on behalf of the California Association of Nurse Anesthesiology, we
• Nurse practitioners, certified nurse midwives, and physician assistants also...
• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• clinicians, or APCs, receive extensive education and training.
• I have a master's degree in nursing, a doctorate in nursing practice, and I have over 15 years providing

Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.