Transcript Highlights:

• I was a trustee to my children's school board and most recently a member of the state Board of Education
• of the board of trustees.
• , especially workforce.
• and boards before have built.
• or to any board.

Keywords: 999, senate, all

Transcript Highlights:

• homes.
• I can't speak to that specific scenario, but the general standards process right now that the board has
• ... ...the general standards process right now that the board has in place is it starts with the board
• the board.
• to governing board or administration to governing board.

Committee: House House Education Committee of Reference

Summary: The committee first heard House Bill 4043, which would require each school district and charter school, beginning in 2027, to ensure at least one employee at each school is trained in CPR, first aid, and AED use. The sponsor said he intended to amend the bill on the floor to ensure someone is trained at all times and to clarify AED language. The American Heart Association testified neutral with concerns, supporting CPR training but warning the bill could leave gaps if only one person is trained and noting the need for AED access and emergency planning. Parents whose son died in an Arizona kindergarten classroom urged support, saying school staff should be prepared to respond to emergencies. The committee recommended the bill do pass by a vote of 7-1 with four present. The committee then took up House Concurrent Resolution 2015, as amended by a strike-everything amendment supporting at least 60 minutes of daily physical activity for students and prominent display of federal dietary guidelines. A representative of End Chronic Disease testified in favor, arguing schools should help prevent chronic disease through health education and physical activity. The committee adopted the strike-everything amendment and then gave the resolution a due pass recommendation on a 12-0 roll call. House Bill 2621, in its strike-everything form and with a Garcia amendment, addressed enrollment and special education procedures for students in unorganized territory, students using certificates of educational convenience, and children of active-duty military parents. The sponsor explained the bill was meant to clarify confusing law, speed enrollment and evaluations, and reduce delays in services. Champions for Kids supported the measure and the amendments, and the committee adopted both amendments before recommending the bill do pass 11-0. The committee also approved House Bill 2385, which limits superintendent contracts to one-year terms for the first three years unless the superintendent has already been employed three consecutive years; the sponsor framed it as a way to reduce costly early buyouts. That bill passed 7-4. Later, the committee approved House Bill 4106, creating the One Arizona Service Fellowship Program to provide service opportunities, stipends, and tuition awards for young adults, with an amendment changing the stipend contribution formula. The sponsor and supporters described it as a state-based service model inspired by Utah and aimed at education, military families, parks, hunger, and homelessness work; some members opposed it as an unnecessary state mandate or questioned the need for a new program. The committee also passed House Bill 2992, as amended, establishing a pilot program on child sexual abuse and assault awareness and prevention, expanded to K-12 and including grooming/exploitation content. A survivor advocate strongly supported the bill, while some members raised concerns about the funding source and possible unintended consequences. Finally, the committee passed House Bill 2370, which would require school leaders to notify governing boards before modifying weapons detection systems and to report changes within 24 hours; the sponsor cited a fatal school stabbing and other weapons incidents, while opponents argued the bill was too vague and could create operational problems. The committee also adopted a strike-everything amendment to House Bill 4056, allowing legislators making public records requests in their official capacity to avoid fees and requiring electronic production; the sponsor said it was needed after districts sought large fees, while opponents warned it could burden public agencies. The committee then began discussion of House Bill 2478, which would create an Arizona Commission on Student Outcomes to study K-12 accountability, finance, graduation requirements, and related issues, with proposed amendments to add early childhood study and change commission membership, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• home, and someone can instead go into their own home and receive those higher-level services.
• </c> 713 relating to a rate study for Home 713 relating to a rate study for Home Health<00:08:59.959>
• </c><00:10:17.120><c> what's</c> comfort of a patient's own home what's comfort of a patient's own home
• </c> setting so the hospital or the nursing setting so the hospital or the nursing home<00:10:23.480>
• someone can instead go into their home someone can instead go into their own<00:10:25.800><c> home</

Committee: House Human Services & Homelessness

Keywords: 910, house, all

Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.

Transcript Highlights:

• </c> provided at the home. provided at the home. &gt;&gt; Thank<00:23:35.280><c> you.
• We're going to be talking to nursing homes. We're going to try and solve that problem.
• We're going to be talking to nursing homes. We're going to try and solve that problem.
• homes.
• We're going to talking to nursing homes.

Bills: HB1531

Committee: House Public Safety

Keywords: emergency announcements, American Sign Language, accessibility, public safety, broadcast media, 910, house, all

Summary: The committee heard testimony on House Bill 1913, which would create a mental health coordinator position within the Office of Veteran Services for the Daniel K. Akaka State Veterans Home and appropriate funds for it. Supporters said veterans, especially on the neighbor islands, need more mental health access and coordination. Several witnesses, including Sean Sonatada and Tom Driscoll, supported the intent but urged amendments to broaden the position beyond one facility and make it a statewide resource. Committee members questioned whether the bill would duplicate existing services at the veterans home and whether the position would be reimbursable through federal VA funding; testimony indicated the state would appropriate the money, while existing home services are already covered through current staff and federal reimbursement structures. The committee also heard testimony on House Bill 9, which would designate Hawaii as a Purple Heart state. Testifiers generally supported the measure as a way to honor wounded veterans and their families, though one member asked what benefits the designation would confer. Witnesses clarified that the bill was mainly symbolic and did not appear to create new benefits, and one testifier noted Honolulu County had already adopted a similar Purple Heart designation. The committee then took up House Bill 1628, which would establish a compassionate release protocol for certain seriously ill or debilitated incarcerated persons. The Department of Corrections and Rehabilitation and the Hawaii Paroling Authority opposed the bill, arguing that an existing administrative process already works, that the bill could improperly extend eligibility to people serving life without parole or mandatory minimum sentences, and that it lacked victim and family input and sufficient resources. In contrast, the Hawaii Correctional System Oversight Commission strongly supported the bill, saying it would reduce the high cost of incarcerating people with complex medical needs, ease burdens on staff and the prison population, and better reflect human dignity. The commission described having seen severe suffering and deaths in custody and said compassionate release is warranted in some cases. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Christopher Otto, Executive Director of the Delaware Nurses Association, registered nurse, here and offering
• Private equity firms typically load nursing homes with debt, extract cash through management fees and
• I speak on behalf of the Delaware College of Nurse Practitioners, as well as the Delaware Nurses Association
• I’m a board member... My name is Jill Friedel. I’m a board member with Attack Addiction.
• and nursing community.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• She asked whether the increase is primarily attributable to MCO adjustments, nursing home rebases, and
• The nursing home inflationary adjustment is the adjustment we make in non-rebase years.
• The nursing home inflationary adjustment is the adjustment we make in non-rebase years.
• They have various means of financing substitutions, the nursing home inflation, the MCO adjustment, and
• The nursing home inflation, the MCO adjustment, and the Early Childhood Supports and Services Initiative

Summary: The committee met to review budget and fiscal items, beginning with a roll call and a reminder about severe weather and the need to keep the meeting brief. Members first received the January fiscal status statement and certified the prior-year surplus at $577,073,871, with no changes from the prior month. The fiscal status statement was approved without objection. Staff then reviewed the five-year baseline budget and continuation/standstill budgets, noting projected imbalances in later years driven by revenue declines, including the redirection of motor vehicle sales tax, and by rising costs such as inflation and Medicaid adjustments. Representative Amadee asked about Medicaid growth and SNAP administrative costs, and staff explained that the SNAP federal match change is separate from Medicaid. The governor’s executive budget presentation focused on a third year of standstill budgeting, efficiency savings, and the impact of one-time reductions and agency reorganizations. Officials said the budget avoids recurring spending from nonrecurring revenue and incorporates savings from prior efficiency efforts. Major items discussed included funding for LA Gator vouchers, the high-impact jobs program at Louisiana Economic Development, DCFS modernization, corrections overtime and offender costs, Angola population growth, nursing home and MCO adjustments at LDH, and additional support for the MJ Foster Scholarship and Board of Regents systems. Members also discussed the distinction between state general fund and federal funds, the effect of inflation on specific purchases, and the use of surplus dollars, including deposits to the Budget Stabilization Fund and UAL paydown. No formal action was taken on the budget presentation. Later items included the FY27 expenditure limit calculation of $20.1 billion, up $953 million from FY26, and the annual comprehensive financial report, which received an unmodified audit opinion. The committee approved a BA-7 increasing federal funds for the governor’s office by $2 million for U.S. DOT-related infrastructure and rural transit work. It also approved Facility Planning and Control requests to add five higher education deferred maintenance projects and to combine two Baton Rouge Community College projects. CPRA received approval to extend contracts with Coastal Estuary Services and Access Sciences for monitoring and records-management services. The committee also approved a legislative intent clarification for a $500,000 appropriation to the New Orleans Recreational Development Foundation. The final major discussion was a presentation on a weighted caseload study for appellate and district courts. Judicial officials explained that the study updates an outdated formula used to assess judgeship needs, incorporates specialty courts and commissioners, and is intended as one tool in a broader collaborative process with the legislature. Members raised concerns about the number of judges, court funding, and how Louisiana compares with other states. No vote was taken on the study, but the discussion emphasized future collaboration on judicial resource allocation and possible structural changes.

Transcript Highlights:

• </c> giving us and the public safety board giving us and the public safety board that<00:03:18.360><c
• </c> type because the docs care the nurses type because the docs care the nurses care<00:21:33.600><c
• Representative West: I have a number of testifiers here to really drive the point home. Mr.
• Our son Luke was 20 years old when he experienced a fatal overdose in our home in 2016.
• </c><01:10:32.840><c> in</c> in our home in in our home in 2016<01:10:34.960><c> his</c><01:10:35.159

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Workforce solutions here, Mr.
• It's also home delivery for indigent individuals, and when they do those home deliveries, they are doing
• These people are going to their homes.
• We're about 6,000 nurses short in primary care. Nurses short, primary care seemed to be at 300.
• It's good for our workforce. And, Mr.

Transcript Highlights:

• I'm a board-certified family medicine physician, and I'm the president of C. My name is Dr.
• The same is true for nurses, the same is true for nursing assistants, and down the line.
• I can't speak first... ...the same is true for nursing assistants and down the line.
• The MGB board is made up of CEOs and presidents of... What are we doing?
• Workforce shortages are plaguing the industry.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• </c><00:48:41.280><c> and</c> public health that's just standard and public health that's just standard
• We to expand the healthcare workforce.
• And part of care again closer to home.
• Um and in that frontline workforce.
• I am a nurse by trade practicing Steel.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Bobby Raines for nomination for the Polygraph Examiner's Board.
• Bobby Raines, who lives in the great city of Bixby, Oklahoma, to the Polygraph Examiner's Board.
• Colton Richardson to the indigent defense system Board. If confirmed, Mr.
• What we're adding in here is we've got instances where somebody might be living in a nursing home or
• Or the nurses are the only ones that know that member.

Bills: HB2299 , HB2939 , HB2941 , HB2960 , HB3062 , HB3087 , HB3114 , HB3244 , HB3262 , HB3304 , HB3345 , HB3386 , HB3431 , HB3498 , HB3581 , HB3645 , HB3648 , HB3764 , HB3852 , HB3974 , HB4141 , HB4144 , HB4227 , HB4237 , HB4343 , HB4425

Committee: Senate Judiciary

Keywords: Article V, convention, amendments, criminal penalties, legislative authority, absentee voting, electronic communication, facsimile device, voting materials, military voters, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, firearm liability, tort reform, manufacturers

Transcript Highlights:

• Bobby Raines for nomination for the Polygraph Examiner's Board.
• These changes are changes that were recommended by the Election Board.
• So this is to protect our citizens here at home.
• It creates a workable legal standard here.
• What we're adding in here is we've got instances where... ...somebody might be living in a nursing home

Bills: HB2299 , HB2939 , HB2941 , HB2960 , HB3062 , HB3087 , HB3114 , HB3244 , HB3262 , HB3304 , HB3345 , HB3386 , HB3431 , HB3498 , HB3581 , HB3645 , HB3648 , HB3764 , HB3852 , HB3974 , HB4141 , HB4144 , HB4227 , HB4237 , HB4343 , HB4425

Committee: Senate Judiciary

Keywords: Article V, convention, amendments, criminal penalties, legislative authority, absentee voting, electronic communication, facsimile device, voting materials, military voters, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, firearm liability, tort reform, manufacturers

Summary: The Senate Judiciary Committee considered a large slate of executive nominations and bills. The nominations of Kevin Buchanan to the Oklahoma State Council of Interstate Adult Offender Supervision, Bobby Raines to the Polygraph Examiners Board, and Colton Richardson to the Oklahoma Indigent Defense System Board were each advanced to the full Senate without opposition. The committee then heard and advanced several measures on elections, criminal law, public safety, and civil procedure, including bills on Article V convention commissioner guardrails, precinct official terms and oaths, fraud and identity theft, treatment screening for arrested individuals, electronic monitoring eligibility, press access to certain arrest information, foreign terrorist organization-related offenses, CDL eligibility tied to the meth registry, sheriff service fees, fentanyl overdose reporting and presumptions, corporate law updates, appraiser fees in condemnation cases, child sexual abuse reporting protections, eviction mediation, garnishment response deadlines, retired municipal judges carrying firearms, critical mineral ownership restrictions, removal of a sunset on a sexual assault nurse examiner coordinator, enhanced riot and assault penalties, ability-to-pay hearings at sentencing, firearm component liability protections, hospice admission authority, government tort claims coverage for OU Health Authority, and tort claims coverage for county jails housing inmates for other entities. Several bills drew notable questioning and amendments. House Bill 2299, dealing with Article V convention commissioners, was advanced after debate over the bill’s “intimidation” language and its potential effect on political speech; Senator Jett opposed it on vagueness grounds. House Bill 3852 on precinct officials was amended to reflect Election Board recommendations, including changing a disqualification period from three to six years, before advancing. House Bill 2939, removing obsolete fax-machine references from election law, was amended to strike a repealed-law reference and then advanced. House Bill 4343, setting a $350 fee for court-appointed appraisers, prompted extended concern about fixing a market rate in statute; the title was stricken so the measure could be worked on further, but it still advanced. House Bill 4227, the child sexual abuse NDA bill, advanced after the author recognized concerns and agreed to strike the title for further work, and House Bill 3386 on same-day eviction mediation also advanced after the author struck title to revisit discrimination concerns. Other measures advanced with little or no opposition, including House Bills 3244, 3345, 3114, 4144, 3764, 3304, 3262, 2941, 3498, 4141, 4237, 3062, 3431, 3581, 3648, and 3974. Some bills generated focused policy questions, such as whether the fentanyl overdose presumption would be rebuttable, whether the meth registry is lifetime or time-limited, whether the electronic monitoring bill would be too restrictive, and whether the riot-mask felony language could affect law enforcement officers operating in an official capacity. The committee also restored title on several measures before advancing them. The meeting concluded with Chairman Howard thanking the committee and staff and noting it was his final policy committee meeting as chair before adjournment.

Transcript Highlights:

• </c> of homes. of homes.
• </c> homes in Vermont. homes in Vermont.
• </c> Director, Green Mountain Care Board. Director, Green Mountain Care Board.
• Family Nurse Health Center.
• </c> Broader project design standards. Broader project design standards.

Keywords: 926, house, all

Transcript Highlights:

• We have home child care. We have people that have child care in their homes.
• The crisis has left too many people without a home, struggling to pay rent and unable to achieve home
• AB 1642 will create those standards and make sure that science determines when it is safe to return home
• . ...those standards and make sure that science determines when it is safe to return home, and no wildfire
• In fact, California was home to 13 In fact, California was home to 13 federal Indian boarding schools

Summary: The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services. Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously. After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.

Transcript Highlights:

• What would be the best one that we could all be on board with as a legislative and executive body?
• What would be the best one that we could all be on board with as a legislative and executive body?
• The overall philosophy is we maintain our treatment standards along with the Joint Commission to make
• We have master social workers on staff, mental health practitioners, nurse supervisors, registered nurses
• We have master social workers on staff, mental health practitioners, nurse supervisors, registered nurses

Committee: Unicameral Health and Human Services

Keywords: 956, all

Transcript Highlights:

• board... ...board hasn't been getting training, except for governing board members who are on the board
• And this is especially true for the nursing board.
• board is a very important board.
• And even if this passes, we're still at a place where the nursing board...
• And even if this passes, we're still at a place where the nursing board doesn't have enough members,

Keywords: 1182, all

Transcript Highlights:

• Home health are not the same as nursing homes. It's not the same, and I concede that. But U.S.
• Members, I'll just also state the actual Nursing Home Association board, I think, voted like 15 to 1
• All three in nursing. So they may be out here that the nursing home is looking for staff.
• Tammany for more nursing homes.
• in the nursing homes.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• They are declarations about whose homes deserve protection.
• First, investing in our workforce that serves Delawareans.
• First, it increases board membership from three to seven members.
• This also will align the terms of this board with other county boards.
• We're used to it at home as well as on the Senate. It's fine.

Summary: The Senate reconvened, read committee reports, and assigned House Bill 89 with House Amendment 1 and House Bill 393 with House Amendment 1 to the Senate Finance Committee. It then adopted Consent Calendar 64, which included resolutions recognizing Take Our Children to Work Day, Juneteenth, National Farmers Day, Invisible Disabilities Week, Stonewall Uprising Remembrance Day, National Nonprofit Day, and two property-assessment working group resolutions. The calendar passed by a unanimous roll call, and the chamber heard remarks supporting Juneteenth, Delaware agriculture, invisible disabilities awareness, and the nonprofit sector. The Senate passed the fiscal year 2026 and 2027 revenue estimates in Senate Joint Resolution 16 and Senate Joint Resolution 17, and approved the fiscal year 2027 operating budget in Senate Bill 335 after extended debate on budget growth, recurring costs, health care, education, public safety, retiree obligations, and fiscal restraint. It also passed Senate Bill 336, the one-time supplemental appropriation bill, which includes one-time investments such as a $100 million transition toward a weighted education funding formula, election support, early childhood education, classroom projects, lead remediation, and campaign finance modernization. Several members praised the budget process and staff, while others cautioned against future spending growth. Among policy bills, the Senate passed House Bill 369 to codify the Office of Gun Violence Prevention and Community Safety, House Bill 268 to increase penalties for assaulting postal workers, House Bill 374 to require workforce reporting on large public works projects, Senate Bill 253 with House Amendment 1 to standardize school bullying parental-notification procedures, Senate Substitute 1 for Senate Bill 342 to modernize the Delaware Motion Picture and Television Development Commission, House Bill 402 to extend Clean Air Act Title V permit fees, and Senate Bill 346 with Senate Amendment 1 to streamline Environmental Appeals Board timelines. The Senate also began consideration of House Bill 293, which would add hate crimes to the Victims’ Compensation Assistance Program, but the transcript cuts off before its vote is shown.

Transcript Highlights:

• Coordinating Board.
• For over 30 years, they've been nursing babies back to health.
• They're being sent home, probably to die.
• Go look at any foster home.
• The State Board of Education... The State Board of Education has additional oversight.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• home work as well.
• I have been a nurse for 49 years and a child and adolescent clinical nurse specialist for 43 of those
• Send us home.
• Public health dental hygienists serve in schools, community centers, nursing homes, and mobile dental
• As we got home, everything spiraled.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.