Transcript Highlights:

• <c> of</c><00:20:01.640><c> Medicine</c><00:20:02.120><c> to</c> Board of Medicine to Board of Medicine
• </c><00:20:37.080><c> officer</c> them to our chief nursing officer them to our chief nursing officer
• </c> to get additional abuse within the home to get additional abuse within the home that<00:31:11.919
• <01:17:39.360><c> practitioners</c><01:17:40.360><c> Physicians</c> nurse practitioners Physicians nurse
• standard—beyond a reasonable doubt.

Summary: The Children and Family Law Committee opened its March 4 meeting with procedural announcements, including a deadline for any Minority Report, notice that the committee would not meet the following Tuesday because of town meeting day, and a preview of its March 18 agenda. The chair said that meeting would include hearings and executive sessions on HB 518, requiring DHHS to provide a detailed annual report of DCF costs, and HB 775, directing DHHS to seek proposals for supervised visitation centers; HB 553 was also slated for executive session. The committee also heard an update on Representative Grossman’s son, who remained in the PICU at Mass General. The main hearing was on HB 493, which would require child abuse and neglect education for physicians, nurse practitioners, and physician assistants as a condition of licensure. Representative Alicia Gregg presented the bill and an amendment reducing the required training from two hours to one hour, saying the goal was to improve recognition of abuse and prevent both missed cases and false accusations. Cassandra Sanchez, the state Child Advocate, strongly supported the bill, describing a 2020 review of nine cases of non-ambulatory infants with serious injuries and later system mapping that identified gaps in medical recognition; she said the training should be part of existing continuing education hours and that voluntary uptake had been limited. Dr. Michael Matos of Wolfeboro Pediatrics also testified in support. Ben Bradley of the New Hampshire Hospital Association opposed legislating the requirement, saying hospitals already train staff and that the legislature should not single out one topic for statutory mandate when other reporting obligations are handled differently. In questioning, committee members asked whether the hour would be part of existing continuing education, whether hospitals already provide similar training, and whether the bill should be placed in the continuing medical education statute instead of child protection law. Bradley said hospital members already provide annual training and collaborate with proponents, but did not support putting the requirement in statute. Sanchez said the bill was intended to use one of the hours already required for training, though members noted that the bill text did not clearly say so. The committee also heard broader testimony about the Family Division of Circuit Court, including a proposal to create a subcommittee to study more difficult issues such as pre-trial counseling, evidentiary practices, and domestic violence-related cases, with the Speaker appointing members to that subcommittee.

Transcript Highlights:

• The daughter use had been donated by my nurse Carol.
• These are necessities, and they should be the standard.
• Quickly, we talked about standardizing the services.
• Regulating a standard protocol, is this just for the agencies?
• Our advisory boards are made up of practitioners.

Bills: HB18 , HB742 , HB754 , HB1644 , HB2187 , HB1887 , HB 1275 , HB37 , HB1503 , HB1699 , HB1700 , HB2735 , HB1741 , HB1731 , HB1675 , HB18 , HB37

Committee: House Public Health

Transcript Highlights:

• The clerk will close the board and tally the vote.
• Before receiving these services, she lived in a nursing home.
• A lot of people at home do this. Some may not.
• Some people were in homes and stuff like that.
• Clerk, please close the board and tally the vote.

Transcript Highlights:

• So now it's just back to what happens normally, that the board investigates bad behavior?
• process for nursing facilities.
• Madam Chair and members, House Bill 2189 mandates that the State Board of Nursing revise the rules or
• It also defines a licensed medical provider as one of the following: a physician, a nurse practitioner
• It also defines a licensed medical provider as one of the following: a physician, a nurse practitioner

Summary: The caucus reviewed a long list of House bills that had returned from the Senate with amendments, with members repeatedly noting that sponsors intended to concur on most items. Topics included public health and vaccination rules (HB 2086, HB 2248), state investment in gold and silver (HB 2140), property records and voter-registration privacy (HB 2327), municipal and county regulation of business property and development fees (HB 2460, HB 2946, HB 2999), legislative subpoenas (HB 2745), cold plunge regulation (HB 2439), nursing-facility complaint timelines and licensed health aide rules (HB 2195, HB 2189), court-ordered treatment review (HB 2923), Access/Medicaid reimbursement and prior authorization for diagnostic services (HB 2932), inmate mental health study committee language (HB 2673), prenatal development instruction in schools (HB 2830), public records requests by legislators (HB 4056), parents’ rights and social transitioning in schools (HB 2249), school district financial compliance and facilities contracting (HB 2481, HB 2482), Native American language proficiency for graduation (HB 2895), advanced math auto-enrollment (HB 2423), special education and military-family procedures (HB 2621), AI rules for state agencies (HB 2592), eviction record sealing (HB 2244), tax filing penalties (HB 2016), shade structures in HOAs (HB 2342), homelessness-related community restitution (HB 2028), medical records timelines (HB 2557), PFAS firefighting foam restrictions (HB 2641), family-court expert testimony and prisoner transition services (HB 2662, HB 2440), address confidentiality protections (HB 2594), guardianship notice attestation (HB 2661), utilities for high-load customers (HB 2756), and nuclear-ready community planning (HB 2456). The committee also briefly moved to Caucus Calendar 19 for additional bills on mobile food vendors, school board training, out-of-state travel and meeting transparency, and a medical-intervention nondiscrimination bill. Several bills drew substantive discussion or criticism. Members debated HB 2932 at length, with staff explaining that Access said the bill would have a high fiscal impact because it would require reimbursement for non-contracted lab services and eliminate prior authorization for a broad range of diagnostic services, potentially increasing costs substantially. HB 2249 also prompted concern from members who argued it could force teachers to out students and create civil liability for using preferred pronouns or failing to notify parents about social transitioning. HB 2830 was criticized as requiring prenatal-development instruction while barring discussion of sexual activity or reproduction. HB 2028, which allows community restitution instead of a $20 probation assessment for people who are indigent and experiencing homelessness, was questioned as potentially punitive. HB 2481 was discussed as a way to help, rather than punish, small rural school districts struggling with financial-record compliance. The caucus also noted that several of the measures were sponsored by Democrats, which was highlighted as notable during the meeting. No formal votes were taken in the transcript. The caucus chair repeatedly asked for questions, and in most cases there were none, after which the sponsor was understood to intend concurrence with the Senate amendments. The meeting ended with adjournment after the caucus moved through the remaining calendar items.

Transcript Highlights:

• I call workforce homes.
• So what I'm going to call it is workforce homes.
• , even what we're calling a workforce home or what you would call an affordable home?
• We need luxury homes. We need workforce homes. And we need everything in between.
• workforce homes.

Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50

Transcript Highlights:

• home level of care.
• home administrator license.
• home administrator license.
• The superintendent of that facility, the nursing home administrator. Okay. Fired or retired?
• You know, 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• She was sent home from her surgeon and told to meet with a dietitian.
• , according to the National Home Education Research Institute.
• The board has a fund balance to The board has a fund balance to accommodate any licensure costs that
• No, no, it's an honor and privilege to serve on this board and on a number of boards over the years.
• No, no, it's an honor and privilege to serve on this board and on a number of boards over the years.

Committee: Senate Commerce and Human Resources

Transcript Highlights:

• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• And I'd just say that language has been pretty standard with boards that we have dealt with.

Committee: House Banking & Insurance

Transcript Highlights:

• </c> Recreation Council the Executive Board Recreation Council the Executive Board of<00:14:22.880><c
• </c> allow our local elected school boards allow our local elected school boards the<00:20:30.840><c>
• I'm going to keep him home.
• </c> though the amendment protects nursing though the amendment protects nursing home<04:47:41.200><c
• ><c> profit</c> home homes would allow for profit home homes would allow for profit businesses<04:47:

Transcript Highlights:

• She's a board-certified physician with advanced training in psychology.
• He is a long-time resident of my home community of Guadalupe.
• All right, the board is now closed, system is now closed, excuse me.
• Group homes.
• Point of order: not germane in any way to the bill that's on the board.

Summary: The Senate convened with prayer, the Pledge of Allegiance, a roll call showing 27 present, and approval of the prior journal. Members then introduced guests, including representatives of the Arizona Fair Association, Mohave County fair staff, a constituent guest, a physician candidate shadowing a senator, Father David Myers, and the Doctor of the Day. The chamber also received messages and read a long list of bills placed on second reading. The Committee of the Whole considered three measures. SB 1268, a veterans property tax exemption cleanup bill, was explained as clarifying that the exemption applies to a veteran’s primary residence and, if jointly owned, still counts as 100 percent; it received a do pass recommendation. SB 1051, requiring hospitals to collect and report patient immigration-status information for accounting purposes, drew extensive debate. Supporters said it would improve accountability for hospital spending and taxpayer costs, while opponents argued it would intimidate patients, discourage care, burden hospitals, and target immigrants unfairly. Despite repeated points of order and appeals over germaneness and remarks, the bill advanced on a 16-13 vote. SB 1316, creating a rural health transformation fund process with public hearings and JLBC involvement, was presented as a transparency measure for roughly $167 million in federal rural health funds; supporters favored legislative input, while opponents said it added bureaucracy and could delay care. It advanced 17-13. The Committee of the Whole reported all three bills do pass, and the Senate adopted the report. HB 2792 was substituted for SB 1268 as an identical measure and passed with the emergency clause by a 29-1 vote. SB 1123 and SB 1145 also passed, and SB 1125, dealing with child safety and communication with tribal nations regarding group homes, passed unanimously 30-0. SB 1316 passed 17-13, and SB 1051 passed 17-13 after a lengthy floor debate in which supporters framed it as a fiscal/accountability measure and opponents called it harmful, anti-immigrant, and likely to deter medical care. The Senate then announced committee meetings for the next day and adjourned until Wednesday, February 11, 2026.

Transcript Highlights:

• Folks back home, you'd have to explain that policy to them.
• The prevailing wage is done every year by the Workforce Solutions.
• Ultimately, this is a workforce development bill.
• They're just the chief nursing officer.
• So the question is, are we raising the standard or lowering the standards by this bill?

Committee: Senate Senate Judiciary

Transcript Highlights:

• Yard, Louisiana State Board of Nursing. Thank you so much. Dr. Rebecca Hook with DCFS. Dr.
• Well, the board is clear.
• So this slide is just to explain what a SANE nurse is. We are specially trained nurses.
• She is my human trafficking nurse leader. So she is my nurse leader in my program.
• She's a nurse. She's a SANE nurse.

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.

Transcript Highlights:

• Board...
• ><c> years</c> nurse recovery room nurse for 42 years nurse recovery room nurse for 42 years there<04
• The State Board is a state standard.
• The State Board is a state standard.
• because there is a Community standards because there is a state<05:50:30.160><c> board</c><05:50:30.360

Summary: The committee first took up House Bill 763, an early bill concerning AED access at athletic events and venues. Representative Morris offered amendment 0743H to clarify the bill by removing charter schools from the language and tying AED placement to American Heart Association guidance, emphasizing that AEDs should be readily accessible within a reasonable walking distance rather than mandated on every field. The amendment and then the bill as amended both passed 17-0, and the bill was reported out as Ought to Pass with Amendment. The committee then considered House Bill 781, requiring school districts to adopt cell phone-free education policies, and a related bill, House Bill 131. HB 781 was amended to include charter public school boards, cover other personal electronic communication devices, require at minimum restrictions on student personal cell phones during class instruction, allow superintendent-approved exceptions for medical or language needs, protect students with medical needs or disabilities under Section 504, and set an effective date of July 1, 2025. Some members argued the amendment was too prescriptive and limited local control, while supporters said it still left districts flexibility outside classroom instruction. The amendment passed 16-1, and the bill then passed Ought to Pass as Amended 16-1. HB 131, described as a mirror bill, was then retained by a 17-0 vote. House Bill 398, a title bill requiring Holocaust and genocide studies to include impacts on people with disabilities, was moved to ITL after Representative Selig reported the genocide commission believed the topic was already being covered. That motion passed 17-0. The committee also agreed to hold several bills for later consideration, including HB 754, HB 1221, HB 360, and HB 699, citing the need for more review or missing copies. Finally, the committee took up House Bill 361, prohibiting mandatory mask policies in schools. Supporters argued the bill would preserve individual choice while preventing statewide or districtwide mandates in future public health emergencies, and cited a Department of Health and Human Services letter saying masks remain effective but decisions should be based on individual choice and risk assessment. Opponents emphasized local control and the need for districts to respond to different public health conditions. The transcript cuts off before the final vote on HB 361 was completed.

Transcript Highlights:

• can sit on the board of the Alameda Health System.
• Unfortunately, the board has a budget work group meeting today, so a member of the board could not be
• FDA has already taken steps to Standards.
• Maybe the doctor or nurse practitioner? Sorry, nurse. So the follow-up tests might...
• Nurse practitioner, but. Sorry, nurse. So the follow-up tests might. Sorry, nurse.

Committee: Senate Health

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• Standards assessments or is it a general standardized test assessment that you're really wanting to look
• To implement our state standards or just to have a standardized test to go over this is just to obtain
• And if the problem is those state standards, we need to revoke those standards.
• But these are lower valued homes that usually they would be homes of people with less income, and it
• I'm thinking of maybe contract nurses, traveling nurses, maybe a traveling surgeon, or as you just said

Bills: SB683 , SB1579 , SB1389 , SB1387 , SB1390 , SB1391 , SB2063 , SB1829 , SB2060 , SB1842 , SB1398 , SB1212 , SB2158 , SB102

Committee: Senate Revenue and Taxation

Transcript Highlights:

• ,</c><00:23:09.200><c> but</c> fails to meet state standards, but fails to meet state standards, but
• </c><00:23:49.280><c> of</c> that players achieve the standard of that players achieve the standard of
• </c> contractors when it comes to workforce contractors when it comes to workforce development.<01:14
• So what we have here is that the state standard is different than the federal standard.
• </c> federal standards. federal standards.

Committee: House Labor, Industrial and Rehabilitative Services

Summary: The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team. Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department. Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.

Transcript Highlights:

• And then the initiative we're working on is bringing care closer to home.
• That IHS public health nurse may help with demographics to locate the person.
• There's new programs for nursing. One of our board members works out at the college.
• There's a state, excuse me, State Board of Equalization is the board's name.
• There's a state, excuse me, State Board of Equalization is the board's name.

Committee: Joint Tribal and State Relations Committee

Transcript Highlights:

• Seeing none, please call the next regulation. >> Thank you. >> Board of Nursing, 201 KAR 24:072 and 24
• >> Yes, Jeff Braithwaite, General Counsel, Board of Nursing. >> Thank you so much.
• Board<00:07:31.200><c> of</c><00:07:31.320><c> Nursing,</c><00:07:32.040><c> 201</c><00:07:32.760><c>
• KAR</c><00:07:33.440><c> 2472</c> Board of Nursing, 201 KAR 2472 Board of Nursing, 201 KAR 2472 and<
• </c> Board of Nursing. Good afternoon. Board of Nursing. Good afternoon.

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• It does not change the standard of what needs to be reported.
• SB 560 addresses these inefficiencies to ensure timely treatment and clear standards.
• Specifically, SB 560 makes it easier to continue prescription And clear standards.
• The bill streamlines standards for licensing and experience Or prescriber.
• , therapeutic group homes, and hospitals.

Bills: S0560 , S0590 , S0778 , S1010

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• Louis Community College Nursing Program. That's a compromised position of $400,000.
• It's all about the workforce development and the impact different programs make.
• Welcome Home. Point 231.
• DRL nursing facility activities.
• home going out of business or something like that.

Committee: House Conference Committee on Budget

Summary: The conference committee spent most of the meeting working through House Bill 2, the education budget, with repeated debate over how to close the remaining gap in the foundation formula. Members discussed fund swaps involving the blind pension fund, capital commission fund, lottery proceeds, state school money, and classroom trust funds, with several senators arguing the committee should fully fund the formula if possible and warning against leaving schools with a shortfall. The committee also reviewed child care subsidies, Parents as Teachers language, school safety and assessment-related items, Title I reallocation language, and a compromise on flexibility percentages for certain education lines. Several members raised concerns about language restricting virtual Parents as Teachers visits and about child care subsidy language tied to enrollment-based payment and prospective payment, while others defended the compromise as a way to balance provider concerns and budget limits. House Bill 3, covering higher education, was also reviewed. The committee largely accepted Senate positions on appropriations, with a compromise on the St. Louis Community College nursing program and a new proposal directing the Department of Higher Education to develop a new funding model by December 1, 2026. That language drew concern from some members, who said the timeline was too aggressive and asked for more flexibility, but supporters said prior work on performance funding justified the deadline. The committee then moved through House Bill 2004, transportation, agreeing to a mix of Senate positions and compromises on items such as safety operations, low-volume roads, port funding, and road improvements, including a larger-than-expected appropriation for Clarendon Road tied to a State Fair relocation plan. House Bill 5, general administration and IT, generated the most controversy over new language directing a plan for state IT modernization and cloud migration; several members objected that it was too prescriptive, resembled a resolution, and could favor a specific vendor, but the chair said the goal was accountability and oversight. The committee left some House Bill 5 items open for further negotiation, then later returned to finalize several dollar amounts and a shorter conference proposal on the IT language. The committee also worked through House Bills 7, 8, and 9, mostly adopting Senate positions with a few compromises. House Bill 7 covered economic development and tourism items, including Main Street, Missouri One Start, broadband, Juneteenth, and the Great American State Fair, with some items set aside for later or moved to other bills. House Bill 8 focused on public safety and veterans’ funding, including school safety apps, fentanyl testing, crime lab workload, DNA testing, veterans’ programs, and Highway Patrol fleet and fuel items; members debated whether to keep fleet and fuel funding separated or rolled together, and several items were set at compromise levels. House Bill 9, covering mental health and corrections, was handled more briefly, with most items following Senate positions and a few compromises, including probation and parole funding and a reduction on one appropriation. The committee then recessed and later resumed with House Bill 2010, beginning work on another budget bill with a mix of Senate, House, and compromise positions on early line items, but the transcript cuts off before that bill is completed.