Transcript Highlights:

• hit his nursing home.
• APRNs, two nurse nurses, and two APRNs.
• Because, as one of the nurse nurses testified earlier, it's on the consent.
• Because, as one of the nurse nurses testified earlier, it's on the consent.
• nursing school?

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• I'm president of the California Nurses Association, representing over 100,000 registered nurses across
• I've seen this happen to both newly graduated nurses and to immigrant nurses.
• Employers use the threat of debt collection to exploit nurses as they get their first nursing jobs.
• Nursing jobs.
• We want to staff our hospitals with community nurses, permanent staff. Nurses.

Summary: The committee heard a series of labor-related bills, with most measures focused on worker training, privacy, wages, and safety. AB 296 would require schools or districts to host apprenticeship fairs at least once a year, with flexibility on how they are run and whether programs outside the county can participate. Supporters said it would help connect students to skilled trades and address workforce shortages; school administrators opposed the bill as an unfunded mandate that could be impractical for elementary schools. The bill was later moved on call, with the committee noting it could not vote until quorum was established. AB 1221 and AB 1331 both addressed workplace surveillance. AB 1221 would restrict invasive monitoring tools, require notice to workers, limit the use and sharing of worker data, and require human review before discipline based on surveillance outputs. Labor groups supported the bill as a response to AI-driven monitoring, while business groups raised concerns about broad definitions, security cameras, investigations, and data-access provisions. AB 1331 focused more narrowly on privacy in off-duty and private spaces, limiting surveillance in places like restrooms, break areas, vehicles, and homes; hospitals and business groups opposed it as too broad and potentially disruptive to safety, cybersecurity, and facility monitoring. Both bills were advanced by committee vote. The committee also heard AB 1181, which would require firefighter turnout gear to be free of cancer-causing chemicals such as PFAS by 2027, and AB 1198, which would require prevailing wage rates on public works to reflect the wage in effect when the work is performed rather than when the project was first advertised. Firefighter representatives strongly supported AB 1181, while the chemical industry asked to continue working on scope and timelines. AB 1198 drew support from labor and contractor groups but opposition from local governments and housing groups concerned about mid-project cost increases; it was passed to Appropriations after a roll-call vote. Other measures approved included AB 1235 on skilled-and-trained workers for CSU construction, AB 1251 on ghost job postings, AB 552 on locating the Agricultural Labor Relations Board office outside Sacramento, AB 1110 on updating Cal/OSHA workplace posters, AB 1136 on expanding high road training partnerships, and AB 1234 on wage claim enforcement. AB 692, which would ban employer debt agreements that require workers to repay training or other costs if they leave a job, drew strong support from nurses and labor advocates and opposition from business and health care groups; it was also passed on a roll-call vote.

Transcript Highlights:

• We’ll start off with CS/HB 303, Human Trafficking Education for Initial Nurse Licensure, by Representative
• Today I am presenting CS/HB 303, Human Trafficking Education for Initial Nurse Licensure.
• In 2023, 36.1% of the nurses in Florida had fewer than five years of experience.
• Next we'll have Jack Cory with the Florida Nursing Association, and Isabel Validor on deck.
• Association, voice for all 440,000 nurses in the state of Florida.

Summary: The Health and Human Services Committee heard and advanced four member bills. CS/HB 303 would require nurses to complete the existing two-hour human trafficking prevention course before initial licensure, rather than waiting until renewal; the sponsor said this closes a gap for new nurses, and supporters from the Florida Nurses Association and other groups said it would improve early identification and reporting of trafficking victims. Members asked whether the bill changed reporting duties, and the sponsor said it did not. The bill passed unanimously, 24-0. PCS/HB 1069 would treat independent sanctioning authorities as qualified entities for background screening purposes and allow an unscreened athletic coach to work only if directly supervised by a screened coach. The sponsor said the measure is intended to help families and youth sports organizations while keeping children safe, and members discussed how it would apply to Little League and whether disqualifying offenses would still bar work with children. The bill received support from several organizations and passed 25-0. HB 491 would allow batterers intervention programs to offer voluntary faith-based content alongside required cognitive behavioral therapy, without mandating participation. Supporters argued the bill restores options for clients seeking faith-based counseling and said it does not use taxpayer funds or impose religion; members emphasized the voluntary nature of the program. The bill passed 24-0. HB 569 would change how the Agency for Persons with Disabilities organizes forensic client services by grouping clients based on clinical needs rather than legal charges, which the sponsor said would improve efficiency and reduce duplication. The agency and Florida Smart Justice Alliance supported the bill, and it also passed unanimously, 24-0. The committee then adjourned.

Transcript Highlights:

• , defray anxieties, spot opportunities for early intervention, be kind of your nurse friend, nurse advisor
• So what happens to the person that really does need skilled nursing?
• home just to access a nurse or a therapist's care.
• home just to access a nurse or a therapist's care.
• payment and it would pay the nursing home.

Keywords: 995, all

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• Whether you're a nurse, a nursing assistant, certainly an optometrist, not just an ophthalmologist, not
• except for the nursing part.
• Currently, in order to become a certified nurse midwife, a student must first attend a nursing program
• as nurses.
• I know this is probably mirroring the nurse midwife, but these are not nurses.

Transcript Highlights:

• The back-door cases are typically those nurses that have violated the nurse practice act.
• And that's—we want nurses to go to work.
• I'm Kathy Busby representing the Arizona Nurses Association.
• I am both a registered nurse and an attorney, and for more than 25 years, I've represented nurses and
• The nurse experienced years of prolonged uncertainty, and importantly, if the nurse posed a risk, the

Keywords: 1182, all

Transcript Highlights:

• TO A SURGEON OR A NURSE OR A PATIENT?
• NURSES IS A TRUSTED PROFESSION IN AMERICA ACCORDING TO A RECENT POLL.
• AND THE VICE PRESIDENT OF FLORIDA NURSES ASSOCIATION.
• TO ALL THE NURSES WHO ARE HERE THEY HAVE BEEN COMING EVERY YEAR.
• NEWS REPORT THAT RANG FLORIDA'S NURSING CENTERS AMONG THE NATIONS BEST.

Transcript Highlights:

• And of course, we've dedicated recently a LPN (Licensed Practical Nurse) or Nurse Practitioner who is
• I've been working with the UNM College of Nursing and the Highlands University College of Nursing and
• So we're always proud to work with the state School Nurses Association.
• That's going to help school nurses recruit school nurses.
• The nursing home, quality surcharge program is another one where the nursing homes pay the state of New

Transcript Highlights:

• Budget neutrality requires the state to cut spending to nursing homes as nursing home costs rise.
• <00:42:02.319> homes Only one of the seven nursing homes Only one of the seven nursing homes
• ,<00:43:01.520> which nursing on nursing home care, which nursing on nursing home care, which
• Um, with that, as we were the worst impacted nursing home of all of the impacted nursing homes with the
• still struggled for LNAS for nurses still struggled for LNAS for nurses um<00:46:37.359> to

Keywords: 1191, senate, all

Transcript Highlights:

• Thank you so much. approximately 315 to 320 nursing homes approximately 315 to 320 nursing homes across
• could safely assume that every nursing could safely assume that every nursing home<00:19:01.799>
• <00:20:18.720> home those rules uh the nursing home those rules uh the nursing home Workforce
• relationship to the ability of a nursing relationship to the ability of a nursing home<00:21:57.039
• then uh the ability to sta a nursing then uh the ability to sta a nursing home<00:22:09.960>

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• about nursing education often.
• Nurses here in the state of Florida, where we also talk about nursing education often.
• and practical nurses.
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into a series of special-order bills and House messages. Early floor action included passage of a claim bill for Mandy Penny Lemon (HB 6503) and bills on sewer collection systems (HB 1123) and farm products (HB 211), all passing unanimously. The chamber also took up an ad valorem tax exemption resolution for agricultural tangible personal property (CS/HJR 1215), which passed 37-0. Several other measures were temporarily postponed before the Senate recessed and later returned to House messages and additional special orders. The Senate then addressed multiple House amendments and conference-style motions. It concurred in amended versions of SB 994 on driver safety, SB 180 on emergency preparedness and response, and HB 1609 on waste incineration/auxiliary containers after extended debate over hurricane recovery rules, local government restrictions, and plastic container preemption. The chamber also concurred in CS/HB 1205 on citizen initiative petitions, increasing the number of petitions a volunteer may carry from 2 to 25, and in CS/HB 733 on Brownfields. Other House amendments were rejected or sent back, including SB 234 on offenses against law enforcement, SB 116 on veterans policy, SB 168 on mental health, and HB 1101 on out-of-network provider referrals. Later, the Senate approved CS/HB 1255 on education and CS/HB 875 on educator preparation, with discussion focused on school readiness, teacher training, and changes to certification and testing requirements. It also concurred in CS/HB 1427, a broad health care bill, after the House added a major nursing education amendment that tightened Board of Nursing oversight, required standardized evaluation and remediation, and imposed accountability measures tied to NCLEX pass rates and program performance. Several members raised concerns or praised negotiated compromises throughout the day, but the recorded actions were mainly concurrence motions, refusals to concur, and final passage votes on the bills considered.

Transcript Highlights:

• And then also with the nursing shortage, we’ve got a college of nursing.
• And then also with the nursing shortage, we've got a college of nursing.
• And then also with the nursing shortage, we've got a college of nursing.
• I'm acutely aware of the need for nurses.
• That's one good thing about our nurses that I want to bring up. Our nurses are local kids.

Summary: The Appropriations Committee on Higher Education received a presentation from the Governor’s Office and the Commissioner of Education on the proposed higher education budget. The presentation highlighted a $117.4 billion overall state budget, with education at $32.5 billion and higher education receiving a modest overall increase. Key items included no tuition or fee increases for Florida residents, major financial aid funding such as Bright Futures, Benacquisto, EASE, Open Door, and first responder scholarships, as well as workforce investments including apprenticeship programs, career and technical education, nursing pipeline funding, and performance-based funding for colleges and universities. Committee members asked questions about the proposed expansion of the Guardian program at state colleges and the $100 million university recruitment and retention fund. Officials said the Guardian funding would give colleges flexibility to use trained personnel for campus safety, sometimes alongside or in place of campus police or private security. The Chancellor explained that the recruitment and retention money would be distributed to universities with no specific directives beyond using it for faculty recruitment and retention, emphasizing Florida’s favorable demographics and the opportunity to attract faculty from states facing enrollment declines. The committee then heard testimony from multiple appointees and reappointees to boards of trustees at state colleges and universities, including Eastern Florida State College, Lake-Sumter State College, State College of Florida Manatee-Sarasota, Miami Dade College, Northwest Florida State College, and St. Johns River State College. Each described their backgrounds and stressed themes of affordability, workforce alignment, nursing and technical programs, dual enrollment, and local community needs. Several cited strong nursing licensure pass rates and college outcomes. After hearing all appointees, the committee voted unanimously to confirm the full block of nominees, and the confirmations were reported favorably before the meeting adjourned.

Transcript Highlights:

• for the nurse.
• for the nurse.
• for the nurse.
• You know, the nonpublic pupil aid for nursing that we get is just the time for the nurse.
• Nurse Suzanne has a few hours to come to school and work collaboratively with Nurse Katie.

Keywords: 1187, senate, all

Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.

Transcript Highlights:

• to cover up to three years of public sector nursing work.
• the retirement system to cover up to three years of public sector nursing work.
• I'm also a board member of the Massachusetts School Nurse Organization.
• School nurses make up less than 0.17% of the school population.
• ; 8.3% said two years, 11 nurses; 6% said one year, 8 nurses.

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hearing on a wide range of credible service and retirement-related bills, with testimony largely focused on allowing public employees to buy back prior service time or receive more appropriate retirement classifications. Bills discussed included retirement buyback for Joint Base Cape Cod firefighters (H. 4317), clarification of call firefighter buyback rights (H. 2883/S. 1915), veterans’ buyback (H. 2957), a Bridgewater State University police death-benefit/heart-law issue (filed by Rep. Gallagher), unpaid parental leave buyback for municipal employees (H. 2946), school nurse creditable service (H. 2887/S. 1787), former private/parochial school teacher buyback (S. 1900/H. 2873), Massport police retirement classification (S. 1888), contract employee buyback (H. 2795), Retirement Plus late entry (H. 2792), CVTE/teacher-related buyback issues (H. 2762), Peace Corps/AmeriCorps creditable service (H. 2927), and institutional school teacher retirement fairness (H. 2757). Several speakers also referenced related bills for teachers and nurses that had been heard previously or were filed in parallel in the other branch. Testimony was overwhelmingly in support of the bills. Speakers argued that the measures would correct inequities, recognize prior public service, and help recruit and retain workers in hard-to-fill public jobs. Firefighters described the unique federal-to-state transition at Joint Base Cape Cod and said some members were left out of earlier buyback opportunities. Veterans, teachers, school nurses, correctional educators, and Massport police all described service requirements, administrative gaps, or outdated statutory language that they said unfairly limited retirement credit or placed them in the wrong retirement group. Several witnesses emphasized that the proposals were fiscally responsible because employees would pay the cost of the buybacks, and some noted that similar bills had been filed repeatedly in prior sessions. Committee members asked a few clarifying questions, mostly about why certain employees had been excluded under current law or how the retirement provisions would work. No opposition testimony was presented. The hearing concluded after all scheduled witnesses testified, with the chairs thanking participants for their service and the committee voting to adjourn.

Transcript Highlights:

• Today, I'm presenting AB1082 that would allow California nursing students to enroll in out-of-state nursing
• And these accreditors, these nurses.
• I am Carmen Comstey with the California Nurses Association representing over 100,000 registered nurses
• We empathize with the students who've enrolled in these non-BRN approved nursing distance nursing programs
• , it's actually a licensed human nurse.

Keywords: 988, house, all

Transcript Highlights:

• Oh, and by the way, we help nursing Oh, and by the way, we help nursing homes<00:21:38.720> as
• <00:27:06.559> homes, the $2.5 million for the nursing homes, the $2.5 million for the nursing
• But what I really want to talk about is the nursing home piece because nursing homes underpin our entire
• talk about is the nursing home piece because<00:31:18.880> nursing<00:31:19.279> homes<
• The House was not the body that added the $2.5 million for the nursing homes or the nursing home policy

Keywords: 1189, house, all

Summary: The committee of conference on HB 155 continued discussion of a compromise over business tax relief, small-business filing thresholds, and nursing home funding. Representative Sweeney proposed raising the filing threshold to $400,000 and creating a trigger for future Business Enterprise Tax reductions if business tax revenues produce a $200 million biennial surplus, with the Department of Revenue Administration commissioner able to exclude one-time or non-sustainable funds. Supporters said the proposal would provide a clear policy direction, immediate relief to about 4,500 small and micro businesses, and a future path back to the BET’s original 0.25% rate. Opponents, led by the Senate side, argued the trigger language was premature, better handled in a budget year with more revenue data, and inappropriate to decide in a short conference committee meeting. The Senate also emphasized that the tax policy should not be locked in without a fuller public process, while House members argued the trigger would not take effect until a future biennium and was therefore a prudent way to signal New Hampshire’s direction on taxes. A separate point of discussion involved nursing homes: the House said its report would include $2.5 million for nursing homes with non-lapsing language, and senators stressed the importance of that funding for the health care system and county property taxpayers. One senator warned that triggers could encourage revenue underestimation and noted bond rating concerns about a structural deficit. Several motions were made to accept the Senate position with the $400,000 threshold and related amendments, but the first motion failed on a party-line style split, with the Senate voting yes and the House voting no. A second House motion to accede to the Senate position while also including the nursing home funding, the threshold increase, and the future trigger language was also rejected by the Senate. The meeting ended with the report filed without agreement on the trigger language, and the transcript then notes a separate reconvened committee of conference on HB 751 being postponed until 12:30 the next day.

Transcript Highlights:

• Okay, but you mentioned a nursing home.
• So I'll use a nursing home, for instance.
• You have the nurses with the nursing home, but then hospice comes in with a whole different care delivery
• And so I hope there's no nursing homes that go through this process.
• Something that... ...up to and including closing the nursing home.

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• Hospitals also need nurses. Hospitals in Manchester also need nurses.
• Hospitals also need nurses. Hospitals in Manchester also need nurses.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.
• And to the point of also with nursing, if we don't have nurses, we cannot do it.

Keywords: 1191, senate, all

Transcript Highlights:

• census for our veterans the more nurses census for our veterans the more nurses and<00:27:21.559
• <00:28:02.120> and temporary um the contracted nurses and temporary um the contracted nurses
• Many nurses, the ones that...
• If you look at nursing, nurses are at a 51% vacancy rate, and LNA are at 52% vacancy rate.
• <01:41:16.840> Nurse<01:41:17.119> managers Which could be nurses, nurse managers,

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• NURSING EDUCATION.
• HERE AND NURSING EDUCATION OFTEN.
• STATES IN FIRST TIME PASS RATES WITH REGISTERED NURSES AND PRACTICAL NURSES.
• I WOULD NOT BE A GOOD NURSE.
• YOU'RE IN A NURSING HOME, AND WE WANT GREAT, HIGHLY TRAINED INDIVIDUALS CARING FOR THOSE OF US IN A NURSING

Keywords: 999, senate, all