Transcript Highlights:

• If you do want to testify, please get registered.
• Hi, if you do want to testify on this bill, please get registered.
• I said, "I understand that because I am a nurse."
• I'm a nurse; that's what I knew, okay?
• I am a nurse, and we are seeking a second opinion.

Bills: HB514 , HB1652 , HB2117 , HB2298 , HB3269 , HB46 , HB46

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

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• uh if you are an advanced practice registered nurse.
• uh if you are an advanced practice registered nurse.
• uh if you are an advanced practice registered nurse.
• uh if you are an advanced practice registered nurse.
• uh if you are an advanced practice registered nurse.

Committee: Joint Agriculture

Transcript Highlights:

• It also provides that the program director, who's a licensed registered nurse, must verify degree completion
• Registered nursing graduates receive the provisional RN license and practical nurses would receive a
• No, we have the highest number of test takers, not registered and LPN nurses at the end of the day.
• This has been in existence as long as we've had registered nurses in the state of Florida.
• registered nurses, registered licensed practical nurses, that then can serve the patients of Florida.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• I'm a registered lobbyist for America's Health Insurance Plans.
• Doherty on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner Council
• We already know the dramatic shortage we have for nurses.
• And we have, as I said, a major nursing shortage in the state.
• I'm Gloria Doherty, on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner

Summary: The committee first heard Senate Bill 21, as amended, which would create an annual birthday-based open enrollment period for Medicare supplement policyholders age 65 and older, allowing them to switch to equal or lesser coverage without medical underwriting. The Aging and Long-Term Services Department and the Office of Superintendent of Insurance supported the bill as a consumer protection measure for seniors who are locked into rising premiums, while AHIP opposed it, warning it could raise premiums for existing policyholders. The League of Women Voters and AARP supported the measure. After debate over premium impacts and market stability, the committee voted 6-4 to give SB 21 a due pass. The committee then considered Senate Bill 20, dealing with prior authorization for medications used to treat serious mental illness. An amendment to change the bill from limiting prior authorization to once every three years to once every 12 months was debated; insurers supported the annual review, while nursing, disability, and mental health advocates argued that more frequent prior authorization would add burden and delay care. The committee tabled the amendment 5-4, then passed the unamended bill on a do pass vote. Testimony emphasized that the bill would not change how often patients see their doctors, only how often insurers can require prior authorization. Next, Senate Bill 101 was heard, which repeals the delayed sunset of the Health Care Delivery and Access Act so the hospital provider tax can continue. Sponsors and the Health Care Authority said the program has generated substantial federal matching funds and supports hospitals, especially rural facilities. AARP, Health Action New Mexico, the Greater Albuquerque Chamber of Commerce, and the New Mexico Hospital Association supported the bill. Committee members asked about how funds are distributed and reported; the agency said distributions are based on Medicaid discharges and hospitals must report on spending. The bill received a do pass. The committee also approved House Memorial 52, which requests a study group on health insurance premium affordability for working families and small employers. Supporters from Blue Cross and Blue Shield and AHIP said the memorial would help identify cost drivers and improve transparency. The committee then passed House Bill 132, as amended, creating a workers’ compensation presumption for certain occupational conditions affecting police officers. Supporters from labor, state police, OSI, and business groups said it would help recruitment, retention, and recovery, while members discussed the removal of back pain from the presumption and the reinstatement of PTSD. Finally, the committee began hearing Senate Bill 14, which expands the state’s health professional loan repayment program and creates a broader advisory structure to address workforce shortages. The bill would cover physicians and many other health professions, with a large appropriation and special provisions for part-time service and loan repayment terms. The sponsor described it as a competitive recruitment tool, and numerous health care, labor, and consumer groups testified in support. The sponsor also described a proposed amendment to reallocate physician funds to other eligible health professionals if there are not enough qualified physician applicants, but the committee was preparing to move on when the transcript ended.

Transcript Highlights:

• assistants, and nurses.
• For example, Prometric cancels scheduled exams if fewer than five people register.
• For context, employers for all types of long-term care workers, including nurses and nursing assistants
• assistants, nurses, or any other similar professions.
• For nursing assistants, for nurses, or any other similar profession. Thank you.

Summary: The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on the Restoring Quality Home Care Initiative (I-1163), which created home care aide certification requirements, FBI background checks, and an abuse/neglect registry. Auditors said some requirements likely improve safety, especially background checks and training, but the state lacked pre-2011 data to measure outcomes directly. They also found Washington has a long-term care workforce shortage, though its workforce supply ranks better than many states, and that more stringent entry requirements do not appear to reduce workforce participation compared with other states. The audit’s main concern was that the certification process is slow and burdensome. Auditors reported that most applicants never finish certification, that only about one-third of fiscal year 2025 applicants were certified within the 200-day legal deadline, and that the average time to certification was 463 days. They identified delays between training and testing, limited testing access in some areas, and redundant Department of Health verification of FBI background checks as key causes. The audit recommended streamlining the process by accepting applications later in the process, expanding testing within training programs, and eliminating the redundant background-check verification. Department of Health and Department of Social and Health Services staff largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including moving exams into more than 110 training programs, increasing credentialing staff, and reducing barriers through rule changes. DSHS noted testing is offered in 13 languages. Committee members asked about testing contract incentives, language access, and whether the agencies would seek statutory or budget changes to implement the recommendations. No public testimony was offered, and the meeting adjourned without any vote or formal action by the committee.

Transcript Highlights:

• First, it specifies that a licensed advanced practice registered nurse who holds a Doctor of Philosophy
• Aaron Ballas, Board of Nurse Association, waiving in support.
• Properly educating our nurses about use of the title.
• nurse.
• Again, like I said, she's a registered nurse, a single mother, and I am her caregiver.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• And they were a little bit nurses.
• are all signing these physicals, nurses, nurse practitioners, or PAs, are all in collaboration with
• What the committee substitute does, it allows certified registered nurse practitioners, CRMPPS, nurse
• </c> does, it allows certified registered does, it allows certified registered nurse<01:08:28.960><c>
• , nurse nurse practitioners, CRMPPS, nurse midwives,<01:08:31.679><c> and</c><01:08:32.000><c> licensed

Transcript Highlights:

• She began her journey as a licensed practical nurse in 1997 and went on to achieve her registered nurse
• license in 2023. 1997 and went on to achieve her registered nurse license in 2003.
• and became certified in maternal newborn nursing in 2025.
• Your continued support of Oklahoma nurses serving as Nurse of the Day is sincerely appreciated and helps
• highlight the vital role nurses like Amanda play in their communities.

Bills: SB1265 , SB1198 , SB2046 , SB1415 , SB1714 , SB1962 , SB26 , SB172 , SB260 , SB264 , SB1525 , SB1332 , SB1998 , SB1378 , SB1771 , SB1919 , SB2018 , SB1936 , SB1612 , SB1543 , SB1260 , SB1988 , SB1859 , SB2041 , SB1257 , SB1726 , SB1236 , SB1633 , SB1413 , SB1317 , SB1360 , SB1342 , SB1477 , SB1189 , SB1546 , SB1524 , SB1338 , SB1193 , SB1812 , SB1617 , SB1638 , SB504 , SB2072 , SB1283 , SB1216 , SB1655 , SB2011 , SB1643 , SB1446 , SB1256 , SB1258 , SB1441 , SB1224 , SB1448 , SB1496 , SB1597 , SB1621 , SB1827 , SB2066 , SB2104

Summary: The Senate convened, the clerk called the roll, and a quorum was declared present. The chamber opened with a prayer offered by Senator Peterson, followed by recognitions of the Nurse of the Day, Amanda Fisher, and the Doctor of the Day, Dr. Lee Schaffler, both introduced with brief biographical remarks and applause from members. The Senate also recognized the week’s pages, who introduced themselves and described their schools, assignments, and future plans. Several announcements were then made about upcoming committee and caucus meetings, including Local and County Government, Economic Development, Workforce, and Tourism, Judiciary, the first meeting of the Disability Caucus, and the start of devotion time the next morning. No legislation was debated or voted on during the session. The only formal action was adoption of a motion to adjourn, and the Senate stood adjourned until Wednesday, February 11, 2026, at 1:30 p.m.

Transcript Highlights:

• Senators, CS for Senate Bill 36 on professional nursing titles.
• First, it specifies that a licensed advanced practice registered nurse who holds a Doctor of Philosophy
• Aaron Ballas, Board of Nurse Association, waiving in support.
• nurse.
• Again, like I said, she's a registered nurse, a single mother, and I am her caregiver.

Committee: Senate Appropriations Committee on Health and Human Services

Transcript Highlights:

• You know, I'm a registered this for us.
• That's cuz I'm not registered with them.
• nurses, and also RNs, registered nurses, particularly for our healthcare division, in order to address
• </c> registered nurses and also RNs, registered nurses and also RNs, registered<00:24:51.679><c> nurses
• </c><00:24:52.240><c> and</c><00:24:52.480><c> that's</c> registered nurses and that's registered nurses

Summary: The Judiciary Committee first considered Governor’s Message 574, confirming Michael Tenoi to continue serving on the Commission to Promote Uniform Legislation through June 30, 2028. Several supporters testified, and Tenoi said he valued working with Hawaii and national commissioners and hoped to focus on emerging issues such as artificial intelligence, cybersecurity, and data security. The committee recommended advise and consent and adopted the measure, with a photo taken afterward. The committee then heard HB 1519 on campaign contributions, which would require disclosure of compensated officers and immediate family members of certain state contractors and grantees. The Campaign Spending Commission and State Procurement Office supported the bill but asked for clarifying amendments; several advocacy groups supported the measure but urged stronger language, including removing branch-of-government limits and narrowing loopholes. The chair proposed amendments to remove monetary thresholds, limit the bill to paid officers, add appropriations for the Campaign Spending Commission and State Procurement Office, define “officer” more broadly, and note that false-name contributions are already felonies. The committee voted to pass HB 1519 with amendments. HB 2250, the claims against the state bill, drew testimony from the Attorney General and multiple departments in support, but members raised extensive questions about why many claims would be paid from the general fund, how corrective action is being pursued, and the handling of several specific claims, including wrongful imprisonment, a cesspool citation, Department of Corrections deaths, a large special education settlement, a charter school lease dispute, and an outdated check. Because of those outstanding questions, the committee postponed decision-making on HB 2250 until Tuesday, March 24, at 10:30 a.m. in Room 016. Later, the committee also considered Governor’s Message 725, confirming Daniel M. Gluck as an associate judge of the Intermediate Court of Appeals; the committee recommended consent and adopted the measure.

Transcript Highlights:

• Next up, we will have HB 883, Advanced Practice Registered Nurse Autonomous Practice, by Representative
• Members, currently, the current law allows for advanced practice registered nurses to engage in autonomous
• It also expands RN eligibility to allow all licensed and qualified registered nurses, including contract
• It also expands RN eligibility to allow all licensed and qualified registered nurses, including contract
• It also expands RN eligibility to allow all licensed and qualified registered nurses, including contract

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• I've been a registered nurse for almost 20 years, with a career in pediatrics, while also working in
• My name is Serena Bumpus, I'm a proud Texas registered nurse.
• I have been a registered nurse for 23 years and currently serve as the CEO of the Texas Nurses Association
• Nurses are governed by and adhere to the code of ethics for nurses.
• You haven't registered. Okay.

Bills: SB31 , SB33 , SB510 , SB871 , SB1868 , SB2024 , SB2166 , SB2309 , SB2880 , SJR27 , SJR39 , SJR40 , SB 31 , SB 33

Committee: Senate State Affairs

Transcript Highlights:

• , representing over 26,000 registered nurses and health care professionals across the Commonwealth.
• It's not good for patients and not good for nurses.
• Certified registered nurse anesthetist remains the legal title for nurse anesthetists in Massachusetts
• I'm a certified registered nurse anesthetist and an Amanda board member.
• I am a registered nurse, a hospice nurse at MGH.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• But again, if a town clerk goes to a nursing home and registers the voters, brings all the documentation
• <00:29:04.880><c> and</c> nursing and nursing and registers<00:29:06.960><c> the</c><00:29:07.120><c>
• voters brings all the registers the voters brings all the documentation<00:29:08.799><c> register</c
• </c><00:30:23.279><c> as</c> going to be required when registering as going to be required when registering
• </c> more articulated is um more registered more articulated is um more registered voters<00:42:52.760

Committee: Senate Election Law and Municipal Affairs

Transcript Highlights:

• We now have S. 163, an act relating to the role of advanced practice registered nurses in hospital care
• We now have S. 163, an act relating to the role of advanced practice registered nurses in hospital care
• We now have S. 163, an act relating to the role of advanced practice registered nurses in hospital care
• We now have S. 163, an act relating to the role of advanced practice registered nurses in hospital care
• nurses in hospital practice registered nurses in hospital care. care. care.

Transcript Highlights:

• Do not register until you hear the bell. The House will now proceed to register.
• Have you all registered? Please continue to register. Second reading of bills: SB 1021, car...
• Have you all registered?
• He says he stands with the registered nurses of Arizona.
• Members, I stand strong with the registered nurses of Arizona.

Transcript Highlights:

• nurse first.
• We are working with the American Minnesota Advanced Practice Registered Nurse Coalition and bringing
• become a registered nurse before pursuing graduate midwifery education.
• school and become a to nursing school and become a registered<00:13:17.399><c> nurse</c><00:13:18.040
• ><c> before</c><00:13:18.360><c> pursuing</c> registered nurse before pursuing registered nurse before

Committee: Senate Health and Human Services

Transcript Highlights:

• This is looking at a comparison map for our registered nurse supply.
• And going forward through 2037, we're really going to be needing more registered nurses in that northeast
• PN gives us that practical nursing pathway, and RN is the pathway for the registered nurses.
• Registered nursing pathways can have multiple types of degrees, as indicated on this slide, including
• We also produce nurse practitioners and nurse anesthesiologists and other graduate-level nurses who are

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• SB 1302 is the sunset bill for the Board of Registered Nursing.
• SB 1302 also streamlines the renewal application for nurse practitioners and certified nurse midwives
• Lastly, among other technical changes, this bill extends the operations of the Board of Registered Nursing
• We represent about 900 skilled nursing facilities.
• LVNs work as part of a health care team under the direct supervision of registered nurses and physicians

Summary: The Senate Committee on Business, Professions and Economic Development heard several sunset and policy bills affecting state boards and professional practice. SB 1302 would extend the Board of Registered Nursing for four years and make operational changes such as streamlining renewals, updating simulation and school-approval standards, and allowing certain out-of-state nurse practitioner experience to count toward California recognition; nursing groups supported it, while the California Medical Association raised a concern about the out-of-state NP provision. SB 1303 would extend the Board of Naturopathic Medicine to 2031 and add a fictitious name permit program, term staggering, and other technical changes; it drew support from the board and naturopathic doctors, but the California Naturopathic Association opposed it unless amended to clarify the board’s jurisdiction. SB 1304 would extend the Respiratory Care Board to 2031 and revise respiratory care rules, including LVN practice in certain settings; it was supported by some providers and respiratory therapists, but hospitals, skilled nursing facilities, and other groups opposed it unless amended to allow LVNs to perform basic respiratory tasks in more health care settings. SB 1363 would extend the Board of Barbering and Cosmetology and update apprenticeship, licensure, and tribal exemption provisions, and SB 1368 would extend the speech-language pathology, audiology, and hearing aid dispensers board while adding a retired license category and continuing-education oversight changes; both were supported and had no opposition. All of these bills were voted out of committee, generally on a 10-0 basis after the committee later established quorum and took recorded votes. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program within the Office of Small Business Advocate to support large independent multi-day music festivals. The author and supporters argued that festivals like Aftershock and GoldenSky generate substantial tourism, hotel nights, jobs, and tax revenue, and that state support would help keep events in California rather than other states. Opposition focused on the use of public funds during a deficit year and questioned whether profitable festivals should receive a grant subsidy. The bill passed on a 9-1 vote, with Senator Choi opposed. Members also heard SB 1297, which would create regional wildfire public-private partnerships and a financing structure using local commitments, a revolving fund, and state-backed revenue bonds coordinated with iBank to fund wildfire mitigation projects. Supporters said the bill would help address the state’s large wildfire mitigation funding gap by leveraging public and private capital for home hardening, vegetation management, and other prevention work; questions centered on where bond repayment funds would come from, and the author said the bill was still a work in progress and not intended to cost the state. The bill passed unanimously. Finally, SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process; testimony described safety concerns and staffing impacts, and the bill passed unanimously.

Transcript Highlights:

• My name is Andrea Dyer, and I've spent countless hours as a registered nurse at Boston Children's Hospital
• My name is Jacqueline Olson, and I am a registered nurse with a background in oncology.
• My name is Jacqueline Olson, and I am a registered nurse with a background in oncology.
• Today, nurse practitioners and psychiatric nurse mental health clinical specialists in Massachusetts
• To be clear, this bill does not expand scope of practice for nurse practitioners or psychiatric nurse

Committee: Joint Joint Committee on Financial Services

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.