Transcript Highlights:

• First, in recognition that physician assistants and nurse practitioners can sign a POLST, it updates
• I've been a hospice and nursing home medical director in San Diego County since 1995, and I'm here on
• Because we frequently hear that nursing homes are forcing all patients to complete a POLST form, despite
• lots of efforts by us, CDPH, and other industry organizations to educate them.
• It's with the social workers, the psychiatrist, the nurses, the whole team that's there to support that

Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health, housing, homeowners associations, groundwater enforcement, pet-friendly rental disclosures, and post-disaster property protections. SB 1088 would modernize POLST and DNR forms by renaming POLST to “portable orders for life-sustaining treatment,” allowing nurse practitioners and physician assistants to sign, clarifying that the forms are voluntary, recognizing out-of-state forms, and permitting electronic signatures. It drew support from the Coalition for Compassionate Care and related groups and no opposition was presented. SB 1242 would allow family members who originally petitioned in CARE Court to continue participating for care coordination and information-sharing, subject to judicial discretion; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a threat to confidentiality. The committee voted 7-0 to pass SB 1242, and it was placed on call. The committee also considered SB 1007, which would require more HOA transparency, including clearer budget comparisons and disclosure of evidence for violations, and would lower the threshold for regular assessment increases without a homeowner vote. Supporters argued it would curb steep fee hikes and improve accountability, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap on assessments, but the bill advanced on a 6-1 vote and was placed on call. SB 1364, as amended, would bar custody or visitation rights for a person who impregnated a survivor through sexual assault, using a clear-and-convincing evidence standard rather than requiring a criminal conviction; supporters said it protects survivors and may increase federal funding, while opponents argued it could deny children a relationship with a parent. The bill passed 8-0 and was placed on call. Additional measures included SB 997, which would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and sustainability rules; it had support from local water, farm, and county representatives and passed 9-0. SB 1296 would require landlords to disclose pet policies up front in applications, ads, and websites and allow application-fee refunds if disclosure was not made before payment; supporters said it would reduce wasted fees and pet relinquishment, while rental housing groups raised concerns about signage, ADA language, and vaccination disclosures. The bill passed 8-0 and was placed on call. Finally, SB 1090 would prohibit large property owners from making unsolicited purchase offers for five years in wildfire disaster areas, aiming to curb post-disaster speculation; supporters described aggressive investor pressure after the Eaton and Palisades fires, while real estate and title groups raised implementation and enforcement concerns. The committee was still discussing the bill when the transcript ended.

Transcript Highlights:

• We know that nursing staff is a huge part of making the entire system work better.
• We know that nursing staff ratios improve patient outcomes.
• Again, we've spent in New Mexico millions of dollars in the education realm because of teachers that
• think the medical community will embrace because we're at a significant disadvantage in Doctors and nurses
• Number two, the trend I think. among lawyers and so forth is not even to name doctors and nurses individually

Bills: SB38 , SB17 , SB41 , SB264

Committees: Senate Senate Judiciary , Senate House Judiciary

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Transcript Highlights:

• President, are very passionate, as many members of this chamber are about early education.
• Well, this might be one of the godmothers of early education in New Mexico.
• Our very own Public Education Secretary, **Mariana Padilla**.
• Implementing the Indigenous Education Initiative thought grant.
• institution, requiring hazing prevention education, providing penalties.

Transcript Highlights:

• Stephen Profiter, Director of the Early Education Division at the California Department of Education,
• Stephen Profiter, Director of the Early Education Division at the California Department of Education,
• Hello, Stephen Proffer, Department of Education.
• And that education helped me even to raise my children. I became an educator.
• McLean Rosansky with the Alameda County Office of Education.

Summary: The Assembly Budget Subcommittees on early childhood education heard a broad review of the Governor’s child care and preschool budget proposals, with testimony from the Department of Finance, the Department of Social Services (CDSS), the California Department of Education (CDE), and the Legislative Analyst’s Office (LAO). The main topics were cost-of-care-plus and COLA adjustments, the California State Preschool Program, child care slot reductions tied to federal and Proposition 64 funding changes, disaster recovery grants for child care facilities, trailer bill proposals on family fees and absences, prospective pay, and several budget change proposals for departmental staffing and licensing. Officials also discussed the state’s transition toward an alternative methodology for setting rates based on the true cost of care. On rate reform, CDSS and CDE said the current reimbursement system remains below the alternative methodology in many counties and that providers continue to struggle with recruitment and retention. The LAO recommended aligning cost-of-care-plus increases across provider types, while CDE urged that any COLA be added to base rates rather than cost-of-care-plus payments because providers view the latter as less ongoing. CDSS said the next alternative methodology update will be developed with a contractor during fiscal year 2026-27, with public engagement and legislative input, and estimated that fully transitioning to rates informed by the methodology would take about 24 months once policy and funding are in place. CDSS also said the direct-service cost of care under the methodology was estimated at about $18.7 billion in a July 2025 report. A major point of contention was the proposed reduction of 4,167 child care slots due to lower federal CCDF funding and reduced Proposition 64 revenue. CDSS said it expects to absorb the reduction through unspent funds and relinquishments so currently enrolled children are not disrupted, while the LAO supported the reduction as a way to avoid worsening the structural deficit. Members strongly objected to the slot cuts, arguing the administration has repeatedly proposed reductions after prior budget agreements and emphasizing the economic and family benefits of child care. The committee also discussed preschool enrollment trends, including growth in three-year-old enrollment and a sharp increase in two-year-olds served under a temporary provision, with CDE warning that the temporary two-year-old authority expires in 2027. The committee also reviewed an $11.5 million Proposition 64 proposal for child care infrastructure grants for facilities impacted by 2025 state disasters, especially the Los Angeles fires, and members asked for trailer bill language to make the funds flexible for repairs, equipment, insurance, and permitting. On trailer bill items, the panel discussed codifying family fee reimbursement rules, defining excessive unexplained absences to allow disenrollment after prolonged nonuse, and expanding temporary provider absences; CDSS said the absence policy is meant to mirror federal CCDF rules, while CDE said it is already pursuing its own rulemaking. The hearing also covered prospective pay, with CDSS and CDE saying they are waiting for final federal guidance before moving ahead; LAO said the state could save ongoing costs if the federal requirement is rescinded. Finally, the committee reviewed staffing and support budget requests for CDSS and other implementation items, and held several items open for further discussion before the May Revision. Public comment overwhelmingly urged full funding for child care slots, true cost-of-care payments, and ongoing support for early education programs and county offices of education.

Transcript Highlights:

• She needs to transfer to a nursing home.
• It's a rule that would triple the registered nurse requirements in nursing homes, which is going to lead
• This would lead to nursing home closures across our state.
• Go to the nursing home on your own. That's a broken health care system.
• A nurse from Dalton, Georgia, who falls into the Medicaid coverage gap.

Committee: Senate Finance Committee

Transcript Highlights:

• Her impact as an educator was immeasurable.
• Her impact as an educator partnership. Her impact as an educator was<00:07:26.880><c> immeasurable.
• </c> community, participating in educational community, participating in educational events,<00:12:58.959
• </c><02:19:54.319><c> Mayor</c> infrastructure, and education. Mayor infrastructure, and education.
• ,</c> delivering quality education, delivering quality education, maintaining<02:20:02.160><c> safe</

Transcript Highlights:

• state of Washington, providing security services to a variety of public, commercial, nonprofit, educational
• And so we have a nursing industry that's huge, very, very large in the state of Washington, that are
• Our nurses can't work remotely, right? Because our firefighters can't work remotely.
• Our nurses can't work remotely. So we have a lot of people that can't work remotely.

Bills: HB2513 , HB2524 , HB2611

Committee: House Labor & Workplace Standards

Keywords: plumbing contractor, plumber, license suspension, credential suspension, administrative penalty, infractions, repeat violator, consumer protection, residential plumbing, construction licensing, Washington Department of Labor and Industries, advisory board of plumbers, plumbing certificate fund, code enforcement, professional licensing, trade regulation, security, regulation, employment standards, security guards

Transcript Highlights:

• To the higher education space, spearheading the Massachusetts Association of Community Colleges as the
• This bill that I filed requests to qualify his service to the Nevada system of higher education to be
• Commissioner and Chief of Staff at the Department of Higher Education.
• And as Assistant Commissioner and Chief of Staff at the Department of Higher Education.
• Having individuals with experience in other state higher education systems be able to seamlessly move

Committee: Joint Joint Committee on Public Service

Summary: The Joint Committee on Public Service heard testimony on a range of retirement-related bills, with several witnesses and advocates focusing on pension equity, veteran benefits, and recognition for public safety workers. Representative Dennis Gallagher and Mass Retirees supported legislation to increase the long-standing veterans’ bonus from $15 to $50 per year of service, up to $1,000 annually, and described it as a modest, overdue adjustment with minimal fiscal impact. Mass Retirees also backed bills to raise the minimum survivor allowance for public retirees and to address inequities in Option B and Option C survivor benefits for retirees whose pensions were calculated under older mortality tables. The committee also heard a personal bill from Representative Jim Arceiro and Nathan McKinnon seeking creditable service for McKinnon’s years in the Nevada higher education system, which he said should count toward his Massachusetts retirement. Another individual bill was presented by Roberta Wollins, supported by Senator Keenan, to remedy what she described as misleading retirement advice from UMass Boston that affected her ability to buy back prior service and made her retirement planning inaccurate. Senator Keenan and others framed both cases as unique fairness issues rather than broad policy changes. A large panel from police, fire, corrections, EMS, and related organizations testified in favor of a COVID-19 retirement credit proposal and a study bill, arguing that essential workers who reported in person throughout the pandemic should receive recognition and a time-based retirement credit. Witnesses described exposure risks, illness, deaths, staffing strain, and long-term effects from COVID-19, and several committee members voiced support and appreciation for their service. The hearing concluded with no votes taken on the bills and a motion to adjourn, which was approved.

Transcript Highlights:

• House Bill 27, relating to Education K-16. House Bill 123 to Education K-16.
• House Bill 3372 to Education K-16. House Bill 3424 to Local Government.
• House Bill 3629 to Education K-16. House Bill 3641 to Local Government.
• House Bill 4623 to Education K-16. House Bill 4687 to Education K-16.
• House Bill 5381 to Education K-16. House Bill 5383 to Criminal Justice.

Bills: SB128 , SB203 , SB317 , SB393 , SB397 , SB731 , SB781 , SB801 , SB867 , SB1071 , SB1086 , SB1087 , SB1232 , SB1262 , SB1444 , SB1483 , SB1782 , SB1798 , SB1861 , SB1897 , SB1944 , SB2023 , SB2082 , SB2215 , SB2309 , SB2497 , SB2549 , SB2566 , SB2603 , SB2607 , SB2617 , SB2688 , SB2797 , SB2799 , SB2841 , SB2891 , SB2919 , SB2928 , SB2969 , SB2994 , SB3070 , HB 11 , HB 12 , HB26 , HB33 , HB34 , HB45 , HB48 , HB 130 , HB148 , HB198 , HB210 , HB303 , HB647 , HB668 , HB677 , HB762 , HB791 , HB 1022 , HB 1041 , HB 1188 , HB 1240 , HB 1242 , HB 1261 , HB1318 , HB1397 , HB1465 , HB1520 , HB1535 , HB1729 , HB1778 , HB1950 , HB2003 , HB2027 , HB2029 , HB2559 , HB2596 , HB2607 , HB2692 , HB2712 , HB2742 , HB2768 , HB2775 , HB2788 , HB2802 , HB2894 , HB3474 , HB3594 , HB3611 , HB3698 , HB3699 , HB3700 , HB4187 , HB4753 , HB4804 , HB4850 , HB4885 , HB5061 , HB5238 , HB5560 , HCR90 , SJR34 , SB529 , SB541 , SB693 , SB963 , SB1173 , SB1646 , SB1734 , SB1833 , SB1968 , SB2544 , SB1 , SB17 , SB260 , SB509 , SB1506 , SB1637 , SB2308 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB128 , SB2309 , SB1861 , SB2617 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB511 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB2891 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2799 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB1749 , SB2549 , SB2553 , SB2919 , SB1782 , SB1944 , SB1232 , SB2969 , SB2497 , SB1798 , SB2603 , SB2607 , SB781 , SB524 , SB2233 , SB2683 , HB1393 , HB2559 , HB26 , HB2607 , HB3810 , HB388 , HB 12 , HB2712 , HB2692 , HB1633 , HB1318 , HB685 , HB4753 , HB2742 , HB303 , HB198 , HB1535 , HB762 , HB148 , HB1520 , HB5061 , HB2286 , HB1606 , HB 1041 , HB132 , HB 11 , HB45 , HB48 , HB 1261 , HB1465 , HB1778 , HB2596 , HB5238 , HB33 , HB 1188 , HB210 , HB 1022 , HB1458 , HB5560 , HB 1240 , HB1950 , HB2027 , HB2768 , HB2788 , HB2791 , HB3146 , HB3698 , HB3699 , HB1893 , HB3700 , HB4850 , HB4187 , HB1397 , HB4885 , HB4804 , HB3751 , HB3611 , HB2775 , HB2061 , HB2003 , HB1729 , HB 1242 , HB791 , HB2029 , HB647 , HB2522 , HB4738 , HB3033 , HB3594 , HB3474 , HB2563 , HB2802 , HB34 , HB 128 , HB 130 , HB581 , HB668 , HB677 , HB766 , HB2259 , HB2960 , HB2358 , HB2894 , HB4384 , HB2663 , HB748 , HB793 , HB 1193 , HB1734 , HB2340 , HB2350 , HB3104 , HB5180 , HB4739 , HB1584 , HB4344 , HB4238 , HB4219 , HB3806 , HB3805 , HB3804 , HB3803 , HB3229 , HB3228 , HB1922 , HB1522 , HB431 , HB3597 , HB1612 , HB4224 , HB754 , HB1314 , HB2254 , HB2789 , HB3560 , HB4643 , HB 1237 , HCR90 , HCR98 , SJR60 , SB1319 , SB1978 , SB3038 , SB3045 , SB1633 , HB3126 , HB2856 , HB3114 , HB3041 , HB3505 , HB4205 , HB5652 , HB3687 , HB5424 , HB4506 , HB3370 , HB2025 , HB4273

Transcript Highlights:

• And she also had nursing services everywhere she went.
• nursing services everywhere she<00:43:19.200><c> went.
• It asks for nine hours of nursing care.
• It asks for nine hours of nursing care.
• Representative Gander. going to work just to pay for a nurse to going to work just to pay for a nurse

Bills: HF2216 , HF1978 , HF2354 , HF1963 , HF1994 , HF1995 , HF1894

Committee: House Human Services Finance and Policy

Transcript Highlights:

• education from preK through<00:45:12.640><c> higher</c><00:45:12.960><c> ed.
• Committee in January the House Education Committee in January 2021. 2021. 2021.
• </c> the select committee on higher education the select committee on higher education in<00:45:59.359
• </c><00:48:02.800><c> Janet</c> Education Committee since 2021.
• Janet Education Committee since 2021.

Transcript Highlights:

• </c><00:09:46.480><c> um</c> Kentucky Department of Education um Kentucky Department of Education um
• </c> of what is ongoing continuing education of what is ongoing continuing education for<00:21:38.000
• c><00:21:39.679><c> for</c> for nurse practitioners for doctors for for nurse practitioners for doctors
• Um, and I think better outcomes usually are going to come when we have better education.
• We have better education.

Summary: The Make America Healthy Again task force held its first meeting to set interim priorities rather than take formal action. Co-chairs and members said the group’s goal is to identify practical policy ideas to improve Kentucky’s poor health outcomes, with an emphasis on prevention, and to gather input from members and outside stakeholders. Roll was called, several members were present, and the co-chairs noted the meeting would be limited in length and would not include a lunch break. Members identified a wide range of possible focus areas, including childhood and adult obesity, nutrition in schools, food deserts, agriculture and support for local farms, health responsibility, physical activity, mental health, and provider education on nutrition. Several speakers stressed that Kentucky’s health care costs are rising unsustainably and that prevention is cheaper than treatment. Others emphasized that the task force should work with agencies, hospitals, universities, and experts, and should narrow its work to a few actionable areas rather than “chase every rabbit.” There was also discussion of food as medicine, improving the quality of food in schools and hospitals, and making healthier choices more accessible and affordable. Members referenced conversations already underway with industries, the Kentucky Department of Education, the Kentucky Hospital Association, and agricultural leaders. No votes or formal motions were taken during the portion of the meeting provided; the main action was the exchange of priorities and direction for future task force work.

Transcript Highlights:

• That often means crimes against vulnerable adults or elderly residents in nursing homes, assisted living
• </c><00:58:45.920><c> if</c><00:58:46.040><c> the</c> of the hospital and the nursings if the of the
• hospital and the nursings if the nurses<00:58:46.480><c> would</c><00:58:46.640><c> unanimously</c><00
• :58:47.240><c> agree</c><00:58:47.520><c> that</c> nurses would unanimously agree that nurses would unanimously
• Put a nurse or two on there, put a doctor or two on there who actually work at the place.

Committee: Senate Health and Human Services

Transcript Highlights:

• We, as educators, require and rely on our entire educational community.
• Chairman, I don't sit on the Education Committee, so I'd like to ask the Education Committee chairman
• That measure is namely the Protect Education Act. That measure is namely the Protect Education Act.
• Strong schools depend on strong educators. Strong educators deserve a seat at the table.
• to actually pay to educate. the taxpayer money that flows to education to actually pay to educate students

Summary: The House convened, completed roll call, approved the journal, and took up several Senate bills and one Senate concurrent resolution through motions to reconsider, return bills for reconsideration, and refer measures to additional Committee of the Whole sessions for further amendment. Early actions included returning SB 1175 and SB 1198 to the Senate for reconsideration, rescinding passage of SB 1336 so it could be reconsidered, and referring SB 1111 and SB 152 to an additional COW. The House also recognized Representative Travers for a personal privilege statement honoring National Women Veterans Recognition Day and recorded attendance. In Committee of the Whole, members adopted floor amendments and recommended passage for SB 1511, SB 1552, SB 1198, SB 1110, SB 1618, SB 1431, and SCR 1004, with some debate on SB 1110’s home-confinement/reentry program, SB 1618’s Military Affairs Commission changes, and SB 1431’s city and town authority over residential project standards and streetscapes. The House later adopted the COW reports and moved the measures to engrossing or third reading as appropriate. SB 1336 and SB 1519 were also advanced from committee, while SB 1004 was reconsidered and ultimately failed on reconsideration. On third or final reading, the House passed SB 1127, SB 1180, SB 1428, SB 1198, SB 1336, SB 1511, SCR 1004, SB 1552, HB 2104, HB 2105, HB 2114, HB 2311, HB 2729, and HB 4117. SB 1687, SB 1004, SB 1519, and SB 1502 failed. Members explained votes on several measures, including support for tax administration clarity in SB 1180, objections and support for the May primary proposal in SB 1687, concerns about sex offender monitoring in SB 1004, support for the Arizona Beef Council in SB 1198, and debate over the photo enforcement referral in SCR 1004. The session also included recesses for caucuses, lunch, and dinner, plus a brief technical outage of the live stream.

Transcript Highlights:

• However, I also know that we are making really difficult decisions and we're cutting nursing home funding
• </c> nursing home funding and other bills. nursing home funding and other bills.
• Uh, graduation rates because we're reinvesting in public education, which means we're reinvesting in
• </c><01:14:12.040><c> homes,</c><01:14:13.040><c> our</c> the hangover in our nursing homes, our the
• hangover in our nursing homes, our disabled,<01:14:15.040><c> our</c><01:14:15.360><c> local</c><01:14

Committee: Senate Taxes

Transcript Highlights:

• There's the language access and education through initiatives like the language access hub.
• Our children are being exposed all the time, primarily while they're playing in physical education.
• So, that is something that's motivating me to continue with my education...
• I’m a family nurse practitioner who’s been practicing in the Central Valley over 30 years.
• I'm from Greenfield, California, and I'm an educator and a member of Safe Act, Safe Schools.

Summary: The joint Assembly and Senate hearing examined whether California’s pesticide program is meeting its public-protection goals, with opening remarks from committee chairs emphasizing the state’s large pesticide use, the need to transition toward sustainable pest management, and ongoing oversight including a state audit of DPR and county agricultural commissioner enforcement. The hearing also referenced recent concerns in Ladera Ranch about childhood cancer cases and the need for transparent investigation and community access to information. Panel one focused on human health and the regulatory framework. Dr. Anna Maria Mora described long-running CHAMACOS research showing widespread pesticide exposure in farmworker families, links to neurodevelopmental, respiratory, liver, and cardiometabolic harms, and greater impacts on children facing social adversity. She urged biomonitoring, better linkage of exposure data to health outcomes, regulation of chemical classes and mixtures, stronger buffers around homes and schools, and more community-based research. Professor Tim Malloy explained California’s two-tier system of DPR registration and county permitting, said the state’s program is strong but falls short on cumulative exposure analysis and alternatives assessment, and argued that DPR and counties need better tools, training, and funding to implement legally required protections. Committee members asked about biomonitoring, class-based regulation, and how to make pesticide data more usable for the public. Panel two brought testimony from environmental justice and farmworker advocates, who argued that California remains behind other jurisdictions by allowing highly hazardous pesticides, including 1,3-dichloropropene and paraquat, and by relying on a funding structure tied to pesticide sales. Witnesses said DPR often moves too slowly on reevaluations, rarely assesses combined exposures, and does not adequately account for health, environmental, and social costs or conflicts of interest involving pest control advisors. They also described inconsistent county-level implementation, weak outreach, and confusion over whether DPR or county agricultural commissioners are responsible for enforcement, and urged faster phaseouts, tiered fees, stronger local protections, and clearer accountability. Panel three represented regulated entities and agricultural stakeholders, who supported the goals of safer pest management but stressed that California’s registration process must be more predictable, transparent, and timely. They said AB 2113’s staffing and timeline reforms were important, but backlog and delays still hinder access to newer, lower-risk products and can hurt both consumer and agricultural uses. Agricultural witnesses also emphasized the need to invest more in pest prevention, invasive species detection, extension support, farmer training, and practical incentives for sustainable pest management. No votes were taken; the hearing was informational, with members pressing witnesses on timelines, implementation, funding, and the division of responsibility between DPR and county agencies.

Transcript Highlights:

• Staffing cuts are particularly prevalent in nursing home acquisitions, where it is easier for private
• This is linked to declines in nurse staffing and lower compliance with care standards.
• hours per resident day compared to other for-profit nursing homes.
• New Mexico hospitals and more than 35% of nursing homes are owned by private equity.
• So there's a 12% decline in nursing hours and an 18% lower salary for private equity-owned hospitals.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• We have testimony in support first for the nominee from the Hawaii State Center for Nursing. Hello.
• I'm the director of the Hawaii State Center for Nursing.
• </c> the Hawaii State Center for Nursing. the Hawaii State Center for Nursing.
• Board of Nursing, which at that<00:10:37.520><c> time</c><00:10:37.800><c> she</c><00:10:37.920><c>
• She's also, when we look at the generation span, a younger nurse, and so it's also very helpful to have

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee heard several governor’s message nominations for health-related boards and commissions. Kanwardeep Kaleka was considered for the Substance Abuse Kauai Service Area Board; he said his work as a psychiatrist and family physician on Kauai motivates him to improve mental health and addiction services. Kunani Dryer was considered for the Hawaii Advisory Commission on Drug Abuse and Controlled Substances; he emphasized 26 years of personal recovery, harm reduction experience, and representation of rural, LGBTQIA+, and Native Hawaiian communities. Olivia Kim was considered for the Center for Nursing Advisory Board; testimony highlighted her experience in nursing leadership, long-term care, and LPN workforce issues. Trisha Lynn Yamashita was considered for the Kauai Subarea Health Planning Council; she described her hospice leadership, public health and palliative care background, and focus on data-informed, community-centered planning. Emily Dong was considered for the Board of Certification of Operating Personnel Wastewater Treatment Plants; she stressed wastewater’s public health importance and the need to strengthen the operator workforce pipeline. Testimony in support came from the Department of Health and several organizations and individuals, including the Hawaii State Center for Nursing, Hawaii Substance Abuse Coalition, Hina Mauka, the Kauai mayor, the Healthcare Association of Hawaii, and others. Committee members generally praised the nominees’ credentials and community ties, and repeatedly noted the value of lived experience, rural perspective, and workforce expertise. One nominee, Olivia Kim, was not present and was deferred to a later meeting for decision-making. At the end of the hearing, the committee took up the governor’s messages and recommended advise and consent for GM707, GM537, GM545, GM724, and GM790, with Senator Fevella excused and no objections recorded. GM662 was deferred to Thursday, April 16, 2026, at 3:20 p.m. in Room 225 because the nominee could not attend. The committee then adjourned.

Transcript Highlights:

• The EIPA is for education only.
• The EIPA is for education only.
• The EIPA is for education only.
• The EIPA is for education only.
• The EIPA is for education only.

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• We need more education in schools. We need more education with our parents.
• And then second, the education component.
• We as adults should be the ones educating ourselves on this important matter. educating ourselves on
• Does prevention education in schools work?
• the education.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.