Transcript Highlights:

• The laws were originally passed in 2009 to protect nurses. Thank you. Texas nursing staffing laws.
• In 2009, THA, the Nurses Association, and the Legislature worked together to develop the nurse staffing
• meaningful positive change and regulation of nurse staffing and hospitals, benefiting nurses, hospitals
• First, re-educate hospitals and nurses about their rights and responsibilities under the nurse staffing
• I am a registered nurse, and I am testifying on behalf of the Texas Nurses Association and the Nursing

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• and Doctor of Nursing Practice, who was also a professor of nursing at Sacramento City College, and
• As a Black nursing instructor, I often see how few students of color make it into the nursing program
• As a black nursing instructor, I often see how few students of color make it into the nursing program
• When we have diverse nursing faculty, we inspire diverse nursing students.
• These are senior nursing students.

Summary: The Governmental Organization Committee met as a subcommittee because it initially lacked a quorum, then later established quorum and heard several bills. AB 445 by Majority Leader Aguiar-Curry would grant Colusa County 10 on-sale liquor licenses to address a long-standing shortage and support local economic development; the author said she would accept committee amendments. The bill was later approved on a due-pass-as-amended motion to Appropriations, with the roll held open for absent members before additional aye votes were added. AB 766 by Assemblymember Sharp-Collins would require state agencies and departments to conduct an equity analysis before implementing budgets or regulations, with the review performed by a DEIA coordinator or qualified equivalent. Supporters, including a college administrator and a nursing instructor, argued the bill would protect diversity, equity, inclusion, and access efforts and help address systemic barriers in education and health care. The committee voted 13-? on the measure after a due-pass motion to Appropriations, with the roll held open and later additional aye votes recorded. AB 971 by Assemblymember Alvarez would facilitate transfer of about 3.83 acres of city-owned land in San Diego to the San Pasqual Band of Mission Indians, contingent on affirmative action by the City of San Diego. The author and tribal witnesses described the bill as a step toward correcting historical injustices and reopening a currently closed park as a tribal-operated historical park and museum. The measure passed on a due-pass motion to Appropriations, again with the roll held open for absent members before additional votes were added.

Transcript Highlights:

• Do you believe in a nursing home there should be a registered nurse?
• homes without nurses?
• We need a nurse in a nursing home. Not too complicated.
• I actually think we need a nurse who will work in a nursing home.
• You can't pay your nurses.

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• Like if you just graduate from nursing school, Like if you just graduate from nursing school, and then
• Originally, school nurses had to have two years of experience coming in to be a school nurse.
• nursing.
• When a nurse graduates and becomes an RN, they leave school with basic nursing experience, not knowledge
• But in school nursing, there's nothing.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• education or nursing workforce. ...fund for organizations that are connected to the nursing education
• or nursing workforce.
• It also requires AHCA to impose a $10,000 fine against a nursing home or home office of a nursing home
• homes and the for-profit nursing homes alike?
• Nonprofit nursing homes and the for-profit nursing homes alike? It's going to cover both.

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• The nursing endowments earned $1.4 million in FY25 in investment earnings.
• We received $10 million for nursing endowments. We had experience this time.
• , including branches, have nursing programs.
• Students graduating with credentials in nursing, teaching, and social work.
• Yes, Madam Chair and presenters, how many of those were nursing faculty?

Transcript Highlights:

• And right now, the salaries to be a continuous skilled nurse in a hospital is much higher than what it
• Board of Nursing, and currently the CEO of Vitra Health.
• Jones into the nursing home where MassHealth will end up covering all of his living expenses.
• They're left with no choice in some cases but to go to a nursing home to get the care they need.
• This can make the difference between living at home or being forced into a nursing home.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• You know, 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• Of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• That means we're paying them way more than we are the current nurses because we can't hire nurses there
• You know, 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• Of our nurses are RNs in Arkadelphia or traveling nurses, or they were.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• House Bill 2187, by Representative Howard, improves Texas nursing staffing laws.
• In 2009, THA, the Nurses Association, and the Legislature worked together to develop the nurse staffing
• change, and regulation of nurse staffing in hospitals, benefiting nurses, hospitals, and patients.
• First, we need to re-educate hospitals and nurses about their rights and responsibilities under the nurse
• My name is Laura Kincheloe, I am a registered nurse, and I am testifying on. ...behalf of the Texas Nurses

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• You have assisted living or another supportive living section, nursing care.
• So as Steve mentioned earlier, all of the nursing facility, any licensed nursing facility... ...mentioned
• earlier, all of the nursing facility, any licensed nursing facility that's part of the CCRC is licensed
• And then we have a small 12-bed skilled nursing facility.
• You did it with nursing homes.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• nursing is quite a bit expensive.
• always do contract nursing and paying three to four or five times the amount?
• It seems like each month we have several contracts for contract nursing, which, you know, contract nursing
• always do contract nursing and paying three to four or five times the amount?
• If you can get us to staff, how much year to date have you paid for contract nursing?

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• This is especially applicable with skilled nursing facilities, behavioral health centers, and long-term
• I'm a registered nurse by background.
• Unhoused Oklahomans or various workforce initiatives for nursing facility staff.
• For those who might need a higher level of care, they're working with nursing care and nursing home systems
• Next, we recommend extended private duty nursing hours.

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• MEGAN MARONEY, FLORIDA NURSES ASSOCIATION. EXCUSE ME, IS IT MOODY OR MARONEY?
• NURSES AND MITIGATE THE RELUCTANCE TO WORK IN THE OR.
• SINCE 1995 AND I TRANSITIONED TO QUALITY IMPROVEMENT NURSE.
• OCULAR AND UPPER RESPIRATORY TRACT ISSUES WERE NOTED AND THIS IS JUST THE NURSES.
• AND MEGAN FAY IS WAVING IN SUPPORT FLORIDA ASSOCIATION OF NURSE AND AFTER TESTS.

Keywords: 999, senate, all

Transcript Highlights:

• a nurse in your ER and a doctor on call. a nurse in your ER and a doctor on call.
• My son-in-law is a nurse and ethicist, but at one time he was a nurse and he flew on helicopters.
• My son-in-law is a nurse and ethicist, but at one time he was a nurse and he flew on helicopters.
• than a ER nurse. than a ER nurse. That's<01:19:37.600> ludicrous. That's ludicrous.
• with a nurse practitioner. with a nurse practitioner. Really?

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and approval of the prior journal. The House communicated that it had passed House Bill 4 and requested concurrence. The chamber then received second-reading reports for Senate Bills 18, 33, 85, and 132, and committee reports indicating Senate Bills 136, 183, 2, 4, and 71 should pass, with some substitutes and title amendments. The Senate also introduced Senate Resolutions 79 and 80 honoring Joseph Harden McFarland and Jeremiah Parsons. The main floor action centered on Senate Bill 5, relating to Kentucky-grown agricultural product procurement. The sponsor described it as a way to improve school nutrition, support Kentucky producers, and keep food dollars in local communities. Several senators spoke in support, including references to the Make America Healthy Task Force and the idea of using food procurement as a tool for rural prosperity and better nutrition in schools. Senate Bill 5 passed by roll call, 38-0. The Senate also passed Senate Bill 73, which would allow home-based processors to use beef tallow in cosmetic products. The sponsor said the bill would expand existing home-processing authority beyond food products to cosmetics. It passed unanimously, 38-0. Senate Bill 12, relating to medical provider coverage and level four trauma centers, drew the most extended debate. Supporters argued it would help rural hospitals join the trauma network by allowing nurse practitioners and physician assistants to work under physician supervision, including remote supervision, and said it would improve access and save lives in underserved areas. Opponents, including a physician senator, argued the bill would lower trauma-care standards and could put patients at risk by allowing non-physician staffing in facilities that need immediate hands-on medical expertise. After lengthy discussion, the bill was advanced and then passed by roll call, with supporters emphasizing rural access and opponents warning about patient safety and the adequacy of physician coverage.

Transcript Highlights:

• There is money for those 100 nurses. You know that you're going to spend money for nursing labor.
• say you have a custodian doing nursing say you have a custodian doing nursing work<00:42:30.400>
• of the like the registry nurses of the like the registry nurses um<00:43:02.200> those<00
• <00:45:14.559> the<00:45:14.640> ER nurse the ER nurse the ER nurse<00:45:17.800> if
• nursing component.

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• So nursing facilities, for stability, infrastructure Investments in many cases. And Mr.

Keywords: 1183, house

Transcript Highlights:

• , administrative staff, school nurses, administrative staff, school nurses, teacher<00:05:33.280>
• For example, the school nurse now is licensed as a nurse, whether you’re an LNA or another level, but
• Um this list nurses.
• For example, the school nurse now is licensed as a nurse, whether you’re an LNA or another level, but
• For example, the school nurse now is licensed as a nurse, whether you’re an LNA or another level, but

Keywords: 1191, senate, all

Transcript Highlights:

• SB 1302 is a sunset bill for the Board of Registered Nursing.
• Good morning, Roxanne Gould on behalf of the American Nurses Association.
• Good morning, Olina Svetloff, President of California Clinical Nurse Specialist.
• You asked about education, and so Lori from the Board of Registered Nursing, the nurse practitioner education
• Karen Stout here on behalf of the California Nurse Midwives Association. Appreciate it.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• My name is Laura Kinchlow, director of practice at the Texas Nurses Association and a, a registered nurse
• An example of this that the Board of Nursing oversees over 400 license for registered nurses alone.
• If you've got a nurse who's doing something that's endangering the public, only the nursing board can
• revoke a nursing license.
• Does the nurses have, do the nurses have authority to go after chiropractors?

Transcript Highlights:

• Like if you just graduate from nursing school, Like if you just graduate from nursing school, and then
• Originally, school nurses had to have two years of experience coming in to be a school nurse.
• Coming in to be a school nurse.
• nursing.
• When a nurse graduates and becomes an RN, they leave school with basic nursing experience, not knowledge

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.