Transcript Highlights:

• </c><01:52:45.040><c> Last</c> to Minnesota's nursing homes. Last to Minnesota's nursing homes.
• </c> for nursing homes in distress. But Mr. for nursing homes in distress. But Mr.
• The nursing homes in Dodge and Olmstead The nursing homes in Dodge and Olmstead County<02:19:21.920><
• > do</c> sitting in nursing homes that really do sitting in nursing homes that really do wonder<02:29
• nursing homes in the fact, I've lost two nursing homes in the last<02:52:41.680><c> several</c><02:52

Transcript Highlights:

• homes and their seniors in nursing homes and their caregivers<00:13:53.360><c> part</c><00:13:53.680
• home and every nursing home bed would be impacted by this budget. 65 I mean that's pretty wild uh uh
• Thank you so much. approximately 315 to 320 nursing homes approximately 315 to 320 nursing homes across
• </c><00:20:18.720><c> home</c> those rules uh the nursing home those rules uh the nursing home Workforce
• </c><00:21:24.400><c> levels</c> nursing homes and the Staffing levels nursing homes and the Staffing

Committee: House Human Services Finance and Policy

Transcript Highlights:

• homes for nursing home residents.
• A day if you only have three people signed up at this nursing home and 20 signed up at this nursing home
• On top of that, you have some nursing homes have one nursing home voter.
• Some nursing homes have 33 nursing home voters. It just depends on who signs up for it.
• The nursing home has to contact you.

Committee: House House and Governmental Affairs

Summary: The Committee on House and Governmental Affairs met on March 18 and first adopted the minutes from its February 21 meeting. The committee then took up HB 250, which would have narrowed financial disclosure requirements for appointed, unpaid board and commission members by exempting immediate family information. Supporters said the bill would reduce burdens and help recruit volunteers, while opponents argued it would weaken ethics enforcement and create opportunities for undisclosed conflicts of interest. After debate and a roll call, the committee deadlocked and HB 250 failed to advance on a 6-6 vote with one abstention. The committee next considered HB 576, which transfers ownership and maintenance responsibility for the Old Governor’s Mansion to the Department of State and codifies its current operational role. Secretary of State Nancy Landry and mansion staff testified in support, describing expanded programming, increased visitors, and the need to align the statute with current practice. The committee adopted technical amendments and then reported HB 576 favorably without objection. The committee also heard HB 117, which recreates the Department of State and its statutory entities through July 1, 2033, and reported it favorably without objection. The major remaining item was HB 842, the annual omnibus elections bill, which makes numerous technical and substantive changes to election law, including voter assistance for people with disabilities, absentee ballot and petition procedures, inactive voter updates, and election contest deadlines. Several members and public witnesses raised concerns about disability documentation, absentee ballot curing, witness requirements, constitutional amendment challenge deadlines, and the scope of authority given to the Secretary of State, while others said the bill clarified existing practice and improved election administration. After adopting amendments and rejecting a motion to defer, the committee reported HB 842 favorably by an 8-5 vote.

Transcript Highlights:

• And the supervising nurse must have been a registered nurse.
• The Florida Nurses Association supports the Board of Nursing in its critical role in ensuring that nursing
• nursing programs must meet.
• Florida needs nursing, nurses who know what they're doing, not scams and failures. Thanks, Mr.
• I'm a registered nurse of 45 years. We've been hearing a lot from nursing this morning.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• It costs 15 to 20% less than nursing home care while providing better health outcomes.
• home or avoid placement in an SSLC, now we're spending money to send a nurse out there to do all these
• Would that be different than what we do for nursing homes?
• It costs 15 to 20% less than nursing home care while providing better health outcomes.
• In-home host homes, there's a lot of nursing oversight that goes towards that. that really is kind of

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• These clearly apply to nursing homes and do not apply to rest homes.
• , religious order, and skilled nursing facilities with rest home beds.
• Staffing varies from rest home to rest home, where not all homes have licensed nursing services present
• Fortunately, my family, we haven't had to deal with nursing homes very much.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• Home health are not the same as nursing homes. It's not the same, and I concede that. But U.S.
• All three in nursing. So they may be out here that the nursing home is looking for staff.
• Tammany for more nursing homes.
• in the nursing homes.
• Poor people in nursing homes cannot afford those services.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• </c><00:09:47.320><c> still</c> be in a nursing home but they are still be in a nursing home but they
• > loss</c> with the nursing home industry the loss with the nursing home industry the loss of<00:30:46.440
• nursing home, and so the Benedictine Health System had a nursing home in our community.
• are</c> hospitals nursing homes and others are hospitals nursing homes and others are more<01:04:04.720
• nursing homes have a lot Etc I know the nursing homes have a lot of<01:40:38.920><c> issues</c><01:40

Committee: House Health Finance and Policy

Transcript Highlights:

• Okay, this is in-house hospice, not home hospice. Okay, but you mentioned a nursing home.
• So I'll use a nursing home, for instance.
• You have the nurses with the nursing home, but then hospice comes in with a whole different care delivery
• And so I hope there's no nursing homes that go through this process.
• Something that... ...up to and including closing the nursing home.

Committee: House Health and Welfare

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

Transcript Highlights:

• And the supervising nurse must have been a registered nurse.
• The Florida Nurses Association supports the Board of Nursing in its critical role in ensuring that nursing
• nursing programs must meet.
• Florida needs nursing, nurses who know what they're doing, not scams and failures. Thanks, Mr.
• I'm a registered nurse of 45 years. We've been hearing a lot from nursing this morning.

Bills: S0162 , S0254 , S0688 , S0794 , S1110 , S1574

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• You see, across the street from us was a sober home.
• Eighteen individuals fighting recovery lived in that sober home.
• We don't want these homes around us." That doesn't fly with me.
• It couldn't be implemented back at home.
• The soldiers were happy; they finally heard from home.

Bills: HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90 , SB1806 , SB783 , SB1271 , SB326 , SB1637 , SB769 , SB897 , SB1035 , SB1706 , SB1185 , SB1194 , SB384 , SB1426 , SB1468 , SB1215 , SB1066 , SB599 , SB1930 , SB2065 , SB767 , SB1619 , SB1738 , HB1500 , HB718 , HB23 , HB34 , HB 119 , HB 128 , HB 130 , HB132 , HB2756 , HB166 , HB406 , HB186 , HB331 , HB380 , HB1583 , HB1584 , HB621 , HB303 , HB552 , HB366 , HB463 , HB 1211 , HB1327 , HB1461 , HB923 , HB1760 , HB2467 , HB5333 , HB1592 , HB1576 , HB1552 , HB2018 , HB3511 , HB1781 , HB2013 , HB2340 , HB2508 , HB2970 , HB865 , HB2851 , HB3385 , HB3336 , HB3309 , HB 1127 , HB 1232 , HB1397 , HB4236 , HB4041 , HB1965 , HB2730 , HB3698 , HB3699 , HB163 , HB201 , HB272 , HB405 , HB519 , HB654 , HB694 , HB791 , HB 1136 , HB 1240 , HB 1266 , HB 1275 , HB1437 , HB1532 , HB1675 , HB1842 , HB1868 , HB1894 , HB1943 , HB1990 , HB2029 , HB2061 , HB2286 , HB2523 , HB2622 , HB2652 , HB2692 , HB2842 , HB2885 , HB3016 , HB3096 , HB3248 , HB3255 , HB3479 , HB3611 , HB3623 , HB3803 , HB3804 , HB3805 , HB3806 , HB3810 , HB3816 , HB4129 , HB4163 , HB4187 , HB4238 , HB4454 , HB4588 , HB4643 , HB4738 , HB4739 , HB4945 , HB5015 , HB5616 , HB1749 , HB1775 , HB 118 , HB1762 , HB2520 , HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90

Keywords: zoning, public notice, local government, residential development, protests, peer support, first responders, mental health, confidentiality, emergency services, information network, health services, client referral, data privacy, disaster preparedness, accreditation, community services, sexual assault, victim rights, forensic examination

Summary: The Florida House conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included land development and wetlands mitigation (SB 492), renewable natural gas infrastructure investment (SB 1574), local government regulation (SB 1080), housing and accessory dwelling units (SB 184), recovery residences (SB 954), and various health, education, and criminal justice measures. The session also addressed returning messages from the Senate with amendments, transportation facility designations, and claims bills for wrongfully convicted individuals. Several bills passed unanimously while others faced structured debate.

Transcript Highlights:

• There are over 1,100 nursing homes and over 2,000 assisted living facilities in Texas.
• You brought it home today. I appreciate you reminding...
• That can power 100 homes.
• HB 2851 by Howard relating to including nursing...
• House Bill 713 would allow nurses to...

Bills: HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90 , SB1806 , SB783 , SB1271 , SB326 , SB1637 , SB769 , SB897 , SB1035 , SB1706 , SB1185 , SB1194 , SB384 , SB1426 , SB1468 , SB1215 , SB1066 , SB599 , SB1930 , SB2065 , SB767 , SB1619 , SB1738 , HB1500 , HB718 , HB23 , HB34 , HB 119 , HB 128 , HB 130 , HB132 , HB2756 , HB166 , HB406 , HB186 , HB331 , HB380 , HB1583 , HB1584 , HB621 , HB303 , HB552 , HB366 , HB463 , HB 1211 , HB1327 , HB1461 , HB923 , HB1760 , HB2467 , HB5333 , HB1592 , HB1576 , HB1552 , HB2018 , HB3511 , HB1781 , HB2013 , HB2340 , HB2508 , HB2970 , HB865 , HB2851 , HB3385 , HB3336 , HB3309 , HB 1127 , HB 1232 , HB1397 , HB4236 , HB4041 , HB1965 , HB2730 , HB3698 , HB3699 , HB163 , HB201 , HB272 , HB405 , HB519 , HB654 , HB694 , HB791 , HB 1136 , HB 1240 , HB 1266 , HB 1275 , HB1437 , HB1532 , HB1675 , HB1842 , HB1868 , HB1894 , HB1943 , HB1990 , HB2029 , HB2061 , HB2286 , HB2523 , HB2622 , HB2652 , HB2692 , HB2842 , HB2885 , HB3016 , HB3096 , HB3248 , HB3255 , HB3479 , HB3611 , HB3623 , HB3803 , HB3804 , HB3805 , HB3806 , HB3810 , HB3816 , HB4129 , HB4163 , HB4187 , HB4238 , HB4454 , HB4588 , HB4643 , HB4738 , HB4739 , HB4945 , HB5015 , HB5616 , HB1749 , HB1775 , HB 118 , HB1762 , HB2520 , HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90

Keywords: zoning, public notice, local government, residential development, protests, peer support, first responders, mental health, confidentiality, emergency services, information network, health services, client referral, data privacy, disaster preparedness, accreditation, community services, sexual assault, victim rights, forensic examination

Transcript Highlights:

• </c><00:26:54.080><c> homes</c> $2.5 million to the nursing homes $2.5 million to the nursing homes because
• But what I really want to talk about is the nursing home piece because nursing homes underpin our entire
• talk about is the nursing home piece because<00:31:18.880><c> nursing</c><00:31:19.279><c> homes</c><
• The House was not the body that added the $2.5 million for the nursing homes or the nursing home policy
• non-lasting</c> the nursing homes, with the non-lasting the nursing homes, with the non-lasting language

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

Transcript Highlights:

• ON THE FIRST DAY THE GUEST IS VISITED BY THE EXECUTIVE DIRECTOR OR LICENSED NURSING HOME ADMINISTRATOR
• THE FLORIDA HEALTH INFORMATION EXCHANGE SP 2514 REQUIRES NURSING HOMES TO MAINTAIN ELECTRONIC HEALTH
• FOR THE FLORIDA NURSING HOME UNIFORM RECORDING SYSTEM RIVER GARDEN HAS SUBMITTED THE REQUIRED FINANCIAL
• FLORIDA IS HOME TO OVER MORE THAN 700 NURSING CENTERS AND FLORIDA HEALTH CARE ASSOCIATION IS PROUD TO
• WE HAVE FIVE SEPARATE NURSING UNITS IN THE HOME AND THEY HAVE A COMPETITION GOING OF WHO CAN HAVE THE

Transcript Highlights:

• 07.360><c> are</c> homes and nursing facilities are are homes and nursing facilities are are kind<01:
• <01:50:13.600><c> home</c><01:50:14.320><c> on</c> nursing home on nursing home on Medicaid.<01:50:16.960
• not just for nursing homes, uh, because<01:55:50.080><c> nursing</c><01:55:50.480><c> homes</c><01:55
• > private nursing homes, uh probably just private nursing homes, uh probably just about<01:58:02.159>
• And if we have a call nursing home.

Committee: Senate Finance

Transcript Highlights:

• And when they use the term nurse, registered nurse, licensed nurse, or similar professional titles, would
• nurse, doesn't say using the title nurse, registered nurse, or licensed practical nurse are the only
• Many nurses hold doctoral degrees in nursing practice, nursing education...
• Many nurses hold doctoral degrees in nursing practice, nursing education, and nursing leadership.
• homes.

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• These clearly apply to nursing homes and do not apply to a rest home.
• Staffing varies from rest home to rest home, where not all homes have licensed nursing staff present
• compared to other types of long-term care services like ALRs or nursing homes, and specifically, do
• Fortunately, my family, we haven't had to deal with nursing homes very much.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• Budget neutrality requires the state to cut spending to nursing homes as nursing home costs rise.
• c> a</c><00:37:36.480><c> rate</c> nursing homes that experienced a rate nursing homes that experienced
• </c><00:42:02.319><c> homes</c> Only one of the seven nursing homes Only one of the seven nursing homes
• ,</c><00:43:01.520><c> which</c> nursing on nursing home care, which nursing on nursing home care, which
• Um, with that, as we were the worst impacted nursing home of all of the impacted nursing homes with the

Committee: Senate Finance

Transcript Highlights:

• to be, or is she going to end up in a nursing home?
• And if she ends up in a nursing home, will she ever get out of that nursing home?
• they don't want to be in a nursing home, and they really don't need to be in a nursing home?
• And as we know, nursing homes are much more costly settings than receiving services in the home where
• Forty percent went to nursing homes and 18% went to rest homes.

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• </c><00:05:22.960><c> homes</c> members, we fully fund the nursing homes members, we fully fund the nursing
• </c><00:13:41.839><c> home</c><00:13:42.000><c> reimbursements</c> services and nursing home reimbursements
• And also phasing out the nursing home layaway bed program.
• And also phasing out the nursing home layaway bed program.
• Make no mistake: people who are relying on Medicaid in nursing homes, in group homes, individuals with