Transcript Highlights:

• I'm a registered respiratory therapist. I work at Emanuel Medical Center.
• I'm a registered respiratory therapist. I work at Emanuel Medical Center.
• My name is Marianne Vosconi, and I am a registered nurse.
• And Eliza does go to school and she has one-on-one nurse, LVN nurse.
• We need nursing help at home to have that respite. But Eliza is a joyful little girl.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• I think he should be a registered sex offender.
• I think he should be a registered sex offender.
• the supervisor of the SANE nurse.
• I'm calling you our nursing director, even though what's your official title? Chief of Nursing?
• Chief Nursing. All right, perfect.

Committee: House Administration of Criminal Justice

Summary: The committee first deferred HB 374 without objection. It then heard SB 46, which creates the crime of unlawful operation of a group home aimed at protecting vulnerable adults living in unsafe, unlicensed residences where operators control residents’ assets. The Attorney General’s office described severe neglect and exploitation in some homes, while the Louisiana Fair Housing Action Center opposed the bill over concerns it could create confusion, criminalize legitimate recovery or disability housing, and chill protected housing arrangements. After discussion, including assurances that the bill was narrowly targeted at bad actors, the committee reported SB 46 favorably. The committee next took up HB 276, which sets a statewide minimum bail amount for certain sexual offenses against minors. Testimony from a victim’s mother and an anti-trafficking expert supported the bill as a way to keep dangerous offenders detained and protect children, while members debated whether the original $50,000 minimum was too low and could be treated as a benchmark. The committee amended the bill in committee to raise the minimum to $1 million and to add human trafficking involving a victim under 18 to the covered offenses, then reported HB 276 favorably as amended. Members then heard SB 42 and SB 110, both addressing AI-generated child sexual abuse material. SB 42 expands the definition of child sexual abuse material to include digital and AI-generated depictions, while SB 110 prohibits using a child’s image to train AI to produce such material. The Attorney General’s office and survivor advocates supported the measures as necessary updates to keep pace with technology and protect children; the committee reported both bills favorably. HB 998, dealing with forensic medical exams and reimbursement for domestic violence victims, especially strangulation cases, was also heard and amended to remove human trafficking references and set implementation steps; advocates said the bill would improve evidence collection and reimbursement, and it was reported favorably with amendments. Finally, the committee heard SB 51 on fraudulent representation of military service or awards, which was supported as a tool to address stolen valor and was reported favorably, and HB 323 on notification and reporting of inmate deaths, which was presented as a transparency measure after a family testified about learning of a relative’s death from the news rather than the facility.

Transcript Highlights:

• That completes our list of registered testifiers.
• That completes our list of registered testifiers.
• </c> staff acos attacked including uh nurses staff acos attacked including uh nurses we<00:20:19.159>
• </c> face by an inmate several of our nurses face by an inmate several of our nurses have<00:20:32.640
• </c><00:24:42.480><c> testifiers</c> of individual and registered testifiers of individual and registered

Summary: The Senate Committee on Public Safety and Military Affairs met on January 29, 2025, and first took up deferred SB 259 on record keeping. The chair said Honu Police Department had submitted support, and the committee recommended passage with amendments, including a technical change to the effective date on page 4, line 6 to July 1, 2077. Vice Chair Elefante voted yes; Senators Fevella and Rhoads were excused; the recommendation was adopted. The committee then heard SB 603 and SB 608, both relating to veterans benefits consulting and compensation. The Attorney General’s office recommended amendments to address First Amendment, Contracts Clause, and savings-clause issues, and testimony was mixed, with several supporters from veterans-related organizations and several opponents, including some testifiers from the public and industry groups. The committee later adopted chair recommendations to pass both bills with amendments, including preambles about protecting veteran consumers from misleading or unfair practices, savings clauses, and effective-date changes to July 1, 2077. SB 601, relating to law enforcement search notices and securing entrances, drew support from the Office of the Public Defender and a private citizen who described the bill as a response to warrantless searches and a transparency measure; there was also opposition from Maui County police and one other testifier. The committee then moved to SB 871 on arson, where the Department of the Attorney General raised drafting and constitutional concerns and the Public Defender opposed the measure as vague, overbroad, and creating problematic sentencing provisions, while HPD supported it as a public-safety tool. The chair ultimately recommended SB 871 pass with amendments softening mandatory language, adding parole language, and changing the effective date to July 1, 2077; the recommendation was adopted. The final measures were SB 1130, exempting certain construction rebuilding materials from general excise tax in federally declared disaster areas, and SB 104, restricting solitary confinement in correctional facilities. The Department of Taxation requested third-party certification and a later effective date, and the committee adopted amendments reflecting those requests and moving the effective date to January 1, 2026. On SB 104, the Department of Corrections and Rehabilitation opposed the bill, citing staff assaults and existing policy updates, while the Oversight Commission, Public Defender, and multiple advocates supported it as a safeguard with oversight and due process protections. The committee passed SB 104 with amendments, including adopting the commission’s definition language, changing terminology to “restrictive housing,” and setting the effective date to July 1, 2077.

Transcript Highlights:

• We've also created a registered apprenticeship program for web accessibility, where we have individuals
• We have 329 registered apprenticeship programs and approximately 68 pre-apprenticeship programs.
• We look at the total number of nursing completers, and then we also take a look at the performance of
• Right now, 14 out of the 28 Florida College System institutions that offer the AS degree in nursing have
• I mean, who doesn't live in Florida and know we have a nursing shortage?

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• NURSING EDUCATION.
• HERE AND NURSING EDUCATION OFTEN.
• STATES IN FIRST TIME PASS RATES WITH REGISTERED NURSES AND PRACTICAL NURSES.
• THE STATE'S REGISTERED NURSE PASS RATE IN 2024 WAS 84.9, SIGNIFICANTLY BELOW THE NATIONAL AVERAGE OF
• I WOULD NOT BE A GOOD NURSE.

Transcript Highlights:

• So, let's move on to HP 2372, authorizing registered nurses and qualified paramedics to administer medication
• </c><01:06:56.559><c> nurses</c><01:06:57.039><c> and</c> authorizing registered nurses and authorizing
• registered nurses and qualified<01:06:57.920><c> paramedics</c><01:06:58.960><c> to</c><01:06:59.280
• It will say that the attending physician, physician assistant, advanced practice registered nurse, or
• If not, Vice Chair. assistant, advanced practice registered assistant, advanced practice registered nurse

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• Mary Westman has an impressive record of knowledge and experience spanning several areas from nursing
• She has an impressive record of knowledge and experience spanning several areas from nursing to teaching
• Christian University and a Bachelor of Arts in Healthcare Administration and an associate's degree in nursing
• By profession, I am a registered nurse. I'm a former health care executive.
• By profession, I am a registered nurse.

Committee: Senate Local and County Government

Summary: The Senate Committee on Local and County Government met and first considered the nomination of Mary Westman to the Oklahoma Department of Libraries Board. Senator Standridge presented Westman, highlighting her background in nursing, health care, law, and business. Westman said she would focus on working within the board’s statutory authority, supporting local communities, and using resources efficiently. After a brief question-and-answer period, the committee voted 6-0 to advance her nomination to the full Senate. The committee then considered the nomination of Samuel Alaback to the same board, presented by Senator Reinhardt. Reinhardt emphasized Alaback’s leadership experience at Oklahoma State University and his work as a middle school literature teacher. Alaback said he wanted to help address the state’s literacy challenges and support libraries as community spaces, while learning from other board members. Following questions about his priorities and plans, the committee voted 6-0 to advance his nomination to the Senate. The meeting then adjourned.

Transcript Highlights:

• Nursing home associations always advocated for nursing homes, whether you're for-profit, not-for-profit
• nurse, or licensed practical nurse, or a person who holds a multi-state privilege to practice such nursing
• under the Nurse Licensure Compact. ...who holds a multi-state privilege to practice such nursing under
• the Nurse Licensure Compact.
• An advanced practice registered nurse, an optometrist, a podiatrist, a physician assistant, a chiropractor

Committee: House Courts of Justice

Transcript Highlights:

• Do not register until you hear the bell. The House will proceed to register.
• Have you all registered? Points of personal privilege.
• Have you all registered? The clerk will...
• HB 2910, register our contractors, administrative recovery, Commerce.
• HB 2910, register our contractors, administrative recovery, Commerce.

Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved the prior journal, and recorded attendance at 56 present, zero absent, and four excused. Members then used personal privilege to introduce guests and recognize visiting groups, including the West Valley Regional Chamber, Habitat for Humanity, Special Olympics Arizona, Vitalant, and veterans and military representatives. The chamber and blood donor month proclamations were read, with Representative Bliss recognizing January as National Blood Donor Month in Arizona and Vitalant’s role in supplying most of the state’s blood supply, and Representative Aguilar declaring January 22, 2026, West Valley Regional Chamber Day. The House handled a large volume of procedural business, including reports of standing committees, first reading and referral of numerous bills and resolutions, and announcements of committee meetings. The bills covered a wide range of topics such as elections, education, housing, taxes, health care, artificial intelligence, veterans, public safety, and energy. Several measures were also withdrawn and reassigned to different committees, including referrals to the Committee on Artificial Intelligence and Innovation, Government, Public Safety and Law Enforcement, and Natural Resources, Energy, and Water. Members also made brief remarks honoring guests and community causes, including a Veterans Caucus lunch announcement focused on military-family policy and a personal remembrance by Senator Cruz. No substantive floor votes on legislation were taken beyond procedural approvals and the motion to adjourn. The House recessed and later adjourned until 1:15 p.m. on Monday, January 26, 2026.

Transcript Highlights:

• My name is Lorena Silva, and I'm a licensed registered nurse, a former executive director of the Massachusetts
• Board of Nursing, and currently I'm the CEO of Vitra Health.
• I'm a licensed registered nurse, a former executive director of the Massachusetts Board of Nursing, and
• I'm a licensed registered nurse, a former executive director of the Massachusetts Board of Nursing, and
• , nurse practitioners, PAs, and physicians.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• Today is National Nurses Day, so can we give nurses a round of applause?
• So thank a nurse for a lot of things. And we have a nurse, Representative Jones—thank you, nurses.
• So thank a nurse for a lot of things. And we have a nurse, Representative Jones—thank you, nurses.
• I'm the lead nurse for Santa Fe Public Schools, and I'm here to represent the New Mexico School Nurses
• Before going to medical school, I worked as a nurse.

Summary: The committee first took up House Bill 213, which would allow optometrists to perform three specific laser procedures. The sponsor presented a committee substitute adding 32 hours of approved advanced training, supervised live-patient practice, adverse-event reporting, and other accountability measures. Supporters argued the bill would improve access to care, while the New Mexico Medical Board opposed it, citing patient-safety concerns and the much greater training required of ophthalmologists. After debate, the committee adopted the substitute and passed the bill 6-3. The committee then considered House Bill 65, renamed the Foster Care Plus pilot program. The substitute changed the bill to require clinical assessment instead of CAN assessment, added reporting to the Legislature and LFC, and clarified contracting with clinical experts. CYFD officials said the $2.5 million request, combined with existing growth funding, would support more children, staff, foster-parent stipends, and related services, and that the program is already being implemented with help from Oklahoma-based experts. Some members remained concerned about cost, staffing, and whether the program could be sustained, but the committee adopted the substitute and passed the bill 8-1. House Bill 127, on expedited medical licensure, was amended to create a provisional pathway for internationally trained physicians, require a job offer and benchmarks before full licensure, and establish a telemedicine registry. The Medical Board supported the amended bill, while public commenters emphasized physician shortages and access to care. The committee adopted the amendment and passed the bill. House Bill 128, which updates firefighter occupational disease and disablement presumptions to add cancers and other changes, drew strong support from firefighters, labor, and workers’ compensation officials; the committee adopted the amendment and passed the bill. House Bill 156, which removes the sunset on the state’s authority to set vaccine guidelines and continue its vaccine program, also passed after supporters argued it preserves access and opponents raised broader vaccine-policy concerns. The committee then began hearing House Bill 137, a buprenorphine access bill, with the sponsor and advocates describing pharmacy supply barriers and a committee substitute aimed at setting minimum stock standards, requiring distributor reporting, and avoiding fines on pharmacies.

Transcript Highlights:

• Elected officials who registered will be called upon first.
• any individuals who did not pre-register but signed up at the door to testify.
• I treat medically frail, compromised nursing home patients.
• One day, in the middle of the week, I get a call from her nurse.
• There is no further testimony from persons who registered with the committee.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• Beverly is a lifelong Oklahoman, Native American, daughter, wife, mother, aunt, and registered nurse.
• So after taking... ...hospital as a nurse assistant, she was encouraged to become a nurse.
• Beverly has held many different positions in health care: registered nurse, staff nurse, nurse supervisor
• Health care is registered nurse.
• She has been a staff nurse, nurse supervisor, clinical, clinic administrator, educator, director, quality

Bills: HR1051 , HR1048 , SB2074 , SJR39 , SJR47 , SB1983 , SB444 , SB1503 , SB1561 , SB592 , SB1501 , SB1946 , SB1567 , SB1833 , SB2026 , SB904 , SB2178 , SB1651 , SB1558 , SB1565 , SB1553 , SB1257 , SB65 , SB1749 , SB1242 , SB1642 , SB640 , SB667 , SB1436 , SB1484 , SB1562 , SB1794 , SB1644 , SB1533 , SB933 , SB1555

Summary: The House opened with prayer, the Pledge of Allegiance, and a series of special presentations and introductions celebrating Oklahoma State University, the Cowgirl Wrestling Club, the OSU livestock judging team, military children, poster contest winners, and several visiting groups and honorees. The chamber also recognized the Doctor of the Day, Dr. Kurt Emerson, and the Nurse of the Day, Beverly Felton. Much of the floor time was devoted to OSU Day remarks, including a citation honoring the university and comments from Speaker Hilbert, Coach Eric Morris, and President Jim Hess. The House then took up Senate Bill 2074, a pharmacy benefit manager measure intended to regulate PBMs and support pharmacists. An amendment by Representative Jenkins to remove a section of the bill was tabled, and members questioned the bill extensively about reimbursement rates, consumer costs, employer options, transparency, and the impact on independent pharmacies. After debate, the bill advanced and passed the House by a vote of 87-7. Members also considered Senate Joint Resolution 39, which would place a constitutional amendment on the ballot to cap property tax growth. The measure, as amended, would set a 1.75% annual cap on homestead property tax growth and a 4% cap on other properties, with a stair-step senior freeze. The resolution drew debate over effects on local government revenue, schools, roads, jails, and inflation, but supporters argued it would provide strong taxpayer protections. The House passed the resolution 85-9 and then took the additional vote required to refer the constitutional amendment to a special election.

Transcript Highlights:

• And when they use the term nurse, registered nurse, licensed nurse, or similar professional titles, would
• Would this bill allow, because it doesn’t say using the title nurse, registered nurse, or licensed practical
• I am a registered nurse in Florida with over 40 years of experience.
• Many nurses hold doctoral degrees in nursing practice, nursing education...
• Many nurses hold doctoral degrees in nursing practice, nursing education, and nursing leadership.

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and 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 complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• And then some provisions for understanding the role of registered nurses in administering care, med monitoring
• <c> care,</c> registered nurses in administering care, registered nurses in administering care, med<00
• Uh we licensed living in nursing homes.
• </c><00:19:38.320><c> homes,</c> settings as we do for nursing homes, settings as we do for nursing homes
• ><c> the</c><00:19:40.559><c> benefit</c> skilled nursing that enjoy the benefit skilled nursing that

Transcript Highlights:

• reminder, primary witnesses and support must be those accompanying the author or who otherwise have registered
• Good afternoon, Karen Stout here on behalf of the California Nurses Association in support.
• Roxanne Gould, with the American Nurses Association California, in support.
• Karen Stout, on behalf of the California Nurse Midwives Association, in support.
• And we've In just the last three months from these nursing facilities to independent housing.

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• I'm a registered nurse and a member of the United Nurses Associations of California, Union of Healthcare
• I've been a nurse for more than 20 years, and I can't remember a time when nurse-patient ratios have
• I'm a registered nurse in the emergency department, and we support SB 596. Thank you.
• You know, nurses that I talk to, we know nurses are leaving the profession, and this is one of the huge
• As a member, this doesn't change the amount of hours a nurse works, the amount of shifts a nurse will

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Specifically, that person must have been registered with their political party or registered with no
• We have some nurses from the Florida Nurses Association.
• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. 440,000 nurses
• Nurses Association, as well as Sandra Falk, a retired operating room nurse.

Summary: The Senate convened with prayer, the Pledge of Allegiance, several introductions, and an announcement that there would be no conference that weekend. The chamber then took up a long special order calendar and passed a series of bills, often by substituting House companions. Early measures included trust law modernization to create a nonjudicial trustee discharge process, military affairs changes expanding leave and retirement-related provisions, a bill to prepare for the end of penny use by standardizing cash rounding, and a podiatric medicine bill regulating cellular or tissue-based products and informed consent. The Senate also approved veterans court expansion, RV park assessment clarification, alcohol-loss tax deduction authority, bail bond and pretrial release revisions, and a military-installation jurisdiction bill to allow juvenile cases on bases to be handled in state juvenile court under certain conditions. Most bills passed unanimously or near-unanimously, with the bail bond bill passing 36-1 after questions about charitable bail bonds and confirmation that existing law on return of charitable bail funds would remain unchanged. The chamber then paused for a lengthy farewell presentation honoring Senator Lori Berman, featuring a video, remarks from many senators, and Berman’s own closing speech reflecting on her 16 years of service, her legislative priorities, and her call for civility, bipartisanship, and continued support for issues such as school safety, Israel, anti-Semitism, and affordability. After the tribute, the Senate resumed and passed additional bills, including one expanding insurance coverage definitions for portable electronics and eyewear, a workforce and nursing education funding bill broadening support for health science programs, a recovery residences regulatory streamlining bill, a felony battery enhancement bill adding resisting an officer with violence as a qualifying prior offense, and a child welfare bill extending visitor thresholds in out-of-home placements, making the Step Into Success program permanent, and creating a best-practices program. The chamber also advanced a candidate qualification bill tightening party-affiliation requirements and adding a House provision on recent legal name changes; debate began on that measure as the transcript ended.

Transcript Highlights:

• I'm a registered nurse.
• I'm a family nurse practitioner, and I sit my boards for my psych mental health nurse practitioner degree
• I'm a registered nurse.
• I'm a family nurse practitioner, and I sit my boards for my psych mental health nurse practitioner degree
• I'm a registered nurse.

Committee: House Health and Welfare

Transcript Highlights:

• I'm Kristen Roman, a certified registered nurse anesthetist, speaking on behalf of the California Association
• CRNAs are advanced practice registered nurses with advanced education and training to provide safe, high-quality
• CRNAs are advanced practice registered nurses with advanced education and training to provide safe, high-quality
• I'm a practicing attorney and a registered nurse.
• I'm a practicing attorney and a registered nurse.

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.