Transcript Highlights:

• In 1948, we added the regulation of LPNs, and in 1995 we added advanced practice registered nurses.
• RNs and LPNs are required to pass a standard national licensure exam in order to be licensed, and advanced
• The LPNs in Arkansas receive a certificate.
• The LPNs in Arkansas receive a certification of graduation.
• Their program length is about one year, and currently there are 14,000 actively licensed LPNs in the

Summary: The Occupational Licensing Review Subcommittee met to review two occupational licensing reports: the Arkansas State Board of Nursing and the State Board of Registration for Professional Soil Classifiers. For nursing, board officials described the board’s history, scope, and licensure categories, noting it regulates about 72,000 nurses and oversees RNs, LPNs, advanced practice nurses, medication assistants, and a new dialysis patient care technician registry. Members asked about workforce shortages, complaint types, and the board’s finances; the board said Arkansas has enough licensed nurses overall but has vacancy issues in some areas, complaints commonly involve criminal backgrounds, fraud, misrepresentation, drug abuse, and misappropriation, and the average case length is 191 days though some cases remain open much longer while awaiting criminal adjudication. Officials also said they are working on efficiency improvements and have added help positions with Department of Health support. The report was accepted without objection. The committee then reviewed the soil classifier program, now housed under the Natural Resources Commission after the former board was abolished in 2023. Agriculture Department officials explained that soil classifiers are a small, specialized profession requiring a four-year degree with coursework in biological, earth, and soil sciences, and that the state currently has 29 registered soil classifiers. Members asked whether that number is sufficient, what the work involves, and how the program’s finances are used. Officials said the profession is mainly used for septic system design, wetland determinations, nutrient management, and other soil-related work, and that current staffing appears adequate. They also noted the program has about $20,000 in reserves, above the statutory three-year balance, and discussed possible uses such as training, curriculum upgrades, and expanded administrative funding. The report was also accepted without objection, and the meeting adjourned with the next meeting scheduled for February 19 at 1:30 p.m.

Transcript Highlights:

• We license LPNs, RNs, and APRNs.
• >> That's for all the nurses. >> The nurse LPNs are odd years.
• >> That's for all the nurses. >> The nurse LPNs are odd years.
• RNs are even years. >> And that includes the APN, APRN. >> Yes. >> The nurse LPNs are odd years.
• >> The nurse LPNs are odd years. RNs are >> The nurse LPNs are odd years.

Keywords: Appropriations - Room 216, 4 February, 2026; 9:00 AM, 925, all

Summary: The committee first heard from the Board of Dental Examiners on its FY27 budget request. Board staff said the agency licenses and regulates dentistry and dental hygiene in Mississippi, with nearly 7,500 licenses and permits. They described recent accomplishments, including implementation of a new database and completion of sedation-permit inspection requirements, and said those changes created about $80,000 in savings. The board’s main remaining request was a 3% staff progression costing $20,539; members also discussed a possible $29,000 ITS charge tied to House Bill 1491, though staff said that cost might no longer be needed if the funding shifts back to ITS. The board also explained its revenue sources, including dental, hygienist, and dental assistant x-ray permits, and clarified that the “radiology” permits are for dental assistants authorized to take x-rays. Members asked about fees, renewal cycles, sedation permit classes, and continuing education requirements, and the board said it was fully staffed and did not need vacancy funding. The committee then heard from the Board of Nursing, which said it regulates about 80,000 LPN, RN, and APRN licenses and oversees workforce programs and disciplinary matters. The board emphasized its Office of Nursing Workforce, noting more than $4 million in grants to nursing programs from 2019 to 2024 and thousands of scholarships awarded to nursing students, with recipients required to work in Mississippi for a period after graduation. It said staffing remains a major problem because salaries are not competitive, leading to difficulty filling positions; between October and December, 10 positions were posted and only two were filled. The board said the legislative budget recommendation would eliminate five positions, and it requested $112,466 in salary funding to restore and support staff pay, including a maximum 7% progression for nursing positions, a 4% increase for nonexecutive staff, and a 2% increase for executive staff. The nursing board also requested additional contractual and technology funding. It said House Bill 1491 would increase annual fees by $49,486 plus a one-time $3,000 data migration charge, and it requested $13,800 for an ongoing subscription tied to the military medics program assigned to the board in the prior session. It also said a proposed human trafficking bill would require another $10,000 if enacted. Members asked about the board’s cash balance, renewal cycles, and staffing structure, including investigatory and compliance functions, and the board said it had about 39 current employees and was monitoring roughly 130 people in compliance, including about 30 in a confidential monitoring program for substance use or severe psychiatric conditions. No votes were taken; the hearing concluded with members thanking both boards and inviting follow-up questions before appropriations decisions.

Transcript Highlights:

• 45.959> nurses<00:10:46.920> or licens practical nurses or licens practical nurses or LPN
• um and those um you can obviously LPN um and those um you can obviously see<00:10:52.959> those
• <00:17:33.960> dietary<00:17:34.880> laundry assistants um tmas LPNs dietary laundry
• assistants um tmas LPNs dietary laundry um<00:17:36.240> those<00:17:36.559> housekeeping<
• Um, I am an LPN in south at Sou Shore Care Center.

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• Those types of positions, those delegate-level positions, include RNs, LPNs.
• Those types of positions, those delegate level positions include RNs, LPNs.
• She said that if she delegates to the LPN working with her, the State of Missouri has authority over
• If the LPN or other delegate abuses his or her right to access the PDMP, there is authority that can
• She said that whether it is a social worker or an LPN, they need to know the information.

Keywords: 959, house, all

Transcript Highlights:

• Those types of positions, those delegate level positions include RNs, LPNs.
• Those types of positions, those delegate level positions include RNs, LPNs.
• So if that LPN or that delegatee abuses her or his right to access the PDMP, there is authority that
• And whether we do it onesie-twosies by, you know, licensed social workers and LPNs or whether we just
• And whether it's a social worker or whether it's an LPN, they need to know that information.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• Similarly, our practical nursing, our LPN program, currently boasts a 100% pass rate for the 2023–24
• We're starting a professional nursing, our LPN-RN bridge program. We're one of the first two.
• We're starting a professional nursing, our LPN and RN bridge program.
• Our LPN NCLEX pass rate is 100%. We also...
• The tech college is going to offer the LPN, create a seamless pipeline without duplicating efforts.

Summary: The Education Postsecondary Committee met to hear an overview of Florida career and technical education (CTE) from Chancellor Kevin O’Farrell and presentations from Big Bend Technical College and Santa Fe College. O’Farrell described Florida’s CTE structure, including career clusters, postsecondary program types, enrollment and completion growth, apprenticeship expansion, and the state’s credentials review process. He said postsecondary CTE enrollment is near 480,000 students and completions reached a record 76,806, with strong growth in nursing, law enforcement, EMT, and other public-safety credentials. He also discussed the CTE audit, which uses retention/success, employment or continued education, and labor-market demand metrics; programs not meeting thresholds would eventually require phase-out plans beginning in 2026. He highlighted the workforce development capitalization grant as a major driver of program expansion and facility renovation, and answered questions about business outreach, construction trades, apprenticeships, and space-industry training. Shelby McCall of Big Bend Technical College described how the college responded to hurricanes, mill closures, and regional economic disruption by expanding rural workforce training. She highlighted aluminum welding, millwright, welding technology, health sciences, and a new advanced manufacturing facility funded by state grants and local partnerships, along with a new LPN-to-RN bridge program. She said the college has strong placement and certification results and is working with employers such as Lippert, NAMO, and others to align training with local demand. Senator Simon praised the college’s role in Taylor County’s recovery and workforce development. Dr. Paul Brody of Santa Fe College said state workforce grants have helped the college expand nursing, skilled trades, apprenticeship, automotive, diesel, and manufacturing programs, including partnerships with Bradford County Technical College, UF Health, Habitat for Humanity, and local employers. He reported growth in CTE enrollment, nursing credentials, apprenticeship enrollment, and job placement rates, and described new efforts in semiconductor training, CDL training, and a charter school model that combines high school, an AS degree, and industry credentials. The committee took no formal action beyond hearing the presentations and adjourned after Senator Berman moved to adjourn.

Transcript Highlights:

• We use it right now to staff our RNs, LPNs, APRNs, as well as our chief medical officer, and we also
• and uh our nursing structure uh RNs LPNs and uh our nursing structure uh or<00:17:24.400> sorry
• "Then in the building are a nurse supervisor that's an RN, and then a series of LPNs or RNs that are
• "Roughly, let's see... between RNs and LPNs, I have approximately 82 across the state right now."
• roughly let's see um between RNs and LPN roughly let's see um between RNs and LPN I<00:22:37.799

Keywords: 958, all

Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.

Transcript Highlights:

• For RN, it's a 95% pass rate, and LPN, 100%. Congratulations. Thank you very much. Congratulations.
• the Belle Glade campus and at the Lake Worth campus, we're at a 100% passing rate for RNs, and our LPNs
• Our Belle Glade and Lake Worth campuses for the LPN and RN are having 100% pass rates.
• And then we are bringing in teams from the Belle Glade and Lake Worth LPN teams who have had 100% passage
• LPN is 100%. And we offer several vocational classes. Our auto tech is 100% placement.

Bills: S0720, S1246

Keywords: tuition, resident status, incarceration, education, equal access, nursing shortage, health care, education funding, workforce development, LINE Fund, monetary contributions, nonmonetary contributions

Summary: The Appropriations Committee on Higher Education met to consider one bill, a postponed bill, and a slate of trustee confirmations. The committee first took up CS/SB 1246, which expands the Linking Industry to Nursing Education (LINE) fund to support health science workforce shortages beyond nursing, including allied health programs. The bill also broadens eligible uses of funds, revises matching requirements and grant criteria, and updates reporting requirements. A strike-all amendment was adopted without objection, and the committee then reported the bill favorably after supportive testimony from Florida State College at Jacksonville, the Florida Hospital Association, the College of Central Florida, and the Florida Chamber of Commerce. Senator Davis also noted a favorable vote on the bill for the record. The committee then temporarily postponed SB 720 at the sponsor’s request. Chair Harrell explained that the bill had been incorporated into a larger committee measure and would likely be heard later in another form. Public witnesses who had come to speak on the bill were not heard because of the postponement. The remainder of the meeting focused on confirmations for trustees at several state colleges, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. The appointees emphasized themes of affordability, workforce training, nursing and allied health success, dual enrollment, community partnerships, and local economic development. After hearing from the appointees, the committee approved a block motion to recommend confirmation of all appointees on tabs 2 through 25. The meeting then adjourned.

Transcript Highlights:

• And for our LPN program, it's 100% NCLEX pass rates.
• I'm going to jump to RN, LPN to RN. And this is an exciting partnership.
• Bradford County Tech College will provide the LPN training. Santa Fe College will be on site.
• Those students will be trained LPN, and when they graduate, they can walk down the hall and do their
• Most recently, our LPN program's success helped us secure the Pipeline Grant, which enabled us to hire

Summary: The Appropriations Committee on Higher Education received an overview of Florida’s career and technical education (CTE) system from Chancellor Kevin O’Farrell, who described the state’s CTE pathways, program types, enrollment and completion growth, quality audit metrics, and the Master Credentials List used to identify credentials of value. He highlighted record postsecondary CTE enrollment and completions, strong statewide performance in talent attraction, and several funding tools supporting expansion, including Open Door, the Florida First Responder Scholarship, Workforce Development Capitalization grants, Perkins funding, CAPE performance incentives, and apprenticeship grants. Senators asked about eligibility for Open Door and first responder aid, top industry certifications, and the teacher apprenticeship initiative. A panel of college and technical school leaders then described how state and federal funding has supported local program growth and facility expansion. Santa Fe College, Palm Beach State College, North Florida Technical College, Lake Technical College, Florida Gateway College, and Manatee Technical College each cited increases in enrollment, high placement or licensure pass rates, and new or expanded programs in nursing, welding, CDL, automotive, manufacturing, public safety, and apprenticeship. Several speakers emphasized partnerships with hospitals, employers, school districts, and local governments, and noted that grants helped fund equipment, renovations, and new training hubs. Palm Beach State also raised a request to broaden line funding beyond nursing to other health science fields, and multiple presenters asked for more flexibility, multi-year support, and continued or increased funding to sustain growth. Members discussed broader challenges, including the difficulty of sustaining grant-funded growth after initial awards, the lag between enrollment growth and funding formulas, and alignment problems for dual enrollment and technical programs with high school schedules. Senators also noted the need to balance support for high-demand core programs like nursing and welding with the ability to respond quickly to emerging industries such as AI and space. The meeting ended with no formal action beyond adjournment after Senator Davis moved to adjourn.

Transcript Highlights:

• For those Florida College System institutions, and there's 10 of them out of 13 that offer the LPN program
• , we've seen that 10 out of 13 have exceeded the national NCLEX passage rates for LPN, and four of those
• Florida College System institutions for the LPN program have had 100% passage rate, right?
• that from that four, excuse me, the 10 out of 13 have exceeded the national inclex passage rates for LPN
• , and four of those Florida College System institutions for the LPN program have had 100% passage rate

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:

• OUR NCLEX SCORES WHEN FROM 80 PERCENT TO 92 PERCENT AND FOR LPN IT IS 100 PERCENT NCLEX PASS RATES.
• LPN TO RN. THIS IS AN EXCITING PARTNERSHIP WHERE WE ARE COMMITTED TO OUR RURAL COMMUNITIES.
• BRADFORD COUNTY TECHNICAL COLLEGE WILL PROVIDE LPN TRAINING AND SANTA FE COLLEGE WILL BE ON-SITE HOPEFULLY
• THOSE STUDENTS WILL BE TRAINED LPN WHEN THEY GRADUATE AND WALK DOWN THE HALL AND DO THEIR RN RIGHT THERE
• THIS HAS HELPED THIS DOUBLE ENROLLMENT IN LPN AND CBD. I ONLY HAVE A LITTLE BIT MORE.

Keywords: 999, senate, all

Transcript Highlights:

• , four times two LPNs to nurses, and two LNAs to LPN.
• , four times two LPNs to nurses, and two LNAs to LPN.
• , four times two LPNs to nurses, and two LNAs to LPN.
• an LNA and you want to be become an LPN an LNA and you want to be become an LPN a<00:52:27.720><
• and full RNs and one uh two lnas to LPN and full RNs and one uh two lnas to LPN we<00:52:40.440>

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• <03:53:57.359> In where I've worked closely with LPNs.
• In where I've worked closely with LPNs.
• <03:59:25.439> work common practice of having LPNs work common practice of having LPNs work
• an initial assessment and then LPNs would do subsequent assessments afterwards.
• <04:02:16.800> would initial assessment and then LPNs would initial assessment and then LPNs

Keywords: 1189, house, all

Transcript Highlights:

• My journey with the Workforce Development started whenever I applied to Riverland for the LPN-RN program
• to<00:08:33.240> Riverland<00:08:34.240> for<00:08:35.159> the<00:08:35.360> LPN
• c><00:08:36.599> program<00:08:37.399> I<00:08:37.760> am to Riverland for the LPN
• RN program I am to Riverland for the LPN RN program I am very<00:08:38.120> grateful<00:08:38.560

Keywords: 1183, house

Transcript Highlights:

• We did try to hire an LPN at KSB.
• I know you've talked about trying to hire an LPN.
• a speech language path and for an LPN a speech language path and for an LPN and<01:52:55.040>
• So or an LPN. filling. So or an LPN.
• Could you about trying to hire an LPN.

Keywords: 958, all

Summary: The committee met with a quorum, approved the June 10 minutes, and then handled a routine agenda of contracts and agreements. It deferred one Kentucky Educational Television contract to the August 2025 meeting because the vendor was not registered with the Secretary of State, and then approved the remaining routine items on the PSC green list and related contract lists without objection. The most detailed discussion involved two personal service contracts for the Kentucky Employees Health Plan. Officials from the Personnel Cabinet and Department of Employee Insurance explained that the contracts were designed to identify claims errors and overspending, with vendors paid a percentage of validated savings recovered for the plan. Senators asked how the savings were calculated and whether the contracts had changed plan processes; staff said the contracts had produced realized savings, some errors had been corrected going forward, and the vendors report quarterly. The committee approved those contracts. The committee then took up a retroactive Kentucky Higher Education Assistance Authority contract for a customized College Info Road Show bus. Members questioned why the contract was being presented months after execution, why it involved an out-of-state vendor, and whether the purchase was reasonable and timely. KHEAA staff said the delay stemmed from the need to finalize sustainability and safety details after the RFP, and acknowledged internal process and staffing issues. Several members criticized the retroactive approval process and said they could not validate the purchase from the information provided, but the committee ultimately approved the contract after debate. A final KHEAA discussion focused on the purpose and value of the mobile outreach bus. Staff said the bus supports college and financial aid outreach, especially in rural areas, and has been used for 26 years. Some members questioned the return on investment and whether the state should rely more on broadband and remote outreach, while others supported the program as a way to reach students and families. The committee approved the KHEAA contract, with Senator Douglas voting no and explaining concerns about whether such outreach programs are the proper role of government and whether they are the best use of public funds.

Transcript Highlights:

• And what this bill does is really look at how we can make sure we have nursing programs, both LPN and
• They already do when you go to get your RN license or LPN license, and the only thing that When you go
• So public schools constitute 36.5% of the LPN programs that are below the national average, but they
• No, we have the highest number of test takers, not registered and LPN nurses at the end of the day.
• No, we have the highest number of test takers, not registered and LPN nurses at the end of the day.

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• and then the vice chair of the Hawaii Board of Nursing, which at that time she was representing the LPN
• 00:10:37.920> was<00:10:38.080> representing<00:10:38.560> the<00:10:38.680> LPN
• that time she was representing the LPN that time she was representing the LPN workforce.<00:10:39.640

Keywords: 912, senate, all

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

Transcript Highlights:

• We are also looking at New Mexico as an expanded scope of practice state. for LPNs.
• appreciated on the performance measures a listing of the variety of people included lactation consultants, LPNs
• And she said we cannot do it without those that don't have the RN or the LPN license.
• The LPNs are that's also possible.

Keywords: 996, all

Bills: SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Transcript Highlights:

• up clock hours comparing the RN program that you're projecting in this bill and comparing it to the LPN
• As the current LPN program is about 1,300 hours, and I think yours was 1,300 to 1,500, I think, or something
• This language several years ago actually helped us to get some credit with higher ed for LPNs or PNs

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure