Transcript Highlights:

• </c><01:40:49.719><c> in</c> nursing homes and assisted livings in nursing homes and assisted livings
• ><c> boards</c> nursing home Workforce standards boards nursing home Workforce standards boards these
• nursing homes.
• nursing homes.
• don't</c><01:52:06.239><c> we</c> nursing home Standards Board don't we nursing home Standards Board

Committees: Senate Health and Human Services , Senate Human Services

Transcript Highlights:

• I have friends that are private duty nurses that have ventilators in people's homes.
• home just to access a nurse or a therapist's care.
• home just to access a nurse or a therapist's care.
• amount, would be deducted from the MassHealth payment and it would pay the nursing home.
• payment and it would pay the nursing home.

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• So first question is what is the difference between home care nursing and home health services?
• <00:06:12.800><c> care</c><00:06:13.080><c> at</c><00:06:13.240><c> home</c> nursing care at home nursing
• > are</c><00:07:51.320><c> not</c> home care nursing services are not home care nursing services are
• home</c> between home care nursing and home between home care nursing and home health<00:10:53.720><
• is what home care nursing duty nursing is what home care nursing had<00:14:59.160><c> been</c><00:14

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

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

Transcript Highlights:

• So then what the home health agency pays... ...to the home health agency.
• The home health agencies, our nursing shifts are usually 12 or 16 hours.
• If I have a nurse, I am usually have to be available, even when I have a nurse.
• My first experience into home care was taking home a ventilator child.
• As home care agents, I...

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

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

Committee: House Human Services Finance and Policy

Transcript Highlights:

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

Committee: House House and Governmental Affairs

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

Transcript Highlights:

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

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

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

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

Transcript Highlights:

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

Committee: House Health Finance and Policy

Transcript Highlights:

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

Committee: House Health and Welfare

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

Transcript Highlights:

• They will be removed from their homes, unable to get back in their homes if errors are found.
• I hope that people at home, I hope the people who... the 40% of Texans who rent...
• Number one, it's difficult to buy a home with our market values increasing.
• We came home and the doors were off the hinges. And the doors were off the hinges.
• And two, that I would own a home so that my son would never have to be evicted like we were.

Bills: SB2405 , SB2406 , SB2407 , SB6 , SB7 , SB36 , SB38 , SB815 , SB1856 , SB379 , SB1171 , SB1121 , SB1061 , SB1036 , SB1019 , SB890 , SB11 , SB868 , SB1188 , SB1120 , SB1254 , SB2778 , SB2543 , SB2443 , SB1333 , SB1259 , SB1401 , SB1404 , SB2139 , SB2165 , SB2237 , SB2268 , SB1202 , SB1198 , SB1212 , SB1451 , SB1470 , SB1498 , SB965 , SB1547 , SB1667 , SB1818 , SB1902 , SB2129 , SB2078 , SB2069 , SB1737 , SB1589 , SB1318 , SB387 , SB1150 , SB1574 , SB2127 , SB3034 , SB860 , SB1278 , SB263 , SB370 , SB663 , SB924 , SB1939 , SB1937 , SB1598 , SB2798 , SB2801 , SB2580 , SB2569 , SB2514 , SB2064 , SB1940 , SB1621 , SB2601 , SB1379 , SB1376 , SB1372 , SB1353 , SB2216 , SB552 , SB2405 , SB2406 , SB2407 , SB2166 , SB2148 , SB535 , SB777 , SB827 , SB1141 , SB1330 , SB1352 , SB1664 , SB1612 , SB1862 , SB1936 , SB1453 , SB1448 , SB1398 , SB2137 , SB2111 , SB53 , SB226 , SB1677 , SB1723 , SB1839 , SB6 , SB7 , SB36 , SB38 , SB815 , SB1856 , SCR5 , SCR32 , SCR8 , HCR88 , HCR91 , HCR129 , HCR130 , HCR131 , HCR133 , HCR137 , HCR138 , HCR139 , HCR140 , HCR143 , HCR145 , HCR147 , HCR150 , HCR152 , HR6 , HR105 , HR112 , HR124 , HR146 , HR151 , HR158 , HR221 , HR222 , HR237 , HR469 , HR543 , HR571 , HR605 , HR702 , HR703 , HR704 , HR705 , HR706 , HR707 , HR708 , HR709 , HR710 , HR713 , HR714 , HR715 , HR716 , HR717 , HR718 , HR719 , HR720 , HR721 , HR722 , HR723 , HR724 , HR725 , HR726 , HR727 , HR728 , HR729 , HR730 , HR731 , HR732 , HR733 , HR734 , HR735 , HR736 , HR737 , HR738 , HR739 , HR740 , HR741 , HR742 , HR743 , HR744 , HR745 , HR746 , HR747 , HR748 , HR749 , HR750 , HR751 , HR752 , HR782 , HR787 , HR789 , HR796 , HR798 , HR799 , HR800 , HR801 , HR802 , HR804 , HR807 , HR812 , HR813 , HR814 , HR817 , HR819 , HR820 , HR821 , HR822 , HR824 , HR827 , HR828 , HR830 , HR831 , HR832 , HR833 , HR837 , HR839 , HR840 , HR841 , HR842 , HR843 , HR844 , HR847 , HR849 , HR850 , HR851 , HR852 , HR853 , HR854 , HR855 , HR856 , HR858 , HR859 , HR861 , HR865 , HR871 , HR873 , HR874 , HR875 , HR876 , HR880 , HR881 , HR884 , HR886 , HR887 , HR890 , HR892 , HR894 , HR895 , HR898 , HR900 , HR901 , HR903 , HR904 , HR905 , HR908 , HR910 , HR912 , HR913 , HR915 , HR916 , HR917 , HR918 , HR919 , HR920 , HR921 , HR922 , HR923 , HR924 , HR925 , HR926 , HR927 , HR928 , HR930 , HR931 , HR932 , HR936 , HR937 , HR938 , HR939 , HR940 , HR941 , HR942 , HR943 , HR946 , HR947 , HR948 , HR949 , HR952 , HR953 , HR954 , HR955 , HR956 , HR960 , HR964 , HR965 , HR967 , HR968 , HR969 , HR970 , HR972 , HR973 , HR974 , HR975 , HR976 , HR977 , HR978 , HR979 , HR980 , HR981 , HR982 , HR983 , HR984 , HR985 , HR987 , HR988 , HR989 , HR990 , HR991 , HR992 , HR993 , HR994 , HR995 , HR996 , HR997 , HR998 , HR999 , HR1000 , HR1002 , HR1003 , HR1004 , HR1005 , HR1006 , HR1007 , HR1008 , HR1009 , HR1010 , HR1011 , HR1012 , HR1013 , HR1014 , HR1015 , HR1016 , HR1017 , HR1018 , HR1019 , HR1020 , HR1024 , HR1025 , HR1026 , HR1027 , HR1028 , HR1029 , HR1030 , HR1032 , HR1034 , HR1035 , HR1036 , HR1038 , HR1040 , HR1041 , HR1042 , HR1043 , HR1044 , HR1046 , HR1047 , HR1048 , HR1049 , HR1050 , HR1051 , HR1052 , HR1053 , HR1055 , HR1056 , HR1057 , HR1059 , HR1064 , HR1067 , HR1068 , HR1069 , HR1070 , HR1071 , HR1073 , HR1074 , HR1075 , HR1077 , HR1078 , HR1079 , HR1080 , HR1081 , HR1083 , HR1086 , HR1087 , HR1088 , HR1089 , HR1090 , HR1091 , HR1092 , HR1093 , HR1094 , HR1095 , HR1096 , HR1098 , HR1099 , HR1100 , HR1101 , HR1103 , HR1104 , HR1105 , HR1106 , HR1109 , HR1111 , HR1112 , HR1115 , HR1116 , HR1117 , HR1118 , HR1119 , HR1121 , HR1123 , HR1125 , HR1128 , HR1130 , HR1131 , HR1132 , HR1139 , HR1140 , HR1143 , HR1144 , HR1146 , HR1147 , HR1148 , HR1149 , HR1151 , HR1153 , HR1154 , HR1155 , HR1156 , HR1157 , HR1158 , HR1159 , HR1160 , HR1161 , HR1162 , HR1163 , HR1164 , HR1165 , HR1166 , HR1167 , HR1168 , HR1169 , HR1170 , HR1171 , HR1172 , HR1173 , HR1174 , HR1175 , HR1176 , HR1177 , HR1178 , HR1179 , HR1180 , HR1181 , HR1182 , HR1183 , HR1184 , HR1185 , HR1186 , HR1187 , HR1188 , HR1189 , HR1190 , HR1191 , HR1192 , HR1193 , HR1194 , HR1195 , HR1196 , HR1197 , HR1198 , HR1199 , HR1200 , HR1201 , HR1202 , HR1203 , HR1204 , HR1205 , HR1206 , HR1207 , HR1208 , HR1209 , HR1210 , HR1211 , HR1212 , HR1213 , HR1214 , HR1215 , HR1216 , HR1217 , HR1218 , HR1219 , HR1220 , HR1221 , HR1222 , HR1223 , HR1224 , HR1225 , HR1226 , HR1227 , HR1228 , HR1229 , HR1230 , HR1231 , HR1232 , HR1233 , HR1234 , HR1235 , HR1236 , HR1237 , HR1238 , HR1241 , HR1243 , HR1244 , HR1245 , HR1246 , HR1247 , HR1248 , HR1249 , HR1252 , HR1253 , HR1255 , HR1256 , HR1257 , HR1260 , HR1261 , HR1262 , HR1263 , HR1264 , HR1266 , HR1267 , HR1268 , HR1269 , HR1270 , HR1271 , HR1272 , HR1273 , HR1274 , HR1275 , HR1278 , HR1280 , HR1281 , HR1282 , HR1283 , HR1284 , HR1285 , HR1286 , HR1287 , HR1288 , HR1289 , HR1290 , HR1291 , HR1293 , HR1294 , HR1295 , HR1299 , HR1300 , HR1301 , HR1302 , SCR49 , HCR134 , HCR136 , HR18 , HR247 , HR428 , HR494 , HR538 , HR540 , HR786 , HR791 , HR803 , HR805 , HR808 , HR809 , HR811 , HR816 , HR825 , HR826 , HR836 , HR838 , HR845 , HR846 , HR862 , HR869 , HR870 , HR878 , HR879 , HR896 , HR899 , HR902 , HR911 , HR914 , HR933 , HR934 , HR935 , HR951 , HR958 , HR959 , HR986 , HR1021 , HR1022 , HR1039 , HR1054 , HR1058 , HR1061 , HR1062 , HR1065 , HR1072 , HR1107 , HR1108 , HR1110 , HR1114 , HR1120 , HR1122 , HR1129 , HR1142 , HR1145 , HR1239 , HR1242 , HR1250 , HR1251 , HR1254 , HR1258 , HR1259 , SCR21 , HB3228 , HB2802 , HB45 , HB1318 , HB5560 , HB2894 , HB4344 , HB4238 , HB 130 , HB2775 , HB34 , HB33 , HB 12 , HB148 , HB4273 , HB4850 , HB2733 , HB4783 , HB4187 , HB39 , SB2155

Keywords: criminal justice, parole, medical supervision, rehabilitation programs, Texas Board of Pardons and Paroles, Texas Department of Criminal Justice, offenders with medical impairments, Windham School District, Sabine River Authority, board of directors, term limits, removal grounds, government oversight, training requirements, Texas Sunset Advisory Commission, Lower Neches Valley Authority, Sunset Advisory Commission, public participation, complaints resolution, electric power

Transcript Highlights:

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

Committee: Joint Joint Committee on Aging and Independence

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

Transcript Highlights:

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

Committee: House Health and Welfare

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

Transcript Highlights:

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

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

Committee: Senate Appropriations Committee on Health and Human Services

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

Transcript Highlights:

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

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

Transcript Highlights:

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

Committee: Senate Finance

Transcript Highlights:

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

Transcript Highlights:

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

Committee: Senate Finance

Transcript Highlights:

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

Committee: Senate Health Policy

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