Transcript Highlights:

• The nursing facility was just funded this year as far as the quality-based...
• I am not a nurse.
• But essentially, the nursing homes will... ...will process more cases, but essentially the nursing homes
• That happens on those nursing home cases.
• But I knew that when my grandmother was in a nursing home, she was, of course, a dual, and the nursing

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• And now today, we're here, and we have green cards from the nursing home association and AARP.
• Wes Hadaway with the Louisiana Nursing Home Association.
• of only three nursing homes in the nation to win the gold quality award.
• Louisiana's extremely fortunate to have nursing homes like that. That's unbelievable.
• Louisiana's extremely fortunate to have nursing homes like that.

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• <00:06:26.720> Anastasis as Certified Registered Nurse Anastasis as Certified Registered Nurse
• nurses when they were applying to Kentucky for a license.
• state requirements to be licensed as a registered nurse or a licensed practical nurse in Kentucky.
• Certified registered nurse anesthetists are advanced practice registered nurses who are among the most
• Anesthesis Day in Registered Nurse Anesthesis Day in Kentucky.

Keywords: Convene 00:00 Senate Message 05:10 Calendar/2nd Readings 07:06 Report of Committees 07:47 Orders of the Day 08:52 HB 176 09:09 HB 178 12:19 HB 280 15:34 Motions, Petitions, and Communications 19:55 Introduction of New Bills and Resolutions 32:05 Recess for ConC and Rules Meeting 32:05 ConC and Rules Report 39:04 Adjournment 40:48, 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum, excused absent members, and approved the journal. The Senate then communicated passage of Senate Bills 10 and 28 and requested concurrence. The House also received second-reading reports for several bills, including measures on custody, human sexuality instruction in schools, tax increment financing, death benefits, postsecondary education, and disabled veterans, along with committee reports advancing bills on agriculture, criminal trespass, concealed firearms, human trafficking, sexual performance material involving minors, reading and writing in schools, and educators. The chamber then took up and passed three health-related bills. House Bill 176, on prior authorization, was explained as a bipartisan effort to reduce insurance-related delays and bureaucracy in patient care; it passed 90-1. House Bill 178, on the psychiatric collaborative care model, was presented as a budget-neutral way to expand timely mental health access through primary care settings; it passed unanimously, 93-0. House Bill 280, a Kentucky Board of Nursing cleanup bill and school rescue-medication update, was amended by House Committee Substitute 1 to restore language allowing investigations involving abuse and to update school medication provisions; the substitute and the bill as amended both passed 94-0. House Resolution 35, recognizing January 21, 2026 as Certified Registered Nurse Anesthetist Day in Kentucky, was introduced, taken from committee, and adopted. During announcements, members noted upcoming committee meetings and events, including a reception for highway contractors and related groups, and several committee cancellations. One member also spoke about a catastrophic fire in Williamsburg, asking for prayers for the community and first responders. The Committee on Committees and Rules then reported referrals for numerous newly introduced bills to standing committees and made changes to the 2026 Committee on Impeachment, removing Representatives Marzian and Donworth and appointing Representatives Watkins and Gentry. The House then adjourned until 2:00 p.m. Thursday, January 22, 2026.

Transcript Highlights:

• So this is the exam that nurses who want to enter into the registered nursing profession earn.
• , PCT, nursing assistant, and phlebotomy.
• Because the state has a shortage of nursing talent.
• And the program, our nursing program, has grown by 26%.
• We also launched an evening and weekend nursing program. Why?

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:

• , talk a little bit about nursing, but that'll be another shared service.
• , talk a little bit about nursing, but that'll be another shared service. that when I get into the nursing
• We have our PN nurses, those are the current ones, and then our associate degree nurses.
• That's our group of nurses. I just saw it, and it just kind of took me back.
• Questions on nursing? Dr. Govind. Oh, practical nurse. My apologies. Yeah, practical nurse.

Summary: The committee met at Dakota College at Bottineau, approved the January 15, 2026 minutes, and heard an extensive campus update from Dean Corey Gorder and other DCB leaders. Gorder described the college’s affiliation with Minot State and its growing use of shared services, including business office functions, HR, institutional research, Title IX, printing, financial aid support through UND, and payroll support through NDSU. He said the arrangement lets DCB focus on its core mission while relying on system partners for specialized administrative work, and noted that accreditation concerns were not believed to limit those shared-service arrangements. He also highlighted DCB’s mission, enrollment growth, dual-credit reach across rural schools, and the college’s emphasis on nursing, dental, paramedic, farm management, and other workforce-oriented programs. Committee members asked detailed questions about dual credit, program delivery, and whether DCB’s partnerships were exclusive. Gorder said the relationships are generally collaborative rather than exclusive, that schools can choose other providers, and that many partnerships began through personal outreach and ongoing relationships with rural schools. Lisa Johnson of the university system added that transfer complaints are rare and that dual credit generally transfers well within North Dakota, though highly selective out-of-state institutions may treat credits differently. Members also asked about stipends for high school instructors, the share of K-12 versus DCB instructors, and the capacity limits in dental hygiene and other programs. Gorder said dental hygiene is capped by space and staffing, that there were more applicants than seats, and that expansion is being considered; he also said he would provide follow-up information on the paramedic program and instructor breakdowns. Gorder closed by identifying long-term challenges, including aging residence halls, recruiting faculty and staff, and the need to review low-enrollment programs. He said DCB should consider expanding into more high-demand trades such as welding, HVAC, and electrical work, and should streamline dual credit and strengthen its Minot programming. The committee then heard from the North Dakota Student Association, whose leaders outlined student priorities from the last session and the interim. Their main concerns included campus housing quality and affordability, food insecurity and food pantries, mental and physical health resources, student-led research funding, academic and career readiness, internships, and campus collaboration. They also discussed dual credit, saying it is valuable but uneven across the state, and raised questions about how to better retain students in North Dakota through the system. Members asked follow-up questions about housing, transferability of dual credit, and whether incentives could be used to encourage students to stay in-state for higher education.

Transcript Highlights:

• Is it not enough nursing?
• Is it not enough nursing? condition? Is it not enough nursing?
• And to have these nursing homes that are veterans nursing homes and not even have that capability is
• And to have these nursing behaviors.
• parents and in-laws in private nursing parents and in-laws in private nursing care. care. care.

Keywords: 958, all

Transcript Highlights:

• Um of private and county nursing homes.
• that aren't covered by the nursing that aren't covered by the nursing facility.<00:29:03.520>
• allowance is an amount that a nursing allowance is an amount that a nursing facility<00:30:12.640
• patient account at a nursing facility. patient account at a nursing facility.
• /c><00:31:31.279> allowed nursing facility recipient being allowed nursing facility recipient

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 118, as amended, which contains several unrelated provisions with a modest fiscal note. Nathan White of the Department of Health and Human Services explained that section 1 would change the personal needs allowance for Medicaid-eligible residents of private and county nursing homes from an adjustment every five years to an annual adjustment, increasing the state cost by about $50,000 per year. He also described section 2, a one-time appropriation of about $160,000 to make certain Hampstead employees whole for missed bonuses and lost leave during the state’s transition of the facility to Dartmouth management. White then outlined sections 3 through 5, which would create a dedicated fund for Hampstead lease revenue to cover the state’s contractual obligation to match Dartmouth capital improvements dollar-for-dollar up to $3 million. He said the state receives about $1.141 million in lease revenue in the first year, with a 3% annual escalator, and that the fund would hold lease revenue until needed for reimbursement. Members questioned how the matching arrangement would work, what happens if Dartmouth spends before the fund has enough money, and whether the state could refuse to match certain improvements. White said Dartmouth has final determination under the agreement if disputes arise, and that if the bill does not pass the state could face difficulty meeting the obligation without cutting services or finding other general funds. Several members also raised policy concerns about the personal needs allowance becoming an automatic cost driver. Brian Clark, attorney for the Bureau of Adult and Aging Services, clarified that current law requires the allowance to be updated at least every five years, but the legislature could change it in an off year if it chose. He also explained that the allowance is money residents retain from their own income, such as Social Security, as part of Medicaid cost-of-care calculations, and that the department does not regulate how residents keep those funds. No vote was taken during the discussion, and the committee paused to correct the bill copy before continuing testimony.

Transcript Highlights:

• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• , PAs, and certified nurse midwives, to provide high-quality evidence-based abortion care.
• This bill would allow nurse practitioners, certified nurse midwives, and physician assistants to perform
• This bill would allow nurse practitioners, certified nurse midwives, and physician assistants to perform
• This bill would allow nurse practitioners certified nurse midwives and physician assistants to perform

Keywords: 987, senate, all

Transcript Highlights:

• to provide them what they need for their nursing programs.
• I don't remember what they call that building other than the nursing center.
• One of the nursing facilities that is being talked about is being torn down.
• This is what they're going to replace for the nursing center, so that's the...
• This is what they're going to replace for the nursing center.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• We'd like to recognize Colorado Nurses Day at the Capitol and honor the thousands of nurses who serve
• for nurses statewide.
• And so, uh, let's welcome these nurses.
• for nurses statewide.
• for nurses statewide.

Keywords: 981, all

Transcript Highlights:

• Last weekend, a nurse manager relayed the recent experience of a nurse receiving her concerning mammogram
• It means a nurse, nurse aide, medical assistant, hospital employee, allied health professional, laboratory
• Nurses like Sandra Rojas, a pediatric nurse who lost her job. because she could not refer out for abortions
• There are practitioners stating that when a nurse or nurse practitioner complaint is... ...reported to
• Even though the same prior complaint regarding the nurse by the Board of Nursing was addressed prior

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• But there is one profession that comes to mind, and it's nursing.
• One profession that comes to mind, and it's nursing.
• Fasio, who is our reliable nurse who takes care of us.
• We have Tammy Jones, who's the chief nursing officer.
• We have Sarah Rhodes, who's the dean of the College of Nursing.

Keywords: 1204, all

Transcript Highlights:

• We graduate 450 new nursing students a year.
• Nursing excellence is very, very important to us.
• We have a long-standing reputation for preparing highly skilled nurses.
• Nursing excellence is very, very important to us.
• across its personal care assistant, licensed practical nurse, registered nurse, and Bachelor of Science

Summary: The Appropriations Committee on Higher Education met to consider a large slate of confirmations and reappointments to boards of trustees for Florida’s colleges, universities, and the Florida Prepaid College Board. Chair Harrell opened by emphasizing the importance of trustee appointments to maintaining Florida’s higher education system, and the committee heard brief testimony from each nominee about their background, ties to the institution, and priorities such as student success, workforce alignment, fiscal stewardship, and community partnerships. Several nominees highlighted personal connections to their schools, including alumni status, family legacy, or prior service on the board, while others emphasized experience in business, law, education, health care, or public service. Testimony focused heavily on workforce development and institutional growth. Speakers cited nursing, dual enrollment, applied programs, military and veteran support, broadband access, agriculture, law enforcement, and technical training as key areas for colleges to meet regional labor needs. University nominees discussed research expansion, affordability, strategic planning, and partnerships with industry and government, with Florida Atlantic, Florida Polytechnic, the University of West Florida, and the University of South Florida each described as being in periods of growth or transition. Miami-Dade College, Tallahassee State College, Polk State College, and other state colleges were praised for enrollment, economic impact, and job placement outcomes. The committee also heard from the Florida Prepaid College Board reappointee, who described the program as a long-term promise backed by public trust and reported recent technology and customer-service improvements. After testimony, the committee took up the nominations as a group. One nominee, Drew Weatherford, had withdrawn and was not voted on. The remaining trustees were approved unanimously by roll call and reported favorably to the Ethics and Elections Committee. The meeting then adjourned.

Transcript Highlights:

• take an action against a nurse and suddenly State of Wyoming can't hire public health nurses requiring
• when my friends at the board of nursing when my friends at the board of nursing take<00:16:04.160
• <00:16:05.199> and take an action against a nurse and take an action against a nurse and suddenly
• When I was a nurse and I began, people got cancer and died.
• 01:07:45.680> and<01:07:46.000> and plenty of nurse practitioners and and plenty of nurse

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• We do pay for the workforce standards board for the nursing homes, the nursing home workforce standards
• c> home for the nursing homes, the nursing home for the nursing homes, the nursing home workforce
• <00:03:26.239> home the team members at the nursing home the team members at the nursing home
• that the nursing home care nursing<00:18:37.679> home<00:18:38.160> wage<00:18:38.840>
• to be charged to nursing home employees. to be charged to nursing home employees.

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• has a nurse nurse group social work has a nurse group<00:31:03.039> so<00:31:03.440> when<
• We will let you see the nurse. The nurse will decide whether or not you go home.
• We will let you see the nurse. The nurse will decide whether or not you go home.
• We will let you see the nurse. The nurse will decide whether or not you go home.
• We will let you see the nurse. The nurse will decide whether or not you go home.

Keywords: 1187, senate, all

Summary: The Senate Education Finance Committee met on January 28, 2025, to receive updates on chronic absenteeism work funded in the 2024 education finance bill. The chair introduced presentations from districts in the student attendance pilot program—Minneapolis, Columbia Heights, Chisago, and Rochester—and noted that the committee would also hear the student attendance and truancy legislative study group report and later a bill from Senator Weber. The chair also thanked educational assistants and paraprofessionals for their work in schools. Minneapolis Public Schools described common attendance challenges across pilot districts, including inconsistent attendance coding, weak family communication, difficulty identifying interventions, and uneven responses to absences. The district said pilot districts want statewide definitions for absences, tardies, and exempt codes, as well as better internal dashboards and clearer procedures. Minneapolis also highlighted strategies such as attendance teams at each school, quarterly postcards to families after five or more absences, Promise Fellows, home visits, multilingual communication through TalkingPoints, and a morning nurse line to help parents decide whether a child should stay home. The district said its main attendance goal is to raise consistent attendance from 68 percent to 80 percent by 2026. In response to committee questions, Minneapolis said its main post-COVID absenteeism reason has been illness or medical issues, followed by transportation problems, and that it does not penalize students for transportation-related absences. The district said it counts secondary absences when students miss more than three periods in a day, with truancy beginning after seven such absences, while elementary students are counted absent for the full day. Members also asked about whether reduced truancy referrals reflected more attendance or diversionary supports; the district said its approach is to focus on understanding root causes and providing support rather than quickly referring students to truancy processes. The district reported improved communication, greater parent awareness, and fewer truancy referrals so far, and said the attendance team model should be sustainable because it uses existing staff with clearer direction.

Transcript Highlights:

• I'm in a unique position to speak both as a nurse and also a direct primary care patient.
• As a nurse, I've seen how critical this is, especially for elderly or homebound patients.
• I am a registered nurse in Worcester.
• I've been a nurse. I've been a doula. I've gone to home births, and there's a difference.
• I practice with two nurse practitioners and one physician assistant.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• We have had interim chief nursing officers.
• We recently brought on an interim chief nursing officer that Dr.
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• So we're MHTs and with nurses, very, very expensive.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• Thank you, Chair, and members, Senate Bill 78 is a veterans nursing homes bill.
• home beds in a skilled nursing home facility, to further allow the transfer of the certificate... ..
• home beds in a skilled nursing home facility, to further allow the transfer of the certificate... ..
• It aligns Florida law with federal law to require nursing homes to allow inspection of records within
• With regard to nursing homes, it aligns us with the federal standard.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• I hold a doctorate in nursing practice.
• I'm a nationally certified school nurse, a member of the Texas School Nurses Organization, and a practiced
• You're here on behalf of school nurses.
• I, I go in part of school nursing services, there is consent.
• Um, and again, I know as a school nurse.