Transcript Highlights:

• certified to practice as a clinical nurse specialist or nurse practitioner.
• We had nurses, we had doctors.
• certified to practice as a clinical nurse specialist or nurse practitioner.
• certified to practice as a clinical nurse specialist or nurse practitioner.
• certified to practice as a clinical nurse specialist or nurse practitioner.

Keywords: 1187, senate, all

Transcript Highlights:

• They are Medicaid-certified to provide long-term nursing care as well as intermediate care.
• Yakima Valley, near Yakima, is a long-term nursing facility. The census is currently 34.
• Also directed a public comment period. is a long-term nursing facility.
• Census and intermediate care nursing facility both CMS certified.
• be 120. brand new nursing facility on the Furcrest campus and that will be 125 bed capacity.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• nurse?
• So I'm going to focus more on the Nursing Assistant Certified credential.
• I'm going to focus more on the Nursing Assistant Certified credential.
• So Rubin, who is on the left side, is on the State Board of Nursing.
• So Rubin, who is on the left side, is on the state board of nursing.

Summary: The House Education Committee received status updates on career and technical education (CTE), including OSPI’s work under 2024 legislation on allied health pathways and a statewide CTE task force, an update from Core Plus Maritime, and findings from an Education Northwest longitudinal study of Washington CTE access and outcomes. OSPI described development of allied health guidance such as a home care aide to nursing assistant bridge, model curricula, updated course equivalency frameworks, and coordination with health agencies and employers. It also reviewed Core Plus framework work, task force expansion under later legislation, and the timeline for recommendations due in November 2026. Committee members asked about health profession outreach, equitable access for rural districts, data updates, and employer support for local programs; OSPI said it continues to work with agency and industry partners and that local labor-market alignment varies by region. Core Plus Maritime presenters described expanding maritime career exploration into middle school through low-cost ROV curriculum, student visits to ferries and vessels, Sea Scouts partnerships, and ship-based safety and welding experiences. Industry representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group emphasized the maritime sector’s economic importance, aging workforce, and need for hands-on training to build the pipeline for family-wage jobs. A teacher from South Kitsap High School said the program gives students a clear pathway and has helped connect them to careers in shipyards, fishing, and related trades. Vigor also noted support for a student welding competition and equipment donations for a Rainier Beach shop. Dr. Sam Riggs of Education Northwest presented a longitudinal study using state data from 2013-14 through 2023-24. The study found CTE access has been relatively steady statewide, but offerings vary by school size, locale, and income, with rural and lower-income schools generally offering fewer pathways. Participation is high: nearly all students earn at least some CTE credit, and more students are accumulating multiple credits over time, though fewer go deep within a single pathway. Students who earned more CTE credits, especially within pathways such as agriculture, manufacturing, transportation, and construction, were more likely to graduate on time and later had stronger postsecondary certificate attainment and earnings. Riggs recommended addressing local barriers to participation, considering whether the CTE graduation requirement should better encourage depth while preserving flexibility, and aligning offerings more closely with labor-market needs. Committee members asked about COVID-era trends, student motivation, early workforce entry, delivery settings such as skill centers, and how to interpret the comparison groups used in the analysis.

Transcript Highlights:

• Staffing cuts are particularly prevalent in nursing home acquisitions, where it is easier for private
• This is linked to declines in nurse staffing and lower compliance with care standards.
• hours per resident day compared to other for-profit nursing homes.
• New Mexico hospitals and more than 35% of nursing homes are owned by private equity.
• So there's a 12% decline in nursing hours and an 18% lower salary for private equity-owned hospitals.

Transcript Highlights:

• some of the nurses that we need there for a variety of reasons.
• That they're not as competitive as with other nursing, and that could be a reason.
• COVID had an effect on all nurses across the entire country, not just CalVet.
• I will mention, though, that the nurses that we do have are tremendous.
• It's jobs with traveling nurses, all of these things. There's definitely opportunities out there.

Summary: The Assembly Budget Subcommittee 5 on State Administration held an informational hearing on budget issues for the Department of Veterans Affairs, the Department of Cannabis Control, the Department of Consumer Affairs, the Commission on the Status of Women and Girls, and the California Arts Council. The chair noted there would be no votes. CalVet gave an overview of its programs serving veterans and families, including transition assistance, county veterans service officers, education approvals, housing and homelessness programs, home loans, long-term care homes, and state veterans cemeteries. Members asked about future long-term care needs for aging veterans, staffing and recruitment challenges at veterans homes, and the Yountville steam infrastructure replacement project, for which CalVet sought a $38.8 million reappropriation and said federal reimbursement was expected. CalVet also discussed the role of county veterans service officers in helping veterans file claims and avoid predatory unaccredited representatives. The Department of Cannabis Control described its regulatory role from seed to sale and requested one position to implement SB 1064’s combined activities license. Members and public witnesses focused heavily on the illicit cannabis market, enforcement staffing, and the impact of taxes and fees on the legal market. DCC said it had roughly 87 enforcement positions with about a 15% vacancy rate and more than 200 compliance staff. Its economist presented the 2024 cannabis market report, which found licensed production and retail quantity were up, but retail value and prices were down, with an estimated 11.4 million pounds of illicit production and about 60% of California consumption still coming from the illicit market. Industry witnesses argued the legal market is in crisis, urged repeal of the scheduled excise tax increase, stronger enforcement against illicit cannabis and hemp-derived intoxicants, and expanded retail access. The Department of Consumer Affairs briefly presented nine budget proposals, including a $2.6 million ongoing request to maintain a business modernization system for several boards and bureaus. The Commission on the Status of Women and Girls described its work on economic and educational equity, health care, violence prevention, student rights, and archival and outreach projects, and said its budget request would convert limited-term positions to permanent. A member urged the commission to narrow its priorities toward current issues such as affordability, child care, and women’s health. The California Arts Council outlined its role as the state’s only statewide arts funder and requested restoration of $5 million in local assistance; supporters testified that the funding would leverage additional local investment and help sustain arts access, especially in rural communities. The hearing ended after the non-presentation items were noted and no further public comment was offered.

Transcript Highlights:

• You are recognized. >> 237 is about the use of professional nursing titles.
• Many hold a Doctor of Nursing Practice or a PhD, the terminal degree in nursing.
• We have Allison with the Floating Nurse Practitioner Network in support.
• BEEN A NURSE FOR THE PAST 11 YEARS. MANDATORY REPORTER IN BOTH CASES.
•   521 I HAVE BEEN A NURSE IN THE STATE FOR 50 YEARS.

Summary: The committee first heard HB 245, which would replace references in Florida law to “child pornography” with “child sexual abuse material.” The sponsor said the change was overdue and more accurately reflects the criminal nature of the material. There was brief supportive public testimony, no debate, and the bill was reported favorably on a unanimous vote. The committee then took up HB 237 on the use of professional nursing titles. The sponsor said advanced practice registered nurses should be able to use earned academic titles such as DNP or PhD. Supporters testified in favor, there was no opposition or debate, and the bill passed unanimously and was reported favorably. The longest discussion centered on HB 173, which would expand parental consent and access requirements for minors’ medical care, medical records, certain school surveys, and biomedical devices. Supporters argued it restores parental rights and keeps parents involved in children’s health decisions, while opponents—many from medical, mental health, LGBTQ, and youth advocacy groups—warned it could block access to STI treatment, mental health care, crisis hotlines, and confidential services for vulnerable youth, including those in abusive homes. After extensive testimony and debate, the bill was reported favorably on a 19-7 vote. Finally, the committee began HB 327 on uterine fibroid research. The sponsor explained the bill would require health care providers to submit identified data so the Department of Health can build a usable de-identified research database, after prior implementation problems with duplicate or unverified data. A supportive local official testified, and members indicated support as the meeting moved toward a vote.

Transcript Highlights:

• You also passed changes in the nursing, uh, related to the nursing home workforce standards board, uh
• You also passed changes in the nursing, uh, related to the nursing home workforce standards board, uh
• You also passed changes in the nursing, uh, related to the nursing home workforce standards board, uh
• You also passed changes in the nursing, uh, related to the nursing home workforce standards board, uh
• You also passed changes in the nursing, uh, related to the nursing home workforce standards board, uh

Keywords: 1187, senate, all

Transcript Highlights:

• It's titled Nurse RPSP roll-up.
• and nursing... ...it over to the base.
• And it's also important to note because of your investments in nursing and nursing expansion, we've actually
• For both in the nursing. Oh, yes.
• We worked on a New Mexico nursing, well, UNM nursing project to get 20 Hispanic nurses a BSN over a three-year

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• profession as part of LA County Nursing 2035.
• profession as part of LA County Nursing 2035.
• nursing workforce opportunities and educational pathways to the bachelor's degree in nursing in L.A.
• I referenced the nursing pathway as one particular area.
• of Science, and a Doctor of Nursing Practice.

Summary: The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs. On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known. The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.

Transcript Highlights:

• individuals who are residents of nursing individuals who are residents of nursing facilities<01:
• Is it the nursing home?
• <01:37:08.239> facility time somebody's in a nursing facility time somebody's in a nursing
• Is it the<01:39:07.119> nursing<01:39:07.520> home? the nursing home?
• the nursing home?

Keywords: 1189, house, all

Transcript Highlights:

• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. work at UPS
• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. 440,000 nurses
• Nurses Association, as well as Sandra Falk, a retired operating room nurse.

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

Transcript Highlights:

• So this just gives certain folks, specifically nurse practitioners, certified nurse midwives, and licensed
• And they were a little bit nurses.
• are all signing these physicals, nurses, nurse practitioners, or PAs, are all in collaboration with
• What the committee substitute does, it allows certified registered nurse practitioners, CRMPPS, nurse
• , CRMPPS, nurse nurse practitioners, CRMPPS, nurse midwives,<01:08:31.679> and<01:08:32.000>

Keywords: 1136, house, all

Transcript Highlights:

• And particularly in the healthcare arena, and obviously, always about nurses.
• It's home to the largest nurse anesthetist program in the country.
• They produce over half of the nurses. nurse anesthetist in the state of Texas. St.
• credentialing for current nurses.
• at UNT Dallas. the health science center to finish nursing school.

Keywords: 1184, house, all

Transcript Highlights:

• I'm I'm not objecting to nurse midwives who have made that as a specialty choice.
• I'm not objecting to nurse midwives who have made that as a specialty choice.
• So that's a lot of the conversation that our nurses are having.
• But actually have some... ...closer to combining activities with the School of Nursing.
• My point is we look at the earnings of a nurse. Right. Right.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• <01:05:20.599> that and frankly the number of nurses that and frankly the number of nurses
• make considerably more money as nurses make considerably more money as nurses than<01:05:25.279>
• collaboration specifically for nursing collaboration specifically for nursing it<01:18:17.600>
• <01:19:06.320> has so as was already indicated nursing has so as was already indicated nursing
• discussion regarding the pre- nursing discussion regarding the pre- nursing pathway<01:27:37.360

Keywords: 912, senate, all

Transcript Highlights:

• My members work in nursing homes, hospitals.
• <00:20:28.200> homes nursing homes nursing homes hospitals<00:20:30.400> we<00:20:30.600
• disciplinary hearings for good nurses disciplinary hearings for good nurses who<00:21:33.080>
• Many of our nurses were disciplined.
• I'm 59 years old and I've been a nurse for 16 years.

Keywords: 919, house, all

Summary: The committee took up House File 1325 and adopted the author’s A2 amendment before hearing testimony. Representative Schultz presented the bill as a set of bipartisan changes to make Minnesota’s earned sick and safe time law more workable for small businesses, public employers, and taxpayers, arguing the current law is an unfunded mandate that increases costs and property taxes. The bill’s supporters said it would add flexibility, including changes affecting coverage for certain workers, employer size thresholds, front-loading, weather-related exceptions, and a delay on penalties. Commissioner Nicole Blissenbach of the Department of Labor and Industry opposed the bill, saying it would exclude about 800,000 workers, or roughly 30% of the workforce, from earned sick and safe time protections and create confusion and enforcement problems. She also objected to the proposed penalty delay, saying the department already uses compliance assistance and needs penalty authority for serious violations. The Minnesota Chamber supported modifications to the mandate, saying businesses—especially small ones—have struggled with compliance and that the law has had unintended effects on PTO policies and leave use. The League of Minnesota Cities supported parts of the bill, especially changes affecting more generous city leave policies and weather-event exemptions, saying current language creates confusion and can interfere with emergency staffing. Opponents from Education Minnesota, SEIU Minnesota, TakeAction Minnesota, and a nurse from Unity Hospital argued the bill would strip protections from part-time workers, minors, and workers with family caregiving needs, and would weaken a law they said has helped workers avoid discipline or lost wages when sick. Supporters from counties and an HR consultant emphasized administrative burdens, emergency staffing needs during weather events, and the difficulty of applying ESS rules to existing leave policies. No final vote on the bill was taken in the portion of the meeting provided; the bill was laid over for further consideration.

Transcript Highlights:

• So we're looking at patient safety by allowing nurse license, I'm sorry...
• Through stakeholder meetings and input from physicians and nurse midwives, nurses, and other colleagues
• Jordan was a nurse and aspired to be a midwife.
• I am a certified nurse midwife, which means I hold degrees both in nursing and midwifery.
• I've been a professor at the College of Nursing for six years now.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• It was well-intentioned in trying to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• board of nurs Kentucky Board of Nursing board of nurs Kentucky Board of Nursing shall<00:18:13.039

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• The following creates flexibility for ALF allowing them to retain the limited nursing services specialty
• Members will now take up the PC's for HB 1013, Nurse Registry Registries, by our very own Representative
• Campbell. and members of the committee, the PS for HB 1013, enhances consumer protection by requiring nurse
• Nurse registries must post a clear and conspicuous disclaimer on the website home page and all digital
• This includes registered nurses that a person has that covered Ahrens, LPN and CNA certified nursing

Transcript Highlights:

• So, let's say an individual needs nursing, we authorize the nursing, but we do not have any over the
• So, let's say an individual needs nursing, we authorize the nursing, but we do not have any authority
• So, let's say an individual needs nursing, we authorize the nursing, but we do not have any authority
• we<00:30:01.160> authorize individual needs nursing, we authorize individual needs nursing
• going to continue with nursing facility. going to continue with nursing facility.

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.