Transcript Highlights:

• My daughter required 24-7 home nursing, of which I spent more than 18 years learning to be a nurse with
• I was fortunate that... ...were the doctors, not nurses.
• We've heard nurses and doctors share their outrage.
• National Nurses United, the largest nurses union in the U.S., and the American College of Physicians,
• National Nurses United, the largest nurses union in the U.S. and the American College of Physicians,

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

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 over the
• 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 over the
• going to continue with nursing facility. going to continue with nursing facility.

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• So those should be done by a CNA under chapter 457, under nurses, and then using nurse delegation for
• personnel to perform skilled nursing personnel to perform skilled nursing services,<00:58:54.559
• <00:59:47.760> uh you know um chapter 457 under nurses uh you know um chapter 457 under nurses
• duty nursing and not home care agencies. duty nursing and not home care agencies.
• <01:38:29.920> to education is uh using nurses to education is uh using nurses to administer

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• He said he has pharmacies in Eastern Kentucky and had a nurse practitioner pass away in a road accident
• Kentucky and sadly I had a nurse Kentucky and sadly I had a nurse practitioner<00:07:07.319>
• I'm Adia Wisher, Executive Director for Kentucky Right to Life and an RN and OB nurse.
• everyone is prepared to approach nursing everyone is prepared to approach this<00:14:04.720> in
• I really appreciate your work on all of this, and as a former neonatal intensive care nurse, I saw a

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• I'm a nurse.
• I'm a nurse.
• Because in these moments, I'm not just a nurse.
• But before I was a nurse, I was a mother experiencing loss myself.
• When the nursing shifts changed, our new nurse asked if I wanted a photographer to come take photos of

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several health-related bills. SB 113, concerning the local health care provider participation program in Calcasieu Parish, was amended with a technical set and reported favorably with amendments after the author explained it would shift the local sponsor from the parish to the city. SB 23, which exempts certain assisted living facilities from the definition of food service establishment, was reported favorably. SB 150, allowing LDH to scan and return supporting documents for vital records changes, was also reported favorably. SB 221, which would allow EMS providers to be reimbursed by Medicaid for treating patients on scene without transport, drew questions about billing, coding, and implementation but was reported favorably, with members noting it could reduce unnecessary ER use and costs.

Transcript Highlights:

• I'm a nurse.
• I'm a nurse.
• Because in these moments, I'm not just a nurse.
• But before I was a nurse, I was a mother experiencing loss myself.
• When the nursing shifts changed, our new nurse asked if I wanted a photographer to come take photos of

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• I have 35 years in nursing and 20 of those as an advanced practice registered nurse, and I live on the
• Council um I have 35 years in nursing Council um I have 35 years in nursing and<00:09:48.720>
• um she's very advanced practice nurse um she's very capable<00:10:46.040> very<00:10:46.279><
• As I stated, I have numerous years of nursing and medical training, and so I feel like I can provide
• Jessica Stevens I am a registered nurse Jessica Stevens I am a registered nurse and<00:16:25.720

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard a series of gubernatorial nominations and board appointments, mostly to health-related advisory councils and commissions. Nominees testified briefly about their backgrounds and reasons for serving, including Melanie Lao for the Fuel Tank Advisory Committee; Asana Saragosa Torres and Jessica Stevens for the State Council on Mental Health; several nominees for the Emergency Medical Services Advisory Committee, including S. Brian, Jacob Pelo, Patrick Winfield Lougher, Dr. An Young, Marin Anka, and Kenneth Faria; Roxanne Row for the Hawaii County Health Planning Council; Lewis Johnson and Susie Schulberg for the Policy Advisory Board for Elder Affairs; Mariah Nicholls and Evan Nakatsuka for the State Rehabilitation Council; and Co Woly for the Hawaii Health Systems Corporation board. Testimony in support came from the Department of Health, the Executive Office on Aging, the Department of Human Services, Hawaii Youth Services Network, Hawaii Family Caregiver Coalition, and other individuals and organizations, with several nominees emphasizing lived experience, rural health access, mental health advocacy, EMS experience, or community service. One nomination, GM 522 for Melanie Lao, drew favorable comments about her qualifications and written responses. GM 572, Roxanne Row’s nomination to the Hawaii County Health Planning Council, was the only item that raised concern because the committee had not received her questionnaire answers directly; after questioning, the chair deferred decision-making on that nomination until March 5 pending receipt of the answers. The committee also noted a title correction for GM 548, changing the reference from an advisory board to the Emergency Medical Services Advisory Committee. At the end of the meeting, the committee voted to advise and consent on all nominations except GM 572, which was deferred. The adopted recommendations covered GM 522, 523, 525, 526, 540, 541, 548, 575, 576, 577, 579, 629, 630, 631, and 633. The meeting then adjourned after congratulating the nominees and inviting them to remain for a group photo.

Transcript Highlights:

• Can you cycle back to the successes around the nursing program?
• <01:33:55.119> program the successes around the nursing program the successes around the nursing
• <01:35:13.159> in believe for nurses in believe for nurses in Massachusetts<01:35:15.639><
• necessarily new students but are nurses necessarily new students but are nurses who<01:35:29.040
• <01:36:03.040> faculty a real tribute to the nursing faculty a real tribute to the nursing

Keywords: 928, house, all

Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.

Transcript Highlights:

• the school nurse school nurses, the school nurse association,<01:04:07.280> and<01:04:07.520><
• specifically for school nurses. specifically for school nurses.
• Nurses Association wasn't clear. Is Nurses Association wasn't clear.
• Outbreaks are in nursing homes.
• Do you want to talk to a nurse? to do? Do you want to talk to a nurse?

Keywords: 1189, house, all

Transcript Highlights:

• <01:18:09.800> facilities child critical access nursing facilities child critical access nursing
• testify uh the critical access nursing testify uh the critical access nursing home<01:20:28.199>
• There are hardly any nursing homes in the state that operate this way.
• There are hardly any nursing homes in the state that operate this way.
• <01:26:14.040> facilities long-term care and nursing facilities long-term care and nursing

Keywords: 1187, senate, all

Transcript Highlights:

• I've been a nurse for 17 years. I am... And I'm a mother in Lafayette, Louisiana.
• I've been a nurse for 17 years.
• I've been a nurse for 17 years.
• My name is Tammy Spanth, and I have been a forensic nurse for over 16 years.
• But forensic nurses understand.

Keywords: 974, senate, all

Transcript Highlights:

• commissioner would be having a 247 nurse commissioner would be having a 247 nurse hotline,<00:07
• <00:30:29.120> spend<00:30:29.440> more our nurses, our providers spend more our nurses
• like nursing homes and hospitals. like nursing homes and hospitals.
• I also hospitals and nursing homes.
• mortality in the nursing home setting. mortality in the nursing home setting.

Keywords: 1187, senate, all

Transcript Highlights:

• practice provided by the Board of Nursing and RSA 326-B, the nurse practices act.
• <00:03:59.200> of<00:03:59.439> the<00:03:59.599> nurse supervision of nurse
• of the nurse supervision of nurse of the nurse employed<00:04:00.319> by<00:04:00.799> the
• 00:04:13.439> nurse<00:04:13.760> practices uh the nurse practices nurse practices uh the
• nurse practices nurse practices act.<00:04:14.720> Um<00:04:15.519> John<00:04:15.760>

Keywords: 928, house, all

Summary: The Legislative Administration Committee opened with Senate Bill 197, which would remove the Department of Health and Human Services commissioner’s supervisory role over the legislative facilities committee nurse and instead place the nurse under the Board of Nursing’s scope of practice. The sponsor’s aide and DHHS legislative director explained that the change updates outdated language last amended in 1995, aligns the statute with current practice, and was reviewed with legislative staff and nursing regulators, who were said to be comfortable with the proposal. Members asked why the change was needed and whether the commissioner had actually been supervising; the response was that the language no longer reflected how the position functioned. The chair said the bill might still be a simple consent item, but additional modifications were being discussed, so the hearing was closed with no vote taken at that time. The committee then heard Senate Bill 186, authorizing the Joint Legislative Historical Committee to accept and display a portrait of former Senator Jeb Bradley in the State House. The sponsor’s aide described Bradley’s legislative and congressional service and urged the committee to move the bill ought to pass. Members asked practical questions about whether the portrait was completed, its size, and where it would be hung. The witness said the portrait was not yet completed and that size and placement had not been determined, though the committee was told the historical committee would decide placement. A committee member noted that portrait sizes and locations are already being reviewed because of space concerns, and the hearing ended without a vote. A work session followed on the portrait bills, with the chair using them as a vehicle to discuss broader problems in the statutes governing portraits and the historical committee. He said the committee had gathered information from other states and suggested possible policy ideas such as portrait moratoriums, waiting periods after death, size limits, and clearer placement rules. Members discussed the need to update the RSAs and better define the historical committee’s authority. The committee did not take final action during the work session, but the discussion indicated that the portrait bills may be held while broader statutory revisions are considered.

Transcript Highlights:

• I AM VERY INTERESTED IN THE NURSING PROGRAM.
• THE COLLEGE EDUCATION AND ALSO OUR ALLIED HEALTH SCIENCE AROUND SCHOOL AND NURSING.
• THEY WILL SAY AYE WANT TO BE A NURSE BUT WHAT DOES THAT TAKE?
• HAVE APPLIED FOR NEXT YEAR'S NURSING CLASS.
• HAVING THIS FOR THE MED STUDENTS AND THE NURSES. IT'S REALLY AMAZING.

Keywords: 999, senate, all

Transcript Highlights:

• to perform the nursing task.
• Nursing tasks. There were exceptions.
• All right. nursing tasks. There were exceptions.
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply
• The term nurse practitioner is replaced with the term applicant.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• The QSP, the staff there for personal care and homemaking, respite, companion care, nursing.
• The QSP, the staff there for personal care and homemaking, respite, companion care, nursing.
• We've done more recently kind of work with our nursing facility providers.
• Today, our nursing facility value-based program is set up entirely as an incentive-based payment.
• Didn't the nursing homes get hit with this idea that they have to have nurses on staff since last biennium

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• . nursing. nursing.
• <00:10:58.240> practice is a DMP doctor of nursing practice is a DMP doctor of nursing practice
• nursing students.
• We nursing building for you to see it.
• looking at some ideas about the nursing looking at some ideas about the nursing program<00:53:48.480

Keywords: This meeting is taking place on location at the Kentucky State University Cooperative Extension Building Room 238 using on site equipment., 958, all

Summary: The interim Commission on Race and Access to Opportunity met at Kentucky State University and heard a presentation from President Kofi Aapo and Vice President Michael Dorsy on the university’s role as an HBCU and its current priorities. They emphasized Kentucky State’s impact on Black student outcomes nationally, its focus on workforce development, civic leadership, innovation, and economic mobility, and its efforts to grow enrollment, expand dual-credit partnerships, and launch a prison education program. They also described House Bill 250’s role in prompting program review and the creation or expansion of market-aligned offerings, including manufacturing engineering, agricultural engineering, biological and agricultural engineering, social work, criminal justice, and expanded online programs through “Thoroughbred Global.” A major topic was Kentucky State’s move toward STEM and applied programs. President Aapo said the university is diversifying beyond liberal arts to meet workforce demand and cited plans for a PhD in agroecology, which he said would help farmers adapt to climate conditions and would be federally funded. He also discussed the nursing program as the fastest-growing on campus, partnerships with health systems that pay tuition and guarantee jobs, and the need for a new nursing facility. He said the current nursing space is inadequate and that a new building could double or triple enrollment in the program. He also described a mobile health initiative intended to bring preventive care and health education to underserved areas of the state. Members asked questions about the nursing building, STEM strategy, teacher preparation, dual credit, prison education, and student readiness. Senator Bledsoe asked about the shift toward STEM, and Aapo said the strategy is based on student demand and data from House Bill 250. Senator Berg requested a list of dual-credit partners and encouraged long-term tracking of prison education participants to study outcomes such as recidivism; Aapo said the university has not yet begun that research but intends to. Senator Tidner asked about remedial needs, and Aapo said KSU found more than 100 students with zero GPAs when he arrived and is using co-requisite support and tutoring to address English and math deficiencies. Representative Brown and others highlighted the historical and ongoing value of HBCUs, and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• my own is like centipede visiting nurse my own is like centipede visiting nurse association.<01:
• did is we included the nurse did is we included the nurse practitioners<03:38:06.399> in<
• assistant and a nurse practitioner? assistant and a nurse practitioner?
• I am a nurse up at Dartmouth.
• atmosphere that a good nursing home has. atmosphere that a good nursing home has.

Keywords: 1189, house, all

Transcript Highlights:

• It clarifies when a new medical report is needed and treats doctors and psychiatric nurses in the same
• I know you said health care providers, but I was thinking in terms of school nurses and maybe teachers
• And it does mention nurses, psychologists, clinical social workers, counselors, and some of those do
• And it does mention nurses, psychologists, clinical social workers, counselors, and some of those do
• , another trusted adult out there, even if it’s outside the school setting... ...the school nurse, a

Summary: The Committee on Children, Families, and Elder Affairs considered several bills. SB 590, by Senator Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement, with a retroactivity amendment adopted. Supporters said it would help hold mandatory reporters accountable in institutional abuse cases; it was reported favorably. SB 778, by Senator Simon, would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency could be housed in the same secure setting under Chapter 916, reducing duplicative staffing and space needs at APD; it was also reported favorably. The committee then took up SB 560, by Senator Garcia, which streamlines psychotropic medication procedures for children in DCF custody, clarifies when new medical reports are needed, reduces duplicative background checks, and simplifies consent documentation. An amendment removed language expanding who could serve as a qualified evaluator and revised the Road to Independence Program changes to focus only on post-secondary education services and support, extending eligibility ages to 26 while keeping a five-year maximum. Members discussed fiscal impacts and funding sources, and the bill was reported favorably. Finally, the committee heard SB 1010, by Senator Yarbrough, which strengthens enforcement of existing prohibitions on sex-reassignment prescriptions and procedures for minors and adds civil and criminal penalties, along with Attorney General enforcement authority and related parental rights provisions. An amendment clarified that actions could be brought by individuals as well as the Attorney General and that the provisions apply only to minors. The bill drew extensive public testimony both for and against, with supporters emphasizing child protection and accountability and opponents warning about chilling effects on medical care, schools, and parental rights. Senators raised concerns about standing, scope, and impacts on teachers and clinicians, but the bill was ultimately reported favorably on a 5-1 vote, with Senator Sharif voting no.

Transcript Highlights:

• Cavazos is not a nurse; he is one of the public.
• , include 232,000 registered nurses in Texas, assisted by nearly 60,000 vocational nurses.
• How do you keep them once they become CPAs and nurses?
• been a nurse.
• So people would be wondering, what do you bring to a nursing board?

Keywords: 1185, senate, all