Transcript Highlights:

• A nurse can educator on the program. A physician can educate on that program.
• And also on the other end of the spectrum, we cover approximately 62% of nursing home care nursing days
• We have a nursing mother support items. We have virtual pregnancy support.
• We have a nurse midwife social workers.
• And then our nurse at shoppers have to go in and then abstract those cases.

Keywords: 999, senate, all

Transcript Highlights:

• nurse midwife.
• nurse midwife.
• nurse midwife.
• nurse midwife.
• At 19, I became a certified nursing assistant and began working in the nursing homes.

Keywords: 1187, senate, all

Transcript Highlights:

• Good afternoon, Ashley Davis, Director of the Arkansas State Board of Nursing.
• I believe we're on D, advanced practice registered nurse. Right.
• Subsection 404H clarifies that certifications...
• We did have a couple of comments from the nurse practitioner association.
• These proposed new rules are the rules pertaining to doula certification. Apologize.

Keywords: 1204, all

Transcript Highlights:

• We have nurse practitioners, nurse anesthetists, and we have to send them out.
• Celebrating 50 years of service, our School of Nursing is among the top five largest nursing schools
• This funding will increase our family nurse practitioner program by over 300% and our undergraduate nurses
• On the School of Nursing, you know, we still have this nursing shortage. Your clinicals, are you...
• We've got about 400 nursing students.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• of insurance and specifically states that a certificate is not an insurance policy.
• The nursing board has not been meeting their standards for over 33 years, and it's time that we have
• some accountability in that office. ...the nursing board has not been meeting their standards for over
• House Bill 2729 continues the Arizona State Board of Nursing for four years.
• I understand there's been some difficulties with the Nursing Board at this time.

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• They have the same certifications.
• They have the same certifications.
• They have the same certifications.
• You know, I hear a lot about board certification. Board certification is a test.
• I hear a lot about board certification. I hear a lot about board certification.

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• Because we hear that about nursing programs.
• Realize that's required on their certification.
• So you get, you know, the $500 per certificate.
• , a nurse from NDSU gets 2,000, and a nurse from, I think, mine, was like 18.
• A nurse from NDSU gets 2,000 and a nurse from, I think, mine, was like 18,000.

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• This is to return unused funds from a grant on Medicare survey and certification. G3 is DHS again.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• This is to return unused funds from a grant on Medicare survey and certification. G3 is D.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• Number five is the Department of Labor and Licensing, Appraiser Licensing and Certification.

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• House Bill 630, relating to certificates of title for certain outboard motors.
• House Bill 630, relating to certificates of title for certain outboard motors.
• their military service to obtain licenses to practice medicine or nursing in Texas.
• If it's a nursing license in the military, it's nursing they would be prepared to pay. ...practicing
• in Texas with getting a nursing license, correct?

Bills: HB11, HB12, HB21, HB26, HB30, HB33, HB37, HB45, HB210, HB303, HB630, HB879, HB1041, HB1188, HB1261, HB1318, HB1465, HB1535, HB1593, HB1778, HB2559, HB2596, HB2692, HB2703, HB2712, HB2742, HB2809, HB2890, HB3012, HB3526, HB5061, HB5092, HB5238, HCR92, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1250, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2309, SB2497, SB2532, SB2549, SB2566, SB2617, SB2639, SB2696, SB2717, SB2747, SB2751, SB2790, SB2797, SB2799, SB2841, SB2850, SB2857, SB2891, SB2919, SB2928, SB2994, SB3051, SJR34, SB529, SB541, SB693, SB963, SB1968, SB2308, SB2544, SB1173, SB1646, SB1734, SB1833, SB1, SB17, SB260, SB509, SB1506, SB1637, HB1393, HB2559, HB26, HB3012, HB1593, HB2607, HB3526, HB3810, HB388, HB879, HB12, HB2703, HB30, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2043, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB2994, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2639, SB2459, SB2655, SB2251, SB1884, SB2617, SB2928, SB2566, SB1897, SB1749, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB1232, SB2850, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR98, SB3070, SB835, SB524, SB2233, SB2683

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, Medicaid, nutrition support, maternal health, chronic conditions, pilot program, disaster relief, tax rates

Transcript Highlights:

• Licensed physicians and nurses must complete a one-time... ...health care professionals.
• We have Victoria Zep, Florida Association of Nurse Practitioners, waiving in support.
• and health science education programs in addition to nursing education programs.
• education program, institutional health science education degree, or certificate program.
• education program institutional health science education degree or certificate program.

Summary: The Fiscal Policy Committee met and first adopted a late-filed amendment to SB 774, which expands enhanced workers’ compensation coverage to 911 public safety telecommunicators for mental or nervous injuries. The bill drew supportive testimony from a Palm Beach County Sheriff’s Office dispatcher and others, and was reported favorably. The committee also reported favorably SB 770 on forensic services for certain defendants, which would allow the Agency for Persons with Disabilities to consolidate secure forensic services for individuals with intellectual disabilities or autism whose charges were dismissed after incompetency findings. Members then considered several public safety, family, and workforce bills. CS/SB 86, which declares unauthorized aliens operating commercial vehicles an imminent safety hazard and imposes vehicle impoundment and a $50,000 penalty on motor carriers, was reported favorably after questions about impound procedures and cargo handling; one speaker opposed it. SB 1594, protecting veterans’ benefits for foster youth so the funds are reserved for postsecondary education, training, and after-care services, was reported favorably with supportive testimony from a former DCF attorney. CS/SB 760, creating a new offense for willful violations of no-contact pretrial release conditions in violent crime cases, was reported favorably despite criminal defense attorneys’ concerns about a provision allowing warrantless arrests without officer observation. The committee also approved a complete rewrite of the nonprofit corporations chapter in SB 554, a sickle cell continuing education bill (SB 844) after extensive emotional testimony from patients, advocates, and family members, and SB 1022 adding two children’s initiative programs in Bay County and Broward County. CS/SB 1246 broadened the Linking Industry to Nursing Education Fund to include health science education programs and related workforce needs and was reported favorably. Finally, the committee approved CS/CS/SB 1230 restricting use and sale of certain firefighting foam containing intentionally added PFAS, and CS/CS/SB 128 directing DEP to mark Red Harris Spoil Island; both passed with favorable votes. Several senators later asked to be recorded as voting in the affirmative on specific tabs, and the meeting adjourned without further business.

Transcript Highlights:

• <00:20:38.000> homes population goes, and our nursing homes population goes, and our nursing
• <00:22:26.760> homes we wouldn't have seen 33 nursing homes we wouldn't have seen 33 nursing
• the nursing facility? Will they pass? the nursing facility? Will they pass?
• You also have the nursing facility rates, and then you also later have MCO quit payments to the nursing
• or 76 nursing facilities. or 76 nursing facilities.

Keywords: 1191, senate, all

Transcript Highlights:

• We get cases where on the death certificate, we have a 94-year-old lady in a nursing home where the pregnancy
• Our data is only as good as what is put on the death certificates.
• I'm not objecting to nurse midwives who have made that a specialty choice.
• So that's a lot of the conversation that our nurses are having.
• My point is we look at the earnings of a nurse. Right. Right.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• We have S. 157, an act relating to recovery residence certification for third reading.
• <00:10:20.959> for recovery residence certification for recovery residence certification for
• Listen to the third reading of the bill. >> S. 157, an act relating to recovery residence certification
• We now have S. 163, an act relating to the role of advanced practice registered nurses in hospital care
• registered nurses in hospital care. care. care.

Keywords: 927, senate, all

Transcript Highlights:

• nurse graduates in public schools, reported favorably by Health and Welfare.
• Oversight Commission, creation of a subcommittee, statewide sexual assault nurse examiner coordinator
• assistants to earn voter registration administration certification.
• assistants to earn voter registration administration certification.
• I will also provide an opportunity to earn the certification through other similar coursework.

Bills: HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, SCR40, SCR60, SB112, SB131, SB145, SB194, SB268, SB307, SB312, SB319, SB333, SB341, SB346, SB464, SB466, SB488, SB495, SB503, SB507, SB509, HR9, HR196, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR20, HB123, HB251, HB625, HB662, HB709, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB97, SB105, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB66, HB153, HB165, HB326, HB387, HB455, HB513, HB603, HB660, HB719, HB762, HB766, HB802, HB816, HB833, HB940, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, HCR32, HB798, HB998, HB1084, HB1223, HB59, HB955, HB1191, HB1234, HB646, HB824, HB341, SB397, SB442, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB926, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB47, SB82, SB89, SB149, SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Transcript Highlights:

• And it requires emergency departments to designate a physician, nurse, or paramedic as the lead person
• What this bill does is really assist in making sure we have our medical providers and our nurses, who
• That way, our nurses will be educated before they go actually out and practice.
• Seeing no questions, with one appearance form, Jack Corey, Florida Nursing Association.
• With one appearance form, Jack Corey, Florida Nursing Association, waiving in support. Thank you.

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• Examples of this are our nursing program.
• Examples of this are our nursing program.
• And she went on to be a nurse, healing thousands.
• And to ensure that we're putting out not just nurses, but excellent nurses, an excellent product.
• Ensure that we're putting out not just nurses, but excellent nurses, an excellent product, because recently

Summary: The committee first heard CS/SB 270, which would extend Bright Futures eligibility by 12 months for certain students whose parent was serving overseas in public service and then retired, giving military and diplomatic families more time to return to Florida without losing scholarship eligibility. Senator Burgess also explained a late-filed amendment to set the bill’s effective implementation for the 2025-26 school year, and the committee adopted the amendment without objection. The bill received supportive testimony, including from Senator Smith, and was reported favorably by a roll call vote. The remainder of the meeting focused on confirmation hearings for appointees to state college boards of trustees, with the chair emphasizing a new process of hearing from each nominee individually rather than taking a blanket vote. Nominees from Tallahassee State College, St. Johns River State College, South Florida State College, Broward College, State College of Florida Manatee-Sarasota, Palm Beach State College, Pasco-Hernando State College, and Valencia College described their backgrounds and priorities, which largely centered on workforce development, nursing and health sciences, dual enrollment, fiscal responsibility, student retention, and partnerships with local employers and communities. Several nominees highlighted their own educational or professional ties to the colleges, and some noted the importance of serving rural or military-connected communities. One nominee, John Aloko for Pasco-Hernando State College, was not present because he was attending a conference in Hawaii and was deferred to a later hearing. After hearing all other nominees, the committee voted to recommend confirmation of the remaining appointees in a block vote, covering Tabs 2 through 22 except Tab 8, and the motion passed. Two members later asked to be recorded as voting in the affirmative on earlier items.

Transcript Highlights:

• And um, I enrolled in nursing school.
• I am a nurse of almost 10 years.
• insurance, and I went to nursing school. insurance, and I went to nursing school.
• Um, so stupid to go to nursing school.
• And I'm Hawaii in the nursing program.

Keywords: 912, senate, all

Summary: The Judiciary Committee first deferred HB 239, which would have narrowed the definition of child abuse or neglect by excluding cases where a caregiver is unable to provide certain needs solely because of poverty or lack of resources. The chair said other similar bills were still alive and expressed concern that carving out a specific category of abuse could hinder monitoring of children being harmed for other reasons. The committee then took up several decision-making items. HB 420, dealing with the contractor repair act and construction defect claims, was recommended for passage with extensive amendments that would clarify statutes of repose and limitations, define substantial completion, remove homeowner expert-report requirements, delete class-action limits, set timelines for inspections, mediation, and settlement procedures, and add non-retroactivity language; it passed unanimously. HB 732, concerning special management area minor permits for certain single-family residences, was also passed with amendments after the committee removed the provision that would have expanded minor-permit eligibility for homes under 3,500 square feet. HB 1017, repealing the greenhouse gas sequestration task force, passed with amendments to make it effective upon approval. HB 958, which restricts children under 15 from riding class 3 electric bicycles and raises the helmet age requirement, passed with technical amendments only. The committee also considered Governor’s Message 689, the nomination of Melissa Sautello to the Commission on the Status of Women. After testimony in support and questions from members about financial disclosure and her views on women’s sports and transgender participation, the committee voted to advise and consent to the nomination. The nomination passed, and the committee adjourned after noting that a full Senate vote would follow.

Transcript Highlights:

• <00:36:35.920> By the cost of nursing home care. By the cost of nursing home care.
• care coming once a day or nurse-assisted nursing assistant or anything like that that come and maybe
• care coming once a day or nurse-assisted nursing assistant or anything like that that come and maybe
• once a day or nurse assisted a nursing<00:40:11.040> assistant<00:40:11.440> or<00:40:
• services in a skilled nursing facility. services in a skilled nursing facility.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• Please recognize Representative Wesammmy to present the nurse of the day.
• This is a little bit of a a personal note for me with our nurse of the day.
• She's the nurse of the day and she is the charge nurse of a cardiac stepdown unit at Saint Anthony's.
• Today, there are physicians and nurses sitting in this chamber.
• I still have my certification and was standardly certified.

Bills: HR1036, HB2975, HB3026, HB3297, HB2981, HB2978, HB4144, HB1322, HB1818, HB3194, HB3767, HB3342, HB3344, HB4170, HB3287, HB3288, HB4454, HB3264, HB3266, HB3268, HB4095, HB4115, HB4316, HB3530, HB3428, HB4272, HB4273, HB4274, HB3405, HB3406, HB3467, HB3469, HB3931

Keywords: poultry waste, nutrient management, environmental regulations, agriculture, water quality, pollution prevention, best management practices, kindergarten, military families, education policy, school districts, international military dependents, age eligibility, towing services, Oklahoma Wrecker and Towing Services Fund, Department of Labor, vehicle storage fees, consumer protection, nonconsensual towing, open meetings

Transcript Highlights:

• I think the program is your universal home visit, where a nurse actually visits the home.
• Is it an appointment that the nurse has with the mother? Is it some kind of connection?
• If she opts in, she can set up her appointment for a nurse to come and visit her home.
• Thank you, and I want to go back to the doula question that I had earlier on certification.
• We have nurse midwives, social workers... A cardiologist, an emergency room medicine doctor.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.