Transcript Highlights:

• My name is Kim Doe and I am a nurse midwife representing the California Nurse Midwives Association.
• Roxanne Goulder, with the California American Nurses Association of California and the Clinical Nurse
• I'm the program director for a rural family medicine residency training program based out of a tribally
• California's nursing home residents deserve better.
• discharges in nursing homes.

Committee: House Health

Transcript Highlights:

• A question for you, Miss McKay: are you able to have a program for college tuition forgiveness for nursing
• ...able to have a program for college tuition forgiveness for nursing and LPNs, to come and work for
• So we have an LNA program, and they commit to a year. And what we can't do is create nurses.
• So we have an LNA program, and they commit to a year. And what we can't do is create nurses.
• So we have an LNA program, and they commit to a year. And what we can't do is create nurses.

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• This is for their PET building cyclotron equipment program.
• So it's an intensive in-home program for those children.
• nursing is quite a bit expensive.
• It seems like each month we have several contracts for contract nursing, which, you know, contract nursing
• I can tell you that right now our registered nurses and LPNs are under a special compensation award program

Committee: All ALC-REVIEW

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• As a Black nursing instructor, I often see how few students of color make it into the nursing program
• and even through the nursing program, not because they don't have the passion or ability, but because
• As a black nursing instructor, I often see how few students of color make it into the nursing program
• and even through the nursing program, not because they don't have the passion or ability, but because
• When we have diverse nursing faculty, we inspire diverse nursing students.

Summary: The Governmental Organization Committee met as a subcommittee because it initially lacked a quorum, then later established quorum and heard several bills. AB 445 by Majority Leader Aguiar-Curry would grant Colusa County 10 on-sale liquor licenses to address a long-standing shortage and support local economic development; the author said she would accept committee amendments. The bill was later approved on a due-pass-as-amended motion to Appropriations, with the roll held open for absent members before additional aye votes were added. AB 766 by Assemblymember Sharp-Collins would require state agencies and departments to conduct an equity analysis before implementing budgets or regulations, with the review performed by a DEIA coordinator or qualified equivalent. Supporters, including a college administrator and a nursing instructor, argued the bill would protect diversity, equity, inclusion, and access efforts and help address systemic barriers in education and health care. The committee voted 13-? on the measure after a due-pass motion to Appropriations, with the roll held open and later additional aye votes recorded. AB 971 by Assemblymember Alvarez would facilitate transfer of about 3.83 acres of city-owned land in San Diego to the San Pasqual Band of Mission Indians, contingent on affirmative action by the City of San Diego. The author and tribal witnesses described the bill as a step toward correcting historical injustices and reopening a currently closed park as a tribal-operated historical park and museum. The measure passed on a due-pass motion to Appropriations, again with the roll held open for absent members before additional votes were added.

Transcript Highlights:

• This lack of transparency creates inefficiencies and delays, making it difficult for nursing programs
• As an example, when a nursing program submits to the Board of Nursing for final approval to begin their
• And members, as you can see, none are aggregated in nursing programs across Texas first look to their
• We, along with other nursing programs in Texas, work tirelessly to find the very best clinical placement
• We, along with other nursing programs in Texas, work tirelessly to find the very best clinical placement

Bills: SB2972 , SB1909 , SB2815 , SB735 , SB2233 , SB800 , SB1069 , SB2683 , SB2986 , SB2058 , SB2310 , SB2055 , SB1032

Committees: Senate Education , Senate Education K-16

Summary: The Senate Education K-16 Committee heard several bills before recessing to the floor, with most measures left pending subject to the call of the chair. SB 2986 would allow public schools and universities to permit after-hours facility use by religious groups on the same terms as other nonprofits, and SB 1032 would open the Governor’s University Research Initiative to private and independent universities; both had committee substitutes adopted and were left pending after brief testimony. Supporters of SB 1032 from Rice and Baylor said the change would help Texas recruit top researchers and strengthen the state’s research economy. The committee also heard SB 2058, which would require the Texas Higher Education Coordinating Board to publish annual data on nursing clinical training sites to improve placement coordination, and SB 2683, which would bar public colleges from giving benefits or recognition to student organizations that receive support from foreign entities of concern; both were left pending after testimony. A large portion of the meeting focused on SB 2233, which would require public institutions of higher education to adopt policies prohibiting students or employees on nonimmigrant visas from publicly supporting terrorist activity or organizations, with enforcement through investigations, reporting to Homeland Security, and possible Attorney General action and fines. The author said the bill was intended to reinforce existing federal definitions and campus safety, while senators questioned the bill’s scope, the definition of terrorist activity, and the clause tied to U.S. policy or practice. Public witnesses, including civil rights advocates, law students, and others, argued the bill was vague, overbroad, unconstitutional, and likely to chill protected speech and increase surveillance of international students and Black and brown communities; several Jewish witnesses also said the bill misused Jewish safety concerns and could be used for viewpoint discrimination. SB 2233 was left pending after public testimony. The committee then took up SB 735, which builds on prior Holocaust education legislation by funding optional age-appropriate and bilingual curriculum, museum field trips, teacher preparation partnerships, annual reporting, and regional collaboration with Holocaust museums and education service centers. The author and invited witnesses said the bill responds to survey findings showing uneven Holocaust instruction and a need for better teacher training and accountability. A fifth-grade teacher and the director of the Holocaust Memorial Museum of San Antonio testified in support, emphasizing the need for accurate, age-appropriate instruction and professional development. The committee recessed before finishing the agenda, and SB 735 was set to resume after the floor session.

Transcript Highlights:

• JP Hanna with the California Nurses Association.
• of Nurse Anesthesiology.
• My name is Mark Pahead, CRNA, a nurse anesthesiologist, representing Kaiser Permanente and the nurse
• I'm Patty Bone, nurse anesthetist at Kaiser, a 20-year nurse anesthetist and 36-year RN.
• and the tax loaders, because my SSI program is your tax... ...and the tax lenders because my SSI program

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.

Transcript Highlights:

• new graduate nurses, and critical care nurses.
• new graduate nurses, and critical care nurses.
• She's another nurse leader, a nursing executive advisor at Hellstream.
• nurses and patients.
• There was a program called PRP, the Propulsion Replacement Program.

Summary: The Senate convened with a quorum, heard an invocation from Rabbi Jack Stocker for New Mexico’s first Jewish Community Day at the legislature, and then proceeded with the Pledge of Allegiance, Spanish pledge, flag salute, and national anthem. Early floor business included unanimous-consent approvals for cameras on the floor and in the gallery, a relaxed dress code for guests, and an excuse for Senator Hickey. Majority Floor Leader Peter Wirth noted it was the last day for bill introductions and reviewed the day’s observances and receptions, including Multiple Sclerosis Advocacy Day, Jewish Community Day, Santo Domingo Pueblo Day, Lincoln County Day, and UNM Day. A large portion of the meeting was devoted to honoring the Artesia Bulldogs football team, recognized for winning another state championship and for their long record of success. Senators and coaches praised the team’s resilience, community support, and the role of local fundraising and school support in sustaining athletic excellence. The Senate also observed a moment of silence for New Mexico State Police Officer Darien Jarrett on the fifth anniversary of his death in the line of duty, with Senator Brantley speaking about Jarrett’s service and the impact of his loss on law enforcement and the region. The chamber then celebrated UNM Day with a formal certificate recognizing the University of New Mexico’s role as the state’s flagship university, its enrollment, degrees awarded, research, patents, health sciences, and hospital services. Multiple senators spoke in support, emphasizing UNM’s impact on education, health care, public service, first-generation students, and athletics, and several introduced guests from UNM programs and leadership. The Senate also read and adopted a certificate recognizing Dr. V. Sue Cleveland for 32 years leading Rio Rancho Public Schools, with members praising her role in building the district and supporting its growth and success. Later, the Senate recognized Valencia County Day and Hidalgo County Day, with senators highlighting each county’s history, economic development, agriculture, transportation, and community identity, and introducing local officials, business leaders, and youth honorary lieutenant governors. Additional floor remarks honored nurses and health care professionals tied to Lincoln County Day and related observances, with senators introducing guests from nursing, education, and hospital settings and emphasizing the importance of the nursing workforce and rural health care.

Transcript Highlights:

• , so a full nursing program, as they matriculate through the program.
• from a board-approved nursing education program.
• So the RN and LPN programs are already being approved for the nursing education, so it would be just
• </c> from a board approved Nursing education from a board approved Nursing education program<00:43:31.680
• education program and improved nursing education program and and<00:44:58.520><c> they're</c><00:44:

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• It's actually the 20th anniversary of this program and the work that they're doing.
• It's actually the 20th anniversary of this program and the work that they're doing.
• My name is Stacey Robinson, and I am a school nurse in the Indian River School District.
• I am also the National Association for School Nurses Director for the Delaware School Nurse Association
• and a nationally certified school nurse.

Committee: Senate Education

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,

Committee: Senate Appropriations Committee on Higher Education

Transcript Highlights:

• In the case of nursing, skilled nursing level care, you know, is that in a facility on site or is that
• , skilled nursing facilities on site.
• So things like state monitoring, directed plans of correction, loss of nurse aide training programs,
• A skilled nursing facility.
• So if they were to close the nursing, the licensed nursing setting, they would have to go as a closure

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• We graduate approximately 230 nurses annually across our ASN and BSN programs.
• We have one of the best medical, I feel, right there, our nursing program.
• in Nursing programs, all strategically coordinated with regional workforce needs.
• of Science and Nursing programs, all strategically coordinated with regional workforce needs.
• And he had a lot to talk about because we've got a fantastic nursing program.

Committee: Senate Appropriations Committee on Higher Education

Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• And then hopefully one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• Thank you very much, and I so appreciate your commitment to the nursing program there.

Summary: The committee on Higher Education Appropriations heard and favorably reported two bills: SB 1570, which revives the former Project Leo program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices, and CS/SB 1376, which creates a grant program to support genetic counseling education in response to a statewide shortage of genetic counselors. Both bills drew supportive comments, with the genetic counseling bill also receiving public support from a university representative. The committee then took up a large slate of confirmations. It first approved a block of reappointments to various university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg College, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and Broward College. It then heard from numerous new appointees and some requested reappointments, many of whom emphasized workforce training, nursing, military and veteran support, dual enrollment, and local economic development as priorities for their institutions. Several nominees highlighted their personal ties to the schools and communities they would serve, including appointees to Pensacola State, Polk State, St. Petersburg College, UNF, UWF, FIU, the College of the Florida Keys, Valencia College, and Chipola College. Committee members repeatedly asked about nursing NCLEX pass rates, workforce alignment, and institutional growth. One reappointment, Thomas Zachary Smith to the UWF board, was pulled from the block for separate questioning about his past public comments and his role in Project 2025; he said he would serve in his personal capacity and treat all students equally. The committee also separately heard from a Florida Poly reappointment, I. Shapiro, who was questioned about prior remarks regarding race and Supreme Court nominations, and from a New College reappointment, Mark Bowerlaine, who described campus improvements and enrollment growth. The meeting ended amid ongoing confirmation processing and separate votes on the remaining nominees.

Transcript Highlights:

• And in fact, those clinical nurse specialists train many of the nurse practitioners that actually currently
• nurse specialists, nurse practitioners, and physician assistants.
• Like other advanced practice providers, including nurse practitioners, clinical nurse specialists...
• And in fact, those clinical nurse specialists train many of the nurse practitioners that actually currently
• nurse specialists, nurse practitioners, and physician assistants.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• And so, you know, I have a perspective on this from a nurse, as a nurse and as a nurse who's not working
• The program, to me...
• And I greatly appreciate that coming from, as the former advanced practice registered nurse program coordinator
• behalf of the Nursing Association and the Nurse Practitioner Council.
• behalf of the Nursing Association and the Nurse Practitioner Council.

Committee: House House Health & Human Services

Transcript Highlights:

• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• For the Public Health nursing program, we have been experiencing a shortfall over the years.
• What would it take to expand the program for just, in general, getting more nursing assistance?

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• ACNA's work led to the American Nurses Association, or ANA, officially recognizing cannabis nursing as
• Nurses must have hands... ...approved training for nurses who are put in the back of the ambulance.
• more unsafe for those nurses and patients?
• But who declared the nurse has appropriate competencies?
• Right now, I mean, this program is being used, like I said, it's a software program called ODMAP.

Summary: The House Health Care and Wellness Committee held public hearings on several bills. HB 2152 would allow terminally ill qualifying patients to use medical cannabis in hospitals, nursing homes, and hospice facilities under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and allow facilities to suspend compliance if federal enforcement arises. The prime sponsor and supporters, including family members, cannabis advocates, nurses, and hospital-related groups, described the bill as a compassionate end-of-life measure based on California’s Ryan’s Law; the Washington State Hospital Association asked for clarifying amendments to limit the bill to inpatient beds and to bar staff from retrieving cannabis as well as administering it. HB 2122 would require hospitals, starting in 2027 and during flu season, to offer influenza vaccines to inpatients age 65 and older and to inpatients with chronic health conditions when not contraindicated. The sponsor and supporters from diabetes, infectious disease, AARP, and public health emphasized rising flu deaths, the benefits for high-risk patients, and the chance to reduce severe illness and costs. The Washington State Hospital Association supported the goal but said the bill would create an unfunded mandate and requested amendments related to vaccine availability, emergency declarations, and operational flexibility. One witness from Informed Choice Washington opposed the bill but suggested adding vaccine information statements to strengthen informed consent. HB 2110 would change staffing rules for inter-facility specialty care ambulance transports so a registered nurse without EMT certification could satisfy the personnel requirement when no paramedic or EMT-certified nurse is available, provided an EMT-certified EMS provider is in the ambulance and the nurse has appropriate competencies. Rural hospitals and ambulance providers said the current rule delays transfers and can force long waits or air transport, while the Washington State Nurses Association supported the concept but raised concerns about standardized training, medical oversight, and staffing impacts on hospitals. HB 2113 would update radiologic technologist supervision rules for IV contrast and other procedures, allowing virtual direct supervision for contrast procedures and supervision by physicians, APRNs, or PAs in some cases; supporters said it aligns with current practice and improves rural access, while radiology groups asked for a distance/proximity requirement for virtual physician supervision. HB 2168 would require the Department of Health to rapidly share overdose data from the state EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use. Supporters from Yakima County, public health, and the poison center said near-real-time overdose mapping would improve spike alerts, prevention, and response, and could save lives; the Washington Poison Center asked that its data be included and that the bill clarify language around opioid versus other overdoses. No votes or final committee actions were taken in the hearing; the meeting ended after public testimony on HB 2168.

Transcript Highlights:

• Pamela Rouse, registered nurse and member of California Nurses Association, in support.
• Kathy Dennis, active bedside registered nurse director on the California Board of Nurses.
• Pamela Rouse, registered nurse and member of California Nurses Association in support.
• Shirley Toy, registered nurse and member of California Nurses Association, in support.
• Kamala Rouse, registered nurse and member of California Nurses Association, in support.

Committee: House Health

Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• UWF has made great efforts to expand its nursing programming, particularly.

Bills: S1570 , S1376

Committee: Senate Appropriations Committee on Higher Education

Summary: The committee heard and approved two bills before moving to a long confirmation agenda. SB 1570, by Sen. Gates, would restore Project Leo, a previously sunset program that helps locate missing persons with special needs through voluntary tracking devices and coordination between CARD centers and local sheriffs; it was praised as a proven tool for families and first responders and was reported favorably. CS/SB 1376, by Sen. Burgess, would create grants to support genetic counseling education and help address Florida’s shortage of genetic counselors; testimony noted the state’s limited supply of licensed counselors and the need to expand clinical training, and the bill also passed favorably. The committee then considered a block of reappointments to university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and others. No one requested separate votes on the reappointments, and the block was confirmed unanimously for recommendation to the next committee. A series of new appointees then appeared and largely emphasized workforce training, nursing, military support, and local economic development at their institutions. Witnesses included appointees to Pensacola State, Polk State, St. Petersburg College, UNF, FIU, UWF, Valencia, the College of the Florida Keys, and others; several highlighted strong NCLEX pass rates, dual enrollment, and partnerships with employers or military communities. One nominee, Florida Poly reappointment Ilya Shapiro, faced pointed questioning from Sen. Bracey Davis about past comments regarding race and the Supreme Court; he said his remarks were about hiring criteria, not a specific justice, and reiterated opposition to race- or sex-based selection. The committee also briefly struggled to reach Sherry Young by phone before hearing her testimony for Chipola College, where she said she wanted to give back as an alumna and nurse practitioner. Most new appointees were recommended for confirmation in a block, while Thomas Zachary Smith of UWF was pulled for separate consideration.

Transcript Highlights:

• My name is Kim Doe, and I am a nurse midwife representing the California Nurse Midwives Association.
• Roxanne Goulder, with the California American Nurses Association of California and the Clinical Nurse
• I'm the program director for a rural family medicine residency training program based out of a tribally
• California's nursing home residents deserve better.
• discharges in nursing homes.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.