Transcript Highlights:

• facility and home criteria for nursing facility and home and<01:04:43.000> communitybased<01:
• a<01:48:06.880> dual a nursing facility so they're a dual a nursing facility so they're
• And in fact, the nursing facility, as I understand it, the nursing home facility is on the hook for this
• We're on a roll here. with uh you know a nursing facility in with uh you know a nursing facility in in
• facility at the Medicaid rate, and that payment would have the General Nursing Facility rate that has

Keywords: 1191, senate, all

Transcript Highlights:

• We are the state association for skilled nursing facilities.
• We represent about 900 skilled nursing facilities.
• working in a non-health care facility...
• facilities.
• Patients who are ready to leave the hospital end up waiting for a skilled nursing facility bed much longer

Summary: The Senate Committee on Business, Professions and Economic Development met as a subcommittee due to the lack of a quorum, then later established quorum and took up a series of bills, mostly sunset extensions for licensing boards. SB 1302, SB 1303, SB 1304, SB 1363, and SB 1368 all dealt with extending board operations to January 1, 2031 and making related technical or policy changes. SB 1303 for the Board of Naturopathic Medicine added a fictitious name permit program and other administrative changes, while SB 1304 for the Respiratory Care Board drew significant testimony over whether licensed vocational nurses should be allowed to perform basic respiratory tasks in skilled nursing facilities and hospitals. SB 1363 updated barbering and cosmetology apprenticeship and licensing rules, and SB 1368 added a retired license category and strengthened continuing education oversight for speech-language pathology, audiology, and hearing aid dispensers. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program to support large independent multi-day music festivals. Supporters, including Visit Sacramento and festival promoters, said the bill would protect jobs, tourism, hotel nights, and local tax revenue; opponents raised concerns about using state funds during a deficit year and questioned whether profitable events should receive subsidies. The committee also heard SB 1297, which would create regional public-private partnerships and financing tools for wildfire mitigation projects; the author and supporters said it would help address the state’s large wildfire prevention funding gap by leveraging local and private investment, while members asked how the bonds would be repaid and whether the state would bear costs. SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals working in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process. Supporters described safety threats, stalking, and staffing concerns, and the bill passed unanimously. SB 1304 also passed after committee discussion, with members and the author noting ongoing negotiations over LVN scope and training in higher-acuity settings. SB 865 passed on a 9-1 vote, SB 1297 passed 10-0, and the sunset bills SB 1302, SB 1303, SB 1363, and SB 1368 all advanced unanimously to the Senate Appropriations Committee. SB 1333 was not heard, and SB 1445 was on the consent calendar.

Transcript Highlights:

• Often, patients have little time to adjust to the idea that a skilled nursing facility, or SNF, ...to
• adjust to the idea that a skilled nursing facility, or SNF, must be or will be most appropriate for
• SB 250 will require DHCS to add skilled nursing facilities to this directory so Medi-Cal beneficiaries
• Currently, people must contact their plans directly or individual facilities to find out which nursing
• Directly or individual facilities to find out which nursing homes contract with their specific plan.

Summary: The Assembly Health Committee heard several Senate bills focused on health care access, privacy, and public health data. SB 81 (Arreguín) would require health care facilities to create nonpublic areas and bar immigration enforcement from entering without a judicial warrant or court order, while also protecting disclosure of immigration-related information in medical records. The bill drew strong support from labor, immigrant-rights, health care, and patient advocacy groups, with committee members emphasizing patient safety and privacy; one member raised implementation concerns about how the restrictions would work in practice. The committee voted the bill out on a due pass motion to the Privacy and Consumer Protection Committee, with one no vote recorded. SB 250 (Ochoa Bogh) would add skilled nursing facilities to DHCS’s managed care provider directory so Medi-Cal beneficiaries can more easily identify covered facilities. Supporters said the change would help seniors and people with disabilities avoid confusion and rushed placement decisions, especially during hospital discharge, and would make existing information easier to use. The committee passed the bill to Appropriations on a unanimous vote. SB 717 (Richardson) would formally recognize California’s three regional cancer registries in state law to help preserve federal funding and support cancer surveillance data collection. The author and supporters said the measure would protect more than $15 million in annual federal support and strengthen cancer research and tracking; the committee approved it unanimously to Appropriations. SB 504 (Laird) would allow health care providers to disclose personally identifying information about previously reported HIV infections to state or local health officials when needed for disease control or care coordination. The author described the bill as a modernization of reporting and coordination practices, and supporters from the California Medical Association and Planned Parenthood backed it. The committee sent the bill out as amended to the Privacy and Consumer Protection Committee on a unanimous vote. The meeting also included routine consent-calendar action and multiple add-on votes, with the committee repeatedly holding the roll open to record additional members’ votes.

Transcript Highlights:

• As a new nurse.
• The nurses, on top of my nursing duties.
• Many nursing home workers have spent years fighting to have their voices heard by facility owners, often
• Many nursing home workers have spent years fighting to have their voices heard by facility owners, often
• For example, a growing nursing home operator, after purchasing an older facility, refused to negotiate

Summary: The Senate Committee on Labor met with a quorum, adopted the June 4 minutes, and then took up Senate Bill 948, the Workplace Employees Boundaries Act (WEB Act), after adopting an S-1 substitute by a 4-1 vote. Senator Geis presented the bill as a Michigan “right to disconnect” measure that would generally bar employers from requiring employees to access or respond to work communications outside usual work hours, allow employees to set availability hours, prohibit retaliation, direct LEO to write rules, and provide complaint and enforcement procedures with exceptions for emergencies and existing collective bargaining agreements. In questioning, Senator Albert raised concerns about how the bill would apply in small businesses and practical situations like staffing calls, school notifications, and emergency-like circumstances; Geis said the bill was meant to protect non-work time while preserving emergency carve-outs and informational messages. NFIB’s Amanda Fisher opposed the bill, arguing it was too broad, difficult to define across industries and schedules, potentially duplicative of existing wage-and-hour law, and likely to create confusion and reduce flexibility, especially for small employers. The committee then shifted to testimony on health care workforce and labor disputes. Nurses from Teamsters Local 332 described a 291-day strike at Henry Ford/Genesis over safe staffing, return-to-work terms, and alleged union-busting, saying the hospital’s staffing levels and use of replacement workers threatened patient safety and could displace experienced specialty nurses. Michigan Nurses Association president Aaron McCormick and Marquette RN union president Christina Hanson said Michigan’s problem is not a shortage of licensed nurses but of nurses willing to stay in overworked, hostile workplaces; they cited retaliation, slow grievance/arbitration processes, hospital consolidation, rural OB closures, and unsafe staffing ratios as drivers of burnout and departures. They urged stronger protections and faster dispute resolution, especially given the limited effectiveness of the NLRB and delays in labor processes. Additional testimony came from UAW Local 4911’s Kim Wheeler, who said UMH Sparrow was outsourcing two low-paid support groups—patient transport/housekeeping and food and nutrition—despite their importance to hospital operations and despite a recently ratified contract, and asked for transparency and limits on corporate outsourcing. Don Hill of SEIU Health Care Michigan described chronic understaffing in nursing homes, mandatory overtime, burnout, retaliation fears, and the need for enforceable patient-to-staff ratios and stronger wage support; he also noted that home care workers are negotiating first contracts after restored bargaining rights. The committee took no vote on SB 948 beyond adopting the substitute, heard extensive testimony, and adjourned without further business.

Transcript Highlights:

• And what I mean by that is nursing facilities.
• You mean by that is nursing facilities.
• And 25 on nursing facility expenditures.
• Nursing facility makes up about 4.4% of the total growth.
• Nursing facility makes up about 4.4% of the total growth.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• CRNAs are highly trained providers who are held to a high standard by the Board of Nursing and facilities
• facility.
• APRNs, two nurse nurses, and two APRNs.
• nursing school?
• There are numerous nursing homes and memory care facilities all around Texas that list that they have

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Both Bington and New Market have zero properties with no tax-exempt residential facilities, nursing homes
• nursing facility that is expertly run with initiative, creativity, and compassion.
• <05:56:56.798> skilled<05:56:57.120> nursing<05:56:57.600> facility public nursing
• skilled nursing facility public nursing skilled nursing facility that<05:56:58.400> is<05:56:
• My late sister spent her entire nursing career in a long-term care facility and was a resident of one

Keywords: 1189, house, all

Transcript Highlights:

• > with nursing home facilities struggle with nursing home facilities struggle with burnout<00:
• <00:46:19.280> facilities<00:46:19.599> in vast majority of nursing facilities in vast
• decimates how Minnesota funds nursing decimates how Minnesota funds nursing facilities,<01:09:20.799
• c> an place many nursing facilities in an place many nursing facilities in an unsustainable<01:10
• imperative has found that 89% of nursing imperative has found that 89% of nursing facilities<01:

Keywords: 1187, senate, all

Transcript Highlights:

• nursing.
• We are also looking at the feasibility of facilities to take on our nursing students for clinicals.
• Nursing is really hard.
• In the field of nursing, we lose a lot of new nurses because the situations are difficult, and I think
• doesn't have enough nurses.

Transcript Highlights:

• Because, you know, that's a problem in nursing home facilities from top to bottom.
• <00:47:24.400> home that's a problem in nursing home that's a problem in nursing home facilities
• >> facilities. >> facilities.
• And I just wanted to verify, too, that the private facilities, private nursing homes can also take veterans
• We have a mental health nurse practitioner who comes into our facility once a week to provide the care

Keywords: 958, all

Transcript Highlights:

• This is skilled nursing.
• No, no, no, all 19 correctional facilities, because that is issues in all facilities.
• They'll reach out to other facilities.
• ...somebody from your facility so that treatment can be obtained outside of the facility.
• Specifically, 11 nurses stated that they were asked to cover unsafe caseloads, including one nurse who

Keywords: 959, house, all

Transcript Highlights:

• They are sort of functionally eligible or need the nursing facility level of care, but are able to be
• home facilities.
• Are the inspectors for the nursing homes currently registered nurses?
• facilities.
• And in my conversations with several of the nursing home and assisted living facility representatives

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• SB 1302 is the sunset bill for the Board of Registered Nursing.
• SB 1302 also streamlines the renewal application for nurse practitioners and certified nurse midwives
• And allows NPs, nurse practitioners, to meet requirements for recognition as a 103 or 104 nurse practitioner
• facilities.
• Patients who are ready to leave the hospital end up waiting for a skilled nursing facility bed much longer

Keywords: 987, senate, all

Transcript Highlights:

• , but you think about Venture Global, what they're doing, not one, but now two major LNG export facilities
• So initially, when I filed the bill, I was going to require that the facilities be open on the weekends
• I was going to require that the facilities be open on the weekends, but after getting some feedback and

Bills: SR110, SR109, SCR58, SCR59, SCR12, HB198, HB225, HB508, HB512, HB599, HB632, HB763, HB909, HB971, HB989, HB1066, HB1171, HB1204, HB1231, HB1246, HB1248, HB1250, HB221, HCR41, HCR63, HCR76, HCR77, HCR86, HCR92, HCR93, HCR58, SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB388, SB450, SB465, HB17, HB21, HB42, HB45, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB324, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB821, HB823, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, SB162, SB382, SR93, SCR40, SCR30, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB283, SB296, SB323, SB338, SB363, SB369, SB408, SB431, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR6, HCR31, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB36, HB119, HB126, HB129, HB245, HB280, HB677, HB726, HB850, HB966, SB68, SB149

Keywords: youth fitness, school achievement, Lafayette Parish, Louisiana Governor's Games, elementary education, Louisiana Arts Day, arts and culture, cultural heritage, artists, musicians, writers, performers, culture bearers, tourism, creative economy, economic impact, cultural sector, Louisiana Partnership for the Arts, festivals, visual arts

Summary: The Senate convened with a quorum, heard a prayer from Dr. Michael Sprague, and recited the pledge. The body then suspended the rules to welcome House Majority Leader Steve Scalise, who highlighted federal-state cooperation and credited Louisiana lawmakers with helping advance policies such as no tax on overtime, expanded energy development, and major business investment in the state. The chamber also recognized several visiting groups and observances, including Leadership Lafayette, the new Orleans Parish sheriff, Pro-Life Day at the Capitol, Recreation and Parks Day/Month, Main Street Day, LMA Day, and Links Day, with multiple resolutions adopted or concurred in for those recognitions. On legislation, the Senate handled a mix of committee reports, House messages, and floor action. It concurred in House Concurrent Resolution 92 and 93, adopted SCR 60, SR 11, SR 93, and SCR 40, and advanced or adopted numerous bills and resolutions. Notable measures included workers’ compensation bills SB 162, SB 382, and SB 408; SB 500 on medical review panels and certificates of merit; SB 268 and SB 228 on lead service line replacement and use of public funds; SB 338 on school bullying prevention; SB 431 on towing and storage access; HB 297 on lease termination for stalking and cyberstalking victims; HB 305 on child sexual abuse material evidence handling; HB 336 on post-conviction relief timelines; HB 436 allowing veterans to serve as park police/wardens; HB 594 designating SCN2A Day; HB 957 on prisoner transfer notifications; HB 995 on videotaped statements; HB 1040 on juvenile detention board membership; HB 117 reauthorizing the Department of State; HB 120, HB 122, HB 139, HB 247, and HB 286 creating or adjusting local districts; and HB 185 clarifying independent contractor coverage in workers’ compensation. Several bills were amended on the floor before passage, including SB 382, SB 500, SB 431, SB 338, and HB 185, while some measures were returned to the calendar or referred to committees. The Senate also received and referred a large number of House bills and concurrent resolutions on topics including health care reimbursement, criminal procedure, education, insurance, natural resources, transportation, and local governance. Votes recorded in the transcript were generally favorable, with many measures passing unanimously or by wide margins, though a few drew opposition, such as HB 185 and HB 957.

Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• facilities with rest home beds.
• In California, they call them residential care facilities, and the staff of the facility were allowed
• Our mission-driven members serve more than 30,000 older adults across the Commonwealth in nursing facilities
• facility.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• nursing facility payment system changes. nursing facility payment system changes.
• This increases nursing facility payment rates.
• <00:07:28.160> facility this would adjust the nursing facility this would adjust the nursing
• This increases nursing facility payment rates.
• This increases nursing facility payment rates.

Keywords: 1187, senate, all

Transcript Highlights:

• On line 515, House File 702, Nursing Facility Property Rate Increase.
• This extends the expiration date for certain time-limited nursing facility crimes.
• It provides for a nursing facility rate add-on for standards established by the Nursing Home Workforce
• This modifies the nursing facility level of care criteria for the BI and CADI waiver eligibility.
• Changing the nursing facility care eligibility cannot be done lightly.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• In conclusion, we support a pilot program for the nursing facilities.
• Is that different than what we do for nursing facilities?
• I believe that the nursing facilities are required to provide itemized financial statements.
• Yes, that'd be different than what we do for nursing facilities.
• I believe that the nursing facilities are required to provide itemized financial statements.

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:

• I know that there was a lot of conversation on the assisted-living facilities.
• The management of the timeshare facilities shall govern this.
• A BILL TO BE ENTITLED AN ACT RELATING TO VETERANS NURSING HOMES.
• NURSING FACILITY.
• A BILL TO BE ENTITLED AN ACT RELATING TO VETERAN AND SPOUSE NURSING HOME BEDS.

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB 1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64, SB227, SB401, SB512, SB527, SB648, SB1490, SB1558, SB1574, SB1626, SB1756, SB1924, SB1964, SB2018, SB2031, SB2111, SB2117, SB2206, SB2570, SB2658, SB2692, SB2900, SB3031, SB407, SB1395, SB1433, SB1718, SB2322, SB2877, SR453, SR461, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• The Warren facility. That's right. I'm sorry. The Warren facility.
• The superintendent of that facility, the nursing home administrator. Okay. Fired or retired?
• The consultants, and part of their job, is that to do an assessment of just that facility or all facilities
• You know, 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• That means we're paying them way more than we are the current nurses because we can't hire nurses there

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.