Transcript Highlights:

• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• Are these settings like private nursing homes, public nursing homes, CFI?
• into programs and services to make the quality programming and nursing facilities better. indicates
• into programs and services to make the quality programming and nursing facilities better.

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS waiver services and the PACE program, Program for All-Inclusive Care for the Elderly
• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS Waiver Services and the PACE program, program for all-inclusive care for the elderly
• a primary care nurse out there?”

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• We are supporting nursing education initiatives, nurse residencies, nurse specialty transition-to-practice
• supporting Nursing education initiatives nurse<00:13:15.440><c> residencies</c><00:13:16.320><c> nurse
• </c><00:13:16.720><c> specialty</c> nurse residencies nurse specialty nurse residencies nurse specialty
• </c><00:35:02.160><c> here</c> nurses but there are 17,000 nurses here nurses but there are 17,000 nurses
• > nurses to Mentor those new nurses nurses to Mentor those new nurses and<00:41:28.160><c> create</c>

Summary: The House Committees on Health and Labor heard testimony on HB 1244, a measure relating to labor standards at health care facilities and nursing staff ratios. Committee members opened by explaining hearing procedures, including a suggested two-minute testimony limit and Zoom rules. The bill drew extensive testimony from hospitals, nursing organizations, unions, and individual nurses, with the central debate focusing on whether staffing ratios should be set by statute or left to collective bargaining and unit-level staffing decisions. Opponents included the Department of Labor and Industrial Relations, the Healthcare Association of Hawaii, Straub Benioff Medical Center, Hawaii Pacific Health, Kapiolani Medical Center, and Queen’s Health Systems. They argued that fixed ratios are too rigid for the changing conditions of hospital care, could worsen workforce shortages, and should be handled through labor negotiations, staffing committees, and existing agreements. Several also pointed to investments in nursing education, loan repayment, and workforce development as better solutions. Queen’s said it had recently reached an agreement with nurses after more than 40 meetings that included a staffing framework, and Kapiolani and others emphasized the need for flexibility in emergencies and specialty care. Supporters, including the Hawaii State Center for Nursing, Pride at Work Hawaii, the Hawaii Nurses Association/American Nurses Association chapter, Hawaii Nurses Association Local 50, UNAC/UHCP, and individual nurses, said unsafe staffing levels contribute to burnout, turnover, errors, and patient harm. Testifiers described chronic short staffing, emotionally and physically exhausting workloads, and situations in which nurses were responsible for too many patients at once. Supporters argued that safe ratios are necessary to protect both patients and nurses, and that collective bargaining has not been enough to ensure safe conditions statewide, especially in facilities without unions. No vote or final committee action was announced in the portion provided.

Transcript Highlights:

• The program was not funded.
• to physician pathway program.
• Chairman, just a comment: We need more nurses, more bedside nurses. ...with empty beds.
• Because we don't have nurses. Molly knows. You know, we've got to have bedside nurses.
• I think for the nurse practitioners, there has to be in-state brick-and-mortar programs.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• For supported decision-making programs.
• Line 701 is a nursing.
• It provides for a nursing facility rate add-on for standards established by the Nursing Home Workforce
• , including PCA Choice, the CFSS program.
• Our goal is not to target programs or services.

Bills: HF2434

Committee: House Human Services Finance and Policy

Transcript Highlights:

• this program would be inconsistent and create a disparity with other training programs.
• The back-door cases are typically those nurses that have violated the nurse practice act.
• And that's—we want nurses to go to work.
• I am both a registered nurse and an attorney, and for more than 25 years, I've represented nurses and
• The nurse experienced years of prolonged uncertainty, and importantly, if the nurse posed a risk, the

Committee: House House Health & Human Services Committee of Reference

Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• from skilled nursing, and I became the administrator in 2018.
• These clearly apply to nursing homes and do not apply to a rest home.
• Opposing the MAP program. So I'm hoping that that answers your question. I think so.
• Fortunately, my family, we haven't had to deal with nursing homes very much.

Committee: Joint Joint Committee on Aging and Independence

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:

• work program, and CNM's nursing program.
• CNM's nursing program used endowment earnings to support 22 faculty and reach over 3,100 students.
• The reason being is our nursing programs know how to do endowments. It's very common for them.
• , including branches, have nursing programs.
• Overall, undergraduate enrollment in nursing programs has increased by 22.3% over the past four years

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• I am a registered nurse of 29 years and president of the California Nurses Association.
• But nurses refuse that option. Nurses are working to pass CalCare AB 1900.
• funding for nursing programs.
• “I’m a nurse, so I’m going to focus on the community first, and then the nurse is second.
• nurse.

Committee: Senate Labor, Public Employment and Retirement

Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. In opening remarks, the chair argued that federal actions, including immigration enforcement, tariffs, and cuts to safety-net programs, are harming workers, employers, and communities, and said the committee wanted to document impacts and identify state responses. The first panel featured economist Enrique Lopez Lira of UC Berkeley, who described slow job growth, wage pressures, high housing and care costs, and the large share of California workers in low-wage jobs. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, hospitality, agriculture, and care work. The chair asked about recession indicators, middle-wage stagnation, and which sectors rely most on safety-net programs, and Lopez Lira said worker organizing and unions were a source of hope. A second panel focused on federal immigration enforcement. UC Merced’s Edward Orozco Flores presented research finding that private-sector employment in enforcement-targeted states fell during escalated enforcement periods, with California experiencing unprecedented declines in 2025. He urged policymakers to consider wage-replacement or stimulus-style support for affected workers, including excluded workers who cannot access unemployment insurance. Shannon Sedgwick of the Los Angeles County Economic Development Corporation said undocumented workers are deeply embedded in the county economy, generating substantial economic activity and supporting over a million jobs. She reported that intensified enforcement in Los Angeles County was associated with business disruptions, reduced sales and customer traffic, workforce instability, lower transit ridership in vulnerable areas, and losses from the downtown curfew. Committee members asked about impacts on small businesses, tax revenue, and recovery, and witnesses pointed to local resiliency funds, business toolkits, and know-your-rights efforts as partial responses. The hearing then heard from worker representatives. Flore Melendres of the Clean Car Wash Worker Center said car washes have been heavily targeted by federal agents, with hundreds of workers taken from workplaces, many businesses disrupted or closed, and workers living in fear; she urged support for AB 2271 to provide financial benefits to families who lost income because of DHS activity. California Nurses Association president Michelle Gutierrez-Vos said H.R. 1’s Medi-Cal and Covered California cuts threaten hospital finances, jobs, and patient care, and she backed CalCare (AB 1900), a hospital closure moratorium, and more support for nursing education. UAW 4811 president Rafael Jaime said federal research cuts are putting UC research funding and postdoctoral jobs at risk and endorsed SB 895, a proposed bond measure for health and scientific research. AFGE representatives Wallace Wade and Kendrick Roberson described the strain on federal workers during shutdowns, unpaid work, staffing losses, and the effects on TSA, Social Security, VA services, and worker housing stability; they supported SB 1155 to protect federal workers from eviction. Committee members thanked the witnesses and said the testimony showed both the human and economic consequences of federal policy. In the final panel, employer groups began responding to the same federal pressures. California Retailers Association president Rachel Michelin said retail is a major private-sector employer and a key entry point for young workers, and that retailers are seeing the effects of rising costs, supply-chain shifts, and consumer pressure at the checkout counter. The hearing continued with additional employer testimony beyond the provided excerpt.

Transcript Highlights:

• directors and assistant program directors of nursing education programs to remediate any outstanding
• We are the state association for skilled nursing facilities.
• We represent about 900 skilled nursing facilities.
• More coordinated statewide program for community-focused mitigation.
• Bonds that they can do on their own that could then be built into this program.

Committee: Senate Business, Professions and Economic Development

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:

• The nursing home program is growing, and it's very important. Thank you, Ms. Hasky.
• Thank you all for your work in trying to enhance that nursing home program.
• And they have to sign up for the nursing home program.
• They're interested and they want to sign up for the nursing home program.
• I want to make sure that if a nursing home signs up for the program, I want to make sure that if a nursing

Committee: House House and Governmental Affairs

Summary: The Committee on House and Governmental Affairs met on March 18 and first adopted the minutes from its February 21 meeting. The committee then took up HB 250, which would have narrowed financial disclosure requirements for appointed, unpaid board and commission members by exempting immediate family information. Supporters said the bill would reduce burdens and help recruit volunteers, while opponents argued it would weaken ethics enforcement and create opportunities for undisclosed conflicts of interest. After debate and a roll call, the committee deadlocked and HB 250 failed to advance on a 6-6 vote with one abstention. The committee next considered HB 576, which transfers ownership and maintenance responsibility for the Old Governor’s Mansion to the Department of State and codifies its current operational role. Secretary of State Nancy Landry and mansion staff testified in support, describing expanded programming, increased visitors, and the need to align the statute with current practice. The committee adopted technical amendments and then reported HB 576 favorably without objection. The committee also heard HB 117, which recreates the Department of State and its statutory entities through July 1, 2033, and reported it favorably without objection. The major remaining item was HB 842, the annual omnibus elections bill, which makes numerous technical and substantive changes to election law, including voter assistance for people with disabilities, absentee ballot and petition procedures, inactive voter updates, and election contest deadlines. Several members and public witnesses raised concerns about disability documentation, absentee ballot curing, witness requirements, constitutional amendment challenge deadlines, and the scope of authority given to the Secretary of State, while others said the bill clarified existing practice and improved election administration. After adopting amendments and rejecting a motion to defer, the committee reported HB 842 favorably by an 8-5 vote.

Transcript Highlights:

• I am a registered nurse of 29 years and president of the California Nurses Association.
• But nurses refuse that option. Nurses are working to pass CalCare, AB 1900.
• funding for nursing programs.
• I'm a nurse, so I'm going to focus on the community first, and then the nurse is second.
• nurse.

Committee: Senate Labor, Public Employment and Retirement

Transcript Highlights:

• nursing programs to complete their clinical training here in California.
• West Coast University is our largest nursing program in the state of California.
• We empathize with the students who've enrolled in these non-BRN-approved distance nursing programs, but
• Equally concerning, the bill undermines the ability of California-approved nursing programs to place
• The lack of clinical placements is particularly acute for our community college and CSU nursing programs

Summary: The Assembly Business and Professions Committee held its first regular bill hearing of 2025 and considered a wide range of measures on health care access, professional regulation, animal welfare, and consumer protection. Early in the hearing, the committee adopted its rules and then approved a consent calendar of several bills, including measures by Chen, Caloza, Carrillo, Arreguín, Berman, and Flora. The committee also took up AB 1082, which would allow California nursing students enrolled in out-of-state programs to complete clinical training in California; supporters said it would help address the nursing shortage and keep students closer to home, while opponents warned it could worsen already limited clinical placement capacity and reduce oversight. The bill passed on a do pass recommendation to Appropriations after a quorum was established. The committee then heard and advanced several health-related bills. AB 50, by Assembly Member Bonta, would ease Medi-Cal access to over-the-counter hormonal contraception by removing the need for a prescription for coverage purposes; pharmacists, reproductive health advocates, and medical groups supported the bill, and it passed unanimously to the Committee on Health. AB 489, also by Bonta, would prohibit AI systems from misrepresenting themselves as licensed health professionals; supporters from medical, psychiatric, behavioral health, and other professional groups said the bill would protect patients from misleading chatbot advice, and it passed to Privacy and Consumer Protection. AB 481, by Assembly Member Rubio, would expand the tasks that federally qualified lab personnel can perform under CLIA supervision to help address lab staffing shortages; labor groups raised concerns about training, certification, and supervision, but the bill passed to Appropriations with an amended do pass recommendation. The committee also considered animal welfare and access-to-care measures. AB 631, by Assembly Member Lee, would require animal shelters to post intake and outcome data online; supporters said the reporting would improve policy and resource allocation, while members discussed how the requirement would work for shelters without websites, and the bill passed to Appropriations. AB 867, also by Lee, would prohibit cat declawing except when medically necessary for the animal; animal welfare groups strongly supported the bill, while the veterinary association opposed it as an improper legislative regulation of veterinary surgery, and the bill passed to Appropriations. Finally, AB 1307 would create a pilot program allowing a limited number of qualified dentists trained in Mexico to practice in underserved California areas; supporters framed it as a cost-neutral way to address major dental access gaps, the California Dental Association remained opposed unless amended, and the bill passed to Appropriations. Several members later added their votes on the various items after the hearing, and the committee kept the hearing open briefly to allow additional add-ons.

Transcript Highlights:

• </c> for the Kentucky Nurses Association. for the Kentucky Nurses Association.
• I was it was I was a nurse. I had I had. I was it was I was a nurse.
• </c> them to have a school nurse. them to have a school nurse.
• Nurses Association School Nurse Kentucky Nurses Association School Nurse Committee<00:30:24.799><c>
• </c> the nurses in the building. the nurses in the building.

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• Do you believe in a nursing home there should be a registered nurse?
• homes without nurses?
• We need a nurse in a nursing home. Not too complicated.
• I actually think we need a nurse who will work in a nursing home.
• You can't pay your nurses.

Committee: Senate Finance Committee

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• Last year, there was a pilot program.
• Board of Nursing, and currently the CEO of Vitra Health.
• With the support of the AFC nurses and care managers, the program provided essential financial and care
• home- and community-based services programs is $2,901.
• and community-based services programs is $2,901.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• Currently, in order to become a certified nurse midwife, a student must first attend a nursing program
• c><01:02:50.000><c> and</c> first attend a nursing pro program and first attend a nursing pro program
• This would alleviate the strain on registered nurse education programs.
• :24.960><c> nursing</c> programs.
• Nursing school states nursing programs.

Committee: House Health Finance and Policy

Transcript Highlights:

• House Bill by Representative Dana Henry, Title 39, the Dream Starter Program, to establish programs providing
• And they're from our JAG program.
• And if you apply for a program, an entitlement program, then they can double-check and make sure you
• This was simply designed to keep up with the people that are applying for programs, federal programs,
• Federal programs from aliens not getting these programs that would be illegal.

Bills: HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1115 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , HR73 , HR74 , HR75 , HR77 , HR78 , HR79 , HR80 , HR81 , HR83 , HCR36 , HCR37 , HCR38 , HCR39 , HCR40 , HCR41 , HB368 , HB433 , HB1017 , HB1018 , HB1019 , HB1020 , HB1021 , HB1022 , HB1023 , HB1024 , HB1025 , HB1026 , HB1027 , HB1028 , HB1029 , HB1030 , HB1031 , HB1032 , HB1033 , HB1034 , HB1035 , HB1036 , HB1037 , HB1038 , HB1039 , HB1040 , HB1041 , HB1042 , HB1043 , HB1044 , HB1045 , HB1046 , HB1047 , HB1048 , HB1049 , HB1050 , HB1051 , HB1052 , HB1053 , HB1054 , HB1055 , HB1056 , HB1057 , HB1058 , HB1059 , HB1060 , HB1061 , HB1062 , HB1063 , HB1064 , HB1065 , HB1066 , HB1067 , HB1068 , HB1069 , HB1070 , HB1071 , HB1072 , HB1073 , HB1074 , HB1075 , HB1076 , HB1077 , HB1078 , HB1079 , HB1080 , HB1081 , HB1082 , HB1083 , HB1084 , SB111 , SB122 , SB195 , SB221 , SB404 , HR1 , HCR6 , HCR19 , HB27 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB214 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB514 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB830 , HB838 , HB844 , HB882 , HB885 , HB888 , HB950 , HB961 , HB966 , HB980 , HR15 , HR20 , HCR14 , HB58 , HB69 , HB93 , HB166 , HB199 , HB201 , HB202 , HB218 , HB223 , HB224 , HB231 , HB235 , HB246 , HB338 , HB349 , HB352 , HB379 , HB405 , HB429 , HB535 , HB547 , HB577 , HB588 , HB626 , HB636 , HB652 , HB653 , HB669 , HB688 , HB691 , HB721 , HB738 , HB806 , HB851 , HB857 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357

Summary: The House convened with a quorum, opened with a prayer, pledge, and national anthem, and spent much of the early portion of the day on recognitions and personal privileges. Members welcomed Reverend Dr. D. Edward Cheney, the Louisiana School Board Association, Southern University visitors for S.U. Day at the Capitol, former Representative Shirley Bowler, the mother of Caleb Wilson, a West Jefferson High School JAG group, the Louisiana Federation of Republican Women, and a Jeff Davis Parish delegation. The chamber also adopted a resolution honoring women legislators for Women’s History Month and observed a moment of silence for Caleb Wilson. The House received a large batch of Senate bills and referred them to committees, including measures on human trafficking, sexual assault kit reporting, bail schedules, environmental notice procedures, DOTD authority, judicial removal, school-zone and shoulder driving rules, workers’ compensation, kidney disease reporting, contractor licensing, public records exemptions, career-alignment dashboards, student health centers, sports wagering exclusions, gaming background checks, soybean promotion, and accessories-after-the-fact sentencing. Members also introduced numerous House resolutions and House bills, including measures on airport TSA loan assistance, Physical Therapy Day, Landscape Architecture Month, condolences, coastal protection, succession and paternity studies, and a long list of new bills covering taxes, education, health care, criminal justice, transportation, public records, and state operations. Several bills were debated and acted on. House Bill 69, concerning ignition interlock devices and penalties when used as a bail or probation condition, passed 82-18. House Bill 93, transferring Lincoln Parish jury commission functions to the clerk of court, passed 96-0. House Bill 199, extending the nursing home moratorium, drew substantial debate over nursing home capacity, competition, and patient care; an amendment requiring LDH to track occupancy and rejection reasons was adopted, and the bill passed 88-11. House Bill 201 creating a state seal of fine arts passed 98-0, and House Bill 202 requiring state civil service applicants to be notified when vacancies are filled or they are not selected also passed 98-0 after amendment. House Bill 218, requiring student questionnaires to include food insecurity questions, was introduced and amended technically, with debate beginning as the transcript ended.

Transcript Highlights:

• The next slide goes over our forecasted programs.
• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• Alright, Johnson, similar programs has a significant bias toward a one-to-one ratio in separate programming

Committee: House Human Services Finance and Policy

Transcript Highlights:

• AS A PIONEER IN NURSING AND AI, WE HAVE ALSO PARTNERED WITH COALITION FOR HEALTH AI TO BE THE ONLY NURSING
• THERE HAVE BEEN A LOT OF CONCERNS ABOUT PEOPLE CALLING NURSES IN THE AI NURSE AND WE FEEL OUR PROFESSION
• AND NURSE PRACTITIONERS.
• IN THE FIRST MASTERS IN NURSING.
• WE ARE INVITING ANY NURSING, LEADING NURSING ORGANIZATIONS TO JOIN US TO CREATE A CONSORTIUM TO CREATE