Transcript Highlights:

• there to be a nurse on-site 24/7, but of course, given our population, we try as best we can to have RNs
• There was an RN in and out. And at some point, there was a supervisor for the house.
• explaining in this root cause analysis was when you have all these different levels, if you have an RN
• You know, 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• We have to pay more in those areas to get people to move there and be RNs.

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.

Transcript Highlights:

• Currently, restrictions on administrative oversight, RN eligibility, and industry recognition prevent
• Currently, restrictions on administrative oversight, RN eligibility, and industry recognition prevent
• Expanding RN eligibility to allow all licensed and qualified registered nurses, including contract RNs
• So if this is a way for us to be able to enable any RN to provide up to their skill in doing those admissions

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• 00:04:04.239> with<00:04:04.959> uh So currently we sit with approximately 4,500 open RN
• My journey with the Workforce Development started whenever I applied to Riverland for the LPN-RN program
• Riverland<00:08:34.240> for<00:08:35.159> the<00:08:35.360> LPN<00:08:36.000> RN
• 00:08:36.599> program<00:08:37.399> I<00:08:37.760> am to Riverland for the LPN RN
• program I am to Riverland for the LPN RN program I am very<00:08:38.120> grateful<00:08:38.560

Keywords: 1183, house

Transcript Highlights:

• I'm Daniel Ross, RN. I'm a constituent of Representative Sayama.
• , what your system is doing to help the RN workforce deal with these emotional issues?
• Workforce dealing with know your RN Workforce dealing with burnout<01:15:09.880> stress<01:15
• who works as your perspective as an RN who works as faculty<01:15:17.440> now<01:15:17.600>
• what your system is doing to help the RN what your system is doing to help the RN Workforce<01:15

Keywords: 910, house, all

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:

• So in Florida right now, number one is the NCLEX-RN.
• We're starting a professional nursing, our LPN-RN bridge program. We're one of the first two.
• We're starting a professional nursing, our LPN and RN bridge program.
• Our first cohort is on track to pass their NCLEX-RN.
• and they're going to put up a shingle Santa Fe College, and Santa Fe College is going to offer the RN

Summary: The Education Postsecondary Committee met to hear an overview of Florida career and technical education (CTE) from Chancellor Kevin O’Farrell and presentations from Big Bend Technical College and Santa Fe College. O’Farrell described Florida’s CTE structure, including career clusters, postsecondary program types, enrollment and completion growth, apprenticeship expansion, and the state’s credentials review process. He said postsecondary CTE enrollment is near 480,000 students and completions reached a record 76,806, with strong growth in nursing, law enforcement, EMT, and other public-safety credentials. He also discussed the CTE audit, which uses retention/success, employment or continued education, and labor-market demand metrics; programs not meeting thresholds would eventually require phase-out plans beginning in 2026. He highlighted the workforce development capitalization grant as a major driver of program expansion and facility renovation, and answered questions about business outreach, construction trades, apprenticeships, and space-industry training. Shelby McCall of Big Bend Technical College described how the college responded to hurricanes, mill closures, and regional economic disruption by expanding rural workforce training. She highlighted aluminum welding, millwright, welding technology, health sciences, and a new advanced manufacturing facility funded by state grants and local partnerships, along with a new LPN-to-RN bridge program. She said the college has strong placement and certification results and is working with employers such as Lippert, NAMO, and others to align training with local demand. Senator Simon praised the college’s role in Taylor County’s recovery and workforce development. Dr. Paul Brody of Santa Fe College said state workforce grants have helped the college expand nursing, skilled trades, apprenticeship, automotive, diesel, and manufacturing programs, including partnerships with Bradford County Technical College, UF Health, Habitat for Humanity, and local employers. He reported growth in CTE enrollment, nursing credentials, apprenticeship enrollment, and job placement rates, and described new efforts in semiconductor training, CDL training, and a charter school model that combines high school, an AS degree, and industry credentials. The committee took no formal action beyond hearing the presentations and adjourned after Senator Berman moved to adjourn.

Transcript Highlights:

• My colleague, Denise Cohen, Red Cross RN Health Services Director, once again faced problems with the
• Denise<00:15:17.040> Cohen,<00:15:17.720> Red<00:15:18.000> Cross<00:15:18.520> RN
• <00:15:18.920> Health Denise Cohen, Red Cross RN Health Denise Cohen, Red Cross RN Health

Bills: SCR7, SCR59, SCR182

Keywords: emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients

Summary: The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting. SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations. SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.

Transcript Highlights:

• LDOE's rationale for removing the two-year experience requirement was allowing newly graduated RNs to
• gain school nursing experience under the supervision of an RN.
• Without reliable nursing supervision and formal orientation, newly graduated RNs may be placed in role
• the supervision of an RN.
• In formal orientation, newly graduated RNs may be placed in roles beyond their preparation, creating

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• For RN, it's a 95% pass rate, and LPN, 100%. Congratulations. Thank you very much. Congratulations.
• At the Belle Glade campus and at the Lake Worth campus, we're at a 100% passing rate for RNs, and our
• Our Belle Glade and Lake Worth campuses for the LPN and RN are having 100% pass rates.
• Where we need to work is on the Lake Worth campus for the RN degree, and we are doing a lot of things
• Our NCLEX passing rates for RN is 95%. LPN is 100%. And we offer several vocational classes.

Bills: S0720, S1246

Keywords: tuition, resident status, incarceration, education, equal access, nursing shortage, health care, education funding, workforce development, LINE Fund, monetary contributions, nonmonetary contributions

Summary: The Appropriations Committee on Higher Education met to consider one bill, a postponed bill, and a slate of trustee confirmations. The committee first took up CS/SB 1246, which expands the Linking Industry to Nursing Education (LINE) fund to support health science workforce shortages beyond nursing, including allied health programs. The bill also broadens eligible uses of funds, revises matching requirements and grant criteria, and updates reporting requirements. A strike-all amendment was adopted without objection, and the committee then reported the bill favorably after supportive testimony from Florida State College at Jacksonville, the Florida Hospital Association, the College of Central Florida, and the Florida Chamber of Commerce. Senator Davis also noted a favorable vote on the bill for the record. The committee then temporarily postponed SB 720 at the sponsor’s request. Chair Harrell explained that the bill had been incorporated into a larger committee measure and would likely be heard later in another form. Public witnesses who had come to speak on the bill were not heard because of the postponement. The remainder of the meeting focused on confirmations for trustees at several state colleges, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. The appointees emphasized themes of affordability, workforce training, nursing and allied health success, dual enrollment, community partnerships, and local economic development. After hearing from the appointees, the committee approved a block motion to recommend confirmation of all appointees on tabs 2 through 25. The meeting then adjourned.

Transcript Highlights:

• But what you will see in the post-secondary side, the first one is NCLEX-RN. Sure, sure.
• 4,700 credentials earned, about 13% of the total number of industry certifications are in the NCLEX-RN
• I'm going to jump to RN, LPN to RN. And this is an exciting partnership.
• Those students will be trained LPN, and when they graduate, they can walk down the hall and do their RN
• right there on site. ...they graduate and they can walk down the hall and do their RN right there on

Summary: The Appropriations Committee on Higher Education received an overview of Florida’s career and technical education (CTE) system from Chancellor Kevin O’Farrell, who described the state’s CTE pathways, program types, enrollment and completion growth, quality audit metrics, and the Master Credentials List used to identify credentials of value. He highlighted record postsecondary CTE enrollment and completions, strong statewide performance in talent attraction, and several funding tools supporting expansion, including Open Door, the Florida First Responder Scholarship, Workforce Development Capitalization grants, Perkins funding, CAPE performance incentives, and apprenticeship grants. Senators asked about eligibility for Open Door and first responder aid, top industry certifications, and the teacher apprenticeship initiative. A panel of college and technical school leaders then described how state and federal funding has supported local program growth and facility expansion. Santa Fe College, Palm Beach State College, North Florida Technical College, Lake Technical College, Florida Gateway College, and Manatee Technical College each cited increases in enrollment, high placement or licensure pass rates, and new or expanded programs in nursing, welding, CDL, automotive, manufacturing, public safety, and apprenticeship. Several speakers emphasized partnerships with hospitals, employers, school districts, and local governments, and noted that grants helped fund equipment, renovations, and new training hubs. Palm Beach State also raised a request to broaden line funding beyond nursing to other health science fields, and multiple presenters asked for more flexibility, multi-year support, and continued or increased funding to sustain growth. Members discussed broader challenges, including the difficulty of sustaining grant-funded growth after initial awards, the lag between enrollment growth and funding formulas, and alignment problems for dual enrollment and technical programs with high school schedules. Senators also noted the need to balance support for high-demand core programs like nursing and welding with the ability to respond quickly to emerging industries such as AI and space. The meeting ended with no formal action beyond adjournment after Senator Davis moved to adjourn.

Transcript Highlights:

• First would be expanding nursing opportunities, specifically RN to BSN and concurrent enrollment pathways
• First would be expanding nursing opportunities, specifically RN to BSN and concurrent enrollment pathways
• And so just as using that as an example, the RN path that many students who have completed a community
• So there are RNs... ...or many times that's in partnership with our major health care employers.
• So there are RNs because what our health care employers are sharing is individuals enter the nursing

Summary: The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served. On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support. For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.

Transcript Highlights:

• Two years ago, the legislature said that in order to have an RN program, you have to be institutionally
• from two to five years to become institutionally accredited, and then and only then can you offer an RN
• So if you have people in shopping malls offering RN programs, then they may be doing CNAs or something
• like that, but they're offering RN programs.

Summary: The Education and Employment Committee met with a quorum and considered one bill, HB 121 by Representative Overdorf, relating to nursing education programs. The sponsor said Florida’s nursing shortage is projected to worsen and argued that low NCLEX passage rates show some programs are not adequately preparing students. The bill would tighten probation for underperforming programs, require program directors to be accountable, authorize Department of Health on-site inspections, require admission criteria and public posting of NCLEX passage rates, and require tuition reimbursement and free remediation for students at programs with passage rates below 30 percent. Members asked about how the bill would interact with the Board of Nursing, the Commission for Independent Education, and other agencies, and whether it would address fraudulent or low-quality schools. An opponent from the Florida Association of Independent Nursing Schools said current law already requires Board of Nursing and commission review, institutional accreditation, and provisional status for programs on probation, and argued the bill could reduce the supply of nurses. He also said Florida’s NCLEX results had recently improved. A representative of the Florida Nurses Association supported the bill, saying weak programs waste students’ time and money and do not produce licensed nurses. During debate, several members described concerns about diploma mills, fraudulent programs, student debt, and the need for stronger screening and accountability. Others emphasized that raising standards would improve patient safety and help ensure better-prepared nurses. The chair noted the importance of private nursing colleges in the state’s nursing pipeline. The committee then voted 19-0 to report HB 121 favorably and adjourned.

Transcript Highlights:

• that are seeking exemption from the RN that are seeking exemption from the RN presence<01:04:42.799
• Owners who have overturned RNs' clinical admissions decisions, prevented building maintenance such as
• Owners who have overturned RNs' clinical admissions decisions, prevented building maintenance such as
• <01:21:36.640> Um vacancies for RNs and LPNs combined.
• Um vacancies for RNs and LPNs combined.

Keywords: 1187, senate, all

Transcript Highlights:

• So LDOE's rationale for removing the two-year experience requirement was allowing newly graduated RNs
• the supervision of an RN.
• newly graduated RNs to gain school nursing experience under the supervision of an RN.
• When a nurse graduates, we pass what's called the NCLEX and become an RN.
• When a nurse graduates, we pass what's called the NCLEX, become an RN.

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• You need an RN, because they're trained, the RNs are trained, to...
• That the RNs have to do assessments.
• RNs still are able to do full-body assessments.
• And I've seen the result being a hospital RN and seeing patients...
• Yes, and thank you for clarifying that they will be under the supervision of an RN.

Keywords: 1146, all

Transcript Highlights:

• Our NCLEX RN pass rate performance has also been pretty great, and we've been preparing students for
• Our NCLEX RN pass rate reflects the effectiveness of our curriculum, faculty dedication, and also student
• return to pursue their RN credentials down the line.
• You said that you track where people go to work after they are done with the RN program.
• The RN, is that correct?

Transcript Highlights:

• Do you have to be an RN? There is an RN involved in it.
• Um, that we have a contractor that has RN staff. We have some RN staff within the department.
• RN? There is an RN involved in it. Um RN? There is an RN involved in it.
• that we have a contractor that has RN that we have a contractor that has RN staff.<02:10:24.639>
• We have some RN staff within the staff.

Keywords: 1191, senate, all

Transcript Highlights:

• on the performance measures a listing of the variety of people included lactation consultants, LPNs, RNs
• Madam Chair, Vice Chair, Garrett, the RN license. Does come to the Board of Nursing.
• So, the RN would be yes. If somebody had an FNP, I'm sorry. A family.
• And she said we cannot do it without those that don't have the RN or the LPN license.
• But there's There is no barrier for an RN to have more than one state license.

Keywords: 996, all

Transcript Highlights:

• Um, the bill amends the health room, where the RN here is posted, to take out a very small provision
• <00:06:19.680> here uh health room uh where the uh RN here uh health room uh where the uh
• And so the oversight over your RN.
• <00:06:50.479> And<00:06:50.639> that's scope of practice for an RN.
• And that's scope of practice for an RN.

Keywords: 928, house, all

Summary: The committee opened with Senate Bill 197, which would remove supervision of the legislative facilities committee nurse from the Department of Health and Human Services and instead place the nurse under the Board of Nursing’s scope of practice and the Nurse Practice Act. Ryan Maliti introduced the bill for Senator Pearl, and John Williams of DHHS explained that the current statutory language is outdated, dating back to 1995, and improperly gives medical supervisory authority to a non-clinician. He said the change would align the statute with current practice and that the department, the Joint Legislative Committee’s chief operating officer, and the Office of Professional Licensure and Certification were all comfortable with the language. Committee members asked about the need for the change and confirmed the old supervisory language was no longer being meaningfully used. The chair closed the hearing on SB 197, noting there may be additional amendments before final action. The committee then heard Senate Bill 186, which would authorize the Joint Legislative Historical Committee to accept and display a portrait of former Senator Jeb Bradley in the State House. Max Taylor, speaking for Senator Rashardi, described Bradley’s long public service and urged the committee to move the bill. Members asked whether the portrait was completed, where it would be displayed, and how size and placement would be determined. Taylor said the portrait had not yet been commissioned but would be paid for by Bradley, and that the exact location had not been set. Committee members and staff noted that the Joint Historical Committee is already working on portrait placement and space issues, and that the bill may need to be coordinated with broader updates to the statutes governing portraits and memorials. The committee also heard Senate Bill 200, introduced by Senator Reardon, to allow the Joint Legislative Historical Committee to accept and hang a portrait of former Senator Sylvia Larson. Reardon and Donna Susi, who painted the portrait and had served as Larson’s chief of staff, gave strong testimony about Larson’s legislative record, leadership as Senate President, and bipartisan service. Members asked about the portrait’s status, size, and where it would be displayed; witnesses said the portrait was completed, framed, and currently stored in a box pending approval, and that the committee would decide placement. In the later work session, the chair used the two portrait bills to discuss broader problems in the statutes and the Joint Historical Committee’s responsibilities, including possible size limits, placement rules, and whether New Hampshire should adopt practices used in other states such as waiting periods or moratoriums on portraits. No votes were taken during the work session, but members discussed using the bills as vehicles for larger statutory cleanup.

Transcript Highlights:

• One is an RN and one carry two licenses.
• ,<02:36:46.960> but protected for the licensed RNs, but protected for the licensed RNs, but
• Uh and she's never whispered<02:42:16.640> RN.
• I think we covered the RN APRN time.
• I think we covered the RN APRN license<02:51:28.479> question.

Keywords: 928, house, all

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• First would be expanding nursing opportunities, specifically RN to BSN and concurrent enrollment pathways
• First would be expanding nursing opportunities, specifically RN to BSN and concurrent enrollment pathways
• So there are RNs... ...or many times that's in partnership with our major health care employers.
• So there are RNs because what our health care employers are sharing is individuals enter the nursing
• knowledge that there are resources, new FTE enrollment funding to support specific programs in our RN

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Education Finance heard testimony and took up three main budget areas: the Expanded Learning Opportunities Program (ELOP), differentiated assistance and the statewide system of support, and universal school meals with kitchen infrastructure grants. Public commenters and agency witnesses generally supported continued or increased funding for ELOP, with several groups urging stabilization of Tier 2 rates, more support for older youth, and preservation of equity guardrails and local flexibility. On school meals and kitchen infrastructure, testimony broadly supported universal meals and additional kitchen funding, while the LAO questioned the need for a fourth round of kitchen grants and recommended rejecting it until clearer unmet-need data are available. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing for the program and $62.4 million ongoing to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579 and tying future changes to program requirements. CDE said the program is showing positive results in attendance and math, but data on enrollment patterns, TK participation, and some overlap with other programs are still being collected. Members raised concerns about possible double-funding with ACEs and 21st Century programs, the lack of site-specific data, and whether the current structure best targets students most in need; the issue was left open. For differentiated assistance, CCEE outlined the current statewide system of support and the Governor’s proposal to shift to universal and targeted assistance with a three-year cycle. Finance said the proposal would provide more stable county office funding, broaden universal supports, and give the State Board more flexibility to revise eligibility criteria; it also proposed $131.9 million ongoing for universal and targeted assistance. The LAO objected to changing the system before the State Board finalizes the new performance criteria and recommended revisiting the proposal later, while several members worried that a three-year entry window and broader board authority could weaken subgroup-based equity protections. The committee also discussed school meal funding, with Finance proposing $1.8 billion for universal meals and $100 million ongoing plus $100 million one-time for kitchen infrastructure, while CDE emphasized ongoing needs, deferred maintenance, and the importance of flexibility for innovative strategies such as food pantries. The committee held the issues open and invited additional public comment before moving on.