Transcript Highlights:

• Will you now please recognize Senator Pugh to introduce the nurse of the day?
• Senator Pugh, you are recognized to introduce our nurse of the day. Thank you, Mr. President.
• I'm going to welcome now a multiple-time visitor to the State Senate, our nurse of the day, Cara de la
• She's a third-generation nurse entrepreneur and healthcare advocate born and raised in Enid, Oklahoma
• We're building this generation of doctors and nurses to take on these jobs.

Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920, SR40

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Transcript Highlights:

• So again, that's kind of a transition from nursing school to practice in the neighbor islands.
• So again, that's kind of a transition from nursing school to practice in the neighbor islands.
• With those community health workers, and if we can expand the work of public health nurses, so using
• the CHWs as kind of expanders or force multipliers of our public health nurses again to get out more
• , um, so using the CHWs as health nurses, um, so using the CHWs as kind<00:43:56.920> of<00:43

Bills: HB2246, HB2119, HB1929, HB1953, HB1572, HB2549, HB2594, HB2551, HB2595, HB2548, HB2459, HB1931, HB1604, HB1616, HB1736, HB2233, HB2241, HB1891, HB1803, HB2567, HB2534, HB2399, HB2172, HB1595, HB1811, HB2168, HB1780, HB1781, HB1785, HB2122, HB2012, HB2398, HB1779, HB2296, HB1894, HB1925, HB2019, HB1896, HB2294, HB2298, HB2300, HB2344, HB2345, HB2391, HB2037, HB2201, HB1941, HB1635, HB1943, HB2325, HB1926, HB2490, HB1710, HB2545, HB1976, HB2173, HB1804, HB1563, HB2015, HB1619, HB2475, HB1889, HB2367, HB2187, HB1765, HB1452, HB2231, HB1700, HB1705, HB1626, HB1897, HB1642, HB1523, HB2593, HB815, HB1655, HB1596, HB1732, HB1842, HB2476, HB2478, HB2022, HB1588, HB2575, HB1163, HB2153, HB772, HB1519, HB2050, HB2309, HB2147, HB2329, HB2274, HB2280, HB2547, HB2275, HB2452, HB2306, HB2148, HB2088, HB1764, HB2438, HB2117, HB1860, HB2604, HB2118, HB2017, HB2155, HB1832, HB2216, HB1601, HB1934, HB2297, HB2397, HB1893, HB2533, HB1890, HB2454, HB2004, HB2427, HB2207, HB1810, HB1840, HB1644, HB1645, HB1946, HB1648, HB2324, HB2323, HB1509, HB1514, HB1515, HB2164, HB2165, HB2283, HB1691, HB2386, HB2423, HB2121, HB1984, HB1593, HB1671, HB2619, HB1481, HB2314, HB2319, HB1643, HB2558, HB1864, HB1898, HB2214, HB2167, HB2488, HB2009, HB2007, HB322, HB1964, HB2218, HB2616, HB1535, HB1574, HB1977, HB2054, HB2046, HB146, HB2094, HB2181, HB2250, HB2515, HB2444, HB2385, HB1740, HB1724, HB1733, HB1799, HB1725, HB2049, HB2161, HB1970, HB2519, HB1790, HB2416, HB1873, HB2001, HB2151, HB1603, HB1880, HB1753, HB2198, HB1511, HB1991, HB2546, HB1615, HB1939, HB2140, HB2429, HB1870, HB1850, HB1782, HB2137

Keywords: agriculture, federal grants, Hawaii, grant administration, revolving fund, department of agriculture and biosecurity, grant compliance, financial support, coffee, pest control, subsidy program, coffee berry borer, coffee leaf rust, economy, biosecurity, invasive species, Molokai, advisory board, quarantine, environmental protection

Transcript Highlights:

• There is one single nursing care.
• and they're being accepted to nursing and they're being accepted to nursing homes<00:38:26.400><
• :27.359> that homes because nursing homes know that homes because nursing homes know that they
• giving guidance and education to nursing giving guidance and education to nursing homes<00:46:42.560
• And so the most challenging pathway is someone who needs long-term nursing care placement.

Keywords: 910, house, all

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• She said she has been a nurse at St.
• and drug treatment center being a nurse and drug treatment center being a nurse is<00:21:57.520>
• A lot has changed in my time as a nurse.
• And we do have a nurse shortage, and they said, what are you doing?
• And we do have a nurse shortage, and they said, what are you doing?

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:09 SB 64: 00:01:20 SB 73: 00:05:33 HB 662: 00:09:40 HB 320: 00:20:17, 958, all

Summary: The House Judiciary Committee met with a quorum and first approved Senate Bill 64, as amended, on a 14-0 vote. The bill was described as a copper theft prevention measure aimed at protecting key infrastructure assets, including telecommunications and electrical highway infrastructure. Testimony in support came from Senator Brandon Storm and representatives from Charter Communications and law enforcement, who said copper theft and related vandalism are damaging fiber and other infrastructure across the state. A committee substitute was adopted before the vote. The committee then considered Senate Bill 73, relating to sexual extortion. Senator Julie Rocky Adams and Kentucky Youth Advocates testified that sextortion is a fast-growing crime against children and that the bill would make sexual extortion a felony, create civil remedies for victims, and require school-based education and resources. The bill passed 15-0 and was reported favorably for floor consideration. House Bill 662, relating to personally identifiable information, was also approved after discussion and a committee substitute. Representative John Blanton said the bill would help protect judges and certain medical review personnel from public disclosure of personal information while preserving provider access needed for appeals and communications. The Kentucky Medical Association supported the concept but stressed the need to preserve provider-facing information so doctors can conduct peer-to-peer reviews and appeals. The bill passed 15-0 with one pass vote. House Bill 320, relating to controlled substances on hospital property, was taken up for discussion only and no vote was taken. Representative Mike Klein and a St. Elizabeth nurse testified that hospitals are seeing illicit drug use and trafficking on campus and argued for a drug-free zone to protect staff, patients, and visitors. Committee members raised concerns about how the bill would apply to unconscious overdose patients, lawfully prescribed medications, emergency situations, and whether possession should be treated differently from trafficking. The chair ruled a motion out of order because the item was for discussion only, and the bill remained under consideration.

Transcript Highlights:

• home are the main parts of it uh nursing home are the main parts of it uh and<00:25:18.720> then<
• I'll just note that nursing facility and intermediate care facilities for persons with developmental
• And then the elderly waiver, which provides services for the elderly who are at risk of nursing home
• provided in a nursing provided in a nursing home<00:30:46.519> there's<00:30:46.960> the
• made back at that time to the Nursing made back at that time to the Nursing Facility<00:34:28.560

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• state of Florida, primarily addressing the workforce needs of our state, primarily in the areas of nursing
• licensure pass rate of 96% compared to the rest of the U.S.... ...nursing licensure pass rate of 96%
• Also, as you move forward in the engineering sphere, as well as the medical sphere and nursing sphere
• And finally, our small but very unique nursing school is really one of the best in Florida.
• One of my colleagues on this call mentioned the pass rate of the nursing students.

Summary: The Senate Appropriations Committee on Higher Education opened by noting it would not present its budget that day, explaining the budget rollout would be delayed until the following week to align with House partners and Senate notice requirements. After a roll call confirmed a quorum, the chair explained that because of the large number of gubernatorial appointments, the committee would hear only a subset individually and consider reappointments in a block unless members requested otherwise. The committee then heard testimony from appointees and reappointees to several university boards. Florida A&M University nominees Roderick Harris, Victor Young, and Rafael Vasquez emphasized service to their alma mater, support for leadership, student success, entrepreneurship, scholarships, and maintaining FAMU’s status as a leading HBCU. Florida Atlantic University appointees Linda Stock and Thomas Mersh highlighted FAU’s growth, R1 research designation, quantum computing, servant leadership, entrepreneurship, and expanded research opportunities. University of Central Florida reappointee Alex Martins focused on UCF’s preeminence, workforce needs, nursing and engineering, and keeping graduates in Florida. Florida Gulf Coast University nominees James Gris-Mall, Douglas Van Orte, Robert Rommel, Sarah Partial Perry, and reappointee Joseph Fogg discussed workforce development, affordability, student success, water and environmental programs, business and entrepreneurship, nursing outcomes, and FGCU’s regional role. University of South Florida reappointee Rogan Donnelly cited USF’s AAU status, research growth, and focus on student success, health care, cybersecurity, and AI. Committee members generally praised each nominee’s background and the universities’ achievements. At the end of the hearing, the committee approved all nominees in a single block vote for confirmation and then adjourned.

Transcript Highlights:

• And we've seen Senate Democrats and Governor Walz have about a billion dollars in cuts to nursing homes
• homes are disability services or nursing homes are seeing<00:09:25.760> cuts.
• a billion dollars in cuts to nursing a billion dollars in cuts to nursing homes<00:09:41.600>
• that they need like for the nursing that they need like for the nursing homes.<00:10:18.399>
• homes close or reduce services nursing homes close or reduce services because<00:10:30.320> there

Keywords: 1187, senate, all

Transcript Highlights:

• Should a nurse be part of the nurse. Should a nurse be part of the base<01:23:38.159> cost?
• something like um like like nurse something like um like like nurse services,<01:26:38.320> to
• Could I just speak to the nurse Could I just speak to the nurse services?
• <01:36:12.639> is that may fit if we if those nurse is that may fit if we if those nurse is
• >> I would say that definitely the nurses >> I would say that definitely the nurses

Keywords: 1189, house, all

Summary: The Legislative Oversight Committee met to review statewide education improvement and assessment issues under RSA 193-C:8-a, with the chair focusing on curriculum frameworks, academic standards, and resource elements tied to the state’s adequate education statutes. The chair walked through the statutory relationship between minimum standards for public school approval, academic standards, and local control of curriculum, noting that New Hampshire law requires curriculum frameworks to guide what students should know and be able to do while leaving districts flexibility in instruction. He also raised concerns that some subject areas appear to have current frameworks or standards while others do not, and suggested the committee may need to consider an amendment creating a curriculum frameworks and academic standards coordinator at the Department of Education. Nate Green, director of the Division of Education Analytics and Resources, explained that the terms “academic standards” and “curriculum frameworks” have evolved over time and are often used interchangeably, but can mean different things depending on the subject area. He said the state’s more prescriptive standards largely developed after No Child Left Behind, especially in math, ELA, and science, while older or less-tested subjects such as arts, physical education, and health often retained looser framework-style documents. Green outlined one possible approach of standardizing terminology, but also said New Hampshire could instead define curriculum frameworks separately as a combination of standards, curriculum, and instructional approaches. He emphasized that state standards must support statewide consistency and assessment, while local districts retain control over how they teach. Committee members discussed how these distinctions affect different grade levels and subjects, using examples from math and science to show that minimum standards are broad while academic standards are more specific and grade-level based. Green described how science standards are organized by physical science, life science, and earth/space science across grade bands, while math standards are more directly tied to individual grades. No votes were taken and no formal action was reported during this portion of the meeting; the discussion remained informational and exploratory as members considered whether statutory language or departmental organization should be updated.

Transcript Highlights:

• Now I'm going to move on to nurse licensure classification, Proposed Rule Amendment 663.2 New Mexico
• The amendment would replicate the language enumerating three types of school nurse licensures with a
• proposed rule adds clarity on these levels and the processes for school nurses.
• Thanks, I have two: one on the nurses and one on the AED staff training.
• In my hot little computer, I have a bill amending the nurses' bill, House Bill 195.

Keywords: 996, all

Transcript Highlights:

• At reduced prices, school nurses are trained.
• We're really identify the school nurse. You're recognized, go back and forth. Thank you, Mr. Chair.
• So I believe it's it's the first examples, a school nurse.
• So that could be with the school nurse where that could be a designated secured location. >> And with
• The nurse, obviously cafeteria person and direct.

Keywords: 999, senate, all

Transcript Highlights:

• No longer than I probably sit down for a good 30 minutes, right there by his side, the nurse says, hey
• He discharged me from the hospital after nurses put it in my notes that pre-discharge testing should
• One nurse... One nurse had the balls to push the door open, risk his job and his career. Mr.
• When that nurse kicked open that door and told my girlfriend, Heather, 'Go get help.
• I’ve been a registered nurse for nearly 25 years, and most of my career...

Summary: The Senate Judiciary Committee heard three bills. SB 514, by Senator Harrell, clarified that medical quality review committees used by managing entities are treated like other medical review committees for purposes of civil liability and public records protections. The committee adopted a Harrell amendment removing the word “malpractice” from the title, heard support from the Florida Hospital Association, Florida Association of Managing Entities, and Florida Smart Justice Alliance, and then voted 11-0 to report the bill favorably. The committee then took up SB 734, by Senator Yarborough, which would repeal the current wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The bill drew extensive testimony from families describing deaths they said were caused by medical negligence and from supporters including AARP and the Florida Justice Association, while opponents from the health care, insurance, and business sectors argued it would raise malpractice premiums, increase litigation, worsen physician shortages, and reduce access to care. After debate, the committee voted 9-2 to report the bill favorably. Finally, SB 538, by Senator Bradley, was presented as the state courts legislative package. It updates court operations by clarifying duty judge requirements, removing a location limit on duty hearings, repealing a cap on arbitrator compensation in court-ordered non-binding arbitration, and allowing alternative judicial authentication of oaths and acknowledgments when a court seal is unavailable. The bill received supportive waiver forms from the Florida Bar ADR section and several judges, and was reported favorably on an 11-0 vote. The committee then adjourned.

Transcript Highlights:

• The nursing home bed rates have already been set.
• <01:44:36.920> home last week and another nursing home last week and another nursing home
• <01:44:45.760> Um, nursing home facilities. Um, nursing home facilities.
• > extremely Nursing home rates are extremely Nursing home rates are extremely complicated. complicated
• accounting unit that the nursing accounting unit that the nursing facility<01:47:18.720> rates

Keywords: 1189, house, all

Summary: Division Three of the Finance Committee met in work session on April 20, 2026, to consider Senate Bills 481, 603, and 663, with the discussion focused primarily on SB 481, relative to the sale of the Sununu Youth Services Center property. The chair explained that the bill was advisory only and that the committee’s recommendations would go to full Finance on April 27. For SB 481, members reviewed conflicting provisions in the prior budget law about whether sale proceeds should go to the general fund or the Youth Development Center Claims and Administration Settlement Fund, and the bill was described as a compromise that would direct proceeds to the general fund before June 30, 2027, and to the settlement fund after that date. It was noted that the settlement fund had originally received about $20 million and had roughly $10 million remaining. The committee also received an extensive update from DCYF Director Marie Noonan on the new Youth Development Center in Hampstead. She reported that construction remained on schedule, with major structural and interior work complete, substantial completion expected in late summer or early fall 2026, and occupancy anticipated in early 2027. The presentation highlighted the facility’s design features, including single-occupancy bedrooms, sensory rooms, an education wing, medical and clinical suites, visitation space, a gym, and multiple outdoor courtyards, all intended to support a trauma-informed setting. Members asked about the facility’s funding, square footage, fencing, and scanner; staff said the building is about 34,000 square feet, funded entirely with federal ARPA state recovery funds to date, and that the scanner is on site but not yet operational pending policy and staff training. Committee members also raised concerns about the facility’s design and security. In response, DCYF said some concrete walls are required for structural and safety reasons, but they are being painted to maintain a brighter environment, and that the fencing will be about 15 feet high with privacy netting because the campus is shared with Hampstead. Officials said the new facility is legislatively limited to a maximum of 12 youth, while the current center can house 12 to 18, and emphasized that courts ultimately determine placements. No votes or final actions were taken during the work session.

Transcript Highlights:

• there is staffing from APRNs, nurse there is staffing from APRNs, nurse practitioners,<01:41:47.160
• Physicians<01:42:10.120> and<01:42:10.240> nurse<01:42:10.440> practitioners<01:
• 42:11.200> and<01:42:11.360> I Physicians and nurse practitioners and I Physicians and
• Nurse practitioner. So, that's every emergency department and hospital setting.
• And it The ER for a cut and a nurse practitioner decides, you know what, he needs to be restrained and

Keywords: 1189, house, all

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

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

Keywords: 1187, senate, all

Transcript Highlights:

• Do you know the excess capacity in the nursing homes that are available?
• receiving long-term care in nursing receiving long-term care in nursing facilities<01:03:28.000>
• long-term care so including nursing long-term care so including nursing facilities<01:15:40.600>
• <01:18:01.440> facilities period um nursing facilities period um nursing facilities 19%<01
• <01:19:21.760> facilities you okay uh this is nursing facilities you okay uh this is nursing

Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• Mr Leader Mr President would you please recognize Senator Prietto for introduction of our nurse of the
• day Senator Prieto, you are recognized to introduce the nurse of the day youembers help me welcome nurse
• of the day Leah Oliver to the senate floor. she's a forensic nursing administrator for the city of Tulsa
• Lea has been a nurse for 14 years and a forensic nurse for 10 years.
• Please help me welcome nurse Leah Oliver to the senate floor and give her privileges of the floor.

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• And because of that, he was declined entrance into the nursing home.
• With an EpiPen, you need to go into a nursing home. So let me show you what it is.
• With an EpiPen, you need to go into a nursing home. So let me show you what it is.
• My name is Thomas Nurse, and most importantly, I am Shelby's dad.
• Nurse, if you would please bring it in for a landing? No problem.

Summary: The committee met with a quorum present and heard six bills, all of which were reported favorably. HB 1567, relating to insulin administration by direct support professionals, was amended to clarify the type of insulin that may be administered and to allow supervision of self-administration of an insulin pen. Supporters described the bill as a way to keep people with developmental disabilities in group homes rather than forcing institutional placement; the amendment and bill both passed unanimously, 17-0. PCS for HB 1103, on services for persons with disabilities, would expand the APD managed care pilot statewide in phases, require more transparency on waitlist data, create a statewide family care council, and address transition services for young adults leaving foster care. Testimony was mixed: supporters emphasized the long APD waitlist and the need for a voluntary option, while some witnesses and members raised concerns about the accelerated rollout, limited data, and preserving consumer-directed care. The committee adopted the bill 17-0. CS for HB 127, on exceptional student education, would create micro-credentials and coordinate with the Florida Center for Students with Unique Abilities and OSHA to support students with disabilities transitioning to work; it passed 17-0 after testimony from a parent and advocates. HB 989, concerning licensure of family foster homes, was amended to streamline license transfers for foster parents moving within Florida while maintaining oversight and directing DCF rulemaking. A teacher and other supporters said the bill would reduce bureaucracy and help children remain in stable homes; it passed 17-0. PCS for HB 1091, on substance abuse and mental health care, updates processes related to the 988 crisis line, methadone treatment needs assessments, and forensic evaluators, and adds data/reporting requirements for DCF managing entities. After one amendment and testimony from supporters and one opponent, it passed 16-0. Finally, HB 633, on behavioral health managing entities, was amended and then approved 17-0; it requires more structured data and reporting from managing entities to increase accountability and transparency in the behavioral health system.

Transcript Highlights:

• It requires CNA serving in a nursing home to receive training on recognizing the signs and symptoms of
• Your bill requires some new requirements for nursing assistants.
• So my question is: how will the nursing homes ensure that these certified nursing assistants receive
• those new requirements, I think along the lines that Senator Howell was going, with the certified nursing
• , our nursing home staff, LPNs, and CNAs, that it's appropriate for their level of responsibility so

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• How many nursing positions do you have open at Conway, Arkadelphia, and Jonesboro?
• Going to nursing homes in distress, do we—how many did we have to help with closure?
• As Director Smith said a few minutes ago, we've not had a nursing home closed.
• multiple nursing homes close.
• Do we not have nurse practitioners that are requesting that? Or kind of where are we at?

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• <00:05:13.520> facility treatment western state nursing facility treatment western state nursing
• <00:05:17.120> facil um several western state nursing facil um several western state nursing
• Uh, just as a quick Nursing Facility.
• <00:09:36.080> Facility reminder, Western State Nursing Facility reminder, Western State Nursing
• complications requiring skilled nursing. complications requiring skilled nursing.

Keywords: 958, all

Summary: The Capital Planning Advisory Board met for its first meeting of the year, confirmed a quorum, approved the prior year’s minutes, and welcomed new co-chairs and members. The board reviewed the capital planning timeline and a list of agencies that submitted plans but would not testify. Members were reminded to keep presentations brief because of a packed agenda. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, infrastructure preservation, and preventive maintenance. Its requests included a $21 million maintenance pool, phase two funding for a new state public health laboratory, construction of an 18-bed children’s psychiatric hospital, and several projects at Western State Hospital and Western State Nursing Facility, including HVAC work, cooling tower repair or replacement, and chiller plant repiping. Additional projects covered elevator upgrades at Hazlewood and phased cottage renovations at Oakwood. Board members asked about vacant buildings, the cost per bed for the youth psychiatric facility, and the relationship between the CHFS youth facility and a separate DJJ facility; CHFS said the youth facility would serve DCBS-involved youth and be separate from the DJJ project. The Kentucky Department of Education then described its state-operated facilities, including the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. Its priorities included additional funding for the FFA classroom and activity building, a rewrite of the SEEK education finance application system, renovation and repair of the FFA swimming pool, electrical upgrades, campus education enhancements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size and cost of the swimming pool project, and construction cost assumptions; KDE said it tracks student outcomes through special education staff and that current estimates reflect higher post-COVID construction costs. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would connect job seekers and employers at no cost, while the McDow renovation was needed because the 30-year-old facility faces safety and code concerns. The cabinet planned to continue through the remaining priorities and answer questions at the end of its presentation.