Transcript Highlights:

• And then we do have, everyone's kind of struggling for nurses.
• So if we can't recruit to nursing, then we can have contract nursing available, as everyone does at some
• Gerard's Nursing Home, a critical asset of the community.
• Highlighting care coordination is one of the key pillars for certification.
• Does that factor into your certification?

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• It was well-intentioned in trying to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• It was a well-intentioned effort to get nurses into Kentucky and allow nurses already licensed in other
• board of nurs Kentucky Board of Nursing board of nurs Kentucky Board of Nursing shall<00:18:13.039

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• SB 1302 is a sunset bill for the Board of Registered Nursing.
• Good morning, Roxanne Gould on behalf of the American Nurses Association.
• Good morning, Olina Svetloff, President of California Clinical Nurse Specialist.
• You asked about education, and so Lori from the Board of Registered Nursing, the nurse practitioner education
• Karen Stout here on behalf of the California Nurse Midwives Association. Appreciate it.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• The rest of the school was put nurses.
• I know a lot of the schools have nur- most schools have nurses.
• I know a lot of the schools have nur- most schools have nurses.
• I know a lot of the schools have nur- most schools have nurses.
• I know a lot of the schools have nurses.

Keywords: 1136, house, all

Transcript Highlights:

• Commission for Acupuncture and Oriental Medicine and pass a certification exam.
• Chairman, committee members, HB 1095 provides for alternative power sources at nursing homes.
• This bill is a carbon copy of previous legislation related to backup power for nursing homes.
• Just like in our medical counterparts, PT counterparts, and nursing.
• Basically, the commemorative birth certificate is an option for parents to purchase a valid birth certificate

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• , Perry Operative Registered Nurses, Perry Operative Registered Nurses, Jennifer<00:26:07.360>
• persons to obtain birth certificates persons to obtain birth certificates that<01:02:08.960>
• If an adult certificate sufficient.
• employer uh requires a birth certificate employer uh requires a birth certificate as<01:08:04.319
• , their gender on a birth certificate, their gender on a birth certificate, does<01:08:37.279>

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• Members, SB 2512 is the judicial certification conforming bill.
• The Senate proposal aligns with the Florida Supreme Court certification of need for additional judges
• The Senate proposal aligns with the Florida Supreme Court certification of need for additional judges
• As you know, I've been very involved in improving our system of educating our nurses.
• to nursing education line funding program that is so, so important to helping educate our nurses, and

Summary: The Senate took up the 2026-2027 budget and related implementing bills. Appropriations Chair Hooper presented a $115 billion General Appropriations Bill, saying it reduces overall spending from the prior year, preserves reserves, and includes a 3% raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major budget areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental/agricultural agencies. Highlights included increased funding for school safety, teacher and scholarship funding, workforce education, Medicaid and kid care, corrections operations, judgeships, affordable housing, hurricane recovery, Everglades and water quality projects, and arts and cultural grants. Members asked detailed questions about several items. Senators discussed the Emergency Management Trust Fund, cultural arts grant allocations, Florida Forever land acquisition versus conservation easements, teacher salary support, charter school capital outlay funding, Bright Futures and EASE funding, New College funding, DOC deficits and inmate health care/food service costs, the ADAP HIV drug program, Medicaid reductions for non-critical access hospitals, and the use of opioid settlement and COVID relief funds. Chairs explained that some apparent reductions reflected shifts below the line or reclassification, that the ADAP appropriation would only cover about six months, and that some vacant positions were being removed as part of a right-sizing effort. Questions also covered lottery staffing, concealed weapons permit processing, elections security funding, and arts grant selection and proviso language. The Senate then substituted House bills for the Senate budget and implementing measures, amended them into the Senate posture, and passed them. HB 5001 (the appropriations bill), HB 503 (implementing bill), HB 5201 (collective bargaining), and HB 5205 (retirement) all passed 36-0 and were sent to conference. Other budget-related bills also passed, including SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system surcharge, SB 2510 on court trust funds, SB 2512 creating 13 circuit and 12 county judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health. Most of these passed unanimously, with the Senate requesting the House either pass the Senate versions or include them in budget conference.

Transcript Highlights:

• Secretly, I worked for the local nursing home and I had to be tested once to twice a week.
• What I wanted to add is what you should know about the nursing homes is that they are held to a very
• Their birth certificate, and so obviously we have an ID requirement.
• I'm a nurse practitioner at Aldergard Cross Healthcare in Hockley, Texas.
• Let me be clear: during my mother's chemotherapy, we didn't ask the nurse her vaccination status.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• about nursing education often.
• Nurses here in the state of Florida, where we also talk about nursing education often.
• and practical nurses.
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into special order and returning messages. Early floor action included passage of HB 6503 (relief for Mandy Penny Lamon by Sarasota County), HB 1123 (sewer collection systems), HB 211 (farm products), and a joint resolution on ad valorem tax exemption for agricultural tangible personal property, all approved without opposition. Several other measures were temporarily postponed before the chamber recessed and later returned to messages from the House. The Senate then took up a series of House amendments and conference-style motions on major bills. SB 180 on emergency preparedness and response was amended and concurred in after debate over hurricane recovery, local government moratoriums, evacuation timing in the Keys, and property tax and redevelopment provisions; it passed 34-1. CS/HB 1609 on waste incineration and auxiliary containers was heavily debated over plastic and polystyrene preemption, local beach and park regulations, and landfill/incinerator provisions, then passed 26-10. CS/HB 1205 on citizen initiatives was amended to allow volunteers to carry up to 25 petitions without registration/training and passed 28-9. The Senate also refused to concur in a House amendment to SB 234 on offenses against law enforcement, and in SB 116 on veterans, seeking to restore funding for veteran suicide prevention. Later, the chamber approved or advanced several education and health-related bills. CS/HB 1255 on education was amended and passed, with changes to school readiness and other education provisions. CS/HB 875 on educator preparation passed after discussion of cognitive science, classroom management, teacher excellence programs, and the phaseout of the general knowledge test. CS/HB 1105, a large education package, passed after debate over charter school conversions, cell phone restrictions, and other school governance changes. In health care, CS/HB 1427 was introduced as a comprehensive package combining multiple health-related provisions, though the excerpt ends before final action on that bill. Throughout the day, the Senate also concurred or refused to concur in various House amendments on mental health, financial institutions, land development, brownfields, and out-of-network provider legislation, with votes generally recorded and several measures passing on divided but mostly favorable roll calls.

Transcript Highlights:

• I'm a registered nurse in Kentucky and a credentialed sexual assault nurse examiner. >> Jenna Cassidy
• assault nurse examiner. assault nurse examiner.
• <00:32:28.559> examiners sexual sexual assault nurse examiners sexual sexual assault nurse
• Um, I have been a nurse for 28 years.
• I'm also extremely honored to represent Kentucky's SANE nurses, or sexual assault nurse examiners, as

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• I'm a certified nurse midwife and the president of the Hawaii affiliate of the American College of Nurse-Midwives
• our affiliate represents certified nurse our affiliate represents certified nurse midwives<00:04
• Nurse midwives for 23 years.
• Nurse midwives for 23 years.
• <01:43:49.119> after of cpms who obtained certification after of cpms who obtained certification

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• 2578 by Hancock, relating to licensure and contracting for the delivery of medical assistance by nursing
• for over the past 100 years, and remains one of the top producers of nurses in Texas?
• Additionally, North Texas College offers over 60 degrees and certifications.
• the change of sex on the birth certificate.
• For the delivery of medical assistance by nursing facilities, to Health and Human Services.

Bills: SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407, SJR 36, SJR 12, SJR 81, SJR 50, SCR 22, SCR 12, SCR 39, SB 406, SB 689, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 857, SB 305, SB 296, SB 284, SB 241, SB 304, SB 1023, SB 204, SB 609, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 1120, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 414, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1209, SB 1210, SB 1470, SB 264, SB 1029, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1396, SB 1484, SB 1273, SB 1741, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 2188, SB 1147, SB 879, SB 1008, SB 1536, SB 2016, SB 1453, SB 1173, SB 1163, SB 996, SB 27, SB 568, SB 1370, SB 1321, SB 1101, SB 860, SB 993, SB 693, SB 1610, SB 1537, SB 1332, SB 1307, SB 963, SB 493, SB 922, SB 984, SB 619, SB 1098, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1664, SB 1877, SB 464, SB 1277, SB 32, SB 732, SB 660, SB 731, SB 921, SB 268, SB 1822, SB 1188, SB 1589, SB 397, SB 2230, SB 1058, SB 1036, SB 1267, SB 2112, SB 1930, SB 532, SB 1035, SB 2155, SB 508, SB 29, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 779, SB 1378, SB 2312, SB 1719, SB 1386, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1948, SB 2406, SB 2407, SB 1882, SB 1197, SB 1814, SB 618, SB 38, SB 393, SB 2065, SB 1371, SB 1394, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 458, SB 22, SB 651, SB 897, SB 1809, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2320, SB 2289, SB 1171, SB 664, SB 1637, SB 27, SB 29, SB 857, SB 879, SB 922, SB 1098, SB 1453, SB 1536, SB 1741, SB 2188, SB 2230, SB 406, SB 689, SJR 12, SR 358, SR 361, SR 362, SR 368, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: This meeting of the committee included comprehensive discussions about several bills, most notably SB24 and SB2043. The committee received public testimony both supporting and opposing SB24, illustrating the contentious nature of the proposed legislation. Many witnesses expressed their concerns about how the bill might impact marginalized communities, highlighting the need for a nuanced approach to the issues being addressed. The chair facilitated a respectful dialogue, reminding participants to focus on the facts rather than personal anecdotes.

Transcript Highlights:

• Certified nursing assistants are the backbone of our hospitals, skilled nursing facilities, veterans
• hit our local skilled nursing Hospital hit our local skilled nursing facilities<01:10:57.440> and
• <01:12:31.360> Facility local uh uh Skilled Nursing Facility local uh uh Skilled Nursing Facility
• We exceeded goals in training and certifications and placement in livable wage jobs: 90 certificates
• wage jobs 90 certificates earned livable wage jobs 90 certificates earned 75<01:38:17.000> industry

Keywords: 1187, senate, all

Transcript Highlights:

• Members, next we are going to take up HB 797, Veteran and Spouse Nursing Home Beds, by Representative
• home beds in a skilled nursing facility.
• It further allows the transfer of the certificate of need for beds for this purpose for no more than
• services and will provide them with Medicaid-eligible children who receive skilled nursing services
• The hospitals had the same kind of issue happen to them with nurses and nurses.

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:

• home costs for people who have impoverished themselves to get Medicaid to pay their nursing home costs
• home costs for people who have impoverished themselves to get Medicaid to pay their nursing home costs
• home costs for people who have impoverished themselves to get Medicaid to pay their nursing home costs
• home costs for people who have impoverished themselves to get Medicaid to pay their nursing home costs
• home care I've got that too um nursing home care I've got that too um but<00:10:42.959> it<00

Keywords: 1183, house

Transcript Highlights:

• <00:06:13.759> of suspend or revoke the certification of suspend or revoke the certification
• contracted by the district, what if there is no nurse?
• if a school nurse is not employed by the school or the district.
• So it's my understanding that they're required to have a school nurse, and that if the school nurse is
• <03:46:35.319> is nurse and that if the school nurse is nurse and that if the school nurse

Keywords: 928, house, all

Summary: The Finance Division 2 hearing took testimony from the director of New Hampshire Police Standards and Training on the agency’s budget request and operations. He described the agency’s role in setting hiring, education, certification, and discipline standards for police, corrections, probation and parole, and court security officers, and noted that the agency runs the full-time, part-time, corrections, and court security training programs. He also outlined the agency’s staffing, facility, and budget request for FY 2026-27, including a request to keep funding level with the governor’s recommendation while shifting funds to support an IT manager position by defunding a vacant administrative slot. The agency requested several statutory changes in Chapter 106, including clarifying the definition of police misconduct, allowing a temporary member on the Conduct Review Committee, clarifying reporting requirements for misconduct allegations, and codifying the Law Enforcement Accreditation Commission. The director also reviewed new responsibilities added in recent years, including crisis intervention training, statewide accreditation, the Conduct Review Committee, and increased annual in-service training requirements. He explained that crisis intervention funding is carried in a continuously appropriated, non-lapsing account and that some budget lines were reclassified, including software and janitorial services, to reflect actual spending needs. Members asked about national standards, the different academy tracks, crisis intervention funding, maintenance and contract changes, temporary positions, and the court security training program. The agency said it coordinates with national peers through IADLEST, that the part-time and corrections academies are longstanding programs, and that the new court security academy can be delivered either as a full academy or as in-service training depending on resources. The director also said the agency has been running extra full-time academies because of high vacancy rates, but expects to return to three full-time academies this year, with two corrections academies and one or possibly two part-time academies. He also explained the current approach to misconduct records and public disclosure, saying sustained findings under RSA 106-L are heard by the council and published, replacing the older, less standardized exculpatory list process.

Transcript Highlights:

• Requires ACA to impose a $10,000 fine against the home office of a nursing home, or the nursing home
• that a nursing home, if a nursing home maintains an electronic health record system, it might be a patient
• safety culture survey, at least bi-annually, provides that a nursing home, if, excuse me, if a nursing
• nursing home, actually, because we did amend that, of a nursing home that fails to submit financial
• I can't hire nurses for less than what a hospital does.

Summary: The Appropriations Committee on Health and Human Services first heard and adopted the proposed fiscal year 2025-26 budget for the committee, which was presented as a $1.8 billion increase over the current base budget. The budget emphasized Medicaid and KidCare funding, IT modernization, workforce reductions tied to unfilled or augmented positions, provider rate increases, mental health and substance use funding, opioid treatment, elder care, veterans’ services, cancer research, and school nurse staffing. The committee approved technical adjustments and then adopted the budget proposal for submission to the full Senate Appropriations Committee. The committee then considered several bills, most of which were reported favorably. SB 152 on surgical smoke required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; it drew strong support from nurses and other health care workers describing workplace and patient safety risks. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to develop informational materials for schools and, by amendment, early learning coalitions. CS/CS/SB 170 on nursing homes required consumer satisfaction surveys, patient safety culture surveys, reporting to the health information exchange, financial reporting penalties, and Medicaid quality incentive reporting; an amendment exempted state-operated homes, including veterans’ facilities, and directed a study of quality incentive systems. CS/SB 738 updated and streamlined child care regulation, and CS/SB 1356 created the Florida Institute for Pediatric Rare Diseases at Florida State University and a related pediatric rare disease screening pilot. The committee also passed SB 1370, which reorganized ambulatory surgical centers into their own statutory framework, with testimony emphasizing their lower costs compared with hospitals. Finally, the committee considered CS/CS/SB 1626 on child welfare and related issues. After adopting multiple amendments that removed references to unaccompanied alien children and special immigrant visas, changed language on child abuse definitions, and required DCF to set room-and-board rates by methodology rather than fee schedule, the bill was explained as strengthening child welfare protections, codifying military-family coordination, improving domestic violence shelter certification, adjusting children’s services council appointments, clarifying missing-child procedures, and updating licensing and compliance provisions. The bill drew both support and opposition, particularly over missing-child jurisdiction and immigration-related concerns, and was ultimately reported favorably. A final motion to record a vote on SB 958 was also adopted.

Transcript Highlights:

• There was a study by the Kentucky Nurses Association recently that studied nurses over a one-year period
• There was a study by the Kentucky Nurses There was a study by the Kentucky Nurses Association<00
• > were<00:05:25.320> surveyed 80% of the nurses uh that were surveyed 80% of the nurses
• .<00:11:19.200> So, certification.
• So, certification.

Keywords: 958, all

Transcript Highlights:

• Requires AHCA to impose a $10,000 fine against the home office of a nursing home, or the nursing home
• nursing home uniform reporting system.
• To the Florida nursing home uniform reporting system.
• nursing home, actually, because we did amend that, of a nursing home that fails to submit financial
• I can't hire nurses for less than what a hospital does.

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• Our nursing program began in the spring of '23.
• What's the size of a full cohort for nursing?
• those are not certificates that are, I don't want anyone to get mad at me, but like an English lit certification
• We also had some CNA certifications from this year or last year.
• But those are workforce certificates. Some of them are stand-alone workforce.