Transcript Highlights:

• </c><00:32:31.919><c> it</c> right um for certain types of nurses it right um for certain types of nurses
• :34:31.599><c> just</c><00:34:31.720><c> a</c> statute for nurses yeah this is just a statute for nurses
• require a BSN, yeah, in addition to, you know, obviously registered nurse science and nursing, correct
• know to obviously registered nurse science<00:39:21.640><c> and</c><00:39:21.800><c> nursing</c><00:
• </c><00:39:28.920><c> uh</c> that Masters master prepared nurse uh that Masters master prepared nurse

Committee: Senate Commerce

Transcript Highlights:

• We graduate 450 new nursing students a year.
• Nursing excellence is very, very important to us.
• across its personal care assistant and licensed practical nurse, registered nurse, and Bachelor of Science
• Nursing excellence is very, very important to us.
• across its personal care assistant and licensed practical nurses, registered nurses, and a Bachelor

Committee: Senate Appropriations Committee on Higher Education

Transcript Highlights:

• This is also very positive in that the group home setting...
• home.
• in out-of-home placement.
• home.
• And the home identified, the place agency identified for this individual, And the home identified, the

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• homes surgeons and hospitals nursing homes surgeons and trade trade trade associations<00:05:09.080>
• One is on the nursing homes.
• And again, my nursing homes I've talked to in my area are stressed, so... nursing home I said have you
• nursing homes but it million into the uh nursing homes but it was<00:45:21.440><c> more</c><00:45:21.599
• homes are are unable to stay uh nursing homes are are unable to stay open<00:46:54.400><c> that</c><

Committee: Senate Human Services

Transcript Highlights:

• Bless the great state of Oklahoma, our home, in Jesus' name. Amen.
• Learning how to build homes in the future will not only be building homes using our own revenue; we'll
• Please recognize Representative Sensen to present the Nurse of the Day.
• Because of their courage, children went home from school yesterday.
• Yeah, coming home to you a lot of days... Yeah.

Bills: SB1287 , SB1983 , SB1796 , SB1806 , SB1558 , SB2135 , SB483 , SB1198 , SB1265 , SB2154 , SB2139 , SB1552 , SB2118 , SB1775 , SB259 , SB1344 , SB1380 , SB2007 , SB1572 , SB2074 , SB1423 , SB1425 , SB1502 , SB1503 , SB1833 , SB1561 , SB1555 , SB2044 , SB1749 , SB904 , SB1565 , SB1500 , SB667 , SB1484 , SB1562 , SB1644 , HR1045 , SB227 , SB1627 , SB1475 , SB1966 , SB2049 , SB1531 , SB80 , SB1734 , SB1630 , SB1894 , SB1975 , SB1432 , SB1437 , SB1812 , SB346 , SB710 , SB1489 , SB1614 , SB2045 , SB1250 , SB1304 , SB1501 , SB1946 , SB592 , SB65 , SB1257 , SB444 , SB640 , SB2178 , SB1242 , SB1642

Summary: The House convened with a roll call, prayer, and Pledge of Allegiance, then heard several introductions and special recognitions, including students and civic groups in the galleries, the Morris Eagles High School Academic Team, Calumet state champion teams, and Cherokee Nation Day at the Capitol. Cherokee Nation Principal Chief Chuck Hoskin Jr. delivered extended remarks focused on tribal investments in public education, health care, housing, child care, rural infrastructure, and workforce development, and he urged lawmakers to preserve Medicaid expansion, saying it has brought major health-system revenue, jobs, and broader economic benefits to Oklahoma. The chamber also recognized the Doctor of the Day, Dr. Abby Woods, and Nurse of the Day, Kara Delapena. Members made personal remarks about the Pauls Valley High School incident and a trooper accident, with prayers offered for those affected. Representative Rowe highlighted the courage of school officials and first responders in Pauls Valley and tied the event to the Legislature’s recurring school safety funding. On legislation, the House adopted House Resolution 1045 designating the second week of April as Lung Cancer Action Week. Senate Bill 227, dealing with gross production tax and ad valorem taxation of oil and gas production equipment and flow lines, drew extensive debate over alleged double taxation and fiscal impacts; it passed 76-14. Senate Bill 1627, a criminal statutes cleanup measure addressing duplicate sections from modernization, passed 89-0 and its emergency clause also passed 89-0. The House also approved motions to request further conference on House Bills 2155 and 2157, and then adjourned until the next day.

Transcript Highlights:

• An act to amend the Public Health Law in relation to the closure of nursing homes.
• It would just establish a process for closing nursing homes, including community involvement and all
• An act to amend the Public Health Law in relation to the closure of nursing homes.
• For nursing homes, it would go from $55 to $200, and in behavioral health settings, it would go from
• This is all about seeking alternatives to nursing home settings, and it is a new bill.

Committee: Senate Health

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.

Transcript Highlights:

• home and we can't find a nursing home bed for them.
• find a nursing nursing home and we can't find a nursing home<05:23:28.320><c> bed</c><05:23:28.560><
• </c> entire spectrum of our nursing homes. entire spectrum of our nursing homes.
• </c><06:08:52.480><c> homes</c> testimony that we have nursing homes testimony that we have nursing homes
• homes through the the eight um nursing homes through the Catholic<06:11:15.440><c> Charities.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• ARE TAKING CARE OF OUR NURSING HOMES ACROSS THE STATE.
• IT HELPS THOSE NURSING HOMES DOING A GREAT JOB TELL THEIR STORY AND THOSE NURSING HOMES THAT NEED MORE
• WE REQUIRE EACH NURSING HOME TO CONDUCT A PATIENT SAFETY SURVEY BIANNUALLY AND PROVIDE AS A NURSING HOME
• IF THE NURSING HOME MAINTAINS...
• STATE-OWNED NURSING HOMES FROM THAT REPORT.

Bills: SJR4 , SJR40 , SJR81 , SCR37 , SCR39 , SB22 , SB32 , SB33 , SB36 , SB38 , SB95 , SB209 , SB249 , SB311 , SB326 , SB365 , SB458 , SB609 , SB660 , SB664 , SB693 , SB732 , SB745 , SB760 , SB762 , SB779 , SB783 , SB785 , SB868 , SB871 , SB883 , SB921 , SB955 , SB993 , SB996 , SB1008 , SB1057 , SB1067 , SB1151 , SB1171 , SB1210 , SB1255 , SB1265 , SB1267 , SB1271 , SB1307 , SB1313 , SB1316 , SB1318 , SB1321 , SB1332 , SB1365 , SB1426 , SB1470 , SB1484 , SB1494 , SB1559 , SB1592 , SB1596 , SB1598 , SB1637 , SB1677 , SB1706 , SB1758 , SB1762 , SB1786 , SB1809 , SB1818 , SB1822 , SB1841 , SB1871 , SB1967 , SB2064 , SB2077 , SB2112 , SB2148 , SB2320 , SB2406 , SB2407 , SJR36 , SJR81 , SJR50 , SJR4 , SJR40 , SJR27 , SCR22 , SCR12 , SCR39 , SCR38 , SCR37 , SB921 , SB609 , SB660 , SB765 , SB62 , SB666 , SB888 , SB687 , SB847 , SB1248 , SB504 , SB305 , SB296 , SB284 , SB304 , SB1023 , SB204 , SB670 , SB850 , SB854 , SB413 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB1539 , SB447 , SB1119 , SB1505 , SB1215 , SB1302 , SB583 , SB673 , SB681 , SB1172 , SB955 , SB957 , SB541 , SB266 , SB1415 , SB53 , SB1352 , SB785 , SB1450 , SB1502 , SB1566 , SB1062 , SB711 , SB746 , SB1404 , SB1448 , SB507 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB667 , SB1059 , SB1567 , SB310 , SB311 , SB505 , SB1210 , SB1470 , SB264 , SB1358 , SB1364 , SB1569 , SB1376 , SB1228 , SB519 , SB1350 , SB462 , SB827 , SB1585 , SB1484 , SB1273 , SB927 , SB1227 , SB1229 , SB1353 , SB1464 , SB1709 , SB1729 , SB1733 , SB1744 , SB1772 , SB1841 , SB1008 , SB2016 , SB1173 , SB1163 , SB996 , SB1370 , SB1321 , SB1101 , SB860 , SB993 , SB693 , SB1537 , SB1332 , SB1307 , SB963 , SB493 , SB984 , SB619 , SB1122 , SB455 , SB522 , SB1057 , SB1239 , SB1254 , SB1255 , SB1259 , SB1341 , SB1877 , SB1277 , SB32 , SB732 , SB731 , SB268 , SB1822 , SB1589 , SB397 , SB1058 , SB1267 , SB2112 , SB1930 , SB532 , SB508 , SB292 , SB291 , SB901 , SB1333 , SB1436 , SB1494 , SB964 , SB779 , SB1378 , SB2312 , SB1719 , SB287 , SB2143 , SB1245 , SB261 , SB1247 , SB2406 , SB2407 , SB1882 , SB618 , SB38 , SB393 , SB1371 , SB1365 , SB2243 , SB2226 , SB2039 , SB1919 , SB1895 , SB1598 , SB1493 , SB1810 , SB1791 , SB1706 , SB1644 , SB1238 , SB783 , SB458 , SB22 , SB651 , SB897 , SB1809 , SB1080 , SB745 , SB826 , SB989 , SB1320 , SB1437 , SB2320 , SB2289 , SB1171 , SB664 , SB1637 , SB2064 , SB868 , SB1079 , SB1243 , SB1504 , SB1851 , SB1879 , SB2237 , SB1257 , SB2034 , SB1522 , SB883 , SB249 , SB1318 , SB1151 , SB596 , SB1191 , SB226 , SB570 , SB870 , SB991 , SB60 , SB365 , SB1067 , SB1786 , SB326 , SB1401 , SB1592 , SB1728 , SB1265 , SB586 , SB529 , SB217 , SB209 , SB1923 , SB1559 , SB1839 , SB387 , SB1874 , SB1872 , SB1873 , SB1921 , SB1883 , SB1677 , SB95 , SB1620 , SB1838 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB2166 , SB871 , SB510 , SB33 , SB2420 , SB1860 , SB1541 , SB1316 , SB1314 , SB1313 , SB1426 , SB1398 , SB1869 , SB1750 , SB1871 , SB36 , SB855 , SB1233 , SB760 , SB2425 , SB2037 , SB1758 , SB1759 , SB2365 , SB1924 , SB762 , SB1271 , SB1818 , SB605 , SB1405 , SB1762 , SB1968 , SB1977 , SB2077 , SB2148 , SB2321 , SB1967 , SB1662 , SB1663 , SB2124 , SB2204 , SB1855 , SB863 , SB37 , SJR39 , SCR1 , SCR27 , SCR32 , SCR42 , SCR6 , SB2232 , SB819 , SB2078 , SB2252 , SB1962 , SB2253 , SB825 , SB1577 , SB1184 , SB2018 , SB2206 , SB1901 , SB1030 , SB2368 , SB1963 , SB1960 , SB1643 , SB1625 , SB1299 , SB841 , SB668 , SB584 , SB231 , SB2411 , SB1085 , SB2431 , SB2231 , SB1490 , SB530 , SB34 , SB1261 , SJR81 , SB32 , SB458 , SB664 , SB693 , SB868 , SB1008 , SB1267 , SB1307 , SB1321 , SB1484 , SB1637 , SB1809 , SB1822 , SB2064 , SB2112 , SB2320 , SB2406 , SB2407 , SB609 , SB660 , SB921 , SB779 , SB1470 , SR388 , SB3042 , SB440 , SB2876 , SB3042 , SB440 , SB2876

Transcript Highlights:

• I'm president of the California Nurses Association, representing over 100,000 registered nurses across
• I've seen this happen to both newly graduated nurses and immigrant nurses.
• Employers use the threat of debt collection to exploit nurses as they get their first nursing jobs.
• Nursing jobs.
• We want to staff our hospitals with community nurses, permanent staff. staff. nurses.

Committee: House Labor and Employment

Summary: The committee heard several labor-related bills, with testimony largely focused on workforce development, worker privacy, wage theft, and workplace safety. AB 296 would require schools and districts to host apprenticeship fairs at least once per year; supporters said it would expose students to skilled-trades careers, while school administrators opposed the mandate as too broad, especially for elementary schools and districts without local apprenticeship programs. AB 1221 and AB 1331 both sought to curb invasive workplace surveillance, with labor groups arguing that AI, biometric, and algorithmic monitoring can be discriminatory and chill worker rights, while business and industry groups warned the bills were too broad and could interfere with security, cybersecurity, and ordinary workplace operations. AB 1181 would require firefighter turnout gear to be free of cancer-causing chemicals, and AB 1198 would require prevailing wage rates on public works to reflect the wage in effect when work is performed; both drew support from labor and construction witnesses, while local governments and other stakeholders raised cost and implementation concerns. AB 1251 would require private employers to disclose whether a job posting is for an actual vacancy, and AB 692 would prohibit employer debt agreements that require workers to repay training or other costs if they leave employment; both bills were supported by worker advocates and opposed by employer groups who said the measures were overly broad or unnecessary under existing law. The committee also heard AB 552, AB 1110, AB 1136, and AB 1234, which respectively would allow the Agricultural Labor Relations Board to locate its main office outside Sacramento, update Cal/OSHA poster information, expand high road training partnership eligibility, and strengthen the wage claim process by encouraging employer participation and allowing judgments when employers fail to respond. Several bills were voted out on due-pass motions, including AB 1198, AB 1251, AB 1221, AB 1331, AB 552, AB 1110, AB 1136, and AB 692; AB 1181 was approved by the committee but remained on call, and AB 296 was heard in subcommittee without a vote. AB 963 was pulled by the author.

Transcript Highlights:

• Please recognize Representative Kane to present the Nurse of the Day.
• , and flight nurse.
• As a paramedic, emergency room nurse, and flight nurse, she brings a depth of clinical expertise and
• They brought home their first state championship in 26 years.
• We do the best we can and then we go home to our constituents.

Bills: SB1475 , SB1447 , HB2288 , SB1521 , SB592 , SB1533 , HB1276 , SB201 , SB1477 , SB1232 , SB1255 , SB1327 , SB1525 , SB1721 , SB667 , SB1436 , SB1317 , SB604 , SB1325 , SB1496 , SB2007 , SB1567 , SB2112 , SB1980 , SB1735 , SB1558 , SB1491 , SB1287 , SB1378 , SB1369 , SB1441 , SB137 , SB483 , SB843 , SB1433 , SB1257 , SB1365 , SJR49 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , HJR1094

Summary: The House convened, called the roll, offered prayer and the Pledge of Allegiance, and recognized the Nurse of the Day and several student and athletic groups, including Career Tech students, charter school students, Meridian Tech students, and Carl Albert championship teams. A lengthy personal privilege/farewell-style speech was delivered by Representative Lepak, reflecting on his service, family, staff, and legislative colleagues, and offering general advice about public service and the legislative process. The chamber then took up several Senate bills. SB 1369, creating a 988 revolving fund to support Oklahoma’s mental health lifeline, passed 85-7. SB 1441, clarifying penalties for drones contacting critical infrastructure, passed 80-2. SB 137, adding DUI/GBI to electronic monitoring ineligibility and clarifying Department of Corrections language, passed 72-18 after questions about retroactivity and administrative authority. SB 843, raising the minimum ADA threshold from 400 to 550 for school districts to hire relatives of board members, passed 77-4, and its emergency clause also received the required two-thirds vote. The most extensive debate centered on SB 483, which would have authorized county commissioners to establish a relocation assistance program for people seeking to move to supportive housing or services. Members raised concerns about homelessness policy, county capacity, public-private partnerships, safeguards, and possible misuse or “bussing” of people between communities. The bill ultimately failed 35-52, and notice was given of a possible motion to reconsider. Later, SB 1433, requiring agencies to publicly post guidance documents and note they lack the force of law, passed unanimously; SB 1257, updating THC-related language in controlled substances law, passed 68-13; and SB 1365, updating promotional fund language for state retail outlets, lodges, gift shops, and golf courses, failed 43-42, with notice of reconsideration also given. The House then moved to recess until 1:15 p.m.

Transcript Highlights:

• This bill modernizes the certification process for certified nurse assistants and home health aides.
• homes and home health agencies without compromising safety.
• assistants and home health aides are not afforded Such as certified nursing assistants and home health
• nurse specialists, nurse practitioners, and physician assistants.
• nurse specialists, nurse practitioners, and physician assistants.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• But I don't think that that's 12% comparative to nationally certified—I don't know, nurse.
• Picture a six-year-old child left at home alone with no food.
• My name is Stacey Robinson, and I am a school nurse in the Indian River School District.
• I am also the National Association for School Nurses Director for the Delaware School Nurse Association
• and a nationally certified school nurse.

Committee: Senate Education

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• And how many nurses do you graduate a year? 300. 300? Wonderful, wonderful.
• I know you just mentioned our nursing program.
• the importance of building our nursing programs and our workforce.
• Our nursing numbers are: practical nursing is 90%, and the RN is 85%. That was last semester.
• But it's not just nursing when it comes to allied health.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to consider a slate of trustee confirmations for several Florida state colleges and universities. Chair Harrell outlined the process, including swearing in nominees, allowing brief presentations and questions, taking public comment after each nominee, and voting on the full slate at the end unless a member was pulled for separate consideration. One nominee, Edward Fleming, was not heard and was deferred to a future meeting. The committee also dealt with several technical issues for remote participants before proceeding through the agenda. Nominees and reappointees emphasized their personal ties to their institutions and focused their remarks on workforce development, affordability, and partnerships with local employers. Several highlighted nursing and allied health programs, with committee members repeatedly asking about NCLEX pass rates; reported figures included Polk State at 100%, Lake-Sumter at 97.5%, Northwest Florida State at 100%, Daytona State at 95%, Pasco-Hernando at 97% for associate degree and 100% for practical nursing, Pensacola State at 90% practical nursing and 85% RN, and Hillsborough College at 87.5%. Other priorities mentioned included construction technology, agriculture and ag technology, surveying/geodetic programs, maritime and diesel mechanics, aircraft maintenance, dual enrollment, AI, cybersecurity, and support for military and veteran transitions. After hearing from all nominees, the committee asked whether any names should be voted on separately; none were requested. Senator Bradley moved a block vote to recommend confirmation, the motion was approved by roll call, and all nominees heard that day were recommended for confirmation except Tab 10, Edward Fleming, who was postponed to a later meeting. The committee then adjourned.

Transcript Highlights:

• more likely to prescribe benzodiazepines like Valley, out of an to nursing home senior citizens.
• I am dog Double Supper board, certified acute care nurse practitioner, family nurse practitioner with
• a doctor of nursing practice.
• And I've spent more than 20 years and direct patient care as a registered nurse and nurse practitioner
• I have heard it said that nurse nurse and it's easy all that understands the nest this or not trained

Transcript Highlights:

• I co-own three Home Instead franchises in Arizona.
• The Nurse Home Visitor Grant Program to award grants to eligible organizations for the purpose of preventing
• HB 2828 establishes a grant program for voluntary, evidence-based nurse home visitations for pregnant
• A nurse home visitor can help by answering questions, screening for health and mental health concerns
• This grant program would provide support services for evidence-based nurse home visitation like NFP.

Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.

Transcript Highlights:

• I co-own three Home Instead franchises in Arizona.
• HB 2828 establishes a grant program for voluntary evidence-based nurse home visitations for pregnant
• A nurse home visitor can help by answering questions, screening for health and mental health concerns
• This grant program would provide support services for evidence-based nurse home visitation like NFP.
• The NFP model uses specially trained nurses to transform The NFP model uses specially trained nurses

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• </c><00:35:38.800><c> home</c><00:35:39.000><c> administrator</c> having been a nursing home administrator
• having been a nursing home administrator I<00:35:39.640><c> had</c><00:35:39.800><c> many</c><00:35:
• I know the Hastings nursing home was basically bringing in people that were interested in CNA programs
• </c><00:43:14.640><c> in</c> nursing home was basically bringing in nursing home was basically bringing
• </c><00:57:21.160><c> homes</c> Federal funding and so to nursing homes Federal funding and so to nursing

Bills: HF110 , HF111 , HF263 , HF105

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• to find that people living with HIV/AIDS at maybe 300% are not going to be able to have a medical home
• But in a lot of those cases, individuals are going to have to leave their medical home of where they're
• And that way, our nurses will be educated before they go actually out and practice.
• Seeing no questions, with one appearance form, Jack Corey, Florida Nursing Association.
• With one appearance form, Jack Corey, Florida Nursing Association, waving in support. Thank you.

Bills: S0068 , S0096 , S0340 , S0428 , S0606 , S1480 , S7018

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• Leslie, do the other ones too, like skilled nursing?
• And then in home health, you see for nurses, the rate increase has been, you know, 24%, 26%.
• homes.
• The GAFC cost would be $50, AFC $54, home health $122, and skilled nursing facility $254 a day.
• So moving on. nursing facilities.

Summary: The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas. Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services. Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.

Transcript Highlights:

• PACE allows frail older individuals who qualify for a nursing home level of care to remain safely in
• and out of the nursing home.
• I oppose the governor's nursing home rate reform proposal unless its portfolio fully restores the W-QIP
• It benefits the residents, operators, and workers based on the quality care in nursing homes.
• I work in the activities department for 19 years at a nursing home in Santa Clara.