Transcript Highlights:

• So we need more faculty. program that graduates people that will become nursing faculty.
• Providing a Bachelor of Science in Nursing program aligns with student skills and nursing. workforce
• meet the demand for nurses and the growing enrollment in our nursing program.
• We have a very fine, robust nursing program at every level, BSN, MSN, and... nurse practitioner level
• these new programs as well as our existing and rapidly growing nursing and health care programs.

Committee: House Appropriations - S/C on Article III

Transcript Highlights:

• of the program.
• It has to do with the whole program on private duty nursing.
• Multifaceted bill that addresses several different programs.
• care centers program, safety net program, and the sexual abuse treatment program, and the Title IV program
• These programs all stay under DOH.

Committee: Senate Health Policy

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• So just, for your edification, this would fund several nursing-related programs within the system. um
• </c><00:02:04.560><c> the</c> nursing programs and what made the nursing programs and what made the governor's
• collaboration</c><00:02:33.120><c> phase</c><00:02:33.440><c> 3</c> nursing collaboration phase 3 nursing
• </c><00:02:44.720><c> 424</c> FY2627 for UHM online RN2BS program 424 FY2627 for UHM online RN2BS program
• </c> for uh West Aahu's pre- N nursing for uh West Aahu's pre- N nursing pathway.<00:02:53.920><c> And

Transcript Highlights:

• Again, wellness opportunity for nurses.
• better connected to the nurses.
• Again, wellness opportunity for nurses.
• Programmed based on populations.
• working as registered nurses.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• I started practicing in a nurse program at St. Paul College.
• I start practicing of nurse<00:07:14.560><c> program</c><00:07:14.800><c> at</c><00:07:15.039><c> St.
• </c><00:07:16.240><c> They</c> nurse program at St. Paul College. They nurse program at St.
• </c><00:25:00.720><c> programs</c><00:25:01.200><c> and</c> like people in nursing programs and like
• people in nursing programs and stuff<00:25:01.679><c> like</c><00:25:01.760><c> that</c><00:25:01.919

Committee: Senate Higher Education

Transcript Highlights:

• There are 7,798 students enrolled in that nursing program last year.
• The third is nursing. The fourth is wetlands and marine science management programs.
• The first is nursing.
• All of our nursing programs are pre-licensure, so this is going to be their first job as a nurse coming
• Demand for teachers and nurses, in particular, remained exceptionally strong, and our programs are directly

Committee: Senate Education Postsecondary

Summary: The Committee on Education Postsecondary held an informational hearing focused on how Florida’s public colleges and universities are aligning bachelor’s degree programs with workforce needs and improving student outcomes. Chancellor Kathy Hebda described Florida College System enrollment growth, the state college system’s workforce-oriented bachelor’s degrees, approval and accountability processes for those programs, and outcomes data showing strong completion and wage results, especially in health care. Emily Sykes of the Board of Governors outlined the State University System’s program review practices, performance-based funding metrics, strategic emphasis programs, and the MyFloridaFuture tool that lets students compare earnings, debt, and employment outcomes by major and institution. University and college leaders then described campus-level workforce initiatives. Florida Gulf Coast University highlighted employer-driven microcredentials, digital badges, internships, career fairs, service learning, and partnerships with regional employers. UCF discussed its career navigator requirements, major industry partnerships such as Lockheed Martin, nursing and faculty career-integration efforts, and a centralized career development center. Northwest Florida State College and the University of West Florida emphasized their bachelor’s programs, transfer pathways, teacher and nursing outcomes, military and defense-related workforce pipelines, cybersecurity training, and stackable credentials tied to regional labor needs. During member questions, senators asked how microcredentials and military experience translate into college credit, whether credentials transfer across institutions, and what legislators can do to help. Witnesses said the state’s common course and articulation systems already support transfer, and they encouraged continued legislative support for innovation, faster curriculum alignment, internships, and specialized transfer degrees. No bills were voted on, and the meeting ended with no public comment and an adjournment motion adopted.

Transcript Highlights:

• This is from Senate File 1948 and provides additional funding to critical access nursing facility program
• This is from Senate File 1948 and provides additional funding to critical access nursing facility program
• This is from Senate File 1948 and provides additional funding to critical access nursing facility program
• This is from Senate File 1948 and provides additional funding to critical access nursing facility program
• Raymond: The nursing facility program is funded at about $5.8 million in the first biennium and then

Committee: Senate Human Services

Transcript Highlights:

• At the end of this, I do want us to go over and look at Old Main, where our nursing program is on campus
• We have our PN nurses, those are the current ones, and then our associate degree nurses.
• The partnership that happens between the nursing program, though, is a little bit better, I think, than
• Questions on nursing? Dr. Govind. Oh, practical nurse. My apologies. Yeah, practical nurse.
• programs through this.

Committee: Joint Higher Education Institutions Committee

Summary: The committee met at Dakota College at Bottineau, approved the January 15, 2026 minutes, and heard a campus presentation from Dean Corey Gorder and President Steve Shirley. Gorder outlined DCB’s leadership changes, its affiliation with Minot State, and extensive shared services with Minot State, UND, and NDSU in areas such as business office functions, financial aid, payroll, HR, Title IX, printing, and institutional research. He said shared services help smaller campuses access expertise, and committee members asked about cost allocation and accreditation limits; Gorder said the arrangements are negotiated between institutions and that, to his understanding, academic accreditation is not affected by these service-sharing agreements. The committee also discussed DCB’s enrollment, dual credit reach, and program mix, including nursing, dental assisting and hygiene, paramedic training, drone certification, and farm management. Gorder said DCB wants to expand higher-demand, trade-oriented programs, strengthen Minot programming, and address facility needs, especially residence halls and space constraints in dental programs. Members asked detailed questions about dual credit, including how DCB develops relationships with high schools, whether it has exclusivity, who teaches the courses, and whether credits transfer. Gorder said relationships are built through outreach and existing school connections, that schools may choose other providers, and that DCB pays stipends to instructors under institution-specific formulas. NDUS staff Lisa Johnson said transfer problems are rare within North Dakota and usually arise only with highly selective out-of-state institutions. Gorder also noted that DCB’s dual credit and campus programming are heavily tied to rural schools and that the college is trying to streamline dual credit delivery as enrollment and staffing demands grow. The committee then heard from the North Dakota Student Association, whose representatives outlined student priorities from the last legislative session and the interim. Their main themes included campus safety, mental health resources, academic freedom, scholarships and affordability, teacher incentives, workforce readiness, housing, food accessibility, student research funding, internships, and campus collaboration. They said they supported or opposed various bills related to those issues during the 69th Legislative Assembly and emphasized that students want affordable, safe, and academically strong campuses. Committee members asked about housing affordability, food insecurity, research opportunities, and dual credit transfer and expansion. No votes were taken on policy matters during this portion of the meeting.

Transcript Highlights:

• </c><00:58:48.520><c> and</c><00:58:48.680><c> nursing</c> assisted living nursing and nursing assisted
• They do need this program. We have a lot of people living in Twin City. They do need this program.
• She was at the nursing program.
• I recruited her from the nursing program into the PACE program, and ever since she stayed in the program
• nursing program I recruit she was at the nursing program I recruit her<01:58:09.199><c> from</c><01:58

Committee: Senate Human Services

Transcript Highlights:

• In case you're unaware, the federal government has a program that they call the Continuum of Care program
• , for SSDI, for housing, all these different programs?
• States can compete against the continuum of care programs.
• So this change was made to add clinical nurse specialists among the nurse practitioners who can apply
• was made to add clinical nurse specialist among the nurse practitioners who can apply for independent

Transcript Highlights:

• In fact, just last week, LDH announced a program.
• LDH announced a program called Ascend, and it's going to be a very comprehensive program to work with
• We can put a nursing home in every parish that we want.
• one-rated nursing homes.
• get into the nursing homes to get good care.

Bills: SB524 , SR108 , SR109 , SCR56 , SCR57 , SCR12 , HB227 , HB398 , HB689 , HB897 , HB1029 , HB1107 , HB1217 , HB221 , HCR58 , HB136 , SB162 , SB382 , SCR33 , SCR30 , SB112 , SB194 , SB307 , SB341 , SB346 , SB363 , SB495 , SB503 , SB507 , SB509 , SB513 , SB408 , SB131 , SB145 , SB333 , SB464 , SB466 , SB500 , SB283 , SB338 , SB488 , SB35 , SB65 , SB215 , SB228 , SB246 , SB249 , SB268 , SB269 , SB282 , SB296 , SB312 , SB319 , SB323 , SB369 , SB431 , SB474 , SB484 , SB490 , SB492 , SB501 , HCR14 , HB537 , HB652 , HB653 , HB661 , HB726 , HB756 , HB851 , HB964 , HB966 , HB34 , HB35 , HB48 , HB474 , HB553 , HB758 , HB852 , HB10 , HB16 , HB36 , HB44 , HB46 , HB52 , HB61 , HB78 , HB98 , HB102 , HB124 , HB126 , HB131 , HB135 , HB141 , HB142 , HB164 , HB170 , HB171 , HB179 , HB194 , HB231 , HB245 , HB280 , HB292 , HB294 , HB297 , HB305 , HB336 , HB337 , HB351 , HB436 , HB594 , HB789 , HB956 , HB957 , HB995 , HB1040 , HB50 , HB117 , HB120 , HB122 , HB139 , HB148 , HB149 , HB185 , HB199 , HB247 , HB271 , HB286 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB842 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1071 , HB1091 , HB1117 , HB119 , HB129 , HB677 , HB850 , SB68 , SB149

Summary: The Senate opened with a quorum, a guest minister prayer, the Pledge of Allegiance, and a St. Charles Parish presentation featuring a youth national anthem singer. The chamber then moved through a large number of House and Senate messages, committee reports, and introductions, including measures on career and technical education, flood risk maps, public-private partnership contracting, arts day, and a task force on work-based learning. Several resolutions were adopted, including SCR 56 honoring the YMCA and SCR 57 honoring Jonathan Nicole, both by unanimous votes. A House concurrent resolution supporting elimination of the U.S. Department of Education also passed 26-9. On Senate bills, the chamber gave final passage to SB 112 on voluntary release time for K-12 religious instruction with a criminal background check amendment, SB 194 on public assistance and citizenship verification, SB 307 on public displays of historical/religious documents, SB 341 expanding church and nonprofit religious self-insurance coverage, SB 346 prohibiting deepfake materials used against students, SB 495 on campaign finance reporting and unitemized contributions, SB 503 on age assurance for minors using mobile apps, SB 507 creating a statewide process for determining non-enrollment, SB 509 on bank-owned life insurance, SB 131 limiting attorney fee recovery in occupational licensing disciplinary cases, SB 145 requiring backup power for adult residential care providers, SB 333 on child-in-need-of-care proceedings and federal reimbursement, SB 464 on severe obesity treatment coverage, SB 466 on expropriation and foreign adversaries, SB 488 on a school safety drone response pilot program, SB 312 on union dues and withholding procedures, and SB 319 on voter identification and provisional ballot procedures. Most passed with little or no opposition, though SB 194, SB 307, SB 503, SB 131, SB 333, and SB 319 drew some dissenting votes. The chamber also passed multiple House bills, including HB 1071 on public records exceptions for aerospace critical infrastructure, HB 537 repealing the Workers’ Compensation Advisory Council, HB 652 and HB 653 adjusting Oyster Task Force membership, HB 661 narrowing nepotism restrictions for certain school board hires with an amendment, HB 756 aligning watercraft enforcement with Coast Guard standards, HB 851 banning intentional balloon releases, HB 964 authorizing a Caddo Parish property transfer, and HB 34 and HB 35 on sheriff pension fund eligibility and contribution rules. Several items were returned to the calendar or referred to committees. A major discussion centered on SB 484, which would restructure parts of higher education governance and transfer certain Board of Regents functions; it drew extensive questioning and amendments, including a new Lumcon board structure and financial reporting requirements, but was returned to the calendar for further work rather than final passage.

Transcript Highlights:

• My name is Alexis Hall, and I am a registered nurse.
• Network and the Florida Nurses Association.
• I love being a nurse.
• I'm a psychiatric nurse practitioner and a member of the Florida Nurses Association and the Florida Nurse
• But today I'm not here only as a nurse.

Committee: Senate Health Policy

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• , um, and be able to just live still independently of nursing homes or any other government programs
• , um, and be able to just live still independently of nursing homes or any other government programs
• </c> live still independently of of nursing live still independently of of nursing homes<00:21:25.440
• I'm a registered nurse. I've been a registered nurse for over 25 years.
• Right now we self-direct. a registered nurse been a registered a registered nurse been a registered nurse

Committee: House Human Services Finance and Policy

Transcript Highlights:

• In pursuit of clarification, several of the New Hampshire nursing leaders, LPN program directors, and
• nursing leaders, LPN program<00:10:09.400><c> directors,</c><00:10:09.920><c> and</c><00:10:10.040><
• And I specifically reached out to the deans and directors of all of the nursing programs in New Hampshire
• And I specifically reached out to the deans and directors of all of the nursing programs in New Hampshire
• </c><00:19:40.280><c> to</c><00:19:40.480><c> ask</c> nursing programs in New Hampshire to ask nursing

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• They can just give the nurses the info, and the nurses read through it, but then there's not the...
• But again, the nurse practicing, like the nurse in a delivery room or the nurse caring for postpartum
• Often, has a nurse had to report?
• The redaction step before it goes to the nurse would be eliminated, and then the nurse would then be
• The advisory board will consist of representatives from various Texas nursing programs to develop and

Bills: HB 1106 , HB3284 , HB541 , HB713 , HB1403 , HB1586 , HB1942 , HB2070 , HB2844 , HB2851 , HB3151 , HB3749 , HB3940 , HB3963 , HB4454 , HB4466 , HB4795 , HB5154 , HB5394 , SB1357 , HB 1052 , HB4099 , HB4638 , HB5147

Committee: Senate Health & Human Services

Transcript Highlights:

• This bill appropriates funds to establish the Bachelor of Science in Nursing degree program at Maui College
• Hawaii Nurses Association Healthcare Hawaii Nurses Association Healthcare Association<00:19:06.159><c
• This bill appropriates funds to establish the Bachelor of Science in Nursing degree program at Maui College
• program within Maui College.
• </c> new Bachelor of Science and nursing new Bachelor of Science and nursing program<00:32:18.880><c>

Committee: House Higher Education

Summary: The House Committee on Higher Education heard five bills and later took up one joint Housing/Higher Education measure. On SB 1146 SD1, relating to the Alaw Canal, testimony from DLNR and UH was in support of funding an action plan and pre-engineering concept plan to address debris management and water quality in the watershed; members discussed the cost burden on DLNR and the possibility of identifying upstream sources of debris. On SB 1232 SD2, relating to wastewater systems, the Department of Health, DHHL, and several advocacy groups supported a three-year pilot program at UH’s Water Resources Research Center to test new wastewater technologies, with witnesses saying it could help certify cheaper alternatives and reduce cesspool upgrade costs. On SB 119 SD1, relating to nursing, witnesses supported funding a Bachelor of Science in Nursing program at Maui College. On SB 865 SD1, relating to agriculture, UH CTAHR, the Hawaii Farm Bureau, and many island agricultural groups supported funding for a Kona Cooperative Extension position, with testimony and committee discussion favoring an extension agent over an administrative support role. On SB 1487 SD1, relating to UH revenue bonds, UH supported authorizing revenue bonds for priority capital projects, and members asked for clarification that the measure was a preliminary authorization rather than a specific spending plan. In decision-making, the committee recommended passing SB 1146 SD1, SB 1232 SD2, SB 119 SD1, SB 865 SD1, and SB 1487 SD1 with House Draft 1 amendments, mainly to change defective dates to 7/1/3000 and, for SB 865, to upgrade the position to an extension agent. Votes were unanimous in favor on the measures, with one recusal noted on SB 865 and some members excused on other votes. The committee then recessed and later reconvened for a joint House Housing/Higher Education hearing on SB 1553 SD2, relating to the Department of Hawaiian Home Lands. DHHL asked that the bill be deferred because due diligence was incomplete and more discussion was needed with UH and other stakeholders; UH said it was coordinating access to the property and described its current and future use. Both committees agreed to defer the bill.

Transcript Highlights:

• This program works seamlessly.
• The STARS program ensures EMS providers are not guessing.
• I am certainly not an expert on the STARS program, but I'm very proud of our program.
• So is there a financial cost to the entity to the STARS program? To enroll into the STARS program?
• The STARS program is an EMS program. Excuse me. Does that make sense?

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• LTSS programs...
• The Massachusetts PCA program nationally is the gold standard of PCA programs. And yes, we are.
• They do pay into the program.
• All of the LTSS programs are represented, including skilled nursing facilities.
• All of the LTSS programs are represented, including skilled 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:

• And at this current level, it's a plus-two program.
• And then the second is to advocate for more programs in underserved areas.
• Ohio State has a formal APRT program, and UNC Charlotte is scheduled to launch its APRT program later
• My name is Marianne Vosconi, and I am a registered nurse.
• And Eliza does go to school and she has one-on-one nurse, LVN nurse.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• At this current level, it's a plus-two program.
• And then the second is to advocate for more programs in underserved areas.
• Ohio State has a formal APRT program, and UNC Charlotte is scheduled to launch its APRT program later
• Ohio State has a formal APRT program, and the UNC Charlotte is scheduled to launch their APRT program
• And Eliza does go to school, and she has one-on-one nurse, LVN nurse.