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:

• 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:

• 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:

• 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:

• 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:

• 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:

• <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:

• 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:

• 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.

Transcript Highlights:

• Our next author is Senator Arreguín, SB 948, Firearm Safety Certificates.
• SB 948, Firearm Safety Certificates.
• SB 1186, Birth Certificates Upon Adoption. The motion is due pass.
• SB 1302, Board of Registered Nursing. The motion is due pass.
• SB 1302, Board of Registered Nursing. The motion is due pass.

Keywords: 987, senate, all

Summary: The Senate Appropriations Committee met for a suspense-file hearing, which the chair noted was vote-only with no public testimony. The committee moved quickly through a large number of bills, mostly Senate bills with a few Assembly measures at the end, and repeatedly announced amendments that narrowed scope, made bills contingent on appropriation, removed certain provisions, or otherwise reduced fiscal impact. Topics covered included wildfire resilience and recovery, housing and homelessness, energy and utilities, health care and Medi-Cal, education, criminal justice, elections, labor and workforce issues, transportation, environmental regulation, insurance, privacy and technology, and several public safety measures. Most bills were approved, many on unanimous 7-0 votes or 5-0/6-0 votes, while a substantial number passed on 5-2 or 5-1 votes with Republicans generally voting no. A few measures drew more specific discussion: Senator Richardson said he would vote for SB 1203 on security services but expressed concern that it would impose different and doubled training requirements compared with last year’s law; SB 904 on wildfire recovery passed 6-1; SB 1135 on the California Wildfire Coexistence Act passed 6-1; and SB 1241 on skilled and trained workforce requirements passed 6-1 after amendments. The committee also took a reconsideration vote on one previously favorable action, which passed 5-0. No testimony was taken and no bills were held for further discussion during the hearing; the chair repeatedly noted that items not called were held under submission. At the end of the meeting, the committee announced that results would be posted online and that addendum analyses would follow for amended bills, then adjourned.

Transcript Highlights:

• licensed nurses.
• Practical Nursing, and pre-licensure RN, registered nursing.
• nurse, and PN, practical nursing program.
• nurse, and PN, practical nursing program.
• These nurses.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

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?

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• for when the production of these certificates is required.
• The doctor had told us that there was no way that we could be issued a fetal death certificate because
• I have a dual master's in nursing and public health. I'm a registered nurse from TCU. Go Frogs!
• There's no formal lactation education required for pediatricians, OBGYNs, or nurses.
• anesthetist, anesthesiologist, and nurse are...

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• Introduction of doctor and a nurse of the day, or correction of previous study's journal, house and senate

Bills: HB3057, HB3130, HB4113, HB3310, HB3314, HB3985, HB4486, HB3040, HB3407, HB4343, HB2981, HB3764, HB3765, HB3767, HB3982, HB3321, HB3322, HB3323, HB4126, HB4130, HB4170, HB3345, HB2941, HB3062, HB3244, HB3298, HB2977, HB3304, HB3299, HB3297, HB4260, HB3906, HB3648, HB3319, HB2933, HB3544, HB1322, HB4104, HB4105, HB4106, HB4107, HB4108, HB3974, HB3134, HB3055, HB3115, HB3471, HB3497, HB3500, HB3505, HB3755, HB4202, HB4226, HB4236, HB4139, HB4144, HB4422, HB4423, HB4317, HB4321, HB4322, HB3176, HB3239, HB3263, HB3673, HB3794, HB3796, HB4265, HB4266, HB2123, HB3048, HB2445

Keywords: government reporting, information technology, child welfare, environmental policy, state agency compliance, gender transition, minors, health services, punitive damages, parental rights, health care providers, voter registration, voter eligibility, felony disenfranchisement, restoration of voting rights, formerly incarcerated, reentry, parole, probation, supervision

Transcript Highlights:

• They have 240 folks that are involved in more health care, you know, doctor of nursing. Uh, St.
• They have 240 folks that are involved in more health care, you know, doctor of nursing. Uh, St.
• My name is Abigail Kenice, and I'm a nurse and clinical supervisor at Children's Minnesota.
• These include doctors, nurses, medical assistants, certified nursing assistants, and a variety of health
• assistance certified nurses medical assistance certified nursing<01:20:13.280> assistance<01:

Keywords: 1183, house

Transcript Highlights:

• certificate we introduced our electrical certificate we had had had um<00:43:33.720> I<00:43:
• 12.320> language certificates being the ojibway language certificates being the ojibway language
• certificate certificate programs<01:13:24.960> and<01:13:25.120> and<01:13:25.320>
• Your CNA would be your certificate of nursing degree.
• CNA would be your certif of Nursing CNA would be your certif of Nursing degree<01:15:02.560> um

Keywords: 1183, house

Transcript Highlights:

• First up, we have PCS for HB 647, Physician Assistant and Advanced Registered Nurse Services, by Representative
• This bill allows physicians to utilize advanced practice registered nurses to certify death and file
• death certificates under a written physician protocol.
• We are going to revise the active practice requirements for nurses down to two years.
• To revise the active practice requirements for nurses down to two years to operate in our state, place

Summary: The Health Professions and Program Subcommittee met and reported several bills favorably. PCS for HB 647, which allows physicians to use advanced practice registered nurses under written protocol to certify deaths and file death certificates for hospice patients, passed unanimously after brief supportive testimony from hospice, AARP, and physician assistant representatives. HB 803 on acupuncture updated outdated statutory language, clarified the definition of acupuncture, listed allowable point injection therapy items while prohibiting certain drugs, and affirmed referral authority for imaging and labs; it passed 16-1 amid support from acupuncture stakeholders and opposition from several medical groups. PCS for HB 1545 would create recurring state funding for Parkinson’s disease research at the University of South Florida and a consortium of Florida universities; it drew support from USF, the Michael J. Fox Foundation, and Mayo Clinic, with concerns raised about limiting participation to universities, and it passed unanimously. HB 901, which clarifies procedures for parents challenging court-appointed psychologists in family law cases, passed 15-1 with support from a witness and no debate. HB 591, the children with developmental disabilities/autism bill, was presented as a broad early-diagnosis and intervention measure to help children enter treatment and mainstream life sooner; it received supportive testimony from the Florida PTA and strong floor support, and passed unanimously. Finally, PCS for HB 1299, the Department of Health agency bill, made multiple changes including preventing the mRNA vaccine from sunsetting in statute, adding vaccination-status protections in the patients’ bill of rights, updating medical marijuana center screening and reporting requirements, revising nurse active-practice requirements, making technical compact changes, and extending sovereign immunity protections to dental students doing charitable clinic work. After a brief note that optician-related provisions had been removed, the bill passed unanimously. The committee adjourned after reporting all measures favorably.