Transcript Highlights:

• Florida, comprised of a number of programs.
• AUTHORIZATION FOR PRIVATE DUTY NURSING.
• also provides advanced training in skilled nursing tasks.
• ADVANCED TRAINING IN SKILLED NURSING TASKS.
• NURSE DELEGATION TASK AND DELEGATION OF DUTY.

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• It would establish a much-needed loan repayment grant program for OBGYN physicians, nurse practitioners
• benefit from this program, we can look to the existing loan repayment program by the Massachusetts Department
• of the more than 5 million nurses nationwide.
• Perioperative nurses are especially vulnerable. Perioperative nurses are especially vulnerable.
• Nurses are trained to protect our patients. We also must protect our nurses.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• nursing bachelor's program.
• I'm sure you're aware that there are programs for students in ADN programs to advance their nursing education
• nursing programs in California."
• We have about 445 students enrolled in the nursing program, graduating about 250, 225 each year.
• The programs that we're looking at expand the nursing education into leadership.

Committee: House Higher Education

Summary: The Assembly Higher Education Committee heard several measures focused on access, affordability, workforce development, and campus operations. AB 662, by Assembly Member Alvarez, would create a South County Higher Education Task Force to explore a mixed-use intersegmental higher education institution in Chula Vista to address the lack of nearby public university access in South San Diego County. Supporters, including Southwestern College and the City of Chula Vista, described the region as a “college desert” and said the bill would help coordinate UC, CSU, and community college partners. The committee approved the bill on a due pass as amended motion. Members also heard AB 885, which would establish a College Access for All Fund to help address college affordability and student debt, and AB 730, which would provide funding to support development of a medical school in the Central Valley to address physician shortages. Both measures drew support from higher education and labor groups, and both were advanced to Appropriations. AB 1400 proposed a pilot allowing up to 15 community college districts to offer a bachelor’s degree in nursing; supporters said it would expand affordable BSN access and help meet the nursing shortage, while CSU and nursing education groups opposed it, arguing existing ADN-to-BSN pathways and clinical/faculty limits made the proposal unnecessary or harmful. The committee still moved AB 1400 forward on a due pass vote. The committee also considered AB 1235, requiring CSU design-build projects to use a skilled and trained workforce, which supporters said would improve safety, training, and local job opportunities; it passed on a due pass vote. AB 1247, aimed at limiting contracting out of classified school and community college jobs and requiring stronger training and retirement protections, drew support from labor groups but opposition from school and community college organizations concerned about flexibility, costs, and implementation; it advanced on a divided vote. Finally, the committee heard AB 1470, which would allow student housing loan funds to be used in downtown and commercial districts, and ACA 3, which would require UC to offer limited down payment loans to eligible support staff; both drew support from labor and housing advocates, while UC opposed ACA 3 as inconsistent with its mission and financially burdensome. The transcript ends during discussion of ACA 3, with no final action shown for that item.

Transcript Highlights:

• degree program.
• Currently, in order to become a certified nurse midwife, a student must first attend a nursing program
• This would alleviate the strain on registered nurse education programs.
• as nurses.
• When we enter midwifery school, there are many programs that educate nurse midwives and certified midwives

Committee: House Health Finance and Policy

Transcript Highlights:

• We have most of our week staffed by nurses' assistants, not a nurse.
• Every nurse, every school nurse, and every nurse who works in the school is absolutely qualified.
• Every nurse, every school nurse and every nurse who works in the school is absolutely qualified.
• Qualified, every nurse, every school nurse, and every nurse who works in a school is absolutely qualified
• and a proud school nurse.

Summary: The House Education Committee first heard House Bill 2246, which would update school discipline rules for firearm-related violations. Committee staff explained that the bill extends existing firearm expulsion and readmission provisions to charter schools, state tribal education compact schools, the School for the Blind, the Center for Deaf and Hard of Hearing Youth, and educational service districts, and would allow governing boards to deny readmission or limit participation in activities after a firearm-related incident. Representative Lowe said the bill was prompted by a local incident and was intended to give districts more flexibility and clarity while still ensuring students continue receiving educational services. Committee members questioned how the bill interacts with constitutional rights to public education, whether it applies to imitation firearms or social media threats, and whether the school board or administration should make the initial discipline decision. OSPI testified “other,” noting concern about limiting appeals to one reconsideration and citing 48 firearm-related expulsions and 198 suspensions in 2023-24. Team Child testified in opposition, arguing the bill would make reentry harder and could unnecessarily exclude students from extracurriculars after they had served their discipline period. The public hearing on HB 2246 closed with 246 pro, 7 con, and 1 other signed in. The committee then heard House Bill 2360, which would allow public and private schools to maintain stock albuterol under a statewide standing order for use in asthma or other respiratory emergencies. Staff described the bill as authorizing trained school personnel or nurses to administer school-supplied albuterol in certain circumstances, including on school property, buses, and sanctioned excursions, with limited liability protections and a refusal option for employees not wishing to administer it. Representative Donaghy said the bill was meant to address life-threatening asthma attacks, especially when a student’s own inhaler is unavailable or when emergency response times are long. OSPI and the Washington State Nurses Association/School Nurse Organization of Washington testified in support, emphasizing the prevalence of asthma, the bill’s permissive nature, and the need for a standing order. The Department of Health had sent a letter asking to strike one section, and some witnesses raised concerns about administering albuterol to students without a prior prescription or diagnosis. Opponents, including a school nurse, argued the bill should wait until the state has clearer protocols, more training, and better staffing, and said nurses should not be asked to diagnose or medicate without physician orders. Supporters, including a pediatric pulmonologist and school nurses, said stock albuterol is safe, can prevent emergency room visits and deaths, and should be paired with parent notification and follow-up care. The public hearing on HB 2360 closed with 113 pro, 2 con, and 1 other signed in.

Transcript Highlights:

• UAB's program is the second-oldest PA program in the country. We were instituted in 1967 by Dr.
• UAB's program is the second-oldest PA program in the country. We were instituted in 1967 by Dr.
• And many of those women's health nurse practitioners were labor and delivery nurses before.
• </c> disparaging nurse practitioners at all. disparaging nurse practitioners at all.
• </c> I have a lot of respect for nurse I have a lot of respect for nurse practitioners.<00:23:05.840>

Bills: HB31 , HB31

Committee: House Health

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation

Transcript Highlights:

• Okay, but you mentioned a nursing home.
• So I'll use a nursing home, for instance.
• You have the nurses with the nursing home, but then hospice comes in with a whole different care delivery
• and Medicaid Services Special Focus Facility Program, to provide for state requirements for nursing
• a program with the Department of Health.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• We've had major discussion on our nursing programs and how we can really build those in Florida, again
• Veterans Program, and the Effective Access for Student Education, the EASE Grant Program.
• or nursing workforce.
• data available to the Florida Health Information Exchange Program, and exempts state-operated nursing
• Nonprofit nursing homes and the for-profit nursing homes alike? It's going to cover both.

Committee: Senate Appropriations

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS waiver services and the PACE program, Program for All-Inclusive Care for the Elderly
• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS Waiver Services and the PACE program, program for all-inclusive care for the elderly
• a primary care nurse out there?”

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• </c> specifically for the SNAP program. specifically for the SNAP program.
• losing more nursing home beds.
• </c> more nursing home beds. more nursing home beds.
• </c> of nursing home care in New Hampshire. of nursing home care in New Hampshire.
• </c> fast as the cost of nursing home care. fast as the cost of nursing home care.

Committee: House Finance

Transcript Highlights:

• </c> certified nurse certified nurse midwives<00:10:40.320><c> I</c><00:10:40.399><c> want</c><00:10:
• </c><00:10:51.600><c> the</c> certified midwives are not nurses the certified midwives are not nurses
• </c> for certified nurse for certified nurse midwives<00:10:58.279><c> it's</c><00:10:58.440><c> also
• It would alleviate the strain on RN educational programs and allow nursing spots to be reserved for people
• who want to become nurses, something Minnesota desperately needs with the current nursing shortage.

Committee: Senate Health and Human Services

Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• from skilled nursing, and I became the administrator in 2018.
• These clearly apply to nursing homes and do not apply to a rest home.
• Opposing the MAP program. So I'm hoping that that answers your question. I think so.
• Fortunately, my family, we haven't had to deal with nursing homes very much.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• For supported decision-making programs.
• Line 701 is a nursing.
• It provides for a nursing facility rate add-on for standards established by the Nursing Home Workforce
• , including PCA Choice, the CFSS program.
• Our goal is not to target programs or services.

Bills: HF2434

Committee: House Human Services Finance and Policy

Transcript Highlights:

• The program was not funded.
• to physician pathway program.
• Chairman, just a comment: We need more nurses, more bedside nurses. ...with empty beds.
• Because we don't have nurses. Molly knows. You know, we've got to have bedside nurses.
• I think for the nurse practitioners, there has to be in-state brick-and-mortar programs.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• The 3-month average for nursing facility care is about 3,688 individuals in our nursing homes.
• Are these settings like private nursing homes, public nursing homes, CFI?
• into programs and services to make the quality programming and nursing facilities better. indicates
• into programs and services to make the quality programming and nursing facilities better.

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• this program would be inconsistent and create a disparity with other training programs.
• The back-door cases are typically those nurses that have violated the nurse practice act.
• And that's—we want nurses to go to work.
• I am both a registered nurse and an attorney, and for more than 25 years, I've represented nurses and
• The nurse experienced years of prolonged uncertainty, and importantly, if the nurse posed a risk, the

Committee: House House Health & Human Services Committee of Reference

Transcript Highlights:

• directors and assistant program directors of nursing education programs to remediate any outstanding
• We are the state association for skilled nursing facilities.
• We represent about 900 skilled nursing facilities.
• More coordinated statewide program for community-focused mitigation.
• Bonds that they can do on their own that could then be built into this program.

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Committee on Business, Professions and Economic Development met as a subcommittee due to the lack of a quorum, then later established quorum and took up a series of bills, mostly sunset extensions for licensing boards. SB 1302, SB 1303, SB 1304, SB 1363, and SB 1368 all dealt with extending board operations to January 1, 2031 and making related technical or policy changes. SB 1303 for the Board of Naturopathic Medicine added a fictitious name permit program and other administrative changes, while SB 1304 for the Respiratory Care Board drew significant testimony over whether licensed vocational nurses should be allowed to perform basic respiratory tasks in skilled nursing facilities and hospitals. SB 1363 updated barbering and cosmetology apprenticeship and licensing rules, and SB 1368 added a retired license category and strengthened continuing education oversight for speech-language pathology, audiology, and hearing aid dispensers. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program to support large independent multi-day music festivals. Supporters, including Visit Sacramento and festival promoters, said the bill would protect jobs, tourism, hotel nights, and local tax revenue; opponents raised concerns about using state funds during a deficit year and questioned whether profitable events should receive subsidies. The committee also heard SB 1297, which would create regional public-private partnerships and financing tools for wildfire mitigation projects; the author and supporters said it would help address the state’s large wildfire prevention funding gap by leveraging local and private investment, while members asked how the bonds would be repaid and whether the state would bear costs. SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals working in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process. Supporters described safety threats, stalking, and staffing concerns, and the bill passed unanimously. SB 1304 also passed after committee discussion, with members and the author noting ongoing negotiations over LVN scope and training in higher-acuity settings. SB 865 passed on a 9-1 vote, SB 1297 passed 10-0, and the sunset bills SB 1302, SB 1303, SB 1363, and SB 1368 all advanced unanimously to the Senate Appropriations Committee. SB 1333 was not heard, and SB 1445 was on the consent calendar.

Transcript Highlights:

• work program, and CNM's nursing program.
• CNM's nursing program used endowment earnings to support 22 faculty and reach over 3,100 students.
• The reason being is our nursing programs know how to do endowments. It's very common for them.
• , including branches, have nursing programs.
• Overall, undergraduate enrollment in nursing programs has increased by 22.3% over the past four years

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• We are supporting nursing education initiatives, nurse residencies, nurse specialty transition-to-practice
• supporting Nursing education initiatives nurse<00:13:15.440><c> residencies</c><00:13:16.320><c> nurse
• </c><00:13:16.720><c> specialty</c> nurse residencies nurse specialty nurse residencies nurse specialty
• </c><00:35:02.160><c> here</c> nurses but there are 17,000 nurses here nurses but there are 17,000 nurses
• > nurses to Mentor those new nurses nurses to Mentor those new nurses and<00:41:28.160><c> create</c>

Summary: The House Committees on Health and Labor heard testimony on HB 1244, a measure relating to labor standards at health care facilities and nursing staff ratios. Committee members opened by explaining hearing procedures, including a suggested two-minute testimony limit and Zoom rules. The bill drew extensive testimony from hospitals, nursing organizations, unions, and individual nurses, with the central debate focusing on whether staffing ratios should be set by statute or left to collective bargaining and unit-level staffing decisions. Opponents included the Department of Labor and Industrial Relations, the Healthcare Association of Hawaii, Straub Benioff Medical Center, Hawaii Pacific Health, Kapiolani Medical Center, and Queen’s Health Systems. They argued that fixed ratios are too rigid for the changing conditions of hospital care, could worsen workforce shortages, and should be handled through labor negotiations, staffing committees, and existing agreements. Several also pointed to investments in nursing education, loan repayment, and workforce development as better solutions. Queen’s said it had recently reached an agreement with nurses after more than 40 meetings that included a staffing framework, and Kapiolani and others emphasized the need for flexibility in emergencies and specialty care. Supporters, including the Hawaii State Center for Nursing, Pride at Work Hawaii, the Hawaii Nurses Association/American Nurses Association chapter, Hawaii Nurses Association Local 50, UNAC/UHCP, and individual nurses, said unsafe staffing levels contribute to burnout, turnover, errors, and patient harm. Testifiers described chronic short staffing, emotionally and physically exhausting workloads, and situations in which nurses were responsible for too many patients at once. Supporters argued that safe ratios are necessary to protect both patients and nurses, and that collective bargaining has not been enough to ensure safe conditions statewide, especially in facilities without unions. No vote or final committee action was announced in the portion provided.

Transcript Highlights:

• I am a registered nurse of 29 years and president of the California Nurses Association.
• But nurses refuse that option. Nurses are working to pass CalCare AB 1900.
• funding for nursing programs.
• “I’m a nurse, so I’m going to focus on the community first, and then the nurse is second.
• nurse.

Committee: Senate Labor, Public Employment and Retirement

Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. In opening remarks, the chair argued that federal actions, including immigration enforcement, tariffs, and cuts to safety-net programs, are harming workers, employers, and communities, and said the committee wanted to document impacts and identify state responses. The first panel featured economist Enrique Lopez Lira of UC Berkeley, who described slow job growth, wage pressures, high housing and care costs, and the large share of California workers in low-wage jobs. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, hospitality, agriculture, and care work. The chair asked about recession indicators, middle-wage stagnation, and which sectors rely most on safety-net programs, and Lopez Lira said worker organizing and unions were a source of hope. A second panel focused on federal immigration enforcement. UC Merced’s Edward Orozco Flores presented research finding that private-sector employment in enforcement-targeted states fell during escalated enforcement periods, with California experiencing unprecedented declines in 2025. He urged policymakers to consider wage-replacement or stimulus-style support for affected workers, including excluded workers who cannot access unemployment insurance. Shannon Sedgwick of the Los Angeles County Economic Development Corporation said undocumented workers are deeply embedded in the county economy, generating substantial economic activity and supporting over a million jobs. She reported that intensified enforcement in Los Angeles County was associated with business disruptions, reduced sales and customer traffic, workforce instability, lower transit ridership in vulnerable areas, and losses from the downtown curfew. Committee members asked about impacts on small businesses, tax revenue, and recovery, and witnesses pointed to local resiliency funds, business toolkits, and know-your-rights efforts as partial responses. The hearing then heard from worker representatives. Flore Melendres of the Clean Car Wash Worker Center said car washes have been heavily targeted by federal agents, with hundreds of workers taken from workplaces, many businesses disrupted or closed, and workers living in fear; she urged support for AB 2271 to provide financial benefits to families who lost income because of DHS activity. California Nurses Association president Michelle Gutierrez-Vos said H.R. 1’s Medi-Cal and Covered California cuts threaten hospital finances, jobs, and patient care, and she backed CalCare (AB 1900), a hospital closure moratorium, and more support for nursing education. UAW 4811 president Rafael Jaime said federal research cuts are putting UC research funding and postdoctoral jobs at risk and endorsed SB 895, a proposed bond measure for health and scientific research. AFGE representatives Wallace Wade and Kendrick Roberson described the strain on federal workers during shutdowns, unpaid work, staffing losses, and the effects on TSA, Social Security, VA services, and worker housing stability; they supported SB 1155 to protect federal workers from eviction. Committee members thanked the witnesses and said the testimony showed both the human and economic consequences of federal policy. In the final panel, employer groups began responding to the same federal pressures. California Retailers Association president Rachel Michelin said retail is a major private-sector employer and a key entry point for young workers, and that retailers are seeing the effects of rising costs, supply-chain shifts, and consumer pressure at the checkout counter. The hearing continued with additional employer testimony beyond the provided excerpt.