Transcript Highlights:

• Jerry choirs unfortunate 24 hour, nursing care and supervision.
• They would be in nursing homes. Were it not for home care that they are receiving?
• Nursing just talked about them so that they can live in an institutional settings.
• Deals with changing when how we do a private duty nursing.
• It has to do the whole program on private duty nursing.

Keywords: 999, senate, all

Transcript Highlights:

• And when you think about who the residents are in nursing homes and assisted living, they are the same
• It specifically says a nursing home defined in Section 334.0 that is privately owned.
• There's millions of profits for nursing homes and retirement homes.
• With the hearing on the certificate of need that we are going to turn to today, I'm going to hand it
• I represent the certificate of needs.

Keywords: 959, house, all

Transcript Highlights:

• funds for the LINE program, Linking Industry to Nursing Education Fund.
• It requires ACCA to impose a $10,000 fine against a nursing home or home office of a nursing home that
• We exempt state-owned nursing homes from that report.
• So this bill does not affect nurse practitioners who hold a Doctor of Nursing Practice.
• and wants to get the certification if they don't comply.

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• The skilled professionals, such as nurses... Do we have a handout? No?
• So, skilled care in the home, such as nurses and occupational therapists.
• into a nursing facility.
• Versus a nursing home placement, there is a cost savings of over $5,000 a month.
• And is the part of the certification include.

Transcript Highlights:

• So, it could be a nurse practitioner or a PA or potentially even a nurse that's going to represent a
• So, it could be a nurse practitioner or a PA or potentially even a nurse that's going to represent a
• So, it could be a nurse practitioner or a PA or potentially even a nurse that's going to represent a
• certification process. certification process.
• certification and insurance information. certification and insurance information.

Keywords: 1191, senate, all

Transcript Highlights:

• Thank you, Chair, and members, Senate Bill 78 is a veterans nursing homes bill.
• home beds in a skilled nursing home facility, to further allow the transfer of the certificate... ..
• home beds in a skilled nursing home facility, to further allow the transfer of the certificate... ..
• It aligns Florida law with federal law to require nursing homes to allow inspection of records within
• With regard to nursing homes, it aligns us with the federal standard.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• have a Tier 2 or 3 nurse.
• Can you tell me the nurse organization that we see around here all the time?
• They’ll ask you for your birth certificate and your parents’ CIB number.
• In that Documentation of all of that, the birth certificates, the certificate of Indian blood that Building
• I think it was in regards to the certification if there's any type of certification qualifications for

Bills: SB273, SB37, SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Transcript Highlights:

• And then this question said a death certificate.
• On a death certificate, what would be the date of birth listed on the death certificate for a probate
• Members, Florida currently has a nursing shortage which is predicted to grow to 56,380 nurses by 2037
• The legislation... 56,380 nurses by 2037.
• This past year, Florida had the most students in the country take the nursing certification exam known

Summary: The House convened with prayer, the Pledge of Allegiance, and quorum established, then adopted the Rules and Ethics Committee’s special order report for the day. The chamber first took up HB 167 on former phosphate mining lands. Sponsor Rep. McClure said the bill would remove strict liability for previously mined phosphate lands if a Department of Health study is done at the owner’s request and the former mining status is recorded publicly. Opponents, including Reps. Cross, Nixon, and Eskamani, argued the bill did not provide enough notice to future buyers and renters and could create health and disclosure concerns. The bill passed 87-24. The House then passed HB 145 on suits against the government, which Rep. McFarland said updates Florida’s sovereign immunity caps for the first time since 2010, raising them to $500,000 per person and $1 million per incident with future automatic increases, aligning the statute of limitations with private claims, and allowing governments to settle above the caps if they choose. He said the bill would make redress more accessible without eliminating the liability shield. The bill passed 104-7. The chamber then considered CS/HB 289 on civil liability for the wrongful death of an unborn child, a bill by Rep. Greco that would amend the Wrongful Death Act to allow parents and other survivors to bring claims for the death of an unborn child, while exempting the mother and lawful medical care provided within the standard of care. Debate centered on whether the bill could affect abortion access, fertility treatment, miscarriage care, surrogacy, and liability for doctors, friends, family members, and others. Multiple amendments were offered to narrow the bill or add carve-outs for abortion, fertility care, surrogates, perinatal professionals, rape/incest/human trafficking situations, and to require the mother’s consent before suit; sponsors and opponents argued over whether these changes would prevent frivolous lawsuits or instead create loopholes and weaken the bill. None of the amendments were adopted during the portion of the transcript provided.

Transcript Highlights:

• This isn't just a certification bill.
• is whether a certification is required for a particular assignment.
• Now, I get a concern here is this also would apply to a nursing home.
• Would someone, a nurse, a health tech, an employee in a nursing facility.
• And so on, nurses and whatever.

Bills: SJR59, SCR30, SCR46, SB31, SB127, SB324, SB401, SB407, SB467, SB482, SB506, SB529, SB584, SB619, SB636, SB646, SB647, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB816, SB1013, SB1026, SB1049, SB1055, SB1065, SB1137, SB1169, SB1181, SB1383, SB1395, SB1410, SB1433, SB1524, SB1531, SB1568, SB1640, SB1666, SB1681, SB1718, SB1754, SB1757, SB1972, SB1980, SB2004, SB2007, SB2041, SB2046, SB2050, SB2075, SB2076, SB2154, SB2173, SB2206, SB2225, SB2253, SB2268, SB2306, SB2308, SB2314, SB2322, SB2330, SB2351, SB2366, SB2371, SB2392, SB2398, SB2476, SB2533, SB2540, SB2544, SB2589, SB2610, SB2623, SB2660, SB2662, SB2693, SB2707, SB2717, SB2722, SB2742, SB2753, SB2779, SB2807, SB2843, SB2844, SB2858, SB2877, SB2880, SB2885, SB2920, SB2938, SB2986, HJR4, HCR35, SJR3, SJR18, SB5, SB260, SB1786, SB914, SB963, SB1197, SB1415, SB1437, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SCR30, SCR3, SB2023, SB1433, SB2322, SB2877, SB407, SB1718, SB1395, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB2253, SB584, SB1085, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB884, SB517, SB1200, SB1410, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB647, SB1721, SB2268, SB2366, SB1013, SB2797, SB2371, SB2383, SB646, SB1169, SB1754, SB2779, SB2004, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1972, SB2540, SB2742, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HJR4, HB135, HB1109, HCR35, HCR64, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• House Bill 2187, by Representative Howard, improves Texas nursing staffing laws.
• In 2009, THA, the Nurses Association, and the Legislature worked together to develop the nurse staffing
• change, and regulation of nurse staffing in hospitals, benefiting nurses, hospitals, and patients.
• First, we need to re-educate hospitals and nurses about their rights and responsibilities under the nurse
• My name is Laura Kincheloe, I am a registered nurse, and I am testifying on. ...behalf of the Texas Nurses

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• Their training certificates and search for their next job opportunity in advance as much as possible
• Hannah with the California Nurses Association, in support.
• Public safety, we use certificates all the time, and it follows them.
• Hanna on behalf of the California Nurses Association, in support.
• Hanna with the California Nurses Association, in support. Hi, good afternoon.

Summary: The Assembly Labor and Employment Committee heard and advanced several bills focused on worker protections, training access, wage enforcement, outreach, and workplace safety. SB 513 would require employees to have access to their training and certification records; supporters, including laid-off refinery workers and labor organizations, said employers sometimes withhold records during layoffs, while committee members called the practice unacceptable. The bill passed 5-0 and was re-referred to Appropriations. SB 809 addressed misclassification of construction truck owner-drivers by offering employers amnesty if they reclassify workers as employees and adopt a two-check payment system; labor and construction trades groups supported it, and it passed 5-0 to Judiciary. SB 578 would codify the California Workplace Outreach Program, which funds trusted community organizations to educate workers about their rights. Supporters described the program as a proven way to reach low-wage, immigrant, and hard-to-reach workers, especially amid wage theft, retaliation, and immigration enforcement concerns. The bill passed 5-0 to Appropriations. SB 261 would strengthen collection of wage theft judgments by creating a public list of nonpaying employers and adding penalties after six months of nonpayment; county enforcement officials and labor advocates said it would help workers recover unpaid wages. It passed 6-0 to Judiciary. The committee also approved SB 369, which would require skilled and trained workforce standards for Salton Sea restoration projects, with supporters saying the work is hazardous and should use trained labor; it passed 6-0 to Appropriations. Finally, SB 20 sought to address silicosis in stone countertop fabrication by requiring training and certification protections for workers; supporters said the disease has caused deaths among mostly Latino workers, while industry groups supported the bill with amendments and requested implementation resources. It passed 6-0 to Appropriations. The committee also adopted a consent calendar of four additional bills and adjourned after all listed measures were moved forward.

Transcript Highlights:

• Senate Bill 788 is a veterans nursing homes bill.
• home beds in a skilled nursing home facility, and further allow the transfer of the certificate. ...
• home beds in a skilled nursing home facility, and further allow the transfer of the certificate. ...
• I'm also very concerned about nursing homes and how... ...handle this.
• With regard to nursing homes, it aligns us with the federal standard.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• You just heard a fellow, a former nurse or a nurse, currently talk about the training they went through
• until they got it right, and that's the standard for training a nurse.
• <00:28:56.240> in many I got more certifications in many I got more certifications in healthcare
• We graduate 4,000 nurses in the state of Minnesota a year, and the provision to have a temporary nurse
• > have type of thing with nurses that have type of thing with nurses that have graduated<00:32

Keywords: 1183, house

Transcript Highlights:

• We've got some certificates. Students from St. Michael's High School.
• We've got some certificates.
• Finally, there's a certificate of recognition for Food and Farms Day.
• I ask that the certificate be read. The reader to read.
• We do have another certificate to be read, so why don't we do that?

Keywords: 996, all

Transcript Highlights:

• Nurse assistants, medical doctors, Mental Health Counselors LP ends clinical social Workers Apr ends
• Pharmacy is required to collaborate with the boards of Medicine and Osteopathic Medicine regarding certification
• Since that time, pharmacists have applied for the certification and 5 certifications have been issued
• It mandates training for certified nursing assistants, working in nursing homes on recognizing and responding

Transcript Highlights:

• WE WILL NEVER EVER HIT THE REQUIRED NUMBER OF BEDS DUE TO COST AND LOGISTICS IF WE OPERATE SKILLED NURSING
• UNFORTUNATELY GIVEN THE FEDERAL REQUIREMENTS WE DID NOT APPLY FOR THAT IN OUR NURSING HOME IN PORT ST
• YOU'RE STARTING THE PIPELINE INTO THE WHOLE VETERANS NURSING HOME AND BUILDING THAT SUPPORT COMMUNITY
• BOARD CERTIFICATION BUILT ON THE DOCTOR OF PHARMACY EDUCATIONAL PATHWAY COMPLETED BY ALL US PHARMACY
• BOARD CERTIFICATION EXAMS.

Keywords: 999, senate, all

Transcript Highlights:

• I'm Association of Professional Nurses.
• /accreditation certification/accreditation certification/accreditation reports?
• um certification reports. um certification reports.
• One, accreditation certification report.
• I'm a I'm a registered nurse Rodriguez.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• That means that if an individual has nursing needs, they have access to nursing care, medications assistance
• need it. 59% of skilled nursing facility...
• Skilled nursing facilities or hospitals backs up the entire system.
• Most of those folks went directly into a skilled nursing facility.
• The skilled nursing facility got an enhanced rate to admit them.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• So those should be done by a CNA under chapter 457, under nurses, and then using nurse delegation for
• personnel to perform skilled nursing personnel to perform skilled nursing services,<00:58:54.559
• duty nursing and not home care agencies. duty nursing and not home care agencies.
• But the or in his death certificate.
• <01:38:29.920> to education is uh using nurses to education is uh using nurses to administer

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• We had the students from the nursing school at Mississippi University for Women.
• First of all, regarding certificates of need, there was the bill that we passed last year that the governor
• <00:00:55.600> school the students from uh the nursing school the students from uh the nursing
• 02:55.280> of<00:02:55.440> all,<00:02:55.760> regarding<00:02:56.560> certificates
• <00:02:57.200> of first of all, regarding certificates of first of all, regarding certificates

Keywords: Public Health and Welfare - Room 216, 14 January, 2026; 3:15 PM, 925, all

Summary: The committee met with a quorum and briefly treated the session as an organizational meeting after an earlier hearing that had been difficult to manage. The chair thanked witnesses for their efforts, noting that some had traveled long distances, including nursing students from Mississippi University for Women, a witness from Los Angeles, and another who had come after working overnight in the emergency room at the University of Mississippi Medical Center. The chair also announced committee changes: Senator England and Senator Boyd were new members, Senator Boyd was absent, and Senator Parks was the new vice chair. The main policy discussion focused on anticipated committee work for the year. The chair said a previously passed certificate-of-need bill, vetoed by the governor over one provision, would likely be reintroduced without the objectionable section and sent to the governor early in the session. He also said he was cautious about co-legislation because of unintended consequences, but identified several areas that seemed likely to receive attention, including rural and small hospitals, dialysis, mental health care, and daycare availability as a workforce issue. On hospitals, the chair said small and rural hospitals were struggling because shorter stays and outpatient procedures had shifted revenue away from hospitals, and he suggested looking for ways to capture some of that revenue to support hospital operations. He expressed doubt that outpatient dialysis at small hospitals would be practical, but said the committee would likely consider it. He also said the committee was likely to look at mental health care and public welfare issues, especially daycare affordability and availability. No substantive votes were taken beyond a motion to rise and report, which passed.