Transcript Highlights:

• She applied to the nursing program at what was then Pensacola Junior College.
• one day we'll have a doctorate program in the nursing program at West Florida.
• Nursing program is great. Any questions or comments further? Thank you very much.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• UWF has made great efforts to expand its nursing programming, particularly.

Bills: S1570 , S1376

Committee: Senate Appropriations Committee on Higher Education

Summary: The committee heard and approved two bills before moving to a long confirmation agenda. SB 1570, by Sen. Gates, would restore Project Leo, a previously sunset program that helps locate missing persons with special needs through voluntary tracking devices and coordination between CARD centers and local sheriffs; it was praised as a proven tool for families and first responders and was reported favorably. CS/SB 1376, by Sen. Burgess, would create grants to support genetic counseling education and help address Florida’s shortage of genetic counselors; testimony noted the state’s limited supply of licensed counselors and the need to expand clinical training, and the bill also passed favorably. The committee then considered a block of reappointments to university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and others. No one requested separate votes on the reappointments, and the block was confirmed unanimously for recommendation to the next committee. A series of new appointees then appeared and largely emphasized workforce training, nursing, military support, and local economic development at their institutions. Witnesses included appointees to Pensacola State, Polk State, St. Petersburg College, UNF, FIU, UWF, Valencia, the College of the Florida Keys, and others; several highlighted strong NCLEX pass rates, dual enrollment, and partnerships with employers or military communities. One nominee, Florida Poly reappointment Ilya Shapiro, faced pointed questioning from Sen. Bracey Davis about past comments regarding race and the Supreme Court; he said his remarks were about hiring criteria, not a specific justice, and reiterated opposition to race- or sex-based selection. The committee also briefly struggled to reach Sherry Young by phone before hearing her testimony for Chipola College, where she said she wanted to give back as an alumna and nurse practitioner. Most new appointees were recommended for confirmation in a block, while Thomas Zachary Smith of UWF was pulled for separate consideration.

Transcript Highlights:

• Hope Wallen, registered nurse, on behalf of the California Nurses Association, in support.
• I'm a registered nurse and board member of the California Nurses Association.
• I'm a registered nurse and board member of the California Nurses Association.
• Hope Wallen, registered nurse with the California Nurses Association, and I support.
• Jane Churchon, registered nurse, California Nurses Association, in support. Judy E.

Committee: House Labor and Employment

Transcript Highlights:

• , Associate Degree Nursing Scholarship Program, the Bachelor of Science Nursing Scholarship Program.
• So you just mentioned, for example, two nursing programs.
• “So you just mentioned, for example, two nursing programs.
• Nurse Midwifery Education Programs Funding. DHS, you left too early.
• Nurse Midwifery Education Programs Funding. Thank you. Chair Menjivar, excuse me.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• As a Black nursing instructor, I often see how few students of color make it into the nursing program
• and even through the nursing program, not because they don't have the passion or ability, but because
• As a black nursing instructor, I often see how few students of color make it into the nursing program
• and even through the nursing program, not because they don't have the passion or ability, but because
• When we have diverse nursing faculty, we inspire diverse nursing students.

Summary: The Governmental Organization Committee met as a subcommittee because it initially lacked a quorum, then later established quorum and heard several bills. AB 445 by Majority Leader Aguiar-Curry would grant Colusa County 10 on-sale liquor licenses to address a long-standing shortage and support local economic development; the author said she would accept committee amendments. The bill was later approved on a due-pass-as-amended motion to Appropriations, with the roll held open for absent members before additional aye votes were added. AB 766 by Assemblymember Sharp-Collins would require state agencies and departments to conduct an equity analysis before implementing budgets or regulations, with the review performed by a DEIA coordinator or qualified equivalent. Supporters, including a college administrator and a nursing instructor, argued the bill would protect diversity, equity, inclusion, and access efforts and help address systemic barriers in education and health care. The committee voted 13-? on the measure after a due-pass motion to Appropriations, with the roll held open and later additional aye votes recorded. AB 971 by Assemblymember Alvarez would facilitate transfer of about 3.83 acres of city-owned land in San Diego to the San Pasqual Band of Mission Indians, contingent on affirmative action by the City of San Diego. The author and tribal witnesses described the bill as a step toward correcting historical injustices and reopening a currently closed park as a tribal-operated historical park and museum. The measure passed on a due-pass motion to Appropriations, again with the roll held open for absent members before additional votes were added.

Transcript Highlights:

• not charge fees for any other training programs.
• Doing so for 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.
• 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

Summary: The committee met as a Joint Health and Human Services Committee of Reference to hear sunset reviews and performance audit findings for several health-related boards. The first action taken was on the Arizona State Board of Pharmacy. The Auditor General reported that while the board met some licensing deadlines, it had significant problems enforcing controlled substances prescription monitoring program (CSPMP) requirements, timely investigating complaints, and documenting fee analyses and other compliance items. The board director said the agency had implemented some recommendations, was seeking legislative help on CSPMP enforcement and data issues, and described staffing and vendor challenges. A public member testified that the board was generally efficient but that statutory gaps limited its effectiveness. The committee then voted 13-0, with six not voting, to continue the Board of Pharmacy for six years until July 1, 2032, with statutory changes to improve its operations. The committee next reviewed the Arizona State Board of Nursing. The Auditor General found the board timely processed licenses but continued to resolve too many complaints late, with a large and growing backlog of open cases, and identified additional issues in oversight, accounting, public records, and conflict-of-interest practices. The executive director said the board had been under-resourced as nursing volume and complaints increased, requested 28 additional investigative positions, and described efforts to triage cases and improve tracking. The Arizona Nurses Association supported the board’s role and said it was working on a bill, House Bill 2408, to improve accountability, prioritization, and fairness in the disciplinary process. A nurse attorney testified that changes to complaint notice, the scope of investigations, and triage could shorten delays. The committee approved continuation of the Board of Nursing for four years until July 1, 2030, by a 14-0 vote with five not voting. The committee then heard the sunset review for the Arizona Board of Occupational Therapy Examiners. The Auditor General reported that the board generally met licensing timelines but had documentation problems verifying fingerprint clearance cards or criminal history checks, and it failed to act promptly on a renewal application involving serious sex-trafficking-related charges. The board said it had accepted all recommendations, had implemented most of them, had moved to a new licensing platform, and had hired help to address rulemaking delays. Members asked about fingerprint verification and the handling of the serious criminal charges. The committee voted 16-0 to continue the board for four years until July 1, 2030, with statutory changes to improve its performance. Finally, the committee began the review of the Arizona Regulatory Board of Physician Assistants. The Auditor General found the board had met some licensing and enforcement requirements but lacked adequate executive oversight, accountability, and tracking systems, and it had very high complaint-resolution delays. The report also criticized the board’s incentive pay structure, which paid all staff based on measures unrelated to complaint timeliness. The new executive director said the board had created formal investigative timelines, improved reporting, sought additional support staff, and was updating IT and incentive metrics; she also explained that the board is a shared agency with the Medical Board. The transcript ends during this presentation, before any vote on the physician assistant board is shown.

Transcript Highlights:

• our paramedics and our visiting nurses.
• The local governments provide paramedics and nurses from their existing EMS and visiting nurse systems
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• And I'd like to highlight that our midwives lead a program called Curbside Care, a mobile health program

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• So is it common practice for the nurse practitioner training programs in the system?
• So is it common practice for the nurse practitioner training programs in the state of Utah to require
• clinical nursing, registered nursing experience before admitting students to those programs?
• or becoming a nurse or nurse practitioner can count.
• and then went straight from nursing school to nurse...

Committee: Joint Business and Labor Interim Committee

Transcript Highlights:

• This is for their PET building cyclotron equipment program.
• Is this for day programs, for waiver, or just for studying those programs?
• So it's an intensive in-home program for those children.
• nursing is quite a bit expensive.
• Nurses and LPNs are under a special compensation award program where they can obtain $5,000 extra a year

Committee: All ALC-REVIEW

Transcript Highlights:

• </c> at least the last 20 years the nursing at least the last 20 years the nursing home<00:15:45.120>
• I was just wondering, just wanted to confirm there were 16 hospital beds and 37 nursing skilled nursing
• </c> what rates we're paying in the nursing what rates we're paying in the nursing home<00:22:57.080>
• </c> the crisis and created similar programs the crisis and created similar programs to<00:40:07.440>
• ><c> are</c> programs directed payment programs are programs directed payment programs are not<01:09:

Committee: House Health Finance and Policy

Transcript Highlights:

• We approve over 200 nursing education programs in Texas, and this portal would help streamline that process
• for nurses, which provides support for nurses with substance use disorders and mental health conditions
• We have two kinds of programs: ways that programs are funded, either General Revenue (GR) or through
• It's the short story... and the COPA program is a fee-supported program.
• We need specific vehicles for programs such as the mold program or fuel motor quality where you can't

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• . physicians, nurses, and EMTs.
• Finally, we have nursing.
• We have nursing students.
• And so we are coming to the close for the Doña Ana County program and just kicking off this program,
• Program, the Rapid Rehousing Homeless Prevention Program, the Home Supportive Services Program, and the

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• In fact, clinical nurse specialists train many of the nurse practitioners that are currently authorized
• nurse specialists, nurse practitioners, and physician assistants.
• Like other advanced practice providers, including nurse practitioners and clinical nurse specialists.
• And in fact, those clinical nurse specialists train many of the nurse practitioners that actually currently
• nurse specialists, nurse practitioners, and physician assistants.

Committee: Senate Health

Transcript Highlights:

• </c> the state university teaching program. the state university teaching program.
• 28.880><c> ATRIP</c><00:07:29.520><c> program</c> university programs, the ATRIP program university programs
• </c> program in 2019 to 2025. program in 2019 to 2025.
• </c> university directed payment program. university directed payment program.
• Um, it's not to replicate programs already supported by other federal programs.

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• So a diploma program versus an ADN program, which is our two-year programs, over the last several years
• The diploma programs had a 78.31% pass rate. The ADN programs had a 77.91% pass rate.
• So I'm the son of a nurse. I'm the grandson of a nurse.
• But whenever we're tens of thousands of nurses shy of what we need, 200 nurses a year going through a
• program is not going to make a difference.

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.

Transcript Highlights:

• nurse to Bachelor of Science in Nursing program and shall complete the program within six years of the
• to Bachelor science and registered nurse to Bachelor science and nursing<01:30:25.040><c> program</c
• </c> nursing program shall complete a program nursing program shall complete a program within<01:30:26.560
• school nurses.
• school nurse and a school nurse is and school nurse and a school nurse is school<01:36:26.960><c> excuse

Summary: The committee first addressed House Bill 415, which would remove the requirement that schools provide menstrual products. Members supporting an ITL said the mandate was unfunded, had been in place since 2019, and was already working without complaints from districts. Other members opposed the bill, arguing menstrual products are essential and that the requirement helps students, especially those with fewer resources. The committee voted ITL on HB 415 by a roll call of 17 yeas, 0 nays. The committee then took up House Bill 388, concerning public reports on special education. Supporters of ITL said they agreed with the goal of transparency but were concerned about student privacy, especially in small districts, and thought the bill’s information requests went too far. They noted that related issues could potentially be addressed in another bill, HB 557. The committee voted ITL on HB 388, 17-0. House Bill 730, which would require schools and some colleges to provide information on adoption, was also moved ITL. The sponsor said adoption is personally important to him but that the bill was not the right vehicle and involved entities such as colleges and the Attorney General unnecessarily; he said related ideas might be folded into other bills later. The committee agreed and voted ITL, 17-0. The committee then discussed House Bill 671, a preschool/early literacy proposal involving a statewide nonprofit digital program, likely Waterford. Members raised questions about who would be covered, data privacy, prior use of federal ESSER funds, whether the program had measurable results, and whether the bill’s nonprofit requirement was too restrictive. Department of Education witness Melissa White said the state had spent $400,000 in FY22 and $600,000 in FY23 on a Waterford contract using ARP ESSER funds, but she did not have participant counts and said the department could not measure literacy gains for that population. She also said the bill’s funding level would likely require an RFP and that, if enacted as written, the program would probably still be Waterford-based. The discussion continued without a final vote in the portion provided.

Transcript Highlights:

• </c> nursing facility payment system changes. nursing facility payment system changes.
• </c><00:07:28.160><c> facility</c> this would adjust the nursing facility this would adjust the nursing
• ><c> home</c> as a nursing home as a nursing home uh<00:10:20.560><c> construction</c><00:10:21.120><
• </c> proposal to add home care nursing proposal to add home care nursing services<00:21:20.720><c> to
• Then program.

Transcript Highlights:

• to do so. specific program, a complex program as specific program, a complex program as Representative
• Programs like Harbor Care in programs.
• skilled nursing facility public nursing skilled nursing facility that<05:56:58.400><c> is</c><05:56:
• </c> nursing assistants to registered nurses. nursing assistants to registered nurses.
• </c> registered nurses. registered nurses.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• I am proud to be a nurse and I'm honored to recognize today as Nurses Day. in the Texas House.
• UTMB School of Nursing improves the health of Texas by advancing nursing excellence through leadership
• But UTMB School of Nursing was recently honored as providing the number one online master's program in
• They're here to commemorate a great achievement, the opening of the university's nursing program.
• Inaugural class of nursing students in the fall, and the school launched its first program of study.

Transcript Highlights:

• </c> health professional and many programs health professional and many programs have<00:05:08.560><c
• In some situations, nurses can be a critical part of a Youth ACT team.
• sustainable for those programs.
• :23.919><c> a</c><00:07:24.080><c> critical</c> situations, nurses can be a critical situations, nurses
• Youth act teams would those programs.

Transcript Highlights:

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

Summary: The joint informational hearing by the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both the promise of improved care and the risks around privacy, bias, workforce impacts, reimbursement, and liability. Members and witnesses repeatedly stressed that AI should augment clinicians rather than replace them, and that California has a role in shaping responsible adoption. The first panel featured health systems and developers describing current uses such as ambient scribes for physicians and nurses, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google highlighted efficiency gains, reduced clinician burnout, faster treatment, and some reported patient-safety benefits, while also noting the need for human review, governance, and ongoing monitoring. Committee members pressed the panel on bias, especially for multilingual patients, women of color, and Medi-Cal populations, and on whether predictive tools could worsen disparities or drive unnecessary interventions such as C-sections. Witnesses said tools must be tested in real-world settings, with humans in the loop and outcomes tracked by demographic group. They also discussed the legal landscape, with concerns that liability may fall more on hospitals and physicians than on developers, and that clearer rules may be needed for clinical, clinical-adjacent, and administrative uses. Several speakers argued that administrative uses like prior authorization and coding are lower-risk and ripe for automation, while clinical applications require much stronger safeguards. The second panel shifted to broader policy and equity issues. The California Health Care Foundation described early AI adoption in the safety net, including a Los Angeles County homelessness-risk model and AI tools supporting community health workers, and said safety-net providers want guidance on privacy, liability, safety, bias, and workforce impacts. Dr. Ziad Obermeyer described research showing racial bias in widely used risk algorithms and argued for accountability, access to data under strong protections, public-sector leadership, and partnerships to steer AI toward better outcomes. Dr. Michelle Mello said most organizations lack strong governance, that monitoring is difficult and costly, and that states could require AI governance structures as a condition of licensure. The discussion closed with calls for clearer standards, better data access for evaluation, and policy approaches that protect patients while allowing beneficial AI to spread beyond large health systems.