Transcript Highlights:

• Psychiatric nurses have the training capacity, and it's in their scope of work.
• If a psychiatric nurse is on the floor, you can get the order immediately.
• and short-term residential treatment facilities.
• We've mimicked other ombudsmen, like the one for seniors at DOEA and the nursing facility at AHCA.
• We've mimicked other ombudsmen, like the one for seniors at DOEA and the nursing facility at AHCA.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• facilities.
• Skilled nursing homes, on average, cost $153,000 per year.
• facility stays, or may even be fatal.
• This is about allowing skilled nurses to do a task that they are licensed to do under the Nurse Practice
• They're staying in their homes, but they're falling—falling in nursing homes and assisted living facilities

Transcript Highlights:

• And so they choose to keep them in local facilities.
• to make sure that they can be in a closer facility.
• Cavazos is not a nurse; he is one of the public.
• , include 232,000 registered nurses in Texas, assisted by nearly 60,000 vocational nurses.
• been a nurse.

Keywords: 1185, senate, all

Transcript Highlights:

• So as Steve mentioned earlier, all of the nursing facility, any licensed nursing facility... ...mentioned
• earlier, all of the nursing facility, any licensed nursing facility that's part of the CCRC is licensed
• and regulated by the Department of Public Health like any other nursing facility.
• And then we have a small 12-bed skilled nursing facility.
• We do it with who can label themselves a dementia special care unit in nursing facilities and who can't

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• That's the Board of Nursing.
• Does come to the Board of Nursing. And we work closely with the nurse midwife group.
• We have a nurse practitioner certification as well as a nurse midwife.
• We like nurses in our house.
• So much about traveling nurses, and they make so much more money than site-based nurses.

Keywords: 996, all

Transcript Highlights:

• facilities budget line.
• The nursing facility rates are set twice annually in accordance with state law.
• The nursing move into the budget.
• The nursing facility<00:05:29.120> rates<00:05:29.840> are<00:05:30.160> set<00:
• spreadsheet we have all the nursing spreadsheet we have all the nursing facility<00:11:53.120>

Keywords: 928, house, all

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• But this is the number of beds that we provide, skilled nursing and assisted living facility beds all
• who need skilled nursing care, they don't add a home there.
• On our nursing homes, our existing nursing homes, besides the new one that's coming on and you're making
• Federal program for skilled nursing care and domiciliary care, assisted living facilities, but not for
• So we're very proud of this facility.

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s outreach, benefits assistance, and state veterans nursing homes. He highlighted Florida’s large and growing veteran population, the decline in World War II and Vietnam-era veterans, and the increase in post-9/11 veterans moving to the state. Hartzell discussed the state veterans nursing home system, including a new Collier County facility that will include skilled nursing, assisted living, adult day health care, and outpatient therapy, and he said the department is also studying future adult day health care expansion and possible additional homes in underserved areas. He also reported on the dental program funded by the Legislature, saying 245 veterans were served in the first quarter of the fiscal year, with 1,631 procedures completed and more than $525,000 in savings, and he credited the added state veterans service officer positions with helping connect more veterans to benefits. Hartzell also noted a 13% year-over-year reduction in homeless veterans, emphasized mental health outreach through SaveFLVets.org and the Overwatch program, and announced a new deputy executive director, retired Colonel D.J. Reyes. Members asked about the need for additional veterans homes in South Florida, the criteria used to site new homes, the homeless veteran reduction, and whether adult day health care could be added at existing facilities. Hartzell explained that federal criteria focus on the availability of private skilled nursing beds for veterans 65 and older, and that adult day health care is state-funded and being studied for broader deployment. He also said the department tracks where homeless veterans are concentrated and works with local partners and organizations like Tunnels to Towers to provide housing and services that reduce recidivism. The committee also discussed Florida’s national reputation for veteran support, including Veterans Month and the state’s culture of veteran awareness. The committee then received a presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster response, recovery, and technology systems. Guthrie described the State Emergency Response Team, the new Florida Central Operations and Coordination Office in Auburndale, and the new State Emergency Operations Center in Tallahassee, which is expected to be fully operational by spring 2026 and will significantly expand capacity and hardening. He reviewed recovery efforts for Hurricanes Helene, Milton, Debbie, Idalia, Ian, Irma, Michael, Dorian, Sally, Nicole, and others, including sheltering, travel trailers, debris removal, and FEMA reimbursement totals. Guthrie said Florida removed more than 31.6 million cubic yards of debris from Helene and Milton in 90 days on a 24/7 basis, and he described Elevate Florida, the Florida Recovery Obligation Calculation (FROC), the DEMES platform, and WebEOC as tools to streamline recovery, mitigation, and intergovernmental coordination. Members asked about flood-response resources for cities, the state’s use of pumps and mutual aid, and lessons learned from inland flooding after Milton. Guthrie said local governments should first use county and city mutual aid, then request state assistance when needed, and he encouraged more partnerships for staging and maintaining flood equipment. He also said future flood mitigation must address outdated development patterns, watershed flow, and the need for better drainage planning, while continuing temporary fixes and homeowner assistance programs. The committee ended with no votes or formal actions beyond adjournment.

Transcript Highlights:

• Nurses, Julie Pinkham. We have from Mass. Hospital Association, Steve Walsh.
• This bill appropriately mandates that facility employers include worker input in developing a facility-specific
• This bill appropriately mandates that facility employers include worker input in developing a facility
• specific Rick facility employers include worker input in developing a facility specific risk assessment
• My wife has been a nurse. There you go. Does anyone not have a problem?

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, beginning with a major workplace violence proposal for health care settings. Senator Lovely, the Massachusetts Nurses Association, the Massachusetts Hospital Association, and SEIU 1199 all supported legislation requiring hospitals and other health care employers to conduct facility-specific risk assessments, develop violence prevention plans, train workers, and provide reporting and protections for assaulted employees. Witnesses described workplace assaults as frequent and escalating, and committee members discussed balancing worker safety with concerns about criminalizing mental illness; testimony emphasized that the bill targets intentional assaults while preserving treatment and discretion for behavioral health crises. The committee also heard strong support for bills to strengthen traffic safety, including primary seat belt enforcement, rear-facing car seat requirements, and seat belts on school buses. AAA Northeast, the Brain Injury Association of Massachusetts, law enforcement, legislators, and the Massachusetts Insurance Federation all backed the measures, citing crash data, injury prevention, and personal stories of traumatic brain injury. Senator O’Connor testified for school bus seat belts, saying Massachusetts should join other states requiring them, and later Sophia Furzada of the National Transportation Safety Board urged passage of school bus seat belt and child passenger safety bills, saying lap-shoulder belts would reduce injuries and save lives in crashes where compartmentalization is not enough. Other testimony included support for a bill to make 9-1-1 disability indicator forms more accessible and inclusive, with the witness arguing the form should better reflect mental health, developmental disabilities, language access needs, and a fifth-grade reading level. The committee also heard opposition to a proposal to extend Christian’s Law to swimming pools, with a parks and recreation director warning of unintended consequences for municipal camps and underserved communities. Finally, the committee took testimony on a bill to expand the Forensic Science Oversight Board to include workforce representation, which MOSES said would restore technical expertise to the board. At the end of the hearing, the committee adjourned without taking votes on the bills discussed.

Transcript Highlights:

• practice nurses, prescribe.
• owner and in the event of a change in ownership of a licensed skilled nursing facility or assisted living
• facility or assisted living facility changes, and the facility is not suspended, terminated, or subject
• I work for Ensign-affiliated skilled nursing facilities, better known as Bandera Healthcare here in Arizona
• Over the course of my career, I've worked through many changes of ownership with skilled nursing facilities

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Summary: The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation. The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present. Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0. The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.

Transcript Highlights:

• facility, several Western State nursing facil... or sorry, state hospital, Hazelwood and Oakwood, and
• <00:05:13.520> facility treatment western state nursing facility treatment western state nursing
• 05:16.720> nursing<00:05:17.120> facil um several western state nursing facil um several
• Uh, just as a quick Nursing Facility.
• <00:09:36.080> Facility reminder, Western State Nursing Facility reminder, Western State Nursing

Keywords: 958, all

Summary: The Capital Planning Advisory Board met for its first meeting of the year, confirmed a quorum, approved the prior year’s minutes, and welcomed new co-chairs and members. The board reviewed the capital planning timeline and a list of agencies that submitted plans but would not testify. Members were reminded to keep presentations brief because of a packed agenda. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, infrastructure preservation, and preventive maintenance. Its requests included a $21 million maintenance pool, phase two funding for a new state public health laboratory, construction of an 18-bed children’s psychiatric hospital, and several projects at Western State Hospital and Western State Nursing Facility, including HVAC work, cooling tower repair or replacement, and chiller plant repiping. Additional projects covered elevator upgrades at Hazlewood and phased cottage renovations at Oakwood. Board members asked about vacant buildings, the cost per bed for the youth psychiatric facility, and the relationship between the CHFS youth facility and a separate DJJ facility; CHFS said the youth facility would serve DCBS-involved youth and be separate from the DJJ project. The Kentucky Department of Education then described its state-operated facilities, including the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. Its priorities included additional funding for the FFA classroom and activity building, a rewrite of the SEEK education finance application system, renovation and repair of the FFA swimming pool, electrical upgrades, campus education enhancements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size and cost of the swimming pool project, and construction cost assumptions; KDE said it tracks student outcomes through special education staff and that current estimates reflect higher post-COVID construction costs. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would connect job seekers and employers at no cost, while the McDow renovation was needed because the 30-year-old facility faces safety and code concerns. The cabinet planned to continue through the remaining priorities and answer questions at the end of its presentation.

Transcript Highlights:

• How many people are living in skilled nursing facilities? Do you know offhand?
• How many people are living in skilled nursing facilities? Do you know offhand?
• So moving on. nursing facilities.
• How many people are living in skilled nursing facilities? Do you know offhand?
• All of the LTSS programs are represented, including skilled nursing facilities.

Keywords: 995, all

Summary: The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas. Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services. Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.

Transcript Highlights:

• Texas Nurse Partners, and herself. Well, thanks for being here today, Holly.
• I'm a board-certified family nurse practitioner as well as a psychiatric mental health nurse practitioner
• as well as taking care of our veterans and nursing homes in the community.
• which is a foster care facility where we have hundreds of kids.
• And the ones who suffer are really the nurse practitioner owners, like myself.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• So this is a proposal to adjust the nursing facility total care-related payment rate limit.
• So this is a proposal to adjust the nursing facility total care-related payment rate limit.
• <01:59:01.679> facility<01:59:02.080> level modify um the the nursing facility level
• This is a grant for the Boundary Waters Care Center Nursing Facility.
• Boundary Waters Care Center Nursing Boundary Waters Care Center Nursing Facility.<02:05:43.520><

Keywords: 1187, senate, all

Transcript Highlights:

• for limited nursing services.
• It does not change the designation of the facility.
• An act to amend the Public Health Law in relation to the closure of nursing homes.
• An act to amend the Public Health Law in relation to the closure of nursing homes.
• who are residents of that facility.

Keywords: 993, senate, all

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.

Transcript Highlights:

• facility care and hospitalization.
• , facility, care, to persons living with HIV as an alternative to nursing facility care and hospitalization
• And our adult residential facilities, which serve adults 19 to 59, and a lot of smaller facility types
• So the PIN required facilities to post a non-discrimination notice in the facility, which is what I'm
• There also are additional regulations that require specific skilled nursing facility staff to receive

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• The best facility in the world that's not accessible is no facility at all. You are correct, sir.
• We have nurse practitioners, nurse anesthetists, and we have to send them out.
• . building facilities.
• Celebrating 50 years of service, our School of Nursing is among the top five largest nursing schools
• On the School of Nursing, you know, we still have this nursing shortage. Your clinicals, are you...

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• home facilities and live in group home facilities, having a better quality of life for a disease that
• home facilities and live in group home facilities.
• These. to stay out of nursing home facilities and live in group home facilities having a better quality
• So that's what the bill really is very prescriptive about: this is a facility-to-facility decision about
• And a nursing home is not an option for him at age 35.

Summary: The committee met with a quorum present and took up several bills. SB 894, relating to faith-based content in batterers’ intervention programs, was explained as allowing certified programs to offer voluntary faith-based components alongside existing models. Members raised questions about how faith would be defined, whether participation would be optional, and how all faiths would be included. An amendment was adopted clarifying that faith-based activities may be offered but not required and removing language directing DCF to repeal a rule. After supportive testimony from faith-based advocates and some debate, the committee reported the bill favorably, with Senators Harrell and Garcia later recording affirmative votes. The committee then considered SB 1240 on substance abuse and mental health care, which would assign state oversight of the 988 Lifeline, remove the annual needs assessment barrier for medication-assisted treatment licensing, and require annual continuing education for forensic evaluators. An amendment with technical conforming changes and two substantive clarifications was adopted. Members expressed support for expanded access to behavioral health services, and the bill was reported favorably. Later, the chair presented SB 1736, which would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities. After an amendment clarifying sliding scale insulin and related medication administration, the committee heard testimony from family advocates describing how the bill would prevent unnecessary institutionalization and reduce costs. The bill was reported favorably. The committee also passed SB 1286, which clarifies that allowing children to engage in unsupervised activities such as biking or playing outside does not by itself constitute neglect unless reckless or dangerous. After brief support testimony, that bill was also reported favorably, and the meeting adjourned.

Transcript Highlights:

• It also identifies the eight non-designated facilities in red.
• Inter-facility transfer quality measures.
• facilities because they're full of their own...
• to an existing medical facility?
• They are working every day at the facility.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• <00:10:26.760> in back to their homes funding facility in back to their homes funding facility
• hospitalization skilled nursing hospitalization skilled nursing facilities<01:08:50.359> stay
• It is about allowing skilled nurses to do a task that they are licensed to do under the Nurse Practice
• are licensed to do Under the nurse are licensed to do Under the nurse Practice<01:35:01.159>
• <01:37:46.520> per reported to the registered nurse per reported to the registered nurse per

Keywords: 1183, house

Transcript Highlights:

• So TEEX will go on. and put a facility.
• in nursing faculty.
• Establishing rural nursing and health profession programs will address the regional needs for nurses
• Providing a Bachelor of Science in Nursing aligns students' skills with nursing workforce needs in South
• for nurses and the growing enrollment in our nation. nursing program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all