Transcript Highlights:

• Nurses Association, in support.
• Nurses are not anti-tech. I'm an OR nurse.
• Hi, Selina Howe, nurse practitioner, nurse for 13 years, strongly support.
• Hi, Selina Howe, nurse practitioner, a nurse for 13 years, strongly support. Thank you.
• I want my nurse or I want my nurse.

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• Within our traditional Medicaid program, we have our health system value-based program that operates
• into that program.
• Chair, that is because these rates are used by our SPED program and our expanded SPED program, which
• Today, our nursing facility value-based program is set up entirely as an incentive-based payment.
• Way to administer this program, or the right federal authority to administer the program under.

Committee: Senate Appropriations - Human Resources Division

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• I direct a program at Boston Children's Hospital called Roberts Program.
• These programs work.
• service agencies at skilled nursing facilities.
• directly employed CNAs and nurses do.
• They are not forced to comply with state-defined programs.

Committee: Joint Joint Committee on Public Health

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• are organized under four budgeted programs.
• So it's a very valuable program.
• and being able to have the nursing staff we need.
• That is in lieu of using contracted nursing staff.
• So we're expanding that program.

Summary: The Joint Finance-Appropriations Committee heard budget presentations for the Idaho Military Division, the Division of Veterans Services, and the Public Employee Retirement System of Idaho (PERSI). For the Military Division, analysts and Major General Tim Donnellan reviewed the division’s structure, recent transfer of emergency medical services into the division, and the fiscal year 2027 request. The request included a small general fund amount for hazardous materials response, a pay-parity adjustment for state employees tied to federal military pay scales, and a dedicated-fund enhancement for overhead recovery, offset by rescissions including vacant positions and reduced tuition assistance. Members asked about the 3% rescission, EMS transition costs, and why certain CEC-related positions appeared in and out of the budget; the general said the division had absorbed the cut but that further reductions could affect education assistance for Guardsmen. He also described the EMS transition as smooth and said the division was modernizing its Army and Air components. The committee then reviewed the Division of Veterans Services budget and heard from Administrator Mark Champal. The analyst outlined the division’s homes, cemeteries, veteran assistance programs, and fiscal year 2027 requests, including one-time equipment and replacement items, an ongoing reduction for expiring software fees, and reductions for long-vacant positions. Questions focused on nursing shortages, contract labor, the miscellaneous revenue fund, and memory-care capacity. Champal said the division is using a temporary nursing pool to reduce reliance on contract nurses and expects to save nearly half a million dollars, while continuing to struggle with staffing. He said the Boise home currently meets memory-care needs and that the new Boise facility could expand if needed. He also highlighted outreach efforts, claims assistance, cemetery services, and the division’s efforts to connect veterans with outside support. Finally, PERSI’s budget was presented and discussed with Director Mike Hampton. The analyst described the retirement system’s defined benefit and defined contribution plans, the ongoing pension software upgrade, and one-time requests for the final software phase, disaster recovery planning, and IT replacements. Committee members asked about administrative growth, who participates in PERSI, software maintenance costs, and why there was no general fund rescission. Hampton explained that PERSI is fully funded by employer and employee contributions, that the software project is nearing completion, and that the annual maintenance increase reflects licensing costs. He also discussed post-retirement allowance adjustments, saying the board recommended a retroactive catch-up through 2022 and that future increases depend on fund performance and legislative action. The committee also discussed the merits and risks of defined benefit versus defined contribution plans, and Hampton said PERSI remains well funded, with strong investment returns and broad participation across Idaho public employers. The meeting ended with adjournment until the next morning.

Transcript Highlights:

• Now, there are some 340B-type programs.
• The bill makes this program permanent.
• The bill makes this program permanent, with a statewide program and expansion into more diverse areas
• We require nurses now, as a part of their continuing education program, to have a two-hour course in
• There’s various ways they can be within the program, or they can take them through the CE/CEU-type programs

Bills: S0068 , S0096 , S0340 , S0428 , S0606 , S1480 , S7018

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• We're the trade association for all the skilled nursing facilities, assisted livings, and nursing homes
• Many of you have seen an evolution happen with respect to what an average nursing home or skilled nursing
• But when I say skilled nursing facility versus nursing home, it really is a reflection of how the entire
• So my focus going forward is really going to be on the nursing home skilled nursing side of data.
• occupation within a nursing home is going to be certified nursing assistants, CNA, or nurse aides.

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• The witness responded that there are plenty of nurses in Massachusetts—more nurses per capita than any
• And I've met with all the nurses represented by the MNA, the Mass Nurses Association, and the workers
• I am fortunate enough to be a nurse, a registered nurse.
• This program is now called the CAM program, complementary alternative medicine, and the medical department
• We can welcome students from medical schools, nursing programs, and schools of education from across

Summary: The hearing focused on the future of the Pappas Rehabilitation Hospital for Children and the work of the special legislative commission studying whether and how the facility should continue. Senators and representatives said the Legislature has continued funding Pappas, that the hospital cannot be closed before the commission reports, and that they are seeking to extend the commission’s deadline. Multiple commissioners and witnesses described Pappas as a unique setting combining inpatient medical care, residential programming, special education, therapy, and campus-based activities for children with complex medical needs. Union leaders, staff, parents, and local officials argued that Pappas is being quietly depopulated through blocked admissions and continued discharges despite the formal pause on closure. They said the hospital’s integrated model cannot be replicated elsewhere, that families and staff are being left in limbo, and that the state should invest in repairs, modernization, and possibly temporary modular space to reopen admissions. Several witnesses emphasized the impact on children who have benefited from Pappas and on workers who fear losing a specialized workforce built over decades. Department of Public Health Commissioner Robert Goldstein said the state is committed to keeping Pappas open and stable while the commission works, but that admissions must meet hospital-level-of-care standards and the current infrastructure limits who can safely be served. He said the administration has been expanding outreach, hiring staff, and exploring ways to broaden services, including outpatient and therapy programs over time. Commissioners pressed him on why admissions remain so limited and whether the facility is being effectively depopulated, while Goldstein maintained that the restrictions reflect legal and safety requirements rather than an effort to close the hospital.

Transcript Highlights:

• This program wasn't developed in a vacuum.
• This program wasn't developed in a vacuum.
• So I think it's a great program.
• Wes Hadaway with the Louisiana Nursing Home Association.
• Louisiana's extremely fortunate to have nursing homes like that.

Committees: Senate Health & Welfare , Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• She's a registered nurse and nurse practitioner.
• What the original bill had, Nurses.
• What the original bill had was Tier 3 nurses supervising and evaluating Tier 1 new nurses.
• It helps with retaining and recruiting level three nurses, which would be master's-prepared nurses, so
• I'm a nurse practitioner and a registered nurse. Thank you.

Summary: The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation. The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation. House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation. The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.

Transcript Highlights:

• I'm a nationally certified school nurse and the executive director for Texas School Nurses Organization
• indicated that the Nursing Practice Act prohibits. nurses from doing so without a physician's written
• . and the Texas School Nurses, and again, it still has to have the parental consent.
• Texas School Nurses Organization believes this is a good start.
• Nurses employed by schools are practicing outside of their scope.

Bills: SB207 , SB611 , SB920 , SB1174 , SB1207 , SB1325 , SB1396 , SB1551 , SB1619

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• Budget neutrality requires the state to cut spending to nursing homes as nursing home costs rise.
• </c><00:42:02.319><c> homes</c> Only one of the seven nursing homes Only one of the seven nursing homes
• ,</c><00:43:01.520><c> which</c> nursing on nursing home care, which nursing on nursing home care, which
• </c> still struggled for LNAS for nurses still struggled for LNAS for nurses um<00:46:37.359><c> to</
• </c> risk poolled risk management program. risk poolled risk management program.

Committee: Senate Finance

Transcript Highlights:

• If you are in a program that is ongoing, and this is a lengthy program, I think it's like 26 weeks or
• Yes, just to follow up to that so that the program ...itself may, the entire program may be faith-based
• Our program was more than just mere words.
• These are ...programs must adhere to the program rules, which prohibit the inclusion of faith-based ideology
• These programs must adhere to the program rules, which prohibits the inclusion of faith-based ideology

Committee: Senate Children, Families, and Elder Affairs

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:

• In case You're unaware, the federal government has a program that they call the Continuum of Care program
• to perform the nursing task.
• Nursing tasks. There were exceptions.
• All right. nursing tasks. There were exceptions.
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• 56.080><c> model</c> their PDPM program versus the rug model their PDPM program versus the rug model
• c> home</c> for the nursing homes, the nursing home for the nursing homes, the nursing home workforce
• had from PCA to, uh, nursing homes to home care program.
• had from PCA to uh nursing homes to home<00:12:32.399><c> care</c><00:12:32.639><c> program.
• </c> to be charged to nursing home employees. to be charged to nursing home employees.

Bills: HF2433 , HF2434

Committee: House Ways and Means

Transcript Highlights:

• . nursing. nursing.
• program.
• But one thing that set our nursing program apart from other institutions is we don't want to just train
• Our provost was talking with me just yesterday about looking at some ideas about the nursing program
• </c> looking at some ideas about the nursing looking at some ideas about the nursing program<00:53:48.480

Summary: The interim Commission on Race and Access to Opportunity met at Kentucky State University and heard a presentation from President Kofi Aapo and Vice President Michael Dorsy on the university’s role as an HBCU and its current priorities. They emphasized Kentucky State’s impact on Black student outcomes nationally, its focus on workforce development, civic leadership, innovation, and economic mobility, and its efforts to grow enrollment, expand dual-credit partnerships, and launch a prison education program. They also described House Bill 250’s role in prompting program review and the creation or expansion of market-aligned offerings, including manufacturing engineering, agricultural engineering, biological and agricultural engineering, social work, criminal justice, and expanded online programs through “Thoroughbred Global.” A major topic was Kentucky State’s move toward STEM and applied programs. President Aapo said the university is diversifying beyond liberal arts to meet workforce demand and cited plans for a PhD in agroecology, which he said would help farmers adapt to climate conditions and would be federally funded. He also discussed the nursing program as the fastest-growing on campus, partnerships with health systems that pay tuition and guarantee jobs, and the need for a new nursing facility. He said the current nursing space is inadequate and that a new building could double or triple enrollment in the program. He also described a mobile health initiative intended to bring preventive care and health education to underserved areas of the state. Members asked questions about the nursing building, STEM strategy, teacher preparation, dual credit, prison education, and student readiness. Senator Bledsoe asked about the shift toward STEM, and Aapo said the strategy is based on student demand and data from House Bill 250. Senator Berg requested a list of dual-credit partners and encouraged long-term tracking of prison education participants to study outcomes such as recidivism; Aapo said the university has not yet begun that research but intends to. Senator Tidner asked about remedial needs, and Aapo said KSU found more than 100 students with zero GPAs when he arrived and is using co-requisite support and tutoring to address English and math deficiencies. Representative Brown and others highlighted the historical and ongoing value of HBCUs, and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• I'm a real nurse and a nurse practitioner.
• Practitioner Council representation, and deans of colleges of nursing. ...nurse practitioner council
• that we feel for our local nurses.
• I've been a nurse for 40 years.
• programs.

Summary: The committee first took up House Bill 279, on a committee substitute that narrowed the bill to privacy and safety protections for reproductive and gender-affirming health care. The substitute would strengthen limits on disclosure of protected health information, restrict geofencing around care facilities with exceptions for security and research, clarify emergency stabilization obligations under state licensing law, and allow abortion-medication labels to omit a prescriber’s personal name and address. Supporters including ACOG, the ACLU, the League of Women Voters, the Health Care Authority, and advocacy groups said the bill protects patients and providers from surveillance, harassment, and out-of-state investigations. Some members raised concerns about HIPAA, research data, and whether the bill could go too far, but the substitute passed 6-2. The committee then approved House Memorial 1, which asks the Legislative Finance Committee to study whether a constitutional amendment should create an independent commission to manage CYFD. Supporters said the department needs a comprehensive structural review, while opponents argued New Mexico already has enough reports and should act on existing recommendations instead of commissioning another study. House Memorial 31 also passed; it directs the Health Care Authority to re-evaluate a rule limiting home health agencies to serving patients within 100 miles of their licensed locations, in light of access needs in remote areas such as the Navajo Nation and anticipated demand from uranium workers. House Bill 306, dealing with facility fees, was amended by substitute to prohibit such fees for certain preventive services, vaccinations, telehealth, and some services provided in vehicles, while exempting rural hospitals and requiring notice to patients. Hospital representatives opposed the bill, warning it would add financial pressure and could still be passed through to patients or premiums, while insurers, retiree advocates, and consumer groups supported it as a way to curb confusing and costly add-on charges. The committee also advanced House Memorial 36 to create an unfunded nursing shortage task force focused on graduation rates, retention, and barriers to training, and House Memorial 35, which would ask HCA to seek a Medicaid state plan amendment for pediatric palliative care. Supporters of the palliative care memorial described major access gaps for children with complex conditions, especially in rural areas, and the memorial passed after testimony from a rural pediatric hospice nurse and committee discussion about the small number of eligible children and the burden on families.

Transcript Highlights:

• </c> to end a program or start a new program to end a program or start a new program based<00:39:22.040
• One: about 265 graduates of our nursing programs last year — that's for the RN program, plus an additional
• c> that's</c> our nursing programs last year that's our nursing programs last year that's for<01:08:21.920
• Can you cycle back to the successes around the nursing program?
• </c><01:33:55.119><c> program</c> the successes around the nursing program the successes around the nursing

Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.

Transcript Highlights:

• practice nurses, prescribe.
• prescriptus nurses prescribe.
• I can speak to our program budget.
• I can speak to our program budget.
• This makes a nine-year pilot program.

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

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

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

Transcript Highlights:

• assistants, and nurses.
• Program managers at DOH provided a few reasons for the worsening delay.
• For context, employers for all types of long-term care workers, including nurses and nursing assistants
• So we've heard a couple of audits here about the testing program. I'm...
• assistants, nurses, or any other similar professions. ...for nursing assistants, for nurses, or any

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• And most of the students that are in this nursing program are minority students.
• And most of the students that are in this nursing program are minority students.
• A little bit of history here: WSU started nursing and pharmacy programs in Yakima without any dedicated
• And most of the students that are in this nursing program are minority students.
• Had they had that enrollment, they would be able to grow the program, continue a very viable nursing

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted. Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.