Transcript Highlights:

• House will come to order, members please register. Have all members registered.
• Have all members registered.
• Nurses and the payment of independent Advanced Practice Registered Nurses. and certain government employee
• Have all members registered.
• Nursing homes.

Bills: SB1 , HB500 , SB1 , HB1400 , HB 1094 , HB365 , HB 1109 , HB647 , HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• for the nurse.
• for the nurse.
• for the nurse.
• You know, the nonpublic pupil aid for nursing that we get is just the time for the nurse.
• register called seven Catholic register register called seven things<00:47:41.200><c> your</c><00:47

Committee: Senate Education Finance

Transcript Highlights:

• as we face a statewide skilled nursing shortage in our state.
• Forty percent of our BA-prepared nurses come from these campuses.
• I appreciate the opportunity to register some concerns about SB 5909. represented groups.
• I appreciate the opportunity to register some concerns about SB 5909. Council of Faculty.
• I appreciate the opportunity to register some concerns about SB 5909, with a draw from my experience

Bills: SB5826 , SB5828 , SB5909 , SB5954

Committee: Senate Higher Education & Workforce Development

Keywords: medication abortion, public education, access, healthcare rights, postsecondary institutions, college grant, scholarships, higher education, private institutions, Washington State, undergraduate programs, enrollment, program review, public institutions, veterans, tuition waiver, education, survivors, eligibility

Transcript Highlights:

• If you're here to testify on the bill, make sure you register at the kiosks outside.
• I'm a school nurse and the executive director of the Texas School Nurses Organization.
• Most school nurses have years of hospital nursing under their belts, including time in the emergency
• That means there's currently no CPR certification requirement for school nurses.
• The issue on the volunteer was to address schools that have only volunteer nurses.

Bills: SB2920 , SB2929 , SB2398 , SB865 , SB401 , SB2619 , SB2927 , SB1395 , SB1972 , SB2540 , SB1635 , SB1581 , SB2008

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• nursing homes because he had behavioral health challenges.
• Hello, my name is Justin Diamond, and I'm a registered nurse at TLC Home Health Care, in support.
• Christina Stevenson, HCBA nurse, here from Cardia Health, strong support.
• I'm a board-certified nurse practitioner trained at UCSF.
• We will keep the roll open for two more minutes, or Assembly Member Sanchez to register a final vote

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• As an emergency department nurse, this is really critical to me.
• I mean, granted, yes, you're a nurse, an ER nurse or whatever, but don't Granted, yes, you're a nurse
• put you as a nurse and my wife and her four degrees and being an educator.
• No, she's not a nurse. She's an educator and she's there to educate the students.
• But yes, she's not a nurse.

Bills: HB2076 , HB2135 , HB2175 , HB2186 , HB2223 , HB2345 , HB2364 , HB2417 , HB2440 , HB2666 , HB2763 , HCR2043

Committees: House Judiciary , House House Judiciary Committee of Reference

Keywords: school safety, employee training, firearm certification, crisis response, school policies, reimbursement fund, local law enforcement, HB2135, Arizona, civil liability, private right of action, DEI, diversity equity and inclusion, critical race theory, anti-racism, race stereotyping, sex stereotyping, race scapegoating, sex scapegoating, gender identity

Transcript Highlights:

• nurse services.
• This bill allows physicians to utilize advanced practice registered nurses to certify death and file
• nurse services.
• nurse services.
• nurse services.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions and moments of silence, including tributes related to the FSU campus shooting, Coach Amir Abdur-Rahim, John Thrasher, the Florida Wildlife Corridor, and visiting student and community groups. The chamber then moved into special order bills and adopted a resolution honoring Coach Abdur-Rahim. A number of measures were taken up and passed, including child care and early learning provider regulation updates, false reporting/swatting penalties, health care billing and collection protections, hazardous walking conditions for schoolchildren, young adult housing support for foster and homeless students, the Family Empowerment Scholarship Program, trust fund interest rules for IOTA accounts, transportation-related changes, public records exemptions for AHCA investigators, JQC employees, and appellate court clerks, municipal water and sewer utility rates in Miami-Dade, motor vehicle offenses involving obscured plates and impersonating law enforcement, trespass at large-scale ticketed events, refund of patient overpayments, stem cell therapy standards, insulin administration by direct support professionals and relatives, pre-arranged transportation services, and the Uniform Commercial Code update for digital assets. Several bills were amended before passage, often by substituting House companions and adopting late-filed amendments. The transportation bill was significantly revised to remove speed-limit increases and utility-related provisions while adding beach equipment removal, flood-wake enforcement, expectant mother parking permits, and local regulation of micromobility devices; it passed 37-0. The trust fund interest bill drew the most debate, with supporters arguing it right-sized a volatile funding stream for legal aid and opponents warning it would sharply reduce support for legal aid organizations; it passed 28-10. The municipal water and sewer rate bill also prompted extended debate over fairness, fiscal impact, and accusations of racism, but passed 36-2. Public records exemption bills for AHCA investigators, JQC employees, and appellate clerks passed with varying margins, with supporters emphasizing safety and anti-doxing protections. One bill on cardiac emergencies and another on education were temporarily postponed. Most measures were adopted by wide margins, often unanimously, after brief sponsor explanations and little or no debate. The Senate also adopted a resolution honoring the late USF coach Amir Abdur-Rahim and recognized several visiting groups in the gallery. After completing the day’s special order calendar, the Senate recessed for lunch until 1:30 p.m. or on call of the President.

Transcript Highlights:

• nurse affiliated with their staff in Minnesota.
• nurse affiliated with their staff in Minnesota.
• </c><00:16:08.120><c> at</c><00:16:08.240><c> the</c> exactly register at the exactly register at the
• In fact, only 20% of them have registered nurses on staff, and only 9% claim to have a physician on staff
• and</c><00:44:25.720><c> only</c> have registered nurses on staff and only have registered nurses on

Transcript Highlights:

• </c><00:58:17.319><c> oh</c> Association of professional nurses oh Association of professional nurses
• </c><00:58:33.200><c> and</c> Hawaii state Center for Nursing and Hawaii state Center for Nursing and
• On the neighbor islands, those are what we call sex assault nurse examiners.
• On the neighbor islands, those are what we call sex assault nurse examiners.
• On the neighbor islands, those are what we call sex assault nurse examiners.

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on several measures related to housing, homelessness, caregiving, and tax relief. On HB 431, which appropriates funds for the CAL initiative and HHFDC, the Department of Human Services supported the bill and noted the Governor’s request for $50 million per year for HMS, the need for more permanent supportive housing, and a technical issue with establishing a special fund in session law. The Statewide Office on Homelessness and Housing Solutions strongly supported the measure, describing it as unprecedented funding for CAL projects and linking it to goals of reducing homelessness and expanding housing inventory. Catholic Charities Hawaii, the ACLU of Hawaii, and the Reimagining Public Safety in Hawaii Coalition also supported the bill, emphasizing permanent supportive housing, diversion from jail, and public safety benefits. The chair redirected one testifier to stay on the measure when testimony drifted to another program. Written support was also noted from several organizations and agencies. The committee then heard HB 225 on squatting. DHS said it appreciated the intent and deferred to the Attorney General and task force members, while noting that outreach on public lands differs from private land, where owner consent is required. The Office of the Public Defender supported the bill and wanted a voice in finding a solution. The Statewide Office on Homelessness and Housing Solutions also said it supported the intent, while opposition from the Kingdom of the Hawaiian Islands and support from one individual were noted. For HB 280, which would make the community outreach court permanent and appropriate funds, the Judiciary strongly supported the bill, describing the court as a mobile, community-based program serving vulnerable populations and connecting participants to services. The Office of the Public Defender also supported the measure, saying the program has helped people move off the streets and into stable housing and that permanent funding would allow expansion. Written support from the Hawaii Substance Abuse Coalition was noted. The committee then moved to HB 71, creating a refundable family caregiver tax credit, where the Department of Taxation provided comments, the Executive Office on Aging and AARP Hawaii supported the measure, and the Tax Foundation of Hawaii raised concerns about duplication with an existing dependent care credit and the lack of incentives for cost control. The committee next heard HB 753, which would increase the applicable percentage for the household and dependent care services tax credit. Support came from the Executive Office on Aging, Catholic Charities Hawaii, AARP Hawaii, and Hawaii Children’s Action Network, while the Tax Foundation again raised technical concerns about complexity and administration but noted the bill adds guardrails against abuse. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Members, please register. Have all members registered. Have all members registered.
• HB 3614 by Pearson relating to the nurse profiles of certain information concerning nurses maintained
• on the Texas Board of Nursing Internet website referred to the Committee on Public Health.
• By Noble relating to prohibiting a person required to register as a sex offender from serving as a member

Transcript Highlights:

• Nurses, doctors, and home health care... Most likely mothers.
• Nurses, doctors, and home health care aides... ...of the state's effective climate action.
• Since there's no registered opposition on file yet, we're going to pause for just one second.
• I'm also a nurse practitioner. I'm here today in strong support of SB 675.
• I'm also a nurse practitioner. I'm here today in strong support of SB 675.

Summary: The committee considered several coastal, climate, and air quality measures. Senator Laird presented SCR 136 marking the 50th anniversary of the Coastal Act and Coastal Conservancy Act, and SJR 12 opposing the federal offshore oil and gas leasing program; both drew broad support from environmental groups, local governments, and other advocates, with no opposition heard. Senator Padilla presented SB 10, requiring state climate plans to include gender impact assessments, with supporters arguing climate harms fall disproportionately on women and LGBTQ+ people; the bill also drew no opposition in the hearing. Senator Padilla also presented SB 675 to restructure the Imperial County Air Pollution Control District board and expand public transparency, while supporters cited severe air quality problems and opponents raised concerns about unfunded mandates, consultation, and impacts on local permitting and economic development. Senator Allen presented SB 1229 to limit disaster-rebuild coastal permit exemptions when replacement structures would newly impede coastal access or sensitive protections, with supporters saying it would prevent investor abuse of post-disaster rebuilding rules. After testimony, the committee took up the measures and recorded votes. SCR 136, SJR 12, SB 10, SB 675, and SB 1229 all advanced on party-line or near-party-line votes, with some members voting no on the more regulatory measures. The consent calendar was also approved, including ACR 157, SB 899, SB 949, SB 963, SB 1008, SB 1207, SB 1428, and SJR 5. All of the listed measures were sent onward, generally to Appropriations, and the committee concluded its hearing after the roll calls.

Transcript Highlights:

• The bill has no registered opposition.
• Seeing none, if there's anyone else who would like to register their opposition, please come to the mic
• If there's anyone else in the audience, I would like to register their support.
• Jacqueline Flores with Kenner, California Advocates for Nursing Home Reform in strong support.
• Kenner, California Advocates for Nursing Home Reform, in strong support. Thank you.

Committee: Senate Human Services

Summary: The Senate Human Services Committee heard several bills focused on developmental disabilities, food security, veterans, aging services, child care, and elder abuse reporting. SB 969 by Senator Reyes would make remote services for people with intellectual and developmental disabilities a permanent option; supporters said virtual programming improves access, continuity, and choice, and there was no opposition. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, and develop a 24-hour hotline; committee members raised questions about duplication, metrics, and oversight, but the bill advanced after discussion. SB 1052 by Senator Gonzalez would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with disabilities are not left without support if a family member becomes unavailable; supporters described immigration enforcement, illness, and family separation as reasons for the bill, and members discussed administrative burden and renewal procedures before the bill passed. SB 1077 by Senator Gonzalez would require CDSS to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency food assistance mechanism; members discussed how it would work with existing CalFresh administration, and the bill passed. SB 1201 by Senator McNerney would seek federal waivers to protect vulnerable veterans from new SNAP work requirements and require referrals to county veterans service officers; supporters said the federal cuts would harm homeless, newly discharged, and disabled veterans, and the bill passed. SB 1261 by Senator Laird would let aging and disability resource centers continue operating through partner transitions so services would not be interrupted; supporters emphasized continuity of care and the bill passed. SB 1110 by Senator Becker would revise child care subsidy funding and stabilization rules for alternative payment programs and community providers; supporters said the current reimbursement structure is outdated, and the bill passed after the author said a budget-related provision would be removed. The committee also later voted SB 969, SB 1052, SB 1077, SB 1201, SB 1261, and SB 1110 out of committee, with the bills kept on call for absent members, and began hearing SB 991 on elder abuse reporting, where supporters argued that licensing records should distinguish abuse from lesser resident-rights violations so families and policymakers can better understand facility conduct.

Transcript Highlights:

• </c> the general register. That's correct. the general register.
• </c> for placement on the general register. for placement on the general register.
• So, um, members and general register.
• <00:17:44.559><c> apprenticeship</c> registered apprenticeship registered apprenticeship grants.<00:17
• </c> especially in teacher registered especially in teacher registered apprenticeship<00:25:57.679><c

Bills: HF3228 , HF2441

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: workers' compensation, insurance programs, employee protection, Minnesota statutes, safety regulations, prevailing wage, certified payroll, payroll reporting, construction contracts, public works, project registration, labor standards, contractor compliance, subcontractor reporting, state government, Department of Administration, Commissioner of Labor and Industry, Metropolitan Council, highway construction, public construction

Transcript Highlights:

• Gloria Dordy, a nurse practitioner that's PhD prepared, here representing the New Mexico Nursing Association
• I'm a registered lobbyist for America's Health Insurance Plans.
• I am a PhD nurse practitioner here on behalf of the New Mexico Nursing Association and the New Mexico
• Nurse Practitioner Council.
• Madam Chair, we did the nursing a couple years ago.

Summary: The committee first took up Senate Bill 20, a prior-authorization and step-therapy measure, on a committee substitute that had already incorporated many stakeholder changes. The sponsor and agency witnesses described revisions to definitions of chronic health condition and serious mental illness, shorter prior-authorization periods, and limits on reporting requirements. Supporters, including a nurse practitioner and disability advocates, said the bill would reduce barriers to needed medications and urged broader protections for chronic and behavioral health conditions. Health insurance and pharmacy benefit management representatives remained opposed, arguing prior authorization is an important patient-safety tool and objecting to the bill’s limits on its use. Senator Hickey offered two amendments: one to conform electronic prior-authorization response times to existing law by changing seven days to three, and one to restore the prior-authorization period from 12 months to three years. The first amendment was accepted; the second passed on a 5-4 vote. The committee then approved the amended substitute 6-3. The committee next heard Senate Bill 111, which would expand the confidentiality of personal information held by the Motor Vehicle Division to include sex, gender identity, national origin, and immigration status. Tax and Revenue officials explained that the bill would not change what documents MVD collects, but would limit disclosure of sensitive information contained in scanned records unless a statutory exception applies. Members asked about what appears on licenses, what is stored in MVD’s system, and whether law enforcement access would change; officials said criminal law enforcement exceptions would remain in place and that the bill mainly affects public disclosure requests. The committee voted 8-1 to give the bill a do-pass recommendation. Senate Bill 218, funding a Los Alamos Emergency Operations Center, was presented as a regional disaster-response and training facility for northern New Mexico. Los Alamos County witnesses said the project would support emergency management training and coordination across the region and requested $5 million. Several senators questioned whether the county had explored bonding, intergovernmental agreements, or regional cost-sharing, and raised concerns about Los Alamos’s debt capacity and whether the project was truly regional. Supporters said the county has a long capital backlog and that the center would serve communities from Santa Fe north. The committee ultimately voted 9-1 to advance the bill. Finally, the committee heard Senate Bill 14, a major health professional loan-repayment proposal. Senator Hickey described it as an effort to recruit and retain physicians, nurses, and other allied health professionals by increasing repayment amounts, prioritizing physicians and doctors of osteopathic medicine for 50% of the fund, and allowing service commitments with some flexibility, including part-time work. Supporters from medical, nursing, and behavioral health groups said the bill would help address workforce shortages and make New Mexico more competitive. Committee members asked about the inclusion of physician assistants, the 90-day start requirement, anti-donation concerns, tax treatment, tribal and IHS providers, and whether the 50% physician set-aside would leave enough for other professions. After discussion, the committee voted 10-0 to send the bill forward with a do-pass recommendation.

Transcript Highlights:

• nursing homes because he had behavioral health challenges.
• Hello, my name is Justin Diamond, and I'm a registered nurse at TLC Home Health Care in support.
• Christina Stevenson, HCBA nurse here from Cardia Health, strong support.
• I'm a board-certified nurse practitioner trained at UCSF.
• We will keep the roll open for two more minutes, or Assembly Member Sanchez, to register a final vote

Committee: House Health

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding. The committee heard several bills focused on health access and equity, including AB 73 to create a Black Mental Health Navigator certification, AB 499 to lower the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 to strengthen language access protections in health coverage, AB 257 to pilot a specialty care network using telehealth and virtual services, AB 64 to allow diacritical marks on vital records, AB 315 to expand the Home and Community-Based Alternatives waiver, and AB 40 to clarify that emergency services include reproductive health care, including abortion. Supporters emphasized disparities in care, workforce shortages, cultural and language barriers, and the need to preserve or expand access for Black Californians, farmworkers, people with disabilities, and limited-English-proficient patients. Opposition to AB 40 argued that abortion should not be defined as emergency care and raised concerns about fetal considerations and ER burden. The committee took testimony on each measure, with many bills drawing broad support from advocacy groups, medical organizations, disability rights groups, and affected individuals. AB 257’s author and witnesses said the proposal would use California-based clinicians and improve specialty access in underserved areas; AB 315’s supporters described it as a cost-saving, dignity-preserving program for medically fragile Californians, with more than 5,400 people on a waiting list. AB 64’s witnesses described personal harm caused by the inability to record names accurately on state documents. AB 843 was presented as aligning state law with federal language access rules to protect patients with limited English proficiency. Votes were taken after quorum was established, and the committee advanced the measures, generally on party-line or near-unanimous votes. AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and the committee rules were all reported out, many to Appropriations, and the consent calendar was also approved. AB 40 was approved despite one no vote from Vice Chair Chen. Several items were initially placed on call and later lifted as members added their votes before adjournment.

Transcript Highlights:

• </c> emergency power and fuel in nursing emergency power and fuel in nursing homes.<00:49:52.480><c>
• After Katrina, my grandmother was in a nursing home. She had a DNR.
• </c> nursing homes and personal care homes. nursing homes and personal care homes. &gt;&gt; Yes.
• </c> manufactured in FDA registered manufactured in FDA registered facilities<01:06:09.200><c> that</
• </c> uh registered or inspected by the FDA. uh registered or inspected by the FDA.

Committee: Joint Public Health and Welfare

Transcript Highlights:

• You’re specifically excluding the change to add the phrase “registered nurse initiated.”
• </c> the phrase registered nurse initiated. the phrase registered nurse initiated.
• </c> under the direction of a registered under the direction of a registered nurse.<03:59:28.000><c>
• Historically, Historically, Historically, um,<04:00:23.600><c> registered</c><04:00:24.160><c> nurses
• were really the um, registered nurses were really the ones<04:00:27.040><c> who</c><04:00:27.359><c>

Committee: House Executive Departments and Administration

Transcript Highlights:

• We have the Hawaii Association of Professional Nurses in support, not in Zoom.
• We have the Hawaii Association of Professional Nurses in support, not in Zoom.
• We have the Hawaii Association of Professional Nurses in support, not in Zoom.
• We have the Hawaii Association of Professional Nurses in support, not in Zoom.
• <00:32:43.000><c> in</c> nurses in nurses in support<00:32:44.799><c> not</c><00:32:45.039><c> in</c>

Committee: House Economic Development & Technology

Summary: The Committee on Economic Development and Technology met on February 5, 2025, and heard testimony on several bills related to economic development, broadband, tax policy, and family support. HB 455 drew support for a startup-business loan program, with DBEDT, the Hawaii Food Industry Association, the Chamber of Commerce of Hawaii, and Hmua Collective among those in favor; Tax Foundation Hawaii questioned the need for a special fund. HB 437, concerning Hawaii trade/investment offices, received support from DBEDT and Hawaii Friends for Civil Rights, and members asked DBEDT about how to measure return on investment from the overseas offices. HB 650, dealing with broadband-related administration, was supported by DBEDT, the Department of Agriculture, the Hawaii Food Industry Association, and others, while committee discussion focused on the role of the state’s trade and investment offices and broadband administration. HB 935, on digital navigator support, received testimony in favor from DBEDT, the Hawaii State Council on Developmental Disabilities, the University of Hawaii system, and others, but also drew comments about consumer representation and the need for service on neighbor islands. The committee also heard strong testimony on tax and family-related measures. HB 572, which would remove the grocery tax, received overwhelming support from groups including the Hawaii Food Industry Association, AARP Hawaii, and others, with testimony emphasizing food insecurity and cost-of-living relief; Tax Foundation Hawaii offered technical comments. HB 701, a caregiver tax credit bill, was supported by AARP Hawaii, Hawaii Children’s Action Network Speaks, and others, with AARP stressing the burden on family caregivers and Tax Foundation Hawaii suggesting the credit percentage be reduced to preserve price-shopping incentives. HB 753, another child and dependent care tax credit measure, drew support from AARP Hawaii, Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and others; Tax Foundation Hawaii again raised technical concerns, this time about the complexity of the formula. After testimony, the committee took up decision-making. HB 455 was passed with amendments, including transferring administrative responsibility from the Hawaii Technology Development Corporation to the Community-Based Economic Development Program, blanking out the appropriation, adding one business loan officer FTE, and noting a $95,000 cost. HB 437, HB 650, HB 934, HB 442, and HB 572 were all advanced with amendments, generally involving blanking out appropriations, moving amounts into committee notes, technical cleanup, and setting effective dates to July 1, 3000. HB 935 was deferred because of overlap with public library programs and uncertainty about federal funding for digital navigator positions. The chair also indicated HB 7 would be amended to add a nonrefundable family caregiver tax credit and related technical changes, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• We have a rural nursing education program that's run out of the Department of Health that we are seeking
• We have a rural nursing education program that's run out of the Department of Health that we are seeking
• Of note, the 2008 law strengthened protections for donor intent by making a registered donor's decision
• Of note, the 2008 law strengthened protections for donor intent by making a registered donor's decision
• Board-certified transplant surgeons, medical doctors, nurses, social workers, dietitians.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear updates from state health leaders on current priorities, including agency leadership transitions, licensure backlogs, federal policy changes, and rural health funding. Secretary of Health Dennis Worsham and HCA Director Ryan Moran described their recent listening tours and said their agencies are focused on access, affordability, quality, patient safety, and stronger coordination across public health, Medicaid, behavioral health, and rural systems. In response to questions, Worsham said health profession licensure delays have been reduced from about four months to six weeks, with the backlog expected to be caught up by January 1, and that the department is adding staff and using dashboards to improve turnaround times. A major portion of the meeting focused on implementation planning for H.R. 1 and its effects on Medicaid and SNAP. Governor’s Office health policy advisor Caitlin Stafford, HCA interim Medicaid director Trinity Wilson, and HCA staff said the state is analyzing eligibility changes, work requirements, and six-month redeterminations, while trying to keep most changes out of statute and instead handle them through budget and administrative action. They emphasized close coordination with DSHS, the Health Benefit Exchange, the Office of the Insurance Commissioner, employers, and tribal partners, and said the state hopes to make the process as invisible as possible for enrollees. Wilson said the October 2026 eligibility change for certain lawfully present non-citizens could affect up to 30,000 Apple Health enrollees, while the December 2026 work requirement and redetermination provisions could affect about 620,000 adults, with automated verification expected to cover most cases but 15% to 20% likely needing manual review. Officials also said they are concerned about the cost of technology changes, estimating a possible $30 million system solution, and about the lack of federal guidance. The panel also reviewed Washington’s successful application for the federal Rural Health Transformation Program, which was submitted to CMS on November 5. HCA said the application was shaped by more than 310 public comments, webinars, and tribal consultation, and includes six initiatives: rural hospital innovation, community-based prevention and care management, tribal investments, technology and data, workforce development, and rural behavioral health. Officials said the proposal includes support for rural hospital collaboratives, maternal and obstetric services, dementia and EMS supports, tribal workforce and data investments, telehealth and AI tools, rural training pipelines, and behavioral health services such as mobile crisis and school-based care. They noted that Washington is unlikely to receive the full $200 million annual amount available to each state, and that an advisory committee will likely help guide spending over the five-year program. Later, the committee heard a brief update on the 2023 organ transport law from Department of Health EMS program supervisor Don Felt, who said the state has licensed one organ transport company, has received no complaints, and has seen no operational problems. LifeCenter Northwest then described the organ donation system, explaining the legal framework, donor referral process, and the role of hospitals and organ procurement organizations. The organization said Washington has seen a 140% increase in organ donors over the past decade and a 103% increase in lives saved, while also noting common misconceptions that donation affects emergency care decisions. The final panel from the University of Washington Medical Center began an overview of its transplant programs, including kidney, liver, heart, lung, pancreas, and living donor transplants, but the transcript ends before that presentation was completed.

Transcript Highlights:

• Gloria Dordy, a nurse practitioner that's PhD prepared, here representing the New Mexico Nursing Association
• I'm a registered lobbyist for America's Health Insurance Plans.
• I am a PhD nurse practitioner here on behalf of the New Mexico Nursing Association and the New Mexico
• Nurse Practitioner Council.
• Madam Chair, we did the nursing a couple years ago. So we did the nurse thing a couple years ago.

Bills: SB20 , SB111 , SB211 , SB218 , SB14

Committee: Senate Senate Health & Public Affairs

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder