Transcript Highlights:

• Thousands, if not millions of dollars, by not having people go into the nursing home facilities.
• Nurse-family partnerships, I know you're familiar with it.
• We know that it's an evidence-based approach to where registered nurses provide a variety of services
• You did an increase on the nurse loan repayment program of about twelve and a half million dollars.
• I think let's see the nurse loan repayment program because we have the shortage of nurses.

Bills: SCR8, SCR25, SB1, SB14, SB24, SB213, SB251, SB315, SB371, SB378, SB379, SB406, SB413, SB472, SB487, SB502, SB502, SB509, SB513, SB513, SB565, SB565, SB583, SB608, SB621, SB650, SB686, SB686, SB707, SB710, SB710, SB761, SB761, SB810, SB815, SB840, SB856, SB875, SB875, SB896, SB896, SB916, SB925, SB958, SB958, SB961, SB965, SB965, SB973, SB973, SB987, SB990, SB995, SB1018, SB1019, SB1146, SB1146, SB1198, SB1252, SB1252, SB1253, SB1253, SB1330, SB1343, SB1362, SB1499, SB1499, SB1532, SB1532, SB1547, SB1547, SB1555, SB1596, SB1596, SJR36, SJR12, SJR57, SCR25, SCR22, SCR12, SCR8, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB14, SB1006, SB504, SB925, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1497, SB1499, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB112, SB371, SB204, SB609, SB670, SB502, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB213, SB681, SB1172, SB1252, SB378, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667, SB1059, SB617, SB1567, SB503, SB1, SB1555, SR233, SR307, SR310, SR318, SR319, SCR25, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460

Keywords: central bank digital currency, CBDC, Federal Reserve, digital dollar, digital currency, cashless payments, financial privacy, cybersecurity, government surveillance, financial surveillance, money laundering, terrorism financing, illicit finance, banking policy, monetary policy, payments system, commercial banks, Texas Legislature, concurrent resolution, federal reserve digital currency

Transcript Highlights:

• It is also academic medical centers, insurers, nursing homes, and community health centers.
• They'll be less dependent on the higher costs associated with that certified nurse midwife, an OB-GYN
• The second policy initiative that we're moving forward with, with full steam, is the nurse licensure
• By having more nurses, we can fill those roles, we can have less of a reliance on those temporary and
• There's never a downtime for nurses in an ER department, and having friends who are nurses just share

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• Our union represents over 50,000 people who work in hospital clinics, nursing homes, and self-directed
• Madam Chair, and also for that reason, I think my colleague pointed out nursing home nursing home is
• <01:13:17.600> excluded nursing home nursing home is excluded nursing home nursing home is
• Specific to a nursing home, um, I would have to look through this and get back to you.
• specific to nursing homes. specific to nursing homes.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• I am a registered nurse from Manchester, and I am a member of the New Hampshire Nurses Association and
• Association and New Hampshire Nurses Association and New Hampshire school<01:56:09.679> Nurses
• They come back to the administration, and they go to the nurse if it's a nurse form.
• They come back to the administration, and they go to the nurse if it's a nurse form.
• exemption and I note that the the nurse exemption and I note that the the nurse who<03:23:46.000

Keywords: 1189, house, all

Transcript Highlights:

• appointed by the Nurses Association, a pediatric nurse, licensed school nurses, health care providers
• appointed by the Nurses Association, a pediatric nurse, licensed school nurses, health care providers
• appointed by the Nurses Association, a pediatric nurse, licensed school nurses, health care providers
• appointed by the Nurses Association, a pediatric nurse, licensed school nurses, health care providers
• , a pediatric nurse, licensed school nurses, health care providers, pharmacists.

Keywords: 1187, senate, all

Transcript Highlights:

• Senate Bill 405 by Senator Talbot, relative to nursing facilities, to provide for a statewide quality
• oversight initiative for nursing facilities; to provide for goals and strategies; to provide for the
• It establishes a statewide quality oversight initiative for our nursing facilities.
• Senator, is this big hospital system's own nursing home? Don't answer that question.
• I guess I'll read them out: Wes Hadaway with Louisiana Nursing Home Association; Lemmy Walker; Kathy

Summary: The House Committee on Health and Welfare met on May 26 for what was described as the last meeting of the legislative session. H.R. 318 was voluntarily deferred without discussion. The committee first took up H.R. 298, which would have directed the Louisiana Department of Health, with the legislative auditor, to study LDH’s relationships with certain nonprofits, foundations, professional associations, and other nongovernmental entities. The author presented amendments narrowing the definitions, but LDH testified the language was still too broad, would still require substantial review of contracts, memberships, conferences, and related interactions, and would still carry a significant fiscal note. Members raised concerns that hospitals, provider associations, nonprofit care facilities, and other stakeholders could be swept in. The author then voluntarily deferred the resolution, and the committee agreed without objection. The committee then heard Senate Bill 405, which establishes a statewide quality oversight initiative for nursing facilities, directs LDH to work with facilities on care standards and remediation for lower-rated homes, and requires reporting and transparency for families. The bill drew broad support from members and stakeholders, including nursing home and senior advocacy groups, and was reported favorably without objection. House Resolution 290, which asked LDH to study a possible correlation between gender-affirming hormone therapy medications and psychosis or related psychiatric conditions in people 26 and younger, prompted questions about the purpose of the study and concerns that it could affect broader policy debates. The author, a licensed clinical social worker, said the request was intended to examine whether medications were being used too quickly and what effects they might have on adolescent mental health; after discussion, the author voluntarily deferred the resolution, and the committee agreed. Finally, the committee considered Senate Concurrent Resolution 61, urging LDH and commercial insurers to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license. Testimony focused on the Bridge Center for Hope, described as the state’s only Level 3 crisis receiving center, and the need to revisit Medicaid reimbursement for the first 23 hours of crisis care. With no questions or objections, the resolution was adopted. The meeting ended with members thanking the chair and staff, and the committee adjourned for the year.

Transcript Highlights:

• That is 100% taxpayer dollars in a state budget that we are looking at cuts to nursing homes.
• That is 100% taxpayer dollars in a state budget that we are looking at cuts to nursing homes.
• That is 100% taxpayer dollars in a state budget that we are looking at cuts to nursing homes.
• And we're looking at cuts<00:05:12.560> to<00:05:13.039> nursing<00:05:13.440> homes
• <00:05:13.840> and<00:05:14.160> other<00:05:14.639> health cuts to nursing

Keywords: 1183, house

Transcript Highlights:

• It's not a specialization in clinical rotation when you're getting trained as physicians or as nurses
• Then there's a skilled nursing home, and then there's Home Health.
• They think Medicare pays for my mom to go into a nursing home, right? No, and people...
• In a nursing home, right?
• They've been doing a bunch of training at all the nursing homes, and we're just tickled to death with

Keywords: 1136, house, all

Transcript Highlights:

• <01:23:25.840> home<01:23:26.080> that<01:23:26.400> was nursing home that was nursing
• The nursing home, I do nursing home.
• But there still is in a nursing home. But there still is in a nursing home.
• nursing home can do. nursing home can do. and<01:25:12.080> they<01:25:12.320> need
• My my family's work in nursing homes.

Keywords: 1187, senate, all

Transcript Highlights:

• Adair Wushner, registered nurse and executive director for Kentucky Right to Life. Thank you.
• I recently retired after a 44-year career as a nurse, 25 of those as a nurse practitioner.
• I am certified as a women's health nurse practitioner and a family nurse practitioner and spent the majority
• , 25 of those a 44 year career as a nurse, 25 of those as<01:27:19.840> a<01:27:19.880> nurse
• I am certified as a nurse practitioner.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• that he needed as he recovered. a nurse that he needed as he recovered.
• You can't pay nurses and doctors with charity care.
• This is going to help move nursing facilities over in that.
• Also, we are phasing out the nursing home layaway bed program.
• On a shared pain, let's be clear about what it is: it's staffing cuts and costs to nurses, nursing assistants

Transcript Highlights:

• to the Board of Nursing.
• Will that be the pharmacist, the tech, the nurse, the doctor?
• Um, like most of my legislative agenda, this began with nurses, the nurses.
• I also work as a pediatric nurse here in Austin.
• No, I work full time as a nurse now, but I still work.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Just last fall, we had to turn away more than 80 qualified applicants to our nursing program.
• And this happened during a statewide nursing shortage.
• school and join the nursing workforce.
• On the professional side, we worked and have worked very closely with FGCU, our nursing programs, our
• We're so proud of what we do in the nursing... ...nursing, not only in the nursing population, adding

Summary: The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably. The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU. The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.

Transcript Highlights:

• Now, a lot of schools might have school nurses, a lot of schools might not have school nurses, right?
• I am a registered nurse and DESE-certified school nurse going into my seventh year of school nursing
• I've been a nurse for well over 20 years.
• And I was so lucky that I was still nursing him. Nursing him was able to provide food at that time.
• I had just earned my Master of Science in Nursing and obtained board certification as a family nurse

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• Your nursing homes have their own hospices in many cases, so they're the nursing home, they own the hospice
• I can be in a Medicaid nursing home today.
• We have nurses, a dentist, a pharmacist, and a doctor on our staff.
• Home health care is like I said, it's skilled nursing.
• It's supposed to be a much higher level skilled nursing.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• There is also a transfer of $17.5 million from the hospital medical item to the public nursing home line
• it's designated to, but there are excess funds there, and we need to move it to cover the private nursing
• it's designated to, but there are excess funds there, and we need to move it to cover the private nursing
• we're not using to try to work on some of those issues, and we're transferring it over to private nursing
• for 424,000, also using the University Reserves for the Northwest Campus Main Building College of Nursing

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• Please recognize Representative Kelly to present the Nurse of the Day.
• Please recognize Representative Kelly to present the Nurse of the Day.
• Kelly, you are recognized to present the Nurse of the Day. Thank you, Mr. Speaker.
• It's my privilege to introduce our Nurse of the Day, Caitlin Slimha.
• Please welcome Caitlin Simac, our Nurse of the Day. Mr. Leader, thank you, Mr. Speaker.

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Transcript Highlights:

• And we're talking about now replacing all of our nurses with nurse assistants or even...
• Replacing all of our nurses with nurse assistants or even taking like one nurse and making them responsible
• And so if there's no nurse there on staff to take care of them because we couldn't afford to do it because
• their classroom and in their learning spaces that will benefit them, like providing counselors and nurses
• We heard other discussions about school counselors and school nurses and school budgets, and it has nothing

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, guest introductions, and approval of the journal. Members then adopted motions to extend the second regular session, suspend the seven-bill limit for budget-related measures, and request the Senate return SB 1786 (Artificial Intelligence Content Verification) for reconsideration. The House also moved into Committee of the Whole to consider calendar items. In Committee of the Whole, members advanced SB 1057 with a do-pass recommendation. SB 1171, dealing with health and human services, was amended on the floor amid discussion of fingerprinting and fraud prevention, with supporters saying it would help address Medicaid fraud and improve accountability; it was then recommended do pass as amended. SB 1424, an education bill requiring age-appropriate firearm safety instruction and guidance on safe storage, drew extended debate. Supporters framed it as common-sense gun safety and child protection, while opponents argued it was an unfunded mandate, infringed on parents’ rights, and diverted attention from core academics. A proposed Gutierrez floor amendment to shift the focus toward secure storage responsibility was rejected by division vote, 23-31, and the bill was then recommended do pass. SB 1515, concerning public safety pay, was amended to create a public safety parity fund using rainy day fund interest and was recommended do pass as amended. After the Committee of the Whole report was adopted, SB 1171, SB 1424, and SB 1515 were deferred to engrossing, SB 1178 was retained on the calendar, and SB 1057 was placed on third reading. The House then held an additional Committee of the Whole on SB 1552, adopted a minor floor amendment, and recommended the bill do pass as amended. On third reading, SB 1021 failed 22-35, while SB 1215, SB 1345, SB 1456, and SB 1493 all passed. The House also received several appropriations bills on first reading and adjourned until Tuesday, April 28, 2026, after announcing a special Joint Appropriations Committee hearing for the next morning.

Transcript Highlights:

• The bill has a definition of covered caregiver to include medical doctors, physicians, registered nurses
• , practical nurses, osteopathic physicians, participants in a medical residency, psychologists, counselors
• in the past few years to show that it's a fraction of the cost of them being in a facility, in a nursing
• , the nurse licensure compact. all those in favor raise your right hand all those opposed get the count
• , the nurse licensure compact, the occupational licensing compact, the licensed professional counselor

Keywords: 994, senate, all

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• I have a nurse who refused to treat my gout patient because she's saying it's because of her faith.
• We have a case right now of a nurse who refused to treat a patient because he's a MAGA person.
• HB 683, performance of physician assistants and advanced practice registered nurses by Representative
• Anna Higgins with the Florida Association of Nurse Practitioners is waiving in support.
• Nurse Registries, you are recognized.