Transcript Highlights:

• We are worried about the implications, particularly for people in nursing homes who may get kicked off
• of their nursing home.
• I am real concerned about people in nursing homes because while those of you who say...
• But you should sell your asset to pay for the nursing home if it's not occupied by a spouse.
• home. supposed to have been in a nursing home for 30 days, so I don't know.

Bills: SB245 , SB246 , HB30 , HB30

Committee: Senate Finance and Taxation General Fund

Keywords: SB245, public assistance, Medicaid, SNAP, food assistance, Alabama Medicaid Agency, Department of Human Resources, eligibility verification, self-attestation, data matching, fraud prevention, improper payments, program integrity, benefit eligibility, income verification, residency verification, asset verification, electronic benefit transfer, EBT, cross-checks

Transcript Highlights:

• Nurses have incredibly important jobs.
• In the early 90s, I watched my mom, a registered nurse, gather with a band of her nurse friends and stand
• This bill takes away those freedoms as a nurse and as a teacher.
• In the early 90s, I watched my mom, a registered nurse, gather with a band of her nurse friends, and
• This bill takes away those freedoms as a nurse and as a teacher.

Summary: The committee took up several bills and confirmations. It reported favorably SB 332, as amended, on a narrow public-meetings/public-records exemption for legal strategy and settlement communications during the pre-suit period in Burt Harris claims; SB 464, requiring K-12 schools to formally observe Veterans Day; SB 984, clarifying firefighter cancer/death-benefit provisions and related prevention language; SB 576, expanding and codifying the local government cybersecurity protection program under Florida Digital Service; SB 964, revising how certain gifts and honoraria are reported to the Commission on Ethics; SB 1612, requiring local governments to accept electronic payments with exceptions and a delayed effective date; SB 830, creating public-records exemptions for certain local government administrators and their families; SB 1096, clarifying the filing deadline for Florida Civil Rights Act complaints; and SB 1656, designating the SS American Victory as Florida’s official state flagship. The committee also considered a large confirmation package. Jeffrey Aaron’s appointment to the Public Employees Relations Commission was discussed separately after Senator Polsky raised concerns about his political connections and prior work; the committee still recommended him favorably. The remaining appointees on tabs 12 through 30 were also recommended favorably in one vote. The longest and most contentious item was SB 1296, with a committee substitute, on the Public Employees Relations Commission and public-sector unions. The PCS would change union certification/recertification rules, require a recent showing-of-interest form, create different voting thresholds for public safety and non-public safety employee organizations, limit paid union leave for non-public safety unions unless reimbursed, require equal access to certain employer communication spaces, and speed up impasse procedures for legislatively funded salary increases. Senators raised constitutional concerns, especially about the single-subject rule and collective-bargaining rights, and many speakers opposed the bill as union-busting and harmful to teachers, bus drivers, nurses, utility workers, and other public employees. Supporters argued it would improve accountability, ensure genuine member support, and prevent taxpayer-funded union activity. The committee continued debate on SB 1296 after extensive testimony, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• Boy, that brings it close to home.
• possum nurse?
• This simply adds charter school nurses.
• possum nurse?
• This simply adds charter school nurses. it allows level This simply adds charter school nurses.

Bills: HB34 , HM7 , HM8 , HM17 , HM3 , HM11 , HM14 , HM15 , HM21 , HM25 , HM34 , HB95 , HB111 , SB1 , HJR1 , HM4 , HM22

Summary: The House convened with quorum, prayer, pledges, and a series of memorials, certificates, guest introductions, and legislative messages. House Memorial 8 honored the Dr. Martin Luther King Jr. Commission and Dr. King’s legacy; members spoke about the commission’s work in promoting service, liberty, equality, and student leadership. The memorial passed unanimously, 70-0. Later, House Memorial 25 recognized victims of violent crime and their families, with emotional testimony from lawmakers and guests describing the lasting impact of homicide and the importance of survivor voices. That memorial also passed unanimously, 70-0. The chamber then recognized numerous guests, including Kid Frost, several student “shadows” from Belen High School and other schools, Santo Domingo Pueblo leaders, Habitat for Humanity volunteers, CNM board members and students, Southwest Cheese representatives, military installation leaders, and others. Members also highlighted community events and receptions, including Silver Spikes Day and a 100th bill celebration. The House received several executive messages from the governor authorizing bill submissions on virtual power plants, apprenticeship funding for public works, AEDs at school athletic activities, and an energy affordability and grid reliability commission, along with a Senate message transmitting Senate Bill 2. Committee reports were adopted on a number of measures, including House Bills 145, 200, 32, 33, 61, 201, 153, 154, 184, 110, and 109, plus House Memorials 23, 24, and 26, and House Joint Memorial 2. The Appropriations and Finance Committee also reported a substitute for House Bills 2 and 3, which was adopted. On third reading, Senate Bill 1, dealing with a doctor compact for New Mexico, passed the House 64-0 after discussion about its role in physician recruitment and the need for malpractice reform. House Bill 34, a cleanup bill related to nurse licensure and charter school nurses, was also taken up for debate, with questions focused on the three-tier nurse evaluation system and recruitment impacts.

Transcript Highlights:

• So those are things that I can do at home. I'm CPR certified. Or things that I can do at home.
• New doctors, new nurses, no shared understanding of his diagnosis.
• And my colleague, Heidi Lucas, had to rush home for an emergency.
• I'm here to represent the Missouri Emergency Nurses Association.
• That includes nurses, techs, our clerks, and everyone else.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• And because of that, he was declined entrance into the nursing home.
• That wasn't bad enough, but the options were two: either we take him home or he's placed in a nursing
• With an EpiPen, you need to go into a nursing home. So let me show you what it is.
• With an EpiPen, you need to go into a nursing home. So let me show you what it is.
• And I think it's important we do what we can to keep people out of nursing homes, especially if it's

Summary: The committee met with a quorum present and heard six bills, all of which were reported favorably. HB 1567, relating to insulin administration by direct support professionals, was amended to clarify the type of insulin that may be administered and to allow supervision of self-administration of an insulin pen. Supporters described the bill as a way to keep people with developmental disabilities in group homes rather than forcing institutional placement; the amendment and bill both passed unanimously, 17-0. PCS for HB 1103, on services for persons with disabilities, would expand the APD managed care pilot statewide in phases, require more transparency on waitlist data, create a statewide family care council, and address transition services for young adults leaving foster care. Testimony was mixed: supporters emphasized the long APD waitlist and the need for a voluntary option, while some witnesses and members raised concerns about the accelerated rollout, limited data, and preserving consumer-directed care. The committee adopted the bill 17-0. CS for HB 127, on exceptional student education, would create micro-credentials and coordinate with the Florida Center for Students with Unique Abilities and OSHA to support students with disabilities transitioning to work; it passed 17-0 after testimony from a parent and advocates. HB 989, concerning licensure of family foster homes, was amended to streamline license transfers for foster parents moving within Florida while maintaining oversight and directing DCF rulemaking. A teacher and other supporters said the bill would reduce bureaucracy and help children remain in stable homes; it passed 17-0. PCS for HB 1091, on substance abuse and mental health care, updates processes related to the 988 crisis line, methadone treatment needs assessments, and forensic evaluators, and adds data/reporting requirements for DCF managing entities. After one amendment and testimony from supporters and one opponent, it passed 16-0. Finally, HB 633, on behavioral health managing entities, was amended and then approved 17-0; it requires more structured data and reporting from managing entities to increase accountability and transparency in the behavioral health system.

Transcript Highlights:

• Whereas the Legacy Keepers Nurse Honor Guard of Arkansas was established in 2025 by a group of nurses
• Arkansas upholds the legacy of nursing as a sacred calling and honors those nurses who gave so much
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.

Transcript Highlights:

• Is that the nursing home provider?
• </c><01:32:28.040><c> the</c> of our nursing homes and I believe the of our nursing homes and I believe
• I agree our nursing homes do great work, but I have a nursing home in my district that's been purchased
• I agree our nursing homes do great work, but I have a nursing home in my district that's been purchased
• I agree our nursing homes do great work, but I have a nursing home in my district that's been purchased

Committee: Senate Health and Human Services

Transcript Highlights:

• in their home.
• So, skilled care in the home, such as nurses and occupational therapists.
• Versus a nursing home placement, there is a cost savings of over $5,000 a month.
• rather than in a nursing home or institution.
• For example, while a nursing home placement can cost around $9,000 a month, home and community-based

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• The back-door cases are typically those nurses that have violated the nurse practice act.
• And that's what we want nurses to do: go to work.
• I am both a registered nurse and an attorney, and for more than 25 years, I've represented nurses and
• The nurse experienced years of prolonged uncertainty, and importantly, if the nurse posed a risk, the
• centers, nursing homes, and mental health facilities.

Committee: House House Health & Human Services Committee of Reference

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

Transcript Highlights:

• My daughter required 24-7 home nursing, of which I spent more than 18 years learning to be a nurse with
• No home care nurse is licensed to do that, but a mother in home care is for some reason.
• No home care nurse is licensed to do that, but a mother in home care is for some reason.
• National Nurses United, the largest nurses union in the U.S., and the American College of Physicians,
• National Nurses United, the largest nurses union in the U.S. and the American College of Physicians,

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• </c> behalf of the Minnesota Nurses behalf of the Minnesota Nurses Association<00:13:22.560><c> or</c
• unless she had that home licensed.
• They will not want to be nurses and doctors and chiropractors and nurse practitioners and PAs.
• Nurses will not regulate nurses. The boards still have that responsibility.
• </c><01:15:03.760><c> the</c> the nurses will not regulate nurses the the nurses will not regulate nurses

Committee: Senate Health and Human Services

Transcript Highlights:

• And so do our other nursing homes in our communities.
• They are being served in other nursing homes in our communities.
• 54.080><c> homes</c><00:55:54.480><c> in</c><00:55:54.600><c> our</c> do our other nursing homes in our
• </c> They are being served in other nursing They are being served in other nursing homes<00:56:17.200
• </c><00:58:47.320><c> home</c><00:58:47.600><c> goes</c> that the next veterans nursing home goes that

Summary: The meeting opened with the pledge and prayer, a roll call established quorum, and members announced a Veterans Caucus meeting to follow the session. The committee also recognized distinguished veteran Joe Mash Masterson of Bardstown, who was praised for his Army service, long-time advocacy for veterans, and leadership in the American Legion and local veteran organizations. Masterson thanked his family, the American Legion Post 121, and the VA staff, and several members offered remarks honoring his service and the committee’s practice of recognizing veterans. The committee then briefly addressed a referred administrative regulation, 017 KAR 001 030, which leadership described as technical updates to existing policy; no vote was taken. After that, members heard testimony from KDVA and Finance and Administration officials on the ongoing HVAC replacement project at the Radcliffe Veteran Center. Officials said the system had been problematic for years, that design work began early to accelerate the project, and that the work was complicated by the need to replace the system in an operating nursing facility. They explained that the project was bid in March, awarded to Less Mechanical, and that protective measures, shop drawings, and equipment orders were underway. Committee members pressed officials on why the problem had taken so long to resolve, why the original system had been installed, whether the issue had been communicated regularly, and whether the state should be paying for a replacement in a relatively new facility. Officials said the original system’s components and warranties had failed, that they had tried to replace parts before moving to a full replacement, and that the system’s manufacturer and quality differed from a similar facility in Glasgow that had not had the same issues. They said the current phase one contract was about $6 million, with the remaining funds held for phase two to restore full occupancy; phase two design was nearly complete and could be bid later if funding is approved. Officials estimated phase one completion around January 2026 and full completion around March 2027, depending on funding and scheduling.

Transcript Highlights:

• home.
• enrichment from my parents, who wouldn't get home for hours.
• and the School Nurses Organization of Washington.
• The Washington State Nurses Association and the School Nurses Organization of Washington also testify
• I am a retired school nurse administrator and a school nurse here in Washington State.

Bills: SB5992 , SB5918 , SB5951 , SB6042 , SB5952 , SB5961 , SB5969

Committee: Senate Early Learning & K-12 Education

Keywords: youth development, funding, positive programs, youth services, community programs, school funding, education, supplies, operating costs, K-12 education, albuterol, access, public schools, private schools, healthcare, school safety, emergency preparedness, mapping, local education policies, curriculum requirements

Transcript Highlights:

• Paralympic team to take home the gold again.
• , talk a little bit about nursing, but that'll be another shared service. that when I get into the nursing
• I think our nursing is doing really well.
• We have our PN nurses, those are the current ones, and then our associate degree nurses.
• Questions on nursing? Dr. Govind. Oh, practical nurse. My apologies. Yeah, practical nurse.

Committee: Joint Higher Education Institutions Committee

Summary: The committee met at Dakota College at Bottineau, approved the January 15, 2026 minutes, and heard a campus presentation from Dean Corey Gorder and President Steve Shirley. Gorder outlined DCB’s leadership changes, its affiliation with Minot State, and extensive shared services with Minot State, UND, and NDSU in areas such as business office functions, financial aid, payroll, HR, Title IX, printing, and institutional research. He said shared services help smaller campuses access expertise, and committee members asked about cost allocation and accreditation limits; Gorder said the arrangements are negotiated between institutions and that, to his understanding, academic accreditation is not affected by these service-sharing agreements. The committee also discussed DCB’s enrollment, dual credit reach, and program mix, including nursing, dental assisting and hygiene, paramedic training, drone certification, and farm management. Gorder said DCB wants to expand higher-demand, trade-oriented programs, strengthen Minot programming, and address facility needs, especially residence halls and space constraints in dental programs. Members asked detailed questions about dual credit, including how DCB develops relationships with high schools, whether it has exclusivity, who teaches the courses, and whether credits transfer. Gorder said relationships are built through outreach and existing school connections, that schools may choose other providers, and that DCB pays stipends to instructors under institution-specific formulas. NDUS staff Lisa Johnson said transfer problems are rare within North Dakota and usually arise only with highly selective out-of-state institutions. Gorder also noted that DCB’s dual credit and campus programming are heavily tied to rural schools and that the college is trying to streamline dual credit delivery as enrollment and staffing demands grow. The committee then heard from the North Dakota Student Association, whose representatives outlined student priorities from the last legislative session and the interim. Their main themes included campus safety, mental health resources, academic freedom, scholarships and affordability, teacher incentives, workforce readiness, housing, food accessibility, student research funding, internships, and campus collaboration. They said they supported or opposed various bills related to those issues during the 69th Legislative Assembly and emphasized that students want affordable, safe, and academically strong campuses. Committee members asked about housing affordability, food insecurity, research opportunities, and dual credit transfer and expansion. No votes were taken on policy matters during this portion of the meeting.

Transcript Highlights:

• This has been a body of work that's been going on for quite some time, trying to find a home.
• And as we think about the work happening in human ...a home.
• enrichment from my parents, who wouldn't get home for hours.
• When this bill was brought to me and was explained to me, it really kind of hit home to me.
• I am a retired school nurse administrator and a school nurse here in Washington State.

Summary: The committee first heard Senate Bill 5992, which would create a non-appropriated Youth Development Fund account to support grants for positive youth development programs serving ages 5 to 24. Staff explained that OSPI would administer grants to nonprofits, tribes, and local parks and recreation entities, with school districts and ESDs eligible mainly as partners; annual reporting would be required. The sponsor and many testifiers, including students, youth-serving nonprofits, tribal representatives, and agency partners, described after-school, mentoring, arts, sports, outdoor, and wraparound programs as important for mental health, belonging, safety, civic engagement, and prevention, especially for vulnerable and rural youth. The committee then moved to executive session and adopted a substitute and passed SB 5992 to the Rules Committee. The committee also took executive action on Senate Bill 5952, which would standardize the process for excusing high school students from physical education, and on Senate Bill 5961, which would transfer the Imagination Library of Washington from DCYF to OSPI. In both cases, the committee adopted proposed substitutes that narrowed or adjusted the bills, then voted them out of committee: SB 5952 was sent to Rules, and SB 5961 was sent to Ways and Means. The committee also heard Senate Bill 5969 on allowing an IEP transition plan to satisfy high school and beyond plan requirements; after discussion, a substitute was adopted that instead directs OSPI to reduce duplication in the statewide IEP system, and the bill was passed to Ways and Means. Later, the committee heard Senate Bill 5918, which would increase materials, supplies, and operating costs (MSOC) funding by $100 per student or $100,000 per district, whichever is greater, starting in the 2026-27 school year. Testimony from educators, administrators, school board members, PTA, and OSPI emphasized that districts are using local levy dollars to cover basic operating costs such as utilities, insurance, curriculum, and maintenance, leaving less for enrichment and forcing cuts or deferred purchases. One opponent argued against additional taxes and questioned the return on school spending. The sponsor framed the bill as necessary to meet the state’s paramount duty to fund basic education. The transcript then shifted to Senate Bill 5951 on school access to albuterol, which would allow schools to keep stock albuterol under a statewide standing order and let trained staff administer it under certain conditions; students, nurses, and advocates testified that stock albuterol could reduce absences and improve safety for students with asthma. Finally, the committee began hearing Senate Bill 6042 on school mapping, which would require school safety plans to include accurate, interoperable digital maps for first responders; the sponsor and emergency response witnesses said standardized maps are critical for coordinated, timely response in school emergencies.

Transcript Highlights:

• Take out new loans, or even remortgage their homes.
• You have to be a nurse. Okay. Yep. So, yeah, I'm glad that you asked.
• I have so much respect for our registered nurses.
• Without their help, I would have kept my toddler home from daycare.
• I would have kept my son home from daycare, and can you imagine a toddler being home while you're recovering

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Members, Florida currently has a nursing shortage which is predicted to grow to over 59,000 nurses by
• Overall, we have programs that are bachelors of nurses. We have practical nursing programs.
• So our point is, let's look at all nursing programs and not just private nurse programs.
• We'll get more nurses that way and we'll solve the nursing shortage.
• Not just anyone can teach nursing. Not just anyone can teach nursing.

Summary: The Careers and Workforce Subcommittee heard three bills. HB 919 on nursing education programs would tighten accountability for nursing schools with low NCLEX pass rates by shortening the probation period, requiring remediation plans, mandating free remediation for students who fail, and requiring tuition reimbursement for programs with very low pass rates. The sponsor argued Florida’s nursing pass rates are unacceptably low and that stronger consequences are needed; opponents warned the bill could shut down programs, worsen the nursing shortage, and unfairly target private schools, while supporters said it would protect students and improve outcomes. After debate, the bill was reported favorably by a vote of 18-0. The committee then heard PCS for HB 1261, the “Smart Living Act,” a student-driven proposal from Jefferson High School in Hillsborough County to expand personal financial literacy and practical life-skills instruction in high school. Students and school officials testified that the bill would better prepare graduates for adulthood by covering topics such as budgeting, credit, loans, FAFSA, resumes, interviews, and basic household skills. Members praised the students’ work and the bill’s practical focus, and the PCS was reported favorably 18-0. Finally, the committee considered HB 809, which would exempt school social workers from educator certification requirements for general and subject-area knowledge. Supporters from Lee and Broward counties said the current testing requirement is unrelated to social work, creates financial and recruitment barriers, and has contributed to staffing shortages. Members from both parties supported the measure as a simple way to remove an obstacle to hiring and retaining school social workers. HB 809 was also reported favorably by a vote of 18-0, and the meeting adjourned after all agenda items were completed.

Transcript Highlights:

• c><02:14:54.719><c> they</c> retirement home as a nurse and they retirement home as a nurse and they
• So the example you gave about the nursing home: the nurse comes in and wants certification, but if she's
• or he's been in a nursing home, then the language here says with a priority within pediatric settings
• </c><02:18:11.120><c> comes</c><02:18:11.319><c> in</c> the nursing home so the nurse comes in the nursing
• </c><02:18:18.599><c> here</c><02:18:18.800><c> was</c> nursing home then the language here was nursing

Summary: The committee heard testimony on HB 129, which would redefine “evidence-based” in public education to require objective, science-based evidence for pedagogical methods. The prime sponsor said the bill is a verbatim reintroduction from the prior session and argued that current federal definitions are too vague, allowing subjective surveys and other weak evidence to justify teaching methods. He said the bill is limited to pedagogy, not subject matter, and is intended to improve student outcomes, reduce fad-driven practices, and potentially save money by limiting unnecessary retraining and new materials. Members asked repeatedly about the bill’s scope, including whether it would affect classroom teachers, curriculum content, and existing instructional approaches such as phonics versus whole language or queuing. The sponsor said the bill applies to state and local education bodies and educator training policies, not individual teachers in their classrooms, and that teachers would retain flexibility. He also said standardized testing could be part of a scientific study but is not itself a study, and that textbook providers could be asked to furnish the studies supporting instructional guidance included in their materials. Several members raised concerns about the fiscal note and possible cost shifts to local districts and taxpayers. The sponsor disputed the idea that the bill would necessarily create major new costs or require additional staff, saying any costs would likely be limited and that the department is already applying federal evidence-based rules. He also said if some current methods are not science-based, updating them would be justified even if there were some initial expense. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• home engagement, That they continue to grapple with, and then, to some extent—and the nursing home example
• Home Residents, and it took a while for every section to be upheld by the court. for nursing home residents
• home rights for people.
• In addition, CHCQ oversees the certification of nurse assistants, home health aides, hemodialysis technicians
• , and the licensing of nursing home administrators.

Summary: The Select Committee on Older LGBT Californians held an inaugural hearing focused on the health care and support needs of older LGBTQ Californians, including older adults living with HIV and transgender, gender non-conforming, and intersex seniors. Committee members and state officials discussed the California Master Plan for Aging, the first statewide survey of LGBTQIA older adults, and the need to address discrimination, social isolation, housing insecurity, economic instability, and gaps in culturally competent care. Several speakers emphasized that older LGBTQ adults often lack traditional family caregiving supports and may face vulnerability in nursing homes or other institutional settings. Testimony from advocates and people with lived experience highlighted the impact of federal actions, including H.R. 1, on Medi-Cal, housing, and benefits, and called for stronger state action, outreach, and navigation services. Justice in Aging urged more investment in home- and community-based services and warned that Medicaid cuts could increase institutionalization. The Department of Aging described its survey findings and said it had convened a lived-experience advisory board, updated data tools, and incorporated HIV as a factor in local aging plans under SB 258, though members pressed for clearer implementation and accountability. CalHHS described coordination across departments, Medi-Cal coverage of gender-affirming care, PACE, and other services, while the Department of Public Health outlined Ryan White, ADAP, HOPWA, Medi-Cal waiver, and PrEP-AP programs serving older adults with HIV. The hearing also featured extensive testimony from people aging with HIV, who described fragmented systems, benefits cliffs, housing costs, and the need for legal and case-management support. One witness urged funding for HIV-specific housing and navigation services, while another described how case management and safety-net programs help clients manage medication, food, transportation, and housing needs. In the final panel, the Department of Social Services reviewed protections for TGI seniors in licensed care facilities, including SB 219, nondiscrimination notices, resident rights postings, required staff training, and complaint investigations. No formal votes were taken; the chair repeatedly asked departments to follow up on implementation gaps, data visibility, and possible budget or policy responses.

Transcript Highlights:

• She added that if there were another staff person, like in a nursing home setting, there is typically
• </c><00:19:32.080><c> home</c><00:19:32.320><c> setting,</c><00:19:32.640><c> typically</c> in the nursing
• home setting, typically in the nursing home setting, typically there's<00:19:33.280><c> an</c><00:19
• </c> difference between skilled nursing difference between skilled nursing facilities<00:26:36.559><c
• </c> nursing and uh assisted living overall. nursing and uh assisted living overall.