Transcript Highlights:

• </c> it has implemented the Casper program it has implemented the Casper program Casper<00:03:18.080>
• </c> Kentucky and sadly I had a nurse Kentucky and sadly I had a nurse practitioner<00:07:07.319><c>
• One broad-range example would be the Footprints program, which is at St.
• </c><00:26:19.640><c> that's</c> like to see kind of a a program that's like to see kind of a a program
• </c><00:27:04.520><c> and</c> aware of these particular programs and aware of these particular programs

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• programs, with both practical nursing and the RN program being top recipients of Open Door scholarships
• in Arts, is our nursing program.
• And even our nursing programs continue to see increases in enrollments.
• in Arts is our nursing program.
• And even our nursing programs continue to see increases in enrollments.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Higher Education Appropriations Committee met for its first session of the year, took roll, welcomed new member Senator Bracey Davis, and had members briefly describe their backgrounds and interest in higher education. Chair Harrell framed the committee’s focus on maintaining Florida’s top national ranking in higher education and workforce development, with an emphasis on funding decisions tied to student success, workforce needs, and the state college system. Senior Chancellor Kevin O’Farrell presented the Department of Education’s workforce and Florida College System budget requests and data. He described requested increases for adult education, Florida College System program funding, workforce development, and several grant programs, including workforce capitalization, apprenticeship/teacher apprenticeship, Open Door, and CAPE industry certifications. He highlighted record enrollment and completion growth across Florida’s colleges and technical centers, major gains in career dual enrollment, and expansion in programs such as nursing, AI, cybersecurity, welding, HVAC, and manufacturing. Members asked about labor-market demand, the impact of artificial intelligence on future job training, teacher apprenticeship details, mission creep and duplication in CTE programs, student placement and wages after graduation, and articulation between technical college clock hours and college credit. South Florida State College President Fred Hawkins testified about challenges facing a rural college, including low local college-going rates, long travel distances, limited faculty recruitment due to salaries, and the need for more operational funding to expand capacity. He cited strong job placement and licensure outcomes in nursing, dental hygiene, EMT/paramedic, and radiography, and said the college is exploring AI tools to improve student services and reduce staffing pressure. Pinellas Technical College Executive Director Mark Hunter described strong dual enrollment, high job placement, employer partnerships, and a reported 400% return on investment, while also warning that many programs have waiting lists because of staffing and equipment constraints. He explained how technical college coursework is aligned with state college credit through content-based articulation agreements. The committee then opened the floor for public comment, but no additional business was taken up, and the meeting adjourned.

Transcript Highlights:

• continues</c><00:08:18.479><c> because</c> Fraud in this program continues because Fraud in this program
• </c> this program a career ending decision. this program a career ending decision.
• </c> not, I'll work through the other nurses not, I'll work through the other nurses or<00:59:14.079>
• of Clinical Nurse Specialists.
• This transition to practice limits where certified nurse specialists and nurse practitioners can work

Bills: HF3521 , HF3563 , HF82 , HF2689 , HF1794 , HF3544 , HF3516 , HF1752

Committee: House Health Finance and Policy

Transcript Highlights:

• California currently has no licensed midwife programs and only one nurse midwifery program accepting
• is the foundation for two new programs.
• However, at this moment, there's only one actively enrolling nurse midwifery program in the state.
• This will enable a strategic expansion of both nurse midwifery and licensed midwifery education programs
• is also proud to be the program administrator of three state abortion access grant programs.

Committee: House Health

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills focused largely on reproductive health, public health, housing, and health workforce issues. Early items included AB 54 and AB 260, both aimed at protecting access to medication abortion in California by shielding providers, manufacturers, pharmacies, and others from liability and by preserving access through telehealth and other delivery methods. Supporters, including the Attorney General’s office, Planned Parenthood, Black Women for Wellness, and other reproductive justice groups, argued the bills were needed to preserve access after Dobbs and amid federal threats. Opponents from the California Family Council and California Catholic Conference argued the measures removed safeguards and promoted unsafe abortion access. Both bills were moved forward on committee votes. The committee also heard AB 551, which would create a pilot program to help emergency departments provide evidence-based reproductive health services, and AB 309, which would remove sunset dates on laws allowing pharmacists to sell syringes without a prescription and clarifying that possession of sterile syringes for personal use is not a crime. AB 551 drew support from emergency physicians and reproductive health organizations, while opponents said it would expand abortion access without adequate safeguards. AB 309 was supported by public health, pharmacy, and harm-reduction groups as a proven HIV and hepatitis prevention tool; the California Narcotic Officers Association opposed it. AB 309 was approved, while AB 551 was also advanced. Other measures advanced included AB 536, which would preserve colorectal cancer screening coverage if federal preventive-care rules are disrupted; AB 804, which would make housing support services a Medi-Cal benefit and seek federal matching funds; AB 594, which would protect students from being charged for school health insurance after they withdraw and require notice of premium increases; AB 836, which would study and expand California’s midwifery education pipeline; AB 1418, which would require reporting on health coverage trends for eligible employees; and AB 1500, which would expand and preserve abortion.ca.gov as a trusted reproductive health information resource. Each drew supportive testimony from sponsors, health care providers, and advocacy groups, with some opposition to AB 1500 arguing the state should provide broader women’s health information rather than an abortion-focused site. Most of these bills were moved out of committee on party-line or near-party-line votes, and several measures were placed on call before final roll calls.

Transcript Highlights:

• </c> the safe at home program. the safe at home program.
• Nursing services is one of them. Nursing homes is one of them.
• </c> nursing home closes in a community. nursing home closes in a community.
• </c> About how safe standards and nursing homes will go in our nursing homes.
• </c> are no um nurses waiting to go work. are no um nurses waiting to go work.

Transcript Highlights:

• program rule.
• So, let's say an individual needs nursing, we authorize the nursing, but we do not have any over the
• </c> going to continue with nursing facility. going to continue with nursing facility.
• </c> new program? new program?
• And so program.

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• New nurses, new graduate nurses are leaving the profession at unprecedented rates.
• You will be able to recruit more nurses. There are plenty of nurses in our state.
• We don't have nurses.
• Doctors and nurses, okay?
• Keep our nurses here and attract our nurses through other means.

Transcript Highlights:

• School of Nursing program, we have 240 slots.
• , and a nursing program.
• This funding will increase our family nurse practitioner program by over 300% and our undergraduate nurses
• biology building to house the new nursing programs and allied health programs and to increase the capacity
• We expanded our allied health programs, including nursing and our new EMT program, and achieved a 45%

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• Youth development programs are defined as programs that serve youth from ages 5 to 24 and focus on holistic
• These programs may include mentoring, expanded learning opportunities, after-school or summer programs
• Thanks to our program, and we are one example of Washington's youth development programming.
• a program were available.
• 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:

• I'm Sandy Redding, a registered nurse and president of the California Nurses Association, a proud co-sponsor
• Nurses are not anti-tech. In fact, I'm an OR nurse. We save lives every day with technology.
• Nurses are not anti-tech. In fact, I'm an OAR nurse. We save lives every day with technology.
• It's youth programming.
• them to do is establish and set up a brand new program.

Summary: The committee heard AB 2575 on health care AI guardrails, with the author and supporters from the California Nurses Association and labor groups arguing that AI should support, not replace, clinical judgment. They said the bill would require basic disclosures about AI tools, protect workers from retaliation for overriding AI in good faith, and prevent developers or employers from shifting liability to frontline clinicians. Opponents including the California Medical Association, CalChamber, hospitals, and other health care organizations argued the bill would add costs, create uncertainty, and discourage useful AI applications. Committee members discussed bias in health care and accepted amendments narrowing the disclosure provisions; the bill was moved with a 7-1 vote and re-referred to Labor, Public Employment, and Retirement. AB 634 would ban the manufacture, sale, and distribution of products containing tianeptine, described by supporters as “gas station heroin.” The author and law enforcement supporters said the substance is dangerous, easily accessible, and can cause opioid-like addiction, while no opposition came forward. The committee also heard AB 1607 to extend the Maddy EMS Fund, which reimburses emergency providers for uncompensated care. Supporters said the fund is essential to keeping emergency departments staffed, especially amid expected coverage losses; an ACLU representative opposed the funding source because it relies on criminal and traffic fines. Members supported the need for the fund but raised concerns about the fairness and long-term stability of the revenue source, and the bill advanced on a 8-0 vote. AB 1906 would require coverage of at-home cervical cancer screening tests without cost sharing, and the author said the bill would improve early detection and reduce disparities, especially for rural and working Californians. Support came from Planned Parenthood, Health Access, and several health and labor organizations; insurers said they appreciated the amendments and were reviewing their position. The committee adopted amendments aligning the bill with clinical guidelines and passed it 6-0 to Appropriations. The committee also took up AB 2247, the Thrive Act, to create a pilot program for trauma and mental health services for youth affected by gun violence in four counties. Supporters described barriers survivors face in accessing counseling, while members questioned the narrow focus on gun violence, the choice of counties, documentation requirements, and whether the program should instead be housed in victim compensation. The bill passed 8-0 to Judiciary. Later, AB 2531 would expand California’s uncompensated care program so veterans denied abortion care through the federal VA system could receive coverage in California, and would add an abortion resources link for veterans. Supporters framed it as filling a gap created by federal restrictions; opponents argued state funds should not support abortion. Members noted the VA already provides many reproductive services but not this one, and the bill passed 7-0 to Military and Veterans Affairs. The committee also heard AB 1915, which would modernize restaurant facility rules and create a self-certification pathway for some equipment installations. Restaurant and business groups supported the bill as a way to reduce costly delays, while the Contractor State License Board opposed the self-certification provision over safety and inspection concerns. Members generally supported streamlining but echoed public safety concerns and indicated further work was needed.

Transcript Highlights:

• Boston College just opened its first nurse midwifery program, the first in Boston in 25 years.
• Today, hospital-at-home programs across the country and in the state are at risk.
• I'm the vice president of the Hospital at Home Program for Beth Israel Lahey Health.
• I am a registered nurse in Worcester.
• I practice with two nurse practitioners and one physician assistant.

Committee: Joint Joint Committee on Financial Services

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• </c><00:01:14.840><c> of</c> we'll start with program of we'll start with program of all-inclusive<00
• </c><00:01:28.479><c> was</c> authorized or this program was authorized or this program was authorized
• </c> is that they must meet a nursing is that they must meet a nursing facility<00:02:42.720><c> or</
• </c><00:03:35.200><c> primary</c> the disciplines PT OT nursing primary the disciplines PT OT nursing
• You mentioned the D Day program as one of the sites that they can get those programs.

Committee: House Human Services Finance and Policy

Transcript Highlights:

• and the program you open up a program and the program says<00:36:29.520><c> use</c><00:36:29.800><c>
• don't know if they do internships in nursing programs the way they do in rotations, the way they do
• don't know if they do internships in nursing programs the way they do in rotations, the way they do
• They could complete that program within six years and then be a school nurse.
• </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

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:

• An act to amend the Public Health Law in relation to the closure of nursing homes.
• An act to amend the Public Health Law in relation to the closure of nursing homes.
• and physician practice support program.
• home quality improvement demonstration program.
• home quality improvement demonstration program.

Committee: Senate Health

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

Transcript Highlights:

• In one example, we have a home care nursing agency.
• Her nursing home bills don't get paid.
• nursing home.
• In the Home Care Nursing Agency case, nurses aren't billed in the same way that PCAs are, and they're
• Is there a program here?

Bills: HF3043 , HF2891

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• The Nurse Home Visitor Grant Program to award grants to eligible organizations for the purpose of preventing
• HB 2828 establishes a grant program for voluntary, evidence-based nurse home visitations for pregnant
• Nurse Home Visitor Program proposed in HB 2828 and the Healthy Families Arizona... ...program.
• This grant program would provide support services for evidence-based nurse home visitation like NFP.
• So at that point, isn't the one organization, the FNP, the family nurse program?

Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.

Transcript Highlights:

• In case you're unaware, the federal government has a program that they call the Continuum of Care program
• In case you're unaware, the federal government has a program that they call the continuum of care program
• , for SSDI, for housing, all these different programs?
• , for SSDI, for housing, all these different programs?
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• I just think that more nurses and physicians and people in the medical field I just think that more nurses
• shortages and health science education programs in addition to nursing education programs.
• shortages and health science education programs in addition to nursing education programs.
• education program, institutional health science education degree, or certificate program.
• SB 1246 also revises allowable uses of fund monies for nursing and health science education programs

Committee: Senate Fiscal Policy

Transcript Highlights:

• practitioners versus departments staffed solely by nurse practitioners.
• practitioners versus department staffed solely by nurse practitioners.
• Nursing, in a 2022 study examining nurse practitioner preparation for emergency department practice.
• So we have nurse practitioners that have specialized in emergency care.
• I'm also an ER nurse. I have 11 years' experience in the ER.

Committee: House Professional Registration and Licensing

Summary: The committee first completed action on House Bill 3009, adopting an amendment, rolling the bill into a House Committee Substitute, and then voting do pass on the substitute by a 20-0 roll call vote. The meeting then moved into public hearing on House Bill 1963, which would reduce from five years to three years the amount of licensed practice required before certain social workers may supervise others. Representative Tara Peters said the change would help address Missouri’s behavioral health workforce shortage, especially in rural areas, and testimony from the National Association of Social Workers and Burrell Behavioral Health supported the bill as a way to remove a bottleneck without changing education or supervision-hour requirements. There was no opposition testimony on HB 1963. The committee then heard House Bill 2557, which would require a physician to be physically present in an emergency department during all hours of operation. Representative George Hruza argued the bill would improve patient safety and standardize emergency care, while noting possible telehealth accommodations for low-volume critical access hospitals. Supporters, including physicians and medical associations, said patients expect physician-led emergency care and that physician presence is the gold standard. Opponents, led by the Missouri Hospital Association and several rural hospital administrators, argued the mandate is not realistic given physician shortages, could force rural ER closures, and would reduce access to care; they emphasized that current hospital models rely on teams, telehealth, and transfer protocols. The bill drew extensive discussion but no vote was taken. Finally, the committee heard House Bill 311, which would modernize Missouri’s bail bond laws by creating a professional board and tightening training, oversight, and recovery procedures. Representative Brandon Phelps said the industry itself wants clearer standards and that he may revise the bill in committee substitute form to merge the new board with an existing board to reduce costs. A bail bond industry representative testified in support, saying the profession wants higher standards and accountability. The chair then adjourned the meeting after testimony concluded.

Transcript Highlights:

• assistant, to expand your educational program.
• So in general, we want programs to have access to all the information they need, irrespective of a program
• So from 2023 to 2025, the state did invest in skill center nursing program grants for simulation laboratory
• We hope to pair many of them up with programs like Mount Sai or manufacturing programs who can support
• I have to explain to me is how that number of programs is not having a That number of programs is not

Committee: House Education

Summary: The House Education Committee heard status reports on career and technical education (CTE), including OSPI’s implementation of 2024 legislation on allied health pathways and a statewide CTE task force, a Core Plus Maritime update, and a longitudinal study from Education Northwest on CTE access and outcomes. OSPI described work with health agencies and employers to develop allied health bridge programs such as home care aide to nursing assistant, update curriculum and equivalency frameworks, align CIP codes, and support schools with guidance and grants. The agency also reported strong results from nursing simulation investments, including a 97% first-time pass rate for nursing assistant certification among skill center recipients, and said the task force created by later legislation has expanded membership, is meeting remotely, and is due to report recommendations by November 2026. Committee members asked about health profession commissions, rural district access, employer partnerships, and data updates; OSPI said outreach is ongoing and that local program variation reflects regional labor markets. Core Plus Maritime presenters said the program is expanding from traditional maritime and manufacturing pathways into middle school and marine transportation, using low-cost ROV curriculum, ferry and Sea Scout experiences, and teacher training in marine safety. Employer representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group said the maritime sector needs a strong workforce pipeline, supports family-wage jobs, and is investing in student opportunities, including career fairs, materials for school shops, and a planned student welding competition. A teacher from South Kitsap High School said Core Plus Maritime gives students a clear pathway into maritime careers and has helped connect students to jobs and further training. The committee briefly discussed water safety instruction, and presenters said students are also encouraged to earn boater education cards. Dr. Sam Riggs of Education Northwest presented findings from a statewide longitudinal study of roughly 750,000 students from 2013-14 through 2023-24. The study found that CTE participation is very high and has grown over time, with nearly all students earning at least some CTE credit and about 45% earning two or more credits in a single pathway. Access to pathways is uneven: suburban, higher-income, and larger schools offer more pathways than rural, lower-income, and smaller schools. Students who earned more CTE credits, especially within a single pathway, were more likely to graduate on time and, in several clusters such as manufacturing, transportation, agriculture, and architecture/construction, had stronger postsecondary certificate attainment and higher earnings years later. Riggs said the data suggest CTE is especially beneficial for male students and that the state should examine barriers to deeper participation and consider whether the graduation requirement should better encourage pathway depth while preserving flexibility and exploration.