Transcript Highlights:

• So we say, you know, I know you're a nurse.
• I know that also, Madam Chair, the nursing agencies reach out all the time.
• I'm a nurse practitioner, and I'm here on behalf of the New Mexico Nurse Practitioner Council.
• There are close to 700 nurse practitioner openings and more than 6,400 nursing openings, according to
• Do we currently track graduates and licenses for nurses and doctors?

Transcript Highlights:

• I'm sorry, we have a nurse: Martha Brannister. Martha Brannister, are you online?
• estimated 1 million ostomates in the U.S. and only 10,000 certified ostomy nurses.
• In Massachusetts, there are over 167,000 registered nurses, but only 199 hold ostomy nurse certifications
• I was in a nursing home, and my hearing aids that I did finally get were stolen.
• These are all things that the ostomy nurse and the patient decide together.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• Good afternoon, Ashley Davis, Director of the Arkansas State Board of Nursing.
• Good afternoon, Ashley Davis, Director of the Arkansas State Board of Nursing.
• Good afternoon, David Dawson, attorney for the Board of Nursing. Thank you for being here.
• I believe we're on D, advanced practice registered nurse, right?
• We did have a couple of comments from the Nurse Practitioner Association.

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• Department of Health, Arkansas State Board of Nursing. You're invited to join us at the table.
• Good afternoon, Ashley Davis, Director of the Arkansas State Board of Nursing.
• Good afternoon, David Dawson, the attorney for the Board of Nursing. Thank you for being here.
• I believe we're on D, advanced practice registered nurse. Right.
• We did have a couple of comments from the nurse practitioner association.

Keywords: 1204, all

Transcript Highlights:

• We, the hospital, the nursing facilities, and behavioral health costs are increasing.
• We, the hospital, the nursing facilities, and behavioral health costs are increasing.
• behavioral<00:54:31.599> health nursing facilities and behavioral health nursing facilities
• But during COVID, a lot of our nursing facilities shut down wings, all right?
• more people being in the nursing more people being in the nursing facility<00:58:22.559> as

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• and Public Health Nursing this January.
• demands that ER and critical care nurses demands that ER and critical care nurses face<01:13:56.200
• Thank inspired my own career in nursing.
• , is to hear where the nurse wanted their child to go.
• , cuz you heard a testimony of a nurse, cuz you heard a testimony of a nurse, is<01:23:48.280>

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• It's only free of charge if they are, in fact, in the nursing home or assisted living.
• Why would driver that would be basically uh nursing homes, assisted living?
• Why would driver that would be basically uh nursing homes, assisted living?
• thing that you said, you said nursing thing that you said, you said nursing homes homes homes and
• uh nursing homes, assisted living? uh nursing homes, assisted living?

Keywords: MS House Floor - 5 March, 2026; 10:00 AM, 925, all

Summary: The House convened with prayer and the Pledge of Allegiance, then confirmed a quorum, dispensed with the journal reading, and moved into the calendar. Members also introduced several visitors and groups in the galleries, including AFL-CIO representatives, Volunteer Mississippi, the Mississippi Alliance of Nonprofits and Philanthropy, New England College students on a civil rights tour, and other guests and constituents. The chamber then proceeded through a series of motions to reconsider, table, or advance bills on the calendar. On the appropriations calendar, the House passed several Senate bills after adopting strike-off or amendment language. Senate Bill 2896, described as a potential trooper pay raise measure, was amended and passed 128-0. Senate Bill 2898 increased the MIMA disaster assistance trust fund from $20 million to $40 million and passed 128-0, and Senate Bill 2924 authorized spending from that fund and passed 119-0. Other appropriations measures included Senate Bill 2825 on the healthcare industry zone act, Senate Bill 2832 extending a repealer for the short-line railroad tax credit, Senate Bill 2834 on motor vehicle specialty tags, Senate Bill 2835 allowing banks to use third-party vendors to check liens, and Senate Bill 2846 on conduit bonds; each was explained as largely conforming to House language or adding reverse repealers, and each passed overwhelmingly. The Ways and Means calendar included Senate Bill 2850, which removed a reverse repealer and updated the Advantage Jobs Act to align incentives with prior commitments and future tax changes; it passed 119-0. Senate Bill 2873 expanded administrative forfeiture procedures to products on the cigarette and ends registry and passed 117-1. Senate Bill 2882 clarified that tax assessors cannot require settlement statements for homestead exemptions and passed 118-0. Senate Bill 3111, which would exempt up to 10 cases of wine donated annually to nonprofits from alcohol taxes, drew some concern and passed 97-13 after a reverse repealer was added. Senate Bill 316 added energy storage facilities such as batteries to the definition of alternative energy for local ad valorem tax purposes and passed 114-1. Senate Bill 3124 revised the Pregnancy Resource Act to allow individuals as well as businesses to participate in the tax credit, adjust reporting and in-state requirements, and incorporate House language; the transcript cuts off before the final vote on that bill.

Transcript Highlights:

• <00:14:11.680> home<00:14:12.360> nursing<00:14:12.720> home like nursing home
• nursing home like nursing home nursing home protection.<00:14:13.280> There's<00:14:13.440>
• and nursing homes. and nursing homes.
• assisted living facilities and nursing assisted living facilities and nursing homes,<00:23:14.280
• cares provided in nursing homes.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:07:28.840> or<00:07:28.960> a advanced practice registered nurse or a advanced
• , therapy, home health aid, home care nursing, and homemaker services.
• The amendment, as mentioned, provides compensation to nurses who agree to serve as a preceptor for nursing
• <01:52:32.520> staff current workload of our nursing staff current workload of our nursing
• an elderly waiver program or a nursing an elderly waiver program or a nursing home<01:54:00.679>

Keywords: 1187, senate, all

Summary: The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity. DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028. Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.

Transcript Highlights:

• I have staff that provide services, so we have some nurses, we have physicians, we have clinicians.
• So when you think about our nursing facilities, our child care facilities, our food, right, we do food
• restaurant licensing um our nursing facilities<00:16:26.680> so<00:16:26.959> we<00:16
• Oh, okay, I'm... nursing homes we do the um but not the nursing homes we do the um but not the individuals
• I think it was mentioned just now: how do we bring back our retired nurses? We need them.

Keywords: 1189, house, all

Transcript Highlights:

• And the other nurse, I told the other nurses about the story and they saw the officers standing in the
• 1,250 nurses who are members.
• 1,250 nurses who are members.
• Nurses are would otherwise. Right.
• um nurse um nurse but<01:52:58.880> they<01:53:00.239> it's<01:53:00.480> the

Keywords: 928, house, all

Summary: The committee heard Senate Bill 254, which Senator David Roford described as a technical correction to controlled substance inventory law for pharmacies. He said the bill would remove outdated language requiring inventories to be done in an odd-numbered year, while keeping the existing requirement that pharmacies conduct a full controlled substance inventory every two years in line with federal law. Members asked several clarifying questions about whether the requirement is pharmacy-by-pharmacy, whether new pharmacies would be affected, and whether the change would alter scope or compliance; the sponsor and a representative of the New Hampshire Pharmacist Association said it would not, and that it mainly provides clarity for pharmacies and inspectors. The public hearing on SB 254 was then closed, and the committee also heard support from a representative of the pharmacist community, who said the association supports the bill. The committee then discussed a non-germane amendment to SB 254 dealing with FBI background checks for educational surrogate parents under the Department of Education. Representative Leyon explained that the amendment was requested by the Department of Education after the FBI rejected prior statutory language, and that the goal was to allow people serving as educational surrogate parents to complete FBI fingerprint-based background checks so they can perform their duties. Department of Education and Department of Safety staff testified that the amendment mirrors language that has worked in other education-related background check statutes, including provisions with specific disqualifying offenses tied to child safety, and that the FBI requires precise statutory language and direct transmission of records through the Department of Safety. Members questioned why the FBI’s approval was needed, whether individuals could simply provide their own records, and whether changing federal leadership could require future changes; witnesses said the state needs both state and national records, that records must come directly from the FBI through the Department of Safety, and that the language is intended to satisfy current federal requirements. During the discussion, some members expressed skepticism about the need for the amendment and about placing it on a bill about controlled substance inventories, but no vote was taken during the portion of the transcript provided. The committee also briefly discussed a separate bill on physician assistants/physician associates, with members noting that the proposed name change would not alter scope of practice and that some outside groups had raised concerns about transparency, but that discussion was interrupted and not concluded in the excerpt.

Transcript Highlights:

• funded, allow participants to live in residential care facilities for the elderly as an alternative to nursing
• funded, allow participants to live in residential care facilities for the elderly as an alternative to nursing
• Mara Gibney, sorry, I'm so sorry, Executive Director of California Advocates for Nursing Home Reform.
• essential Medi-Cal-covered services that keep them out of expensive hospitals, emergency rooms, and nursing
• Mori Gibney, California Advocates for Nursing Home Reform, in support.

Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.

Transcript Highlights:

• Um to direct self-directed home nursing.
• You are nursing homes, assisted living.
• When my nursing supports are stable.
• <00:45:19.760> hours, would mean cuts to nursing hours, would mean cuts to nursing hours,
• This issue has got real-world impact. like this in nursing homes, we have a like this in nursing homes

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• <00:25:45.039> I training nursing home workers. I training nursing home workers.
• It adds a couple of clarifying definitions for nursing home and nursing home employer for the purposes
• nursing home and nursing definitions for nursing home and nursing home<01:10:51.520> employer<
• nursing home workforce standards board. nursing home workforce standards board.
• home and nursing home employer in the nursing home workforce standards board law, and the construction

Keywords: 1187, senate, all

Transcript Highlights:

• All right, members, we will go to 12, Department of Health, Arkansas State Board of Nursing.
• Ashley Davis, Director of the Arkansas State Board of Nursing.
• I believe we're on D, advanced practice registered nurse, right?
• We did have a couple of comments from the Nurse Practitioner Association.
• We did have a couple of comments from the Nurse Practitioner Association.

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• of nursing type facilities. of nursing type facilities. in<01:08:37.279> our<01:08:37.520
• lot of different nursing facilities that we<01:09:05.359> don't<01:09:05.600> have<01:
• Don't let us because we know skilled nursing facility. We're not experts there.
• <01:16:07.040> We're<01:16:07.280> not know skilled nursing facility.
• We're not know skilled nursing facility. We're not experts<01:16:07.920> there.

Keywords: Call to Order and Roll Call- 00:00:00 Approve Minutes from November 13, 2025- 00:00:55 RiverLink Tolling Operations for Louisville Bridges-Quarterhill Testimony- 00:01:48 Staff Report on Veterans’ Centers- 00:26:45 Kentucky Department of Veterans Affairs Response to Staff Report- 0:58:53 Adjournment- 1:18:00, 958, all

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Transcript Highlights:

• Tommy's bill would have the professional licensed nurse already working at these residential companies
• or licensed practical nurse directly responsible for their care.
• Two: the nurse will review the discharge...
• The nurse will review the discharge plan with particular attention to the requirements to maintain the
• And four: the nurse will provide training to all who are responsible for the person's care in the use

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• House Bill 280 is a Kentucky Board of Nursing cleanup bill.
• We are simply giving the Kentucky Board of Nursing the ability to investigate out-of-state nurses when
• Kentucky Board of Nursing Cleanup Bill. Kentucky Board of Nursing Cleanup Bill.
• nurses<00:09:35.360> when<00:09:35.680> they investigate outofstate nurses when
• the requirements uh for Kentucky nurses. the requirements uh for Kentucky nurses.

Keywords: 958, all

Summary: The committee first reviewed preferred administrative regulations and, hearing no concerns, considered them reviewed. It then took up House Bill 388, described as a Casper cleanup bill. The sponsor said it would exempt charitable health care providers from e-prescribing requirements, allow Casper data sharing with certain federal entities, update references to hydrocodone’s schedule status, clean up drafting errors, and clarify practitioner registration with Casper. The bill passed 9-0 and was then approved for consent. Next, House Bill 134 was presented as a follow-up to a prior study on shortages of sexual assault nurse examiners and SANE-ready hospitals. The sponsor and a representative from the Kentucky Association of Sexual Assault Programs said the bill would create a statewide SANE coordinator. The committee adopted a substitute, then passed the bill unanimously and sent it to consent. Senate Bill 147 was then heard as an administrative update to vital records, modernizing certified-copy requests, adjusting fees, and requiring the Cabinet for Health and Family Services to send the annual death report to the State Board of Elections by July 1 each year. It passed unanimously and was also moved to consent. House Bill 280, a Kentucky Board of Nursing cleanup bill, would let the board investigate out-of-state nurses applying for Kentucky licenses, clarify licensing language, and update school rescue medication provisions, including inhalers, nebulizers, glucagon, Solu-Cortef, and nasal epinephrine. A committee substitute narrowed the bill to glucagon updates, and one senator asked whether the bill also covered child care centers; the sponsor said it addressed school medications only but was open to further discussion. The bill passed 10-0 and was reported favorably. Finally, Senate Bill 77 drew extended testimony. The sponsor and supporters argued that ibogaine research and treatment could help address addiction, PTSD, and depression, citing studies, personal recovery stories, and a proposed public-private partnership funded through opioid settlement money. The committee substitute removed the bill’s appropriation request and emergency clause, and members asked questions about whether PTSD is an addiction, whether smoking was included, whether the bill was authorizing research rather than funding, and how the treatment works. The sponsor said the substitute was only creating a structure for research, not appropriating money, and supporters described ibogaine as a one-time, medically supervised treatment. The transcript cuts off before a final vote on Senate Bill 77 is shown.

Transcript Highlights:

• This is for vacancy funding and also for the ranking county nursing home.
• and also for the ranking county nursing and also for the ranking county nursing home.<00:53:28.079
• for the uhMMC nursing building 24,23359 to<00:58:33.520> department<00:58:33.760> of<00
• <00:59:12.079> and<00:59:12.480> hospital<00:59:12.960> nurses skilled nursing
• and hospital nurses skilled nursing and hospital nurses retention<00:59:13.839> loan<00:59:14.559

Keywords: Appropriations - Room 216, 18 February, 2026; 11:00 AM, 925, all

Summary: The committee began with process instructions about using committee substitutes, identifying bills with reverse repealers, and taking up noncontroversial items in blocks. It then approved Senate Bill 3051, the DFA budget, which included LBR-level funding with a reverse repealer and agency-by-agency allocations for the status of women, DFA, tort claims, state property insurance, BEAM, and Mississippi Home Corporation. Senate Bill 3052, the governor’s support budget, was also approved as a final-action bill without a reverse repealer, with members noting the reduction from the prior year was tied to lower federal funding. The committee then handled the IHL budget bills. Senate Bill 3053, the general support bill, included a 3% across-the-board raise for IHL professors and $20 million for repair and renovation at universities, plus $5 million for UMMC; it passed as a committee substitute with a reverse repealer. Senate Bill 3054, the original IHL-related bill, passed without a committee substitute. Bills 3055 through 3059 were taken up in block and approved, providing 3% increases for A units at Alcorn State and Mississippi State. Senate Bill 3060, student financial aid, added about $7.7 million for scholarship costs, including MESG, MTAG, and Winters-Reed loan repayment, and passed as a committee substitute. The committee also approved the larger IHL budget bill with a reverse repealer and discussed, but did not fund, a UMMC cancer center request at that stage. Subcommittee 3 presented education-related bills. Senate Bill 3062 was approved at LBR with a reverse repealer and included a large transfer from the education enhancement fund. Senate Bill 3063 added $15 million for repair and renovation and $8.11 million for faculty pay raises, and passed as a committee substitute with a reverse repealer. On Senate Bill 3064, the Employment Security Commission budget, members discussed whether the committee substitute included a reverse repealer and noted they might revisit that on the floor if needed; the bill was advanced. Subcommittee 4 then took up Senate Bills 3065, 3066, 3068, and 3069 in block and approved them: Ethics Commission funding increased for salary realignment and a database; Judicial Performance Commission language was tightened to freeze the director’s salary and ensure youth court oversight funds were used solely for that purpose; Tax Appeals Board funding was increased to restore cuts and vacancy funding; and Workers’ Compensation Commission funding rose to cover commissioner salary increases and related language changes. Later, the committee approved Senate Bill 3067 for the Department of Public Safety, which included a reverse repealer, LBR-level funding, additional money for furniture for the new headquarters, and reappropriation language. Senate Bill 3071, the GCRF bill, was approved with a reverse repealer and reappropriation language for prior-year projects. Senate Bill 3072, the Department of Mental Health budget, was approved with a reverse repealer and included $12 million for the Canopy project, prior-year invoice funding, and language tied to mental health-related legislation. Finally, Senate Bills 3073 through 3075 were taken up in block for licensing boards, with increases for the Chiropractic Examiners, Dental Examiners, and Pharmacy boards, including funding for licensing system updates, vacancy funding, and expansion of the pharmacy recovery program.

Transcript Highlights:

• include laidback psychiatrists, nurse include laidback psychiatrists, nurse practitioners<03:40:
• the phrase registered nurse initiated. the phrase registered nurse initiated.
• So, they are part of a nurse team. So, they are part of a nurse team.
• Carlen Frier from the New Hampshire Nurses Association and a nurse in New Hampshire for 37 years.
• New Hampshire Nurses Association and New Hampshire Nurses Association and nurse<04:00:13.680> in

Keywords: 1189, house, all