Transcript Highlights:

• And it's actually wonderful to see the nurses here today alongside many wonderful nursing partner colleagues
• impact felt by patients nurses impact felt by patients nurses caregivers<00:04:25.919> across
• facilities.
• to the facilities that our physicians and nurses and patients are being cared for.
• that our physicians and facilities that our physicians and nurses<01:24:14.639> and<01:24:14.760

Keywords: 1183, house

Transcript Highlights:

• And I noticed that a lot of this is related expenses that you need for the skilled nursing facility.
• So I'm curious: were most of the empty positions in the skilled nursing facility, or where were they?
• So, good afternoon. ...in the skilled nursing facility, or where were they?
• In terms of competitive salaries, I think one of our biggest challenges is in our skilled nursing facility
• trying to get nurses and nurses aides into those positions, and I don't think that that is specific

Keywords: 962, all

Summary: The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display. The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents. The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.

Transcript Highlights:

• Some nursing programs do not teach their nurses how to do IVs.
• nursing home and we can't find a nursing nursing home and we can't find a nursing home<05:23:28.320
• Um, do you know the percentage of nursing facilities that have behavioral units?
• So it does take nursing homes and rehabilitation facilities out of the bill entirely.
• So it does take nursing homes and rehabilitation facilities out of the bill entirely.

Keywords: 1189, house, all

Transcript Highlights:

• That includes every hospital in the state, assisted living facility, nursing home, clinics, pretty much
• That includes every hospital in the state, assisted living facility, nursing home, clinics, pretty much
• So we've spent some time together touring these facilities.
• We're at the end of that continuum right now because we have skilled nursing care facilities that are
• We're at the end of that continuum right now because we have skilled nursing care facilities that we

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• inoperable facility.
• inoperable facility.
• Additionally, for child care facilities. Fees on the inoperable facility.
• Additionally, for child care facilities and adult day health facilities, which are paid based on daily
• Finally, SB 582 also seeks to remedy the shortcomings of evacuation planning for skilled nursing facilities

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:

• even created a position now for the first time in the nursing profession called a boarding nurse.
• They had nurses trying to take care of those people.
• Its absence has left a void that cannot be filled by distant facilities.
• I did whatever the nurses told me to do, which I still do today.
• So the facility itself is new.

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• I've been a nurse for over 48 years. Ten years of that have been in emergency trauma.
• I'm a lifelong public servant with experience in both law enforcement and nursing.
• from being located within 500 feet of a park, child care facility, or early learning facility.
• And I know the mobile units are not MMTC facilities.
• The mobile units are not MMTC facilities, but they are selling a marijuana product.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• Bible care facility specific.
• My name is Gloria Doherty, here for the New Mexico Nursing Association and the New Mexico Nurse Practitioner
• I am a real nurse. I am a real nurse practitioner.
• 900 advanced practice nurse providers.
• So the increase in the amount that is eligible for nurses and advanced practice nurses is greatly appreciated

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• We're making excellent progress on the new skilled nursing facility at our Yountville home.
• The overview will move to agenda item five, which relates to the Yountville skilled nursing facility
• [Speaker continues] Skilled nursing facility at the Veterans Home.
• This is a 240-bed skilled nursing facility, all one building, that...
• We also have— Staffed in the Holderman building will be transferring over to the new nursing facility

Keywords: 987, senate, all

Summary: The subcommittee heard a budget item on vehicle license fee backfill funding, where the Department of Finance said the administration was not proposing the requested $119 million for San Mateo County, Alpine, and Mono, arguing the payment is discretionary and that existing excess ERAF formulas should remain unchanged. Senator Becker and former Senator Jackie Speier testified that the money is owed under the VLF swap arrangement and that San Mateo County faces major service cuts without the backfill; Senator Cabaldon raised broader policy questions about county boundaries and the structure of the formula. The chair held the item open after public comment. The committee then reviewed Secretary of State budget proposals. The department requested funding for SB 851 implementation, including additional duties related to election litigation notice, voting system standards, and vendor reporting, with $1.1 million General Fund in 2026-27 and $807,000 ongoing for four positions and software. Members asked about election security, federal HAVA funding, staffing, and implementation timing; the department said current federal funds are expected to run out in 2027-28 and that it hopes to hire quickly once funded. The item was held open. The Secretary of State also presented the Cal Access Replacement System (CARS), seeking $11.8 million General Fund to finish the project and begin operations, and the notary automation replacement project, seeking $9.795 million in Business Fees Fund for continued development of the outdated notary system. Members focused on project delays, stakeholder input, and whether the funding requests matched prior plans; the department said both projects were still on their original funding tracks but had shifted timelines due to planning needs and election-related workload. Both items were held open. CalVet presented its department overview and then discussed the new 240-bed skilled nursing facility at Yountville, which is nearing completion and will replace the aging Holderman Hospital building. Members asked about the future of Holderman, other campus capital projects, and a payroll/fringe-benefit issue affecting some employees; CalVet said Holderman will continue to house some functions, the roofing and steam projects remain in progress, and the tax issue has been addressed with new procedures and repayment arrangements. The committee also discussed eliminating vacant positions under Control Section 4.12, with CalVet saying the positions were long-vacant CNA and related jobs and the LAO noting the Legislature had not concurred; Senator Cabaldon said he had no objection, and the item was held open. Finally, the California Arts Council gave an overview of its work and its cultural districts program, describing grants and technical assistance in all 58 counties and citing examples of local impact. Senator Smallwood-Cuevas strongly supported additional funding, including a proposed $50 million General Fund investment and a $10 million carve-out for cultural districts, arguing the program supports economic development, preservation, and community identity; council staff said the program is currently unfunded and has only been able to designate a fraction of applicants. Senator Cabaldon noted that many parts of the state still lack cultural districts and urged broader geographic representation. The item was informational and no vote was taken.

Transcript Highlights:

• So in the CCL waiver, and then second to that is individuals in nursing homes or long-term care facilities
• > facilities.
• <00:43:41.280> home consider going to visit a nursing home consider going to visit a nursing
• ,<01:32:23.760> three Last week within our facility, three Last week within our facility,
• Food for within their facilities?

Keywords: 1. Call to Order and Roll Call – 00:00:24 2. Discussion of The Center for Courageous Kids – 00:02:46 3. Discussion of Adult Protective Services and State Guardianship Programs – 00:25:22 4. Discussion of Annual Report of the External Child Fatality and Near Fatality Review Panel – 01:00:34 5. Consideration of Referred Administrative Regulations – 01:33:41 6. Adjournment – 01:42:07, 958, all

Summary: The committee’s first interim meeting opened with roll call and a reminder that Kentucky had 8,641 children in out-of-home care with active placements as of June 1, 2025. The first presentation was from the Center for Courageous Kids (CCK), a donor-funded camp in Scottsville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s history, its year-round family retreats and summer sessions, its medical and accessibility supports, and its impact on campers’ confidence and independence. They said CCK has served more than 43,000 campers from 46 states and 13 countries, including 22,000 from Kentucky, and noted plans to reach all 120 Kentucky counties. CCK also outlined future capital needs: a new art barn and a medical lodge. The organization said the art barn project would cost $2.5 million, with a legislative request of $1.5 million, and the medical lodge would cost $2.875 million, with a legislative request of $1.75 million. Members responded very positively, with several praising the camp’s work and one member asking about operational challenges. CCK said its main challenges are awareness, staff and volunteer recruitment, and expanding medical and housing capacity; it also said it is accredited by the American Camp Association and receives health and safety visits and audits. The committee then moved to a presentation on adult protective services and state guardianship programs from Jessica Wayne and Cliff Bryant of DCBS. They explained the legal framework for guardianship, the difference between full and limited guardianship/conservatorship, emergency appointments, and the state’s role as a last-resort guardian when no family member or private entity is available. They reported 4,464 individuals under state guardianship as of June 1, with most cases involving dementia, developmental disability, intellectual disability, nursing home or long-term care placement, severe mental illness, or brain injury. They also said the division has 89 field workers across 14 regional offices, with an average caseload of 52 and a goal of reducing that into the mid-40s through additional hiring.

Transcript Highlights:

• But what we would be looking at would be really the difference between defraying nursing facility care
• Uh, I could double-check the metric, but I think it's 75%/25% in terms of the nursing facility being
• nursing facility is 75% terms of the the nursing facility is 75% higher<01:00:13.880> than<01:
• <01:13:19.800> facility<01:13:20.600> um receiving care in a nursing facility um receiving
• care in a nursing facility um for<01:13:21.040> the<01:13:21.159> Medicaid<01:13:21.600

Keywords: 1191, senate, all

Transcript Highlights:

• We have had interim chief nursing officers.
• We recently brought on an interim chief nursing officer that Dr.
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• My first question is related to the secure residential treatment facilities.
• And then, if committed, they will be placed in some kind of treatment facility.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• These resources were used to transport skilled nursing facility patients from evacuation shelters to
• If there are patients who are unable to ambulate, like skilled nursing facility patients, an evacuation
• It's a temporary location, and if we have to evacuate skilled nursing facilities, they will take them
• Focused on skilled nursing facilities and those patients, or broader than that?
• Over a thousand medically fragile individuals during that incident, from skilled nursing facilities,

Keywords: 988, house, all

Transcript Highlights:

• of nursing type facilities. of nursing type facilities. in<01:08:37.279> our<01:08:37.520
• <01:09:03.839> facilities<01:09:04.719> that lot of different nursing facilities that
• 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:

• > care that need nursing facility level of care that need nursing facility level of care in<00:15
• nursing facility services.
• facility and they want to do the nursing facility and they want to do it<00:44:56.960> on<00:
• <00:45:03.200> facility receiving Medicaid nursing facility receiving Medicaid nursing facility
• going to continue with nursing facility. going to continue with nursing facility.

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• President, would you please recognize Senator Guthrie for the introduction of our nurse of the day.
• Senator Guthrie, you are recognized for the introduction of the nurse of the day. Thank you, Mr.
• Today, I am honored to recognize Kendra Stes as our nurse of the day.
• Kendra has served as an ICU registered nurse at Hillcrest Hospital South for the past four years, completed
• There'll be teachers and nurses and engineers and they'll be just as excellent in those fields and in

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647, HB3986, HB3548, HB3661, HB4346, HB3075, HB4273, HB3391, HB4128, HB3557, HB3239, HB3982, HB2123, HB2979, HB2997, HB3148, HB4108, HB4143, HB4266, HB2053, HB4058, SR30

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Transcript Highlights:

• Currently, ...with significant rate differences noted for registered nurses.
• Currently, our fee schedule pays $26.25 per hour for an LPN or $30.70 for a registered nurse.
• . ...can get the same level of care as those in managed care, especially those requiring 24-7 nursing
• , the facility... ...via the legislative appropriations each year to cover the expenses at the facilities
• the agency is currently providing in our forensic facilities in Chattahoochee and Marianna.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• <00:31:23.840> there really is legitimate facilities there really is legitimate facilities
• we're prioritizing our our facilities. we're prioritizing our our facilities.
• <01:30:37.199> I nursing division. Um I apologize. I nursing division. Um I apologize.
• So the uh by a registered nurse.
• Okay, recess. nurse registered nurse within the state nurse registered nurse within the state uh<01:34

Keywords: 910, house, all

Summary: The committee heard testimony on HB 1783, which would expand public-private partnership options for charter school facilities. The Department of Education offered comments, the Charter School Commission and SFA supported the bill, and Hawaii Technology Academy, Hawaii Kids, Hawaii Children’s Action Network, HGA, Aloha Project, and several individuals testified in support, while UPW opposed it. Supporters said charter schools need faster and more flexible ways to address severe facility shortages and high costs, and SFA described the bill as a pilot model that could leverage developer partnerships and state contributions, citing Maryland as an example. Members asked whether the bill was limited to charter schools; DOE said the language could be read to include other public school facilities, but if focused only on charter schools, DOE was less concerned. The Charter School Commission also described an existing public-private preschool model through Parkway Village Preschool and PACTED. The committee then took up HB 1778, which would establish a CIP database for school facilities. SFA supported the bill, saying it would create a more disciplined, transparent basis for funding decisions by documenting facility condition, needed repairs, classification, and timing. DOE initially said it rested on its comments, then responded to questions by saying it already maintains deferred maintenance lists, uses systems such as Maximo, CPT, GIS, and finance software, and sends legislators project-status letters twice a year. DOE said it is working on improving its outward-facing dashboard and integrating its systems, but questioned whether the bill would add value beyond existing tools. Members emphasized the need for a publicly accessible, real-time transparency tool, while DOE said it was still evaluating its current systems and was not yet seeking funding for a new IT program. For HB 2344, creating an Independent Public School Realignment and Closure Commission, DOE said it wants to remain part of any consolidation process to keep students and education central, while SFA said the bill is timely and framed it as a restructuring response to changing conditions and possible federal funding cuts. SFA compared the proposal to the federal BRAC process for military base closures and said Hawaii has the same enrollment as in 1961 but many more schools, arguing that the state needs a more deliberate approach to school closures and land reuse. The Attorney General’s office raised technical concerns about several sections, including unclear references to administrative support, a governor-approval sequence, a possible conflict with existing statutes governing closed-school disposition, and a missing section number. Testimony on HB 2345, which would establish a geographic CIP district, began with DOE in opposition; DOE said the bill would duplicate existing work, add confusion by creating two agencies doing the same thing, and spend money inefficiently because district project coordinators and project lists already exist.

Transcript Highlights:

• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• On the CMS databases on nursing homes, where you find the rankings of nursing homes for the like.

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• Our work takes our care coordinators to hospitals, to nursing homes, transitional care facilities, to
• Our work takes our care coordinators to hospitals, to nursing homes, transitional care facilities, to
• Our work takes our care coordinators to hospitals, to nursing homes, transitional care facilities, to
• Our work takes our care coordinators to hospitals, to nursing homes, transitional care facilities, to
• Our work takes our care coordinators to hospitals, to nursing homes, transitional care facilities, to

Keywords: 919, house, all

Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.