Transcript Highlights:

• And I moved into a motor home parked on my mom's property. And um, I enrolled in nursing school.
• I am a nurse of almost 10 years.
• </c><00:09:08.560><c> with</c> and uh her mother was uh at home with and uh her mother was uh at home
• </c> insurance, and I went to nursing school. insurance, and I went to nursing school.
• Um, so stupid to go to nursing school.

Committee: Senate Judiciary

Summary: The Judiciary Committee first deferred HB 239, which would have narrowed the definition of child abuse or neglect by excluding cases where a caregiver is unable to provide certain needs solely because of poverty or lack of resources. The chair said other similar bills were still alive and expressed concern that carving out a specific category of abuse could hinder monitoring of children being harmed for other reasons. The committee then took up several decision-making items. HB 420, dealing with the contractor repair act and construction defect claims, was recommended for passage with extensive amendments that would clarify statutes of repose and limitations, define substantial completion, remove homeowner expert-report requirements, delete class-action limits, set timelines for inspections, mediation, and settlement procedures, and add non-retroactivity language; it passed unanimously. HB 732, concerning special management area minor permits for certain single-family residences, was also passed with amendments after the committee removed the provision that would have expanded minor-permit eligibility for homes under 3,500 square feet. HB 1017, repealing the greenhouse gas sequestration task force, passed with amendments to make it effective upon approval. HB 958, which restricts children under 15 from riding class 3 electric bicycles and raises the helmet age requirement, passed with technical amendments only. The committee also considered Governor’s Message 689, the nomination of Melissa Sautello to the Commission on the Status of Women. After testimony in support and questions from members about financial disclosure and her views on women’s sports and transgender participation, the committee voted to advise and consent to the nomination. The nomination passed, and the committee adjourned after noting that a full Senate vote would follow.

Transcript Highlights:

• Hawaii State Center for Nursing.
• Hawaii State Nursing, Hawaii State Center for Nursing, Laura Reikart. In support.
• </c><00:35:25.359><c> for</c> Nursing, Hawaii State Center for Nursing, Hawaii State Center for Nursing
• </c> Nursing, Laura Reikart. Nursing, Laura Reikart. &gt;&gt; In<00:35:29.200><c> support.
• </c> the suicides that happened at home. the suicides that happened at home.

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• And Eliza does go to school, and she has one-on-one nurse, LVN nurse.
• Because we cannot, we need help at home. We need nursing help at home to have that respite.
• And in October, when everything came down and we couldn't have a nurse at home and we couldn't take Eliza
• And thank you, Eliza, for being here. came down and we couldn't have a nurse at home and we couldn't
• That gives kids like my son access to care at home. Thank you. Thank you.

Transcript Highlights:

• Nursing.
• I've been a registered nurse for over 25 years.
• As bedside nurses, we don't just execute tasks. We utilize the nursing process.
• Nurses use technology every day.
• It is the home of the Engaged California program.

Summary: The committee heard AB 1979, which would limit the use of AI in health care by requiring licensed professionals to retain final clinical judgment, prohibiting automated systems from directing unlicensed individuals to perform licensed clinical functions, and clarifying medical-record privacy rules for direct-to-consumer health chatbots. Supporters, including nurses and labor groups, said the bill preserves patient safety and keeps care decisions in human hands. Hospital and industry groups opposed unless amended, arguing the bill could create compliance burdens and interfere with training and legitimate AI-assisted care. The bill was approved 6-1 and placed on call. Members then considered AB 2624, which would expand California’s Safe at Home confidentiality program to immigrant service providers, employees, and volunteers facing harassment or doxing. The author and supporters described threats, stalking, and online targeting of immigrant advocates and said the bill would let them use substitute addresses to protect their safety. Opposition focused mainly on concerns about the bill’s legal enforcement language, though the author said it mirrors existing Safe at Home provisions and does not create a new private right of action. The measure passed 4-1 and was placed on call. AB 2103 would make Engaged California a permanent statewide public engagement program. The author and the Office of Data and Innovation said it is meant to broaden civic participation through structured deliberation and transparent publication of results. Some members raised concerns about partisan balance and topic selection, while supporters emphasized the need to reach Californians who do not typically participate in hearings. The bill passed 6-0 and was placed on call. The committee also heard AB 2, a social media accountability bill for harms to children and teens, and AB 883, which would expand privacy protections and shorten data-broker deletion timelines for elected officials and judges; both drew support and opposition, were approved on committee votes, and placed on call. Later, the committee began AB 2023, a chatbot safety bill for children that would require age verification, safety audits, default protections, and limits on ads and data sharing; testimony was strongly supportive from child-safety advocates, while industry groups raised concerns about vague standards, audits, and liability.

Transcript Highlights:

• nursing home Workforce Standards and the nursing home Workforce Standards Board<01:15:38.159><c> all<
• </c><01:28:48.199><c> home</c> Health and Welfare of nursing home Health and Welfare of nursing home
• </c><01:42:27.960><c> homes</c> hearing from several nursing homes hearing from several nursing homes
• /c><01:42:49.400><c> so</c> $20,000 for a nursing home to pay out so $20,000 for a nursing home to pay
• </c><01:42:58.840><c> get</c> for the nursing homes did that money get for the nursing homes did that

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• MEGAN MARONEY, FLORIDA NURSES ASSOCIATION. EXCUSE ME, IS IT MOODY OR MARONEY?
• NURSES AND MITIGATE THE RELUCTANCE TO WORK IN THE OR.
• SINCE 1995 AND I TRANSITIONED TO QUALITY IMPROVEMENT NURSE.
• OCULAR AND UPPER RESPIRATORY TRACT ISSUES WERE NOTED AND THIS IS JUST THE NURSES.
• AND MEGAN FAY IS WAVING IN SUPPORT FLORIDA ASSOCIATION OF NURSE AND AFTER TESTS.

Transcript Highlights:

• Right now, if a daycare is during the day a daycare, but then at home it becomes your home, and you're
• Just those people at home didn't hear me. That's fine.
• I'm surrounded by medical people and nurses in my family.
• So I'm the son of a nurse. I'm the grandson of a nurse.
• But whenever we're tens of thousands of nurses shy of what we need, 200 nurses a year going through a

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.

Transcript Highlights:

• I think the most, this came home to me, I was recalling this.
• Because usually it's a nurse or somebody who's, you know, trained in that.
• practice nurses, prescribe.
• And it was expanded to nursing home settings as well.
• I am one of the managers for the group home monitoring program.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related largely to Arizona’s behavioral health and Access system, plus a fertility coverage mandate, a state hospital admissions bill, and a naturopathic scope-of-practice bill. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for investigations into behavioral health patient brokering; the sponsor described ongoing fraud involving vulnerable Native American patients, while some members questioned why the Attorney General was not handling the work. The bill passed 10-1 with one present. SB 1116 would require claim denials and appeal determinations for American Indian Health Program behavioral health services to be reviewed by someone with at least two years of relevant clinical experience; Access said it was neutral but raised concerns about vague language and added staffing needs, and the bill passed 7-4 with one present. SB 1346 would require Access to notify providers of claim deficiencies within 72 hours and approve or deny corrected claims within 10 business days; supporters said it would reduce long delays and unpaid claims, while Access said it would need more staff and system changes. The bill passed 7-5. The committee also approved SB 1347, which requires insurance coverage for fertility preservation services for cancer patients of reproductive age whose treatment is likely to cause infertility, with a religious-employer exemption. Supporters, including cancer survivors and an advocacy representative, said the bill protects patients who must make rapid decisions before treatment begins; insurers were neutral. The bill passed unanimously 12-0. SB 1813 would require the Arizona State Hospital to admit patients based on clinical need rather than county of residence, effectively ending the Maricopa County cap tied to the Arnold v. Sarn settlement. Supporters argued the cap leaves seriously ill patients waiting in other facilities for long periods, while ADHS warned of possible litigation and rural access concerns; the bill passed 9-2 with one present. Finally, the committee began hearing SB 1178, which would allow naturopathic physicians to administer certain antibiotics, antivirals, and antifungals intravenously. The sponsor argued naturopaths should be able to practice to the full scope of their training amid physician shortages, while the Arizona Medical Association and osteopathic representatives opposed the bill, saying IV antimicrobials are high-risk therapies that require hospital-level training, monitoring, and stewardship. Testimony focused on patient safety, appropriate setting, and whether the bill should be narrowed or amended; no vote on SB 1178 was taken in the portion provided.

Transcript Highlights:

• This bill modernizes the certification process for certified nursing assistants and home health aides
• homes and home health agencies without compromising safety.
• assistants and home health aides are not afforded... ...such as certified nursing assistants and home
• nurse specialists, nurse practitioners, and physician assistants.
• nurse specialists, nurse practitioners, and physician assistants.

Committee: Senate Health

Transcript Highlights:

• Under the bill before you, beginning in 2027, under certain circumstances, hospitals, nursing homes,
• and hospice care centers must allow medical use... ...circumstances, hospitals, nursing homes, and hospice
• , advanced registered nurse practitioner, or licensed practical nurse, including posting any supporting
• They make even less than nurses.
• This legislation simply allows terminally ill patients in hospitals, nursing homes, and hospice facilities

Summary: The Senate Health and Long-Term Care Committee held public hearings on several House bills and later took executive action on two others. The committee heard testimony on House Bill 2242, which would let the Department of Health issue immunization recommendations and tie preventive-service coverage to federal recommendations as of June 30, 2025, while preserving access to vaccines and other preventive services. Supporters, including the Governor’s office and the Insurance Commissioner, said the bill would protect access, affordability, and stable vaccine purchasing; opponents argued it politicizes vaccine policy and gives too much influence to state agencies and outside groups. The committee also heard testimony on House Bill 2152, allowing terminally ill patients in hospitals, nursing homes, and hospice facilities to use medical cannabis under facility policies, with supporters emphasizing dignity, symptom relief, and safeguards, and House Bill 2088, joining the dietitian licensure compact, which supporters said would help military spouses, telehealth, and workforce shortages. House Bill 2110, on ambulance inter-facility specialty care transports, drew support from rural hospitals seeking more staffing flexibility and opposition from nurses and EMS personnel concerned about training, accountability, and patient safety. House Bill 2247, on veterinarian-client-patient relationships and telemedicine, drew support from the sponsor and some stakeholders as a workforce and access measure, but also criticism from the state veterinarian and others who said it could conflict with federal VCPR requirements and public health protections. House Bill 2340, expanding substance use disorder monitoring program eligibility to nursing assistants and stipend support, was presented as a way to help low-wage health workers stay in the workforce; there were no in-person testifiers against it. In executive session, the committee considered House Bill 2155, concerning the use of nursing titles, and House Bill 2531, aligning the ambulance transport fund quality assurance fee with federal regulations. Both bills received do-pass recommendations and were sent to the Rules Committee. For the public hearings, no final committee votes were taken on the other bills in this transcript, and testimony concluded on each measure after the committee heard from sponsors, agency officials, advocates, and opponents.

Transcript Highlights:

• So those should be done by a CNA under chapter 457, under nurses, and then using nurse delegation for
• CNAs to be doing those services under private duty nursing and not home care agencies.
• </c> personnel to perform skilled nursing personnel to perform skilled nursing services,<00:58:54.559
• </c> duty nursing and not home care agencies. duty nursing and not home care agencies.
• </c> and delivered food for the care homes and delivered food for the care homes because<01:00:57.760

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• under Arizona Long Term Care that is receiving non-medical home care under Medicaid.
• And continuing up, 2729, Nursing Board.
• The primary mandate of the Board of Nursing is to protect the public.
• Currently, the board regulates approximately 150,000 nurses and certificate holders.
• Sadly, that is how he became homeless because we could no longer keep him in our homes.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• Next is the nursing home adjustment.
• Nursing homes. They go up every year, correct?
• Is there any money that goes to nursing homes to incentivize better quality?
• they come back—other than that, do we pay nursing homes for empty beds?
• home placements are... ...of beds continues to assure that those that really do need nursing home level

Committee: House Appropriations

Transcript Highlights:

• is 15 nursing home uh on the average is 15 3,000<01:04:56.760><c> uh</c><01:04:56.880><c> per</c><01
• Representative Backer spoke about his experiences working at a local nursing home.
• They're falling in nursing homes and assisted living, and fire departments are being called now.
• ><c> in</c><01:45:31.440><c> nursing</c><01:45:31.840><c> homes</c><01:45:32.480><c> and</c> they're
• falling in nursing homes and they're falling in nursing homes and assistant<01:45:33.280><c> living</

Committee: House Human Services Finance and Policy

Transcript Highlights:

• I've already about 40 nursing homes.
• So, I lost two nursing homes in my area.
• So that'll be, I think, helpful. out of nursing homes, out of all the out of nursing homes, out of all
• Some of whom are costs to nursing homes.
• This is just another nursing home cut.

Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.

Transcript Highlights:

• Many hold a Doctor of Nursing Practice or a PhD, the terminal degree in nursing.
• BEEN A NURSE FOR THE PAST 11 YEARS. MANDATORY REPORTER IN BOTH CASES.
• &nbsp; 521 I HAVE BEEN A NURSE IN THE STATE FOR 50 YEARS.
• It's the only home she knew.
• NURSING HOMES, SCHOOLS,&nbsp;&nbsp; 1319 UNIVERSITY COLLEGE OF DENTISTRY, HEALTH DEPARTMENT DIRECTORS

Summary: The committee first heard HB 245, which would replace references in Florida law to “child pornography” with “child sexual abuse material.” The sponsor said the change was overdue and more accurately reflects the criminal nature of the material. There was brief supportive public testimony, no debate, and the bill was reported favorably on a unanimous vote. The committee then took up HB 237 on the use of professional nursing titles. The sponsor said advanced practice registered nurses should be able to use earned academic titles such as DNP or PhD. Supporters testified in favor, there was no opposition or debate, and the bill passed unanimously and was reported favorably. The longest discussion centered on HB 173, which would expand parental consent and access requirements for minors’ medical care, medical records, certain school surveys, and biomedical devices. Supporters argued it restores parental rights and keeps parents involved in children’s health decisions, while opponents—many from medical, mental health, LGBTQ, and youth advocacy groups—warned it could block access to STI treatment, mental health care, crisis hotlines, and confidential services for vulnerable youth, including those in abusive homes. After extensive testimony and debate, the bill was reported favorably on a 19-7 vote. Finally, the committee began HB 327 on uterine fibroid research. The sponsor explained the bill would require health care providers to submit identified data so the Department of Health can build a usable de-identified research database, after prior implementation problems with duplicate or unverified data. A supportive local official testified, and members indicated support as the meeting moved toward a vote.

Transcript Highlights:

• This bill modernizes the certification process for certified nurse assistants and home health aides.
• homes and home health agencies without compromising safety.
• Such as certified nursing assistants and home health aides are not afforded the same protections.
• nurse specialists, nurse practitioners, and physician assistants.
• nurse specialists, nurse practitioners, and physician assistants.

Committee: Senate Health

Summary: The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost. The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers. After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• </c><01:21:16.560><c> home</c><01:21:16.800><c> to</c><01:21:16.920><c> home</c> hospital to nursing
• home to home hospital to nursing home to home transitions<01:21:18.280><c> from</c><01:21:18.480><c>
• 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

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.

Transcript Highlights:

• Nursing, and a representative from TechEquity.
• I've been a registered nurse over 25 years.
• As bedside nurses, we don't just execute tasks. We utilize the nursing process.
• Nurses use technology every day.
• It is the home of the Engaged California program.

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• We're primarily a home health association that provides skilled nursing and rehabilitative services in
• a patient's home.
• home visiting service.
• I am asking to extend the funding of the Health Homes Program to sustain the Health Homes Coordination
• He was hospitalized for several weeks and then lived in a nursing home for several months.

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.