Transcript Highlights:

• Carol Phillips testifying for the Hawaii Nurses Association.
• Also in support, Hawaii Nurses Association, Carol Phillips.
• Also in support, Hawaii Nurses<00:12:36.240> Association,<00:12:36.800> Carol Phillips.
• Nurses Association, Carol Phillips in support. La Community Association, Vera Moore in support.
• <00:14:08.800> Nurses Okay, thank you very much. Nurses Okay, thank you very much.

Keywords: 912, senate, all

Summary: The Labor and Technology Committee met on April 4, 2025, to consider four governor’s messages involving nominations to the Hawaii Retirement Savings Board and the Hawaii Workforce Development Council. Barbara Creek, nominated to the Retirement Savings Board for a term ending June 30, 2029, testified that she had already served two years on the board, had prior experience with deferred compensation plans, and wanted to help operationalize the program quickly and efficiently. In response to a question about Senate Bill 855, she explained that an opt-out auto-enrollment model is the gold standard for retirement savings programs, would increase participation and contributions, and would help Hawaii avoid being an outlier and improve the chances of joining a multi-state compact for a cost-effective program. Amber Aana, nominated to the Workforce Development Council for a term ending June 30, 2029, emphasized her maritime-industry background and commitment to diversity, inclusion, and training opportunities for women and underrepresented groups. Scott Collins, nominated to the same council for a term ending June 30, 2028, said he had served on the board since 2022 and could contribute public-sector and union experience to help address government workforce challenges. Pane Mayonga II, also nominated to the Workforce Development Council for a term ending June 30, 2029, was absent due to union travel, but the committee heard extensive testimony in support from labor, industry, and community representatives. Support testimony was recorded for all four nominees, including from the Department of Labor and Industrial Relations, United Public Workers, Hawaii State AFL-CIO, Hawaii Nurses Association, Hawaii Ports Maritime Council, and other organizations and individuals. For Pane Mayonga II, the committee noted support from a broad coalition including labor unions, maritime and construction groups, and community advocates. No opposition testimony was presented, and members did not raise substantive questions on the Workforce Development Council nominees. After a brief recess, the committee reconvened for decision-making and voted to recommend advice and consent on all four governor’s messages: GM 727 for Barbara Creek, GM 744 for Amber Aana, GM 717 for Scott Collins, and GM 728 for Pane Mayonga II. Each recommendation was adopted unanimously, and the committee congratulated the nominees before adjourning with no further business.

Transcript Highlights:

• Nursing facilities and sense.
• So for nursing facilities and threshold.
• payment methodologies for hospitals and nursing facilities as a comparison.
• So I began taking the prerequisites for nursing school.
• So I began taking the prerequisites for nursing school.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• I am also a maternal child health nurse for the last 15 years, and I am the nurse who was in the hospital
• I am also a maternal child health nurse for the last 15 years, and I am the nurse who was in the hospital
• I am also a maternal child health nurse for the last 15 years, and I am the nurse who was in the hospital
• Courtney Tanner: Well, Daisy is a certified nurse midwife. She also has a doctorate in nursing.
• :28.080> masters doctorate in nursing she has a masters doctorate in nursing she has a masters

Keywords: 1189, house, all

Transcript Highlights:

• The next bill is AB 165 on skilled nursing facilities.
• And what you guys are doing to these skilled nursing facilities is completely unacceptable.
• Additionally, in the long-term care space, specifically skilled nursing facilities, looking for that
• impact on workforce stability and patient access to quality care in skilled nursing.
• impact on workforce stability and patient access to quality care in skilled nursing.

Keywords: 987, senate, all

Transcript Highlights:

• Additionally, DJJ employs four nurse program administrators who currently oversee the medical program
• additionally DJJ employs four Nurse additionally DJJ employs four Nurse Program<00:16:21.600>
• <00:17:23.280> structure<00:17:24.120> uh RNs LPNs and uh our nursing structure uh
• RNs LPNs and uh our nursing structure uh or<00:17:24.400> sorry<00:17:24.760> our<00:17
• <00:21:40.320> and<00:21:40.679> with<00:21:40.919> a it's basically nursing

Keywords: 958, all

Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.

Transcript Highlights:

• That includes licensed health care professionals such as physicians, dentists, nurses, psychologists,
• It registers supplemental nursing services agencies.
• <00:39:49.680> Services nursing Services nursing Services agencies<00:39:51.920> it<00:
• agencies it surveys nursing homes under agencies it surveys nursing homes under Cooperative<00:39
• my life career as a licensed nursing my life career as a licensed nursing home<00:55:52.319>

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• To put it briefly, patients receive the best medical advice when doctors and nurses can speak freely.
• Over the last 10 years, I've had the privilege of caring for children as a pediatric nurse.
• In 2022, while working as a nurse at Texas Children's Hospital, I wrote the following words in an op-ed
• Senator Hall: And the firing of the nurse and the doctor for having exposed that.
• We were told that's the right of the hospital to hire and fire doctors and nurses for any reason they

Bills: SB 240, SB 1183, SB 1184, SB 1577, SB 2043, SB 2051, SCR 42, SJR 68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• Her background is in nursing.
• I'm the associate dean over allied health and nursing.
• I'm the associate dean over allied health and nursing.
• I was the first class of nursing through that that graduated from there.
• There's now practical nursing. We've added registered nursing, LPN to RN, and such.

Keywords: 908, all

Transcript Highlights:

• Her background is in nursing.
• I'm the associate dean over allied health and nursing.
• I'm the associate dean over allied health and nursing.
• I was the first class of nursing through that that graduated from there.
• There's now practical nursing. We've added registered nursing, LPN to RN, and such.

Summary: The committee reconvened at North Dakota State College of Science for a presentation from President Dr. Flanagan and college leaders about NDSCS’s mission, enrollment growth, workforce training, and facilities needs. Flanagan highlighted student success in national competitions, strong placement and retention, growing enrollment, and new or expanding programs in aviation maintenance, fire science, dental hygiene, community health worker training, surgical technology, HVAC/plumbing, and precision agriculture. He also emphasized the college’s partnerships with industry, including John Deere, Fargo Jet Center, Sanford, and Comdel Innovation, and said NDSCS plans to seek approval next session for a revenue bond to build a new dorm and to remodel the library into academic and allied health space. Allied health dean Deb Smith testified that her division is at capacity and needs a simulation center, more lab and classroom space, and expanded dental and OTA facilities to meet demand and accreditation needs. Committee members questioned Flanagan and staff about workforce shortages, especially faculty pay, and whether the college can staff additional growth. Flanagan said the biggest challenge is recruiting instructors because industry pays more, but noted some health care and adjunct hiring is possible because of schedule flexibility and benefits. He also discussed shifting resources away from lower-demand programs like power sports toward higher-demand areas such as automotive and aviation maintenance. Members also asked about the college’s identity as a technical institution, with Flanagan arguing North Dakota would benefit from a more defined tech-school system. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit. Wilkie explained the methodology used to allocate direct and overhead costs across subsidized and unsubsidized dual credit, noting that dual credit and early entry account for about 5.9% of total credit hours and 2.7% of formula funding. The analysis showed subsidized dual credit tuition revenue of about $5.5 million and unsubsidized revenue of about $2.9 million, with some institutions showing margins and others losses depending on the model. Members discussed whether K-12 funding should also be reflected, how payments to high schools and teachers are structured, and whether tuition-free dual credit would require replacing both tuition revenue and the current dual credit scholarship. No votes were taken; the committee simply received the presentations and discussed the findings.

Transcript Highlights:

• the critical need we have in the nursing field.
• for the Florida Center for Nursing at the University of South Florida.
• That includes funding for the linking industry to nursing education, the line funding as we call it.
• Doing it through the Center for Nursing, we will be able to do that.
• And then, of course... ...doing it through the Center for Nursing, we will be able to do that.

Summary: The committee first took up a confirmation for UCF trustee reappointment candidate Mr. Christie, who described his long service on the board, his UCF business-school background, and his focus on strengthening UCF’s financial foundation, workforce alignment, and engineering and technology programs. Members praised his service and asked about UCF’s future direction, including its role in Florida’s space and engineering sectors. He was allowed to leave early for a meeting with the governor. The committee then heard the Higher Education Appropriations budget presentation for fiscal year 2025-26. The chair outlined a proposed $11.5 billion higher education budget emphasizing workforce education, Florida College System operations, career and technical education, the GATE program, nursing education through the Florida Center for Nursing, UF/IFAS agriculture technology, tutoring, autism and neurodevelopment services, student financial aid, and $250 million for state universities through the Board of Governors. Senator Davis asked about line grant flexibility, and the chair said a conforming bill would address details. The committee adopted a motion allowing technical corrections and then adopted the budget proposal as a recommendation to the full Appropriations Committee. The remainder of the meeting focused on confirmations for university boards, especially the University of West Florida, where several nominees were questioned about Title IX compliance, free speech, workforce readiness, military/veteran ties, and prior statements about privatization and higher education. Rebecca Matthews, Rachel Moyah, Ashley Ross, and Adam Kessel each described their backgrounds and goals for UWF; Kessel faced extensive questioning about his past writings on privatization, the GI Bill, and speech suppression, and said he would not recommend privatizing Florida universities and supported veterans’ education benefits. Public testimony on UWF was largely opposed, with speakers arguing the nominees lacked local ties and warning the slate would harm the university and community. The committee also heard from FAMU reappointment nominee Judge Belvin Perry, who emphasized student success, workforce quality, and FAMU’s continued rise, and from UCF nominee Mark Philburn and FSU nominee Peter Jones, both of whom highlighted their professional experience and commitment to student success and prudent stewardship. The meeting extended its time to 6:30 p.m. to continue hearing nominees and public testimony.

Transcript Highlights:

• It includes addiction treatment, harm reduction, primary care, social work, nursing, and psychiatry.
• If I were a nurse practitioner, actually this has happened.
• If I were a nurse practitioner, actually this has happened.
• My niece is actually a school nurse in pre-K to 1, and I’m...
• I have been a nurse for 49 years and a child and adolescent psychiatric clinical nurse specialist for

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• Senate Bill 405 by Senator Talbot is an act in Title 40 relative to nursing facilities, providing for
• a statewide quality oversight initiative for nursing facilities.
• This bill is a good first step in measuring the quality of nursing homes and holding them accountable
• It requires the Department of Health to develop a statewide quality oversight initiative for nursing
• There's a problem here, and it's not the patient, it's the hospital, not the nurses.

Bills: SR116, SR117, SR118, SR119, SCR68, SCR69, SCR12, HB682, HB766, HB769, HB775, HB783, HB824, HB926, HB1186, HB1201, HB1223, HB1245, HB1247, HB1253, HB1258, HB221, HCR53, HCR62, HCR72, HCR58, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1194, HB1198, HB1246, HB1250, SB29, SB30, SB32, SB41, SB42, SB43, SB47, SB84, SB93, SB113, SB192, SB199, SB219, SB220, SB221, SB222, SB241, SB253, SB255, SB289, SB292, SB306, SB314, SB351, SB399, SB404, SB14, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB424, SCR9, SB25, SB250, SB348, SB405, SB444, SB485, SB35, SB65, SB132, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR26, HCR45, HCR61, HCR77, HCR31, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB17, HB21, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1043, HB1070, HB1134, HB1239, HB62, HB193, HB203, HB210, HB220, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1241, HB36, HB73, HB119, HB126, HB129, HB166, HB211, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB677, HB712, HB723, HB726, HB728, HB759, HB789, HB850, HB956, HB966, HB1036, SB149, SB382, SB441, HB258, HB842

Keywords: SR116, Senate Resolution 116, Louisiana Senate, condolences, memorial resolution, tribute, Tyler Marie Grezaffi, law enforcement, corrections officer, deputy sheriff, master sergeant, investigator, Louisiana State Penitentiary, Pointe Coupee Parish, Iberville Parish, public service, bereavement, sympathy, SR117, Senate Resolution 117

Summary: The Senate convened with a quorum, heard a prayer and pledge, and then moved through a long calendar of House and Senate measures. Early business included adoption of a large batch of Bureau reports and numerous committee reports, along with several personal privilege recognitions for guests and observances, including Aviation Day at the Capitol, Safe Boating Week, and recognition of a student’s educational achievements. The chamber also received messages from the House on several Senate concurrent resolutions and conference committee reports, including House Bill 842, the omnibus election bill, which was taken up and adopted after discussion of changes to Louisiana election procedures, congressional primary timing, ballot order, and related qualifying and public-records provisions. The Senate also adopted or concurred in several resolutions, including measures on community action, early education, condolences, and a blockchain and digital innovation task force. A major portion of the meeting focused on floor debate and final passage of several bills. Senate Bill 250, dealing with comprehensive weight management services through the Office of Group Benefits, was amended to remove GLP-1 and compounded-therapy provisions and then passed. Senate Bill 348 authorizing local law enforcement to contract for administrative and logistical support for motor vehicle regulatory enforcement passed, as did Senate Bill 405 creating a statewide quality oversight initiative for nursing facilities. Senate Bill 444 and Senate Bill 485, both relating to the new city of St. George’s expropriation and taxing authority, passed after amendments and questions about their local impact. Senate Bill 25, on compensation for registrars of voters and staff, also passed unanimously. Senate Bill 132, requiring exterior master key boxes and school mapping integration for public schools, passed as a school safety measure. The Senate then considered a series of House bills, many of them local or regulatory in nature. These included HB 649 on dual enrollment, HB 665 on hoop nets in North Pass and Manchac Pass, HB 681 on the Lakeview Crime Prevention District, HB 721 on night shrimping in parts of Vermilion Bay, HB 746 on statewide oversized vehicle permits, HB 781 on fleet vehicle registration, HB 835 on charter guide wildlife management area access permits, HB 857 on commingled seafood labeling, HB 872 and HB 886 on menhaden fishing radios and harvest reporting, HB 889 on bulk oyster tagging, HB 892 creating the West End Economic Development District, HB 982 naming memorial highways, HB 987 consolidating LSU energy-related programs, HB 1037 and HB 1072 on DOTD operational reforms, HB 1068 on garbage collection contracting authority, HB 1078 on tuition and fees for distance education, HB 1085 repealing private vehicle inspection sticker requirements, HB 1132 on lab school funding under the University of Louisiana system, HB 1137 limiting adverse employment action against state employees over pronoun use, HB 1167 naming memorial roadways, and HB 1174 recreating DOTD through 2031. Most of these measures passed, often after brief debate and occasional amendments; HB 1085 drew opposition over the loss of inspection-related jobs and concerns about unsafe vehicles, but it still passed. One notable bill, Senate Bill 500 on medical malpractice and the Patient Compensation Fund, was not brought to a vote; after extensive debate about the medical review panel system, claims costs, and proposed certificate-of-merit changes, the author said he would turn it into a study resolution instead.

Transcript Highlights:

• The other thing I'd like to add is, do we have this kind of information for nurses?
• , when the nurses don't have techs.
• roll him over to clean him because the nurse didn't even have a tech, or the tech didn't have a nurse
• So we should be looking at how we're compensating nurses as well.
• And then they're leaving, and the nurses are leaving so that they can get travel contracts and...

Keywords: 996, all

Transcript Highlights:

• Another important online subscription is for our nursing plans.
• This suite of tools provides nurses and level-of-care staff with up-to-date, evidence-based clinical
• decision support and the ability for nursing care plans to be generated from the content that's suited
• This suite of tools provides nurses and level-of-care staff with up-to-date, evidence-based clinical
• We did that for children and also nursing home residents.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• We rely on Workforce Development to prepare our future workforce: the nurses, nursing assistants, dietary
• assistants and nurses.
• <00:09:18.839> assistance around the needs for nursing assistance around the needs for nursing
• They are in the nursing home business.
• They are in the nursing home business.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:20:37.080> officer them to our chief nursing officer them to our chief nursing officer
• "We license individuals to practice as a physician assistant or a nurse practitioner.
• The speaker said they were not even looking at physician assistants or nurse practitioners.
• I am certain we have far more than 59 doctors and 87 nurses in the state?
• <01:17:39.360> practitioners<01:17:40.360> Physicians nurse practitioners Physicians nurse

Keywords: 928, house, all

Summary: The Children and Family Law Committee opened its March 4 meeting with procedural announcements, including a deadline for any Minority Report, notice that the committee would not meet the following Tuesday because of town meeting day, and a preview of its March 18 agenda. The chair said that meeting would include hearings and executive sessions on HB 518, requiring DHHS to provide a detailed annual report of DCF costs, and HB 775, directing DHHS to seek proposals for supervised visitation centers; HB 553 was also slated for executive session. The committee also heard an update on Representative Grossman’s son, who remained in the PICU at Mass General. The main hearing was on HB 493, which would require child abuse and neglect education for physicians, nurse practitioners, and physician assistants as a condition of licensure. Representative Alicia Gregg presented the bill and an amendment reducing the required training from two hours to one hour, saying the goal was to improve recognition of abuse and prevent both missed cases and false accusations. Cassandra Sanchez, the state Child Advocate, strongly supported the bill, describing a 2020 review of nine cases of non-ambulatory infants with serious injuries and later system mapping that identified gaps in medical recognition; she said the training should be part of existing continuing education hours and that voluntary uptake had been limited. Dr. Michael Matos of Wolfeboro Pediatrics also testified in support. Ben Bradley of the New Hampshire Hospital Association opposed legislating the requirement, saying hospitals already train staff and that the legislature should not single out one topic for statutory mandate when other reporting obligations are handled differently. In questioning, committee members asked whether the hour would be part of existing continuing education, whether hospitals already provide similar training, and whether the bill should be placed in the continuing medical education statute instead of child protection law. Bradley said hospital members already provide annual training and collaborate with proponents, but did not support putting the requirement in statute. Sanchez said the bill was intended to use one of the hours already required for training, though members noted that the bill text did not clearly say so. The committee also heard broader testimony about the Family Division of Circuit Court, including a proposal to create a subcommittee to study more difficult issues such as pre-trial counseling, evidentiary practices, and domestic violence-related cases, with the Speaker appointing members to that subcommittee.

Transcript Highlights:

• education trust fund in the same way that the ones that we covered—the Medicaid enhancement tax, nursing
• we covered the Medicaid<01:58:54.880> enhancement<01:58:55.560> tax<01:58:56.360> Nursing
• Medicaid enhancement tax Nursing Medicaid enhancement tax Nursing Facility<01:58:57.360> quality

Keywords: 928, house, all

Summary: The committee meeting began with an overview from the Legislative Budget Assistant Office on how Ways and Means will work with agencies and leadership during the budget and revenue-estimating process. Staff explained that the governor’s budget is still being developed, agencies are cautious about going on record early, and the committee will use worksheets and updated fiscal reports to track estimates. The presentation emphasized that the fiscal year 2025 budget status is a point-in-time snapshot and remains fluid because the annual comprehensive financial report has been delayed, which could change the beginning balances for both the general fund and education trust fund. The budget update highlighted that the general fund is currently stronger than originally assumed, while the education trust fund is weaker. The speaker said the general fund began FY25 with a much larger balance than expected, while the education trust fund came in lower due to higher-than-budgeted adequacy spending and weaker business tax performance. Revenue trends showed the general fund slightly ahead year to date, but the education trust fund down significantly. The committee also discussed unbudgeted appropriations, including attorney general litigation, legal settlements, abandoned property claims, adequacy true-ups, and education freedom accounts, as well as the role of lapses and off-budget items in the final balance. Members asked about the delayed liquor commission audit and whether it could affect revenue forecasts. Staff said the delay was mainly caused by the commission’s switch in point-of-sale systems and staffing losses, but did not expect major ongoing reporting issues. They also noted that liquor fund variances are more likely tied to Medicaid expansion costs than to commission operations. The governor’s office was said to be working on possible budget reductions, but no January request to the fiscal committee was expected. Commissioner Lindsay Stepp of the Department of Revenue Administration then presented an overview of state revenue sources, focusing first on the meals and rentals tax. She explained that DRA administers 14 taxes that account for most state revenue, and that meals and rentals tax growth has slowed after strong post-pandemic gains. She described factors affecting the tax, including employment, inflation, fuel and food prices, wages, and weather, and noted that online platforms like Airbnb have improved compliance by collecting and remitting tax on behalf of hosts. Members asked about short-term rental compliance and how DRA identifies unlicensed rentals; Stepp said referrals, anonymous tips, and platform data help enforcement.

Transcript Highlights:

• today: prayer, Pledge of Allegiance, Introduction of Veteran of the Week, introduction of doctor and nurse
• Speaker, please recognize Representative May to introduce the nurse of the day.
• Representative May, you're recognized to introduce the nurse of the day.
• It's our nurse of the day.
• part of it, I know we're not supposed to read all of it, just a portion, advocates for patients, nurses

Keywords: 914, all

Transcript Highlights:

• Please recognize Representative Schreiber to present the nurse of the day.
• I am very excited to introduce you to the nurse of the day, Eric Reagan.
• He is a nurse in the cardiovascular unit.
• He's a third-generation nurse.
• Please welcome Eric Reagan, our nurse of the day.

Bills: HJR1101, SB1319, SB1264, HB4237, SB1277, SB2069, HB3066, HB2115, HB2153, HB2268, HB2961, SB1679, SB2018, HB4294, SB2095, HB4113, SB1894, SB1810, HB4268, HB1752, HB3413, SB625, HB3644, HB3940, HJR1096, HJR1100, HJR1099, HB2992, SB1636, HB4302, SB1613, SB1443, HB1409, HB1675, HB1225, HB1381, HB4359, SB1503

Keywords: SB1319, Corporation Commission, Oklahoma, remediation, environmental emergency, brine contamination, oil contamination, oilfield pollution, residential property, home buyout, property acquisition, fair market value, revolving fund, remediation fund, state plugging funds, well plugging, abandoned well, natural breakout, Department of Environmental Quality, DEQ

Transcript Highlights:

• My name is Gloria Doherty, on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner
• We already know the dramatic shortage we have for nurses.
• So it's really very hefty, and we have, as we said, a major nursing shortage in the state.
• I'm Gloria Doherty on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner
• you get a physician, then the money will be held for that individual through the four years, or a nurse

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation