Bills: SF292 , SF375 , SSB1109 , SSB1139 , SSB1162 , SSB1191

Committee: Joint Transportation

Keywords: vehicle recycling, junk vehicles, title certificate, vehicle acquisition, Iowa law, penalties, vehicle lien, electric bicycles, low-speed vehicles, pedestrian conveyances, maximum power output, transportation, mobility devices, agriculture, farm products, raw farm products, gross weight exemption, overweight trucks, truck weight limits, commercial vehicles

Transcript Highlights:

• Because they used to have been out there on their own, and I can see the need for regulation, but what
• Regulation, but what caused something to happen?
• So the one in Shelby County is regulated, but the others are not? That's right. Okay, thank you.

Bills: SB137 , SB164 , SB165 , SB49

Committee: Senate State Governmental Affairs

Keywords: sewer, wastewater, public service commission, PSC, utility regulation, private utility, regulated utility, affiliated system, consolidation, rate jurisdiction, rate setting, wastewater management entity, common ownership, control, Jefferson County Board of Health, local constitutional amendment, public utilities, Alabama Code Title 37, Alabama Code Title 22, certification

Transcript Highlights:

• If there's a regulation or change on something like this—such as sizes or anything to do with fish management—we'll
• As you know, it goes through different steps when we have a regulation, and it culminates with an opportunity
• To be frank, again, there's not been a proposal for a regulation where there would be tournaments or
• There is not a hard and fast regulation that we have recommended.
• but we don't have anything on the Coosa Chain proposed at this time—a hard and fast proposal of a regulation

Bills: HB1 , HB143 , HB1 , HB92

Committee: House Ports, Waterways & Intermodal Transit

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• Under the jurisdiction, there were other areas of that parent company that were not in regulated areas
• Would allow those unregulated privately-owned sewer systems, which are affiliated with a regulated sewer
• system, to elect to come under the regulation of the Public Service Commission.
• Than having some entities regulated and some that are unregulated.
• You could have a regulated system, and you can have an unregulated system.

Bills: HB68 , HB140 , HB168

Committee: House Urban and Rural Development

Keywords: foreign investment, agriculture, property rights, critical infrastructure, sanctions, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates, wastewater management, Alabama utilities, Jefferson County Board of Health

Transcript Highlights:

• You know, I kind of just wanted to understand what is the board's regulation limit for nurse practitioners
• So, in my district, we have a lot of nurses. We have, obviously, a nursing school as well.
• of Nursing Practice programs.
• of Nurse Anesthesiology.
• our new graduate nurses.

Transcript Highlights:

• You know, I kind of just wanted to understand what is the board's regulation limit for nurse practitioners
• I kind of just wanted to understand what is the board's regulation limit for nurse practitioners to practice
• So in my district, we have a lot of nurses. We have obviously a nursing school as well.
• We need more males in nursing.
• nursing workforce pipeline in our new graduate nurses.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with chairs emphasizing oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are functioning efficiently. BRN leadership reported major process improvements since the last sunset review, including faster license processing, streamlined enforcement, improved consumer satisfaction, and growth in nursing education enrollment. Members questioned the board extensively about nurse practitioner scope and supervision, international licensure, online nursing programs and clinical placements, military pathways, the 30-unit LVN-to-RN option, workforce shortages, diversity in nursing, and retention of new graduates. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, clinical hour standards, and its role in approving programs and assigning nursing education consultants. Public testimony on the BRN was mixed: nurse practitioner, nurse midwife, and nurse anesthetist groups largely supported the sunset report and especially the proposed APRN-to-RN delegation language, while physician and hospital stakeholders raised concerns about out-of-state NP practice, specialty delegation, ratios, and the need for regulatory parity and clearer standards. Higher education representatives urged reduced duplication in documentation, more flexible clinical placement rules, and better coordination to address bottlenecks in placements and faculty hiring. The committee did not take a vote during the excerpted BRN discussion. The hearing then moved to the Physical Therapy Board of California, where the board’s president began an overview of the board’s mission, structure, vacancies, and public-protection role under the Physical Therapy Practice Act. The transcript excerpt ends before substantive questioning, testimony, or any action on the physical therapy item is shown.

Transcript Highlights:

• The mission of the Minnesota Board of Nursing is to protect the public's health and safety through regulation
• lure</c><00:35:36.960><c> and</c> regulation of Nursing education lure and regulation of Nursing education
• Regarding the Nurse Licensure Compact Act, many states are part of the nursing compact.
• degree nursing programs, 22 baccalaureate nursing programs, four entry-level master's nursing programs
• </c> of Nursing jurisdiction is for of Nursing jurisdiction is for pre-licensure<00:40:35.880><c> nursing

Committee: House Health Finance and Policy

Transcript Highlights:

• California's nursing workforce.
• You know, I kind of just wanted to understand what is the board's regulation limit for nurse practitioners
• When I was a nursing program...
• We need more males in nursing.
• Nursing Practice programs.

Transcript Highlights:

• I wanted to understand what the board's regulation limit is for nurse practitioners to practice within
• So we have 50 boards of nursing and four territories. Of nursing in the United States.
• of the family nurse practitioner.
• When I was a nursing program...
• , particularly around supporting the nursing workforce pipeline and our new graduate nurses.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And our nursing positions, we have some nursing positions there, were outrightly declined by nurses due
• </c> state are regulated. state are regulated.
• </c> of nursing. of nursing.
• >> That's for all the nurses. >> The nurse LPNs are odd years.
• >> That's for all the nurses. >> The nurse LPNs are odd years.

Committee: Joint Appropriations

Transcript Highlights:

• Please recognize Representative Gann to present the nurse of the day again.
• The nurse of the day. Good morning, members. Today we have Alexis Watt of Pryor, Oklahoma.
• Alexis is an RN and BSN and works for Hillcrest South nursing.
• Alexis has now been a nurse for four years.
• Members, please welcome Alexis Watt as our nurse of the day.

Bills: SB330 , SB2069 , SB2095 , SB1721 , SB1433 , SB1316 , SB1280 , SB1455 , SB1456 , SB1457 , SB1459 , SB1461 , SB1463 , SB1465 , SB1466 , HJR1088 , SB1684 , SB378 , SB1447 , SB1920 , SB1443 , HR1047 , SB1877 , SB1884 , SB1365 , SB2174 , SB1525 , SB1810 , SB1771 , SB1805 , SB1916 , SB1530 , SB1847 , SB1990 , SB2060 , SB1992 , SB1579 , SB1778 , SB2132 , SB1623 , SB2067 , SB1589 , SB1441 , SB1224 , SB372 , SB1232 , SB1264 , SB1450 , SB2011 , SB2030 , SB1980 , SB1936 , SB1477 , SB1593 , SB1725 , SB1670 , SB1480 , SB1726 , SB1633 , SB1735 , SB1632 , SB1277 , SB1217 , SB1826 , SB1824 , SB1813 , SB1326 , SB1937 , SB1641

Keywords: elk population, wildlife management, Oklahoma State University, veterinary medicine, ecosystem health, habitat assessment, advanced nuclear energy, nuclear power, small modular reactor, SMR, microreactor, generation III+, generation IV, nuclear reactor, nuclear permitting, nuclear licensing, Oklahoma Corporation Commission, OCC, Oklahoma Advanced Nuclear Energy Office, Oklahoma Advanced Nuclear Development Revolving Fund

Transcript Highlights:

• For example, in 2013 and 2014, the regulations were much different for doctors, dentists, nurse practitioners
• I also lead a team of 40 women, including nurse practitioners, registered nurses, and support staff.
• To be clear, we support regulation, but we want the right regulation, and we would like to partner and
• get regulation but we want the right regulation and we would like to partner and get this right.
• an aesthetic nurse practitioner program, because when many of these nurses then decide to become NPs,

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• </c> for homeare nursing. for homeare nursing.
• If nursing hours are nursing hours.
• For Nash, nursing is not nursing care.
• </c> home care nursing. home care nursing.
• </c> for homeare nursing. for homeare nursing.

Transcript Highlights:

• I presume you're talking about the statewide regulation that says we cannot have any regulation?
• NURSING EDUCATION.
• HERE AND NURSING EDUCATION OFTEN.
• STATES IN FIRST TIME PASS RATES WITH REGISTERED NURSES AND PRACTICAL NURSES.
• I WOULD NOT BE A GOOD NURSE.

Transcript Highlights:

• For example, in 2013 and 2014, the regulations were much different for doctors, dentists, nurse practitioners
• I also lead a team of 40 women, including nurse practitioners, registered nurses, and support staff.
• To be clear, we support regulation, but we want the right regulation, and we would like to partner and
• I explained to them that the day a nurse graduates nursing school or NP school, they can start practicing
• an aesthetic nurse practitioner program, because when many of these nurses then decide to become NPs,

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• It's regulated under DACS.
• and practical nurses.
• Senator Davis: ...regulation within the Board of Nursing and the Department of Health that is currently
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into special order and returning messages. Early floor action included passage of HB 6503 (relief for Mandy Penny Lamon by Sarasota County), HB 1123 (sewer collection systems), HB 211 (farm products), and a joint resolution on ad valorem tax exemption for agricultural tangible personal property, all approved without opposition. Several other measures were temporarily postponed before the chamber recessed and later returned to messages from the House. The Senate then took up a series of House amendments and conference-style motions on major bills. SB 180 on emergency preparedness and response was amended and concurred in after debate over hurricane recovery, local government moratoriums, evacuation timing in the Keys, and property tax and redevelopment provisions; it passed 34-1. CS/HB 1609 on waste incineration and auxiliary containers was heavily debated over plastic and polystyrene preemption, local beach and park regulations, and landfill/incinerator provisions, then passed 26-10. CS/HB 1205 on citizen initiatives was amended to allow volunteers to carry up to 25 petitions without registration/training and passed 28-9. The Senate also refused to concur in a House amendment to SB 234 on offenses against law enforcement, and in SB 116 on veterans, seeking to restore funding for veteran suicide prevention. Later, the chamber approved or advanced several education and health-related bills. CS/HB 1255 on education was amended and passed, with changes to school readiness and other education provisions. CS/HB 875 on educator preparation passed after discussion of cognitive science, classroom management, teacher excellence programs, and the phaseout of the general knowledge test. CS/HB 1105, a large education package, passed after debate over charter school conversions, cell phone restrictions, and other school governance changes. In health care, CS/HB 1427 was introduced as a comprehensive package combining multiple health-related provisions, though the excerpt ends before final action on that bill. Throughout the day, the Senate also concurred or refused to concur in various House amendments on mental health, financial institutions, land development, brownfields, and out-of-network provider legislation, with votes generally recorded and several measures passing on divided but mostly favorable roll calls.

Transcript Highlights:

• We're the trade association for all the skilled nursing facilities, assisted livings, and nursing homes
• But when I say skilled nursing facility versus nursing home, it really is a reflection of how the entire
• It is an area that both the regulations and the historical operations of skilled nursing facilities and
• Now, another important difference from nursing homes, which we'll talk about in a moment, is who regulates
• occupation within a nursing home is going to be certified nursing assistants, CNA, or nurse aides.

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• Jack Corey, Florida Nursing Association, waves in support.
• nursing programs.
• nurse friends and a lot of doctor friends, but I often joke that doctors will treat illness, it's nurses
• nurse friends and a lot of doctor friends, but I often joke that doctors will treat illness, it's nurses
• For example, Section 464, I think, is the nursing statute.

Bills: S0428 , S0606 , S0192 , S0162 , S0340

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• It's regulated under DACS.
• and practical nurses.
• of Nursing and the Department of Health that is currently under Regulation within the Board of Nursing
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into a series of special-order bills and House messages. Early floor action included passage of a claim bill for Mandy Penny Lemon (HB 6503) and bills on sewer collection systems (HB 1123) and farm products (HB 211), all passing unanimously. The chamber also took up an ad valorem tax exemption resolution for agricultural tangible personal property (CS/HJR 1215), which passed 37-0. Several other measures were temporarily postponed before the Senate recessed and later returned to House messages and additional special orders. The Senate then addressed multiple House amendments and conference-style motions. It concurred in amended versions of SB 994 on driver safety, SB 180 on emergency preparedness and response, and HB 1609 on waste incineration/auxiliary containers after extended debate over hurricane recovery rules, local government restrictions, and plastic container preemption. The chamber also concurred in CS/HB 1205 on citizen initiative petitions, increasing the number of petitions a volunteer may carry from 2 to 25, and in CS/HB 733 on Brownfields. Other House amendments were rejected or sent back, including SB 234 on offenses against law enforcement, SB 116 on veterans policy, SB 168 on mental health, and HB 1101 on out-of-network provider referrals. Later, the Senate approved CS/HB 1255 on education and CS/HB 875 on educator preparation, with discussion focused on school readiness, teacher training, and changes to certification and testing requirements. It also concurred in CS/HB 1427, a broad health care bill, after the House added a major nursing education amendment that tightened Board of Nursing oversight, required standardized evaluation and remediation, and imposed accountability measures tied to NCLEX pass rates and program performance. Several members raised concerns or praised negotiated compromises throughout the day, but the recorded actions were mainly concurrence motions, refusals to concur, and final passage votes on the bills considered.

Transcript Highlights:

• Jack Corey, Florida Nursing Association: Waving in support.
• And Megan Faye, Florida Association of Nurse, I think he nurses, nursing. Megan here.
• nursing programs.
• nurse friends and a lot of doctor friends, but I often joke that doctors will treat illness, it's nurses
• Nurses are frontline workers.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.