Transcript Highlights:

• Our nurse practitioners are in a Doctor of Nursing Practice degree program.
• home.
• This program allows other nurse practitioners, for example, a family nurse practitioner, to complete
• We want to ensure that our nurse practitioners, both our family nurse practitioners and our psychiatric
• It allows family nurse practitioners, certified nurse midwives, and even nurse anesthetists to come to

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• We're going to bring you home.
• has been in the nursing home.
• home, maybe.
• She left to go home.
• I'm the chief nursing officer of the only community-based sexual assault nursing program in the state

Committee: House Crime and Public Safety

Summary: The committee first met in executive session and took up House Bill 3174 by Representative Justice. Members adopted two committee amendments: one removed the bill’s mapping provisions so that the vendor-list portion could move forward separately, and another required schools to have at least one master key box for emergency responders. The amendments were rolled into a committee substitute, which the committee then voted do pass on a 10-0 roll call. A second executive-session bill was postponed until the following week because of a family emergency involving Representative Williams. The committee then heard Senate Bill 982, a cleanup and reorganization bill dealing with Missouri’s sex offender registry and related registration rules. Senator Mary Elizabeth Coleman said the bill was intended to align the registry statutes with prior changes, clarify tiering and registration requirements, address offenders with ties to Missouri but living elsewhere, and improve information-sharing rules for law enforcement and victims, including notice when a registrant dies or moves. Testimony in support came from the Missouri Alliance for Family Restoration, which said the bill codifies case law and reduces administrative confusion for the Highway Patrol and registrants. No opposition was offered. The committee also heard House Bill 3414, which would create a state offense modeled on a federal online-fraud law to help law enforcement pursue internet-based fraud, including schemes involving credit cards, account numbers, telecommunication identifiers, and similar access devices. The sponsor and a law-enforcement witness said the bill would give investigators another tool against increasingly common fraud, including elder fraud and VoIP-based schemes; a Maverick convenience stores representative also supported it as a response to changing technology. No opposition was presented. Finally, the committee heard House Bills 2628 and 3460, the CARE Act, which would require hospitals and health facilities treating sexual-assault survivors to inform patients about emergency contraception, provide it if requested, test and treat for sexually transmitted infections, and seek reimbursement through the Department of Public Safety. Sponsor Jacqueline Zimmerman said the bill is meant to reduce trauma and prevent pregnancies resulting from rape, and witnesses from sexual-assault nursing, reproductive-health, anti-poverty, medical, and nursing organizations supported it as a way to standardize care, especially in rural areas. Several members raised questions about whether the bill would require abortion-inducing drugs, whether hospitals could opt out on conscientious grounds, and how reimbursement would work; the sponsor said she intended to add language excluding abortion-inducing medications and that the current DPS forensic-exam payment structure would not change. No votes were taken on the later bills in the portion of the transcript provided.

Transcript Highlights:

• I'm Sandy Redding, a registered nurse and president of the California Nurses Association, a proud co-sponsor
• Nurses are not anti-tech. In fact, I'm an OR nurse. We save lives every day with technology.
• Nurses are not anti-tech. In fact, I'm an OAR nurse. We save lives every day with technology.
• I was a nurse for 17 years, and I used protocols and algorithms.
• own time and in their own homes.

Committee: Senate Health

Transcript Highlights:

• I'm Sandy Redding, a registered nurse and president of the California Nurses Association, a proud co-sponsor
• Nurses are not anti-tech. In fact, I'm an OR nurse. We save lives every day with technology.
• Nurses are not anti-tech. In fact, I'm an OAR nurse. We save lives every day with technology.
• I was a nurse for 17 years, and I used protocols and algorithms.
• own time and in their own homes.

Summary: The committee heard AB 2575 on health care AI guardrails, with the author and supporters from the California Nurses Association and labor groups arguing that AI should support, not replace, clinical judgment. They said the bill would require basic disclosures about AI tools, protect workers from retaliation for overriding AI in good faith, and prevent developers or employers from shifting liability to frontline clinicians. Opponents including the California Medical Association, CalChamber, hospitals, and other health care organizations argued the bill would add costs, create uncertainty, and discourage useful AI applications. Committee members discussed bias in health care and accepted amendments narrowing the disclosure provisions; the bill was moved with a 7-1 vote and re-referred to Labor, Public Employment, and Retirement. AB 634 would ban the manufacture, sale, and distribution of products containing tianeptine, described by supporters as “gas station heroin.” The author and law enforcement supporters said the substance is dangerous, easily accessible, and can cause opioid-like addiction, while no opposition came forward. The committee also heard AB 1607 to extend the Maddy EMS Fund, which reimburses emergency providers for uncompensated care. Supporters said the fund is essential to keeping emergency departments staffed, especially amid expected coverage losses; an ACLU representative opposed the funding source because it relies on criminal and traffic fines. Members supported the need for the fund but raised concerns about the fairness and long-term stability of the revenue source, and the bill advanced on a 8-0 vote. AB 1906 would require coverage of at-home cervical cancer screening tests without cost sharing, and the author said the bill would improve early detection and reduce disparities, especially for rural and working Californians. Support came from Planned Parenthood, Health Access, and several health and labor organizations; insurers said they appreciated the amendments and were reviewing their position. The committee adopted amendments aligning the bill with clinical guidelines and passed it 6-0 to Appropriations. The committee also took up AB 2247, the Thrive Act, to create a pilot program for trauma and mental health services for youth affected by gun violence in four counties. Supporters described barriers survivors face in accessing counseling, while members questioned the narrow focus on gun violence, the choice of counties, documentation requirements, and whether the program should instead be housed in victim compensation. The bill passed 8-0 to Judiciary. Later, AB 2531 would expand California’s uncompensated care program so veterans denied abortion care through the federal VA system could receive coverage in California, and would add an abortion resources link for veterans. Supporters framed it as filling a gap created by federal restrictions; opponents argued state funds should not support abortion. Members noted the VA already provides many reproductive services but not this one, and the bill passed 7-0 to Military and Veterans Affairs. The committee also heard AB 1915, which would modernize restaurant facility rules and create a self-certification pathway for some equipment installations. Restaurant and business groups supported the bill as a way to reduce costly delays, while the Contractor State License Board opposed the self-certification provision over safety and inspection concerns. Members generally supported streamlining but echoed public safety concerns and indicated further work was needed.

Transcript Highlights:

• Fred is a critical care nurse and Army Nurse Corps officer with experience in cardiac and intensive care
• He's a critical care nurse with the Army Nurse Corps officer with Saint Francis Hospital and the US Army
• Nurse Corps in 2025.
• He was named an under 40 nurse leader by Nurse magazine and is committed to advocating for policies that
• This bill creates the Home Oklahoma Home Service Transparency Act aimed at increasing clarity around

Bills: HB3329 , HR1039 , HR1040 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3419 , HB3420 , HB3706 , HB3711 , HB4139 , HB1268 , HB3660 , HJR1023 , HB3298 , HB3056 , HJR1084 , HB3934 , HB3919 , HB4118 , HB4119 , HB3791 , HB4260 , HB4178 , HB4215 , HB4324 , HB3270 , HB4352 , HB4305 , HB2955 , HB3315 , HB3066 , HB1245 , HB4125 , HB3075 , HB3129 , HB3239 , HB4153 , HB3265 , HB4491 , SB680 , HB4263 , HB4268 , HB1675 , HB3885 , HB2984 , HB3697 , HB2959 , HB3671 , HB3852 , HB2933 , HB3057 , HB3802 , HB4294 , HB4285 , HB3708 , HB3979 , HB3977 , HB3986 , HB3985 , HB3588 , HB3742 , HB3845 , HJR1070 , HB3590 , HB3595 , HB3391 , HB3183 , HB3764 , HB3765 , HB1002 , HB4434 , HJR1086 , HB4060 , HB3881 , HB3500 , HB4408 , HB3648 , HB3127 , HB3606

Keywords: long-term care, advisory board, sunset legislation, mental health, psychologists, University of Oklahoma, gymnastics, NCAA, congratulations, sports excellence, recognition, honor, athletics, Joseph Castiglione, leadership, education, sports management, HB3413, public finance, state budget

Transcript Highlights:

• We get cases where on the death certificate, we have a 94-year-old lady in a nursing home where the pregnancy
• Fire departments now are responding to homes where the entire home is fully involved before they even
• And it was due to in-home oxygen.
• home placement.
• Get them home, but get them home with a prescription that was started in the institution.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• A portion of these CMP funds collected from nursing homes are returned back to the states in which CMPs
• So it's things like supporting gardening activities in nursing homes or even devices enabling residents
• It really impacts the alternative practice hygienists and their patients who are in nursing homes and
• It really impacts the alternative practice hygienists and their patients who are in nursing homes and
• those homebound elderly and disabled patients. hygienists and their patients who are in nursing homes

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• We must not decide that people who work in nursing homes are less important than PCAs in homes.
• We must not decide that people who live in a nursing home matter more than a child with Down syndrome
• We must not decide that people who work in nursing homes are less important than PCAs in homes.
• We must not decide that people who work in nursing homes are less important than PCAs in homes.
• Who live in a nursing home matter more than a child with Down syndrome.

Transcript Highlights:

• We get referrals of people who are permanently placed in nursing homes, and they would not be eligible
• </c><00:21:13.760><c> homes,</c><00:21:14.400><c> and</c> permanently placed in nursing homes, and permanently
• placed in nursing homes, and they<00:21:14.920><c> would</c><00:21:15.160><c> not</c><00:21:15.440><
• I don't have internet at home. want it. I don't have internet at home.
• </c><00:44:34.440><c> Home</c> assigned to the Sunny Days Nursing Home assigned to the Sunny Days Nursing

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

Transcript Highlights:

• Members, look at all the nurses.
• If you're a nurse or part of the nursing staff, faculty at OU, and all nurses that are here today, would
• I had the honor of speaking to OU nursing students today. They are fabulous.
• OU Nursing School has brand... it's the largest in the state.
• Talakawa is home to the Cherokee Nation, the capital of the Cherokee Nation, home to Northeastern State

Bills: SB1534 , SB1473 , SB1379 , SB1743 , SB1769 , SB1195 , SB1245 , SB1420 , SB1945 , SB514 , SB346 , SB1593 , SB1782 , SB1366 , SB1497 , SB366 , SB1895 , SB2048 , SB2005 , SB2006 , SB710 , SB1480 , SB2135 , SB2130 , SCR16 , SB1457 , SB1732 , SB1317 , SB1533

Summary: The Senate convened with a quorum, received the day’s invocation, introduced the Doctor of the Day and a group of pages, and recognized several visitors in the gallery, including nursing students and Talakawa Day participants. The chamber then took up Senate Concurrent Resolution 16, which honors Oklahoma women and recognizes March as National Women’s History Month. The resolution highlighted figures such as Kate Barnard, Angie Debo, Clara Luper, and Shannon Lucid. It was moved directly to the calendar, read, adopted by voice vote, and the author offered brief closing remarks. The Senate then considered several bills. Senate Bill 1457, extending the sunset of the Construction Industries Board to 2031, passed 40-3 and was also approved as an emergency measure. Senate Bill 1732, which updates fees and licensing fees for the Construction Industries Board to support expanded responsibilities and staffing, passed 35-9. Senate Bill 1317, allowing local school boards to decide whether to recognize a teacher’s earned career status when moving districts, passed 43-0 and was likewise approved as an emergency measure after questions about safeguards for potential bad actors. Senate Bill 1533, a cleanup measure for the Dignity and Burial Act requiring the veteran to have been an Oklahoma resident, passed 43-0. At the end of the session, leaders announced upcoming committee meetings and a weekly devotional. The Senate then adjourned until Wednesday, March 4, 2026, at 1:30 p.m.

Transcript Highlights:

• If you live in Kent, a nurse partnered with a social worker would arrive.
• There's also a nationwide shortage of nurses.
• the nurse in this picture is clearly doing.
• But, as with nurses, this is not a common career path.
• If, instead, the insurance company sends a home health agency nurse to the patient's home, It would likely

Committee: Joint JLARC I-900 Subcommittee for SAO Performance Audits

Summary: The Joint Legislative Audit and Review Committee’s State Auditor Subcommittee held a hybrid public hearing on two Initiative 900 performance audits. The first audit examined CARES programs run by fire agencies to reduce non-emergency use of emergency systems. Auditors reported there are 52 such programs statewide, but many communities still lack one despite need. Key barriers identified were unstable funding, difficulty hiring qualified staff, lack of statewide guidance, and inconsistent access to patient records. The audit also found that only about half of programs tracked both required performance measures, and it recommended legislative action to consider private insurance reimbursement and to convene a statewide CARES work group. Fire agency representatives largely agreed with the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain, while some noted support from accountable communities of health and hospitals. Committee members asked about why only a small share of programs receive Medicaid or accountable community of health funding, and auditors clarified that the 10% figure referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the payment is too low relative to the administrative effort. Agency witnesses said ACH support can help but is often temporary and uncertain. Members also asked whether the new public safety sales tax authority could help fund these programs, but fire district representatives said it is generally not a direct option for them. The second audit focused on improving performance management in the Department of Commerce’s economic development programs. Auditors found the Office of Economic Development and Competitiveness lacks a division-wide strategic plan and has inconsistent performance management across its 16 programs. They recommended stakeholder engagement, clearer goals and measures, alignment between program and division goals, and stronger contract and grant performance provisions. Commerce officials agreed with the findings, said work on a statewide economic development plan is already underway, and described efforts to align divisional planning with broader agency strategy. The chair asked Commerce to return next year with progress updates, and the meeting ended with notice that written testimony could still be submitted and that another JLARC meeting would occur in November.

Transcript Highlights:

• , advanced registered nurse practitioners, or licensed practical nurses.
• These titles are registered nurse, nurse, or RN; advanced registered nurse practitioner, ARNP, or NP;
• The bill amends the Nurse Practice Act, which governs nursing practice and title protection for nurses
• for nurses.
• The bill amends the Nurse Practice Act, which governs nursing practice and title protection for nurses

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• As many of you probably know, Rochester is home to Minnesota's largest private employer, the Mayo Clinic
• Examples of possible roles include things like certified nursing assistants, patient care associates,
• home health aides, administrative supervisors, and registered nurses. private partnership that helps
• home health Care Associates uh FLOTUS home health aids<00:02:37.440><c> administrative</c><00:02:38.120
• </c> through a really tough time in my home through a really tough time in my home life<00:08:51.959>

Transcript Highlights:

• I go home as often as I can.
• Foreign nurse to relicense here and to be able to serve here.
• This is very interesting, and lots of people want to be nurses, and we have a need for nurses, so we
• We need 222,000 new homes just to stabilize our housing market.
• On Nantucket, the median single-family home price reached $3.7 million in 2024.

Bills: H5386

Committee: Joint Joint Committee on Economic Development and Emerging Technologies

Keywords: economic development, innovation, investment, housing, small business, global trade, infrastructure

Transcript Highlights:

• So right now, a nurse graduates from nursing school, hopefully passes the NCLEX, and then goes to practice
• So this bill simply requires that nursing students in a nursing program must have two hours of identification
• We're not requiring nursing programs to do that.
• So with that, we want to make sure that all our nurses, all our nurses from day one can identify the
• And our nurses are right there on the front line.

Bills: S0032 , S0068 , S0210 , S0246 , S0340 , S0418 , S0428 , S0606 , S0628 , S1028 , S1734

Committee: Senate Fiscal Policy

Summary: The Committee on Fiscal Policy met and reported a series of bills favorably, covering health care, public safety, insurance, coastal resilience, juvenile justice, drowning prevention, transportation designations, and beach management. Senator Harrell presented CS/SB 68, requiring hospitals with emergency departments to adopt pediatric emergency care policies, training, designated pediatric readiness personnel, and participation in a national readiness assessment; it passed. Harrell also presented CS/SB 340, requiring nursing students to complete two hours of human trafficking identification training before licensure; it also passed. Senator Sharif’s CS/SB 32 and SB 210, creating a new injunction for protection against serious violence by a known person and the related public records bill, were both reported favorably. Senator Garcia’s CS/CS/SB 302 on nature-based coastal resiliency, Senator Jones’s SB 418 on law enforcement interaction with individuals with autism and the Blue Envelope Program, and Senator Martin’s CS/SB 1734 updating juvenile probation and detention officer definitions and related cost-share language were also approved. The committee then took up several drowning-prevention measures. CS/SB 606 by Senator Smith would add drowning prevention and safe bathing education to postpartum materials and direct the Department of Health to create standardized materials; an amendment removed a records-retention requirement, and the bill passed. SB 428 by Senator Yarborough would expand the state swim lesson voucher program from children ages 0-4 to ages 1-7; it received strong support from advocates, including a young swim instructor and autism advocates, and passed. The committee also approved CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and a First Responders’ Resiliency Foundation plate, and CS/SB 1028, which revises Citizens Property Insurance and clearinghouse procedures to prioritize admitted carriers and prohibit public funds for the clearinghouse; that bill drew discussion about market competition, Citizens’ exposure, and potential impacts on policyholders. Additional measures reported favorably included SB 628, designating a portion of South Navy Boulevard in Pensacola as Warrior Sacrifice Way to honor the sailors killed in the 2019 Naval Air Station Pensacola attack, and CS/SB 636 on beach management, which would create a proactive pathway for coastal communities to obtain erosion-related designations and align with federal programs. Beach industry testimony supported the bill’s intent but raised concerns about perpetual easements and funding shortfalls. At the end of the meeting, members recorded additional votes on selected bills, and the committee adjourned.

Transcript Highlights:

• and $46 million grant program supporting home and community-based service providers.
• And these investments have, for example, expanded nursing and pre-nursing student enrollment, as well
• aides and home health aides.
• For example: Are we training enough nurses to meet the demand of future health care needs?
• For example: Are we training enough nurses to meet the demand of future health care needs?

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.

Transcript Highlights:

• It can even have one nurse on the on-call list.
• Nurse-to-patient ratios are about safe care.
• I've worked for nurses for many, many years.
• home in our districts.
• In-home supportive services...

Summary: The Assembly met in session, established a quorum, and opened with a prayer and Pledge of Allegiance recognizing 9/11. Members then moved through a long daily file and concurrence calendar, with many items passed without debate or temporarily retained. The chamber also took procedural actions, including re-referring AB 1152 to the Public Safety Committee, suspending rules for guest access and file-item handling, and later taking a roll-call vote to allow a late-filed journal letter request. Among the major Senate bills taken up on third reading, the Assembly approved SB 385 on peace officers’ rights, SB 753 on shopping cart recovery, SB 838 on housing and hotel projects, SB 643 on carbon dioxide removal grants, SB 645 on jury peremptory challenges in civil cases, SB 761 on CalFresh access for students, SB 774 on real estate licensing sunsets, SB 400 on renewable energy labor tax incentives, SB 24 on utility spending transparency, SB 37 on attorney advertising ethics, SB 258 on spousal rape involving disabled spouses, SB 364 on outdoor advertising near new freeways, SB 403 removing the sunset from medical aid in dying, SB 770 on HOA barriers to EV charging, and SB 22 on gift certificate cash redemption values. Most of these measures passed with little or no opposition; SB 403 and SB 770 drew more divided votes, while SB 24 was briefly delayed by a call before passing. The Assembly also concurred in numerous Senate amendments on Assembly bills covering a wide range of topics, including service of process (AB 747), local clean energy planning (AB 39), firearms (AB 1078), workers’ compensation (AB 1336), public health (AB 1487), survivor leave protections (AB 406), solid waste (AB 70), water reporting for data centers (AB 93), Diwali recognition (AB 268), wildfire workforce recovery (AB 338), educational equity (AB 419), civic education (AB 422), office-to-housing conversions (AB 507), cannabis tax relief (AB 564), privacy/browser opt-out rules (AB 566), housing element transparency (AB 610), tenant appliance requirements (AB 628), code enforcement penalties (AB 632), homelessness and LGBTQ-related policy (AB 678), energy (AB 740), DEIA review in state government (AB 766), inmate firefighter wages (AB 247), children’s health (AB 798), real estate (AB 851), COVID-era rehiring protections (AB 858), hazardous materials (AB 961), real property and housing covenants (AB 1050), aging (AB 1069), health care facilities (AB 1172), endangered species protections (AB 1319), CalWORKs modernization (AB 1324), cannabis access for seriously ill patients (AB 1332), foreign labor contractors (AB 1362), and downtown revitalization financing (AB 1445). Several of these passed overwhelmingly, while a few drew notable opposition, including AB 93, AB 403, AB 770, AB 851, AB 1050, and AB 1319. The transcript also included extended debate on SB 34, which was presented as a compromise measure on air pollution and port operations in the San Pedro Bay area. Supporters said it narrowed the scope to protect union jobs while preserving AQMD authority, while opponents and supporters alike noted the underlying distrust between labor and environmental stakeholders. The Assembly passed SB 34, SB 515 on disaggregated demographic data collection, and then began taking up AB 495 on immigration, with the sponsor describing family separation and immigration enforcement trauma before the transcript cuts off.

Transcript Highlights:

• homes because nursing homes know that they will have Medicaid day one to pay for that person's care.
• </c> and they're being accepted to nursing and they're being accepted to nursing homes<00:38:26.400><
• :27.359><c> that</c> homes because nursing homes know that homes because nursing homes know that they
• It's also building relationships with nursing homes so that they're ready to receive referrals.
• </c> giving guidance and education to nursing giving guidance and education to nursing homes<00:46:42.560

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• patient floor at a hospital, at a nursing home, at an assisted living, when they've been hired and they've
• ><c> home</c><00:33:02.279><c> at</c><00:33:02.399><c> an</c> at a hospital at a nursing home at an at
• a hospital at a nursing home at an assisted<00:33:03.039><c> living</c><00:33:03.840><c> when</c><00
• It's really disappointing because I'm on the workforce committee, too, and there's not a nursing home
• home, assisted living, disability group home has hired somebody when we do 24-hour staffing.

Transcript Highlights:

• My name is Marianne Vosconi, and I am a registered nurse.
• I'm a nurse practitioner, and I would like to thank the board for Good morning, everyone.
• 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