Transcript Highlights:

• </c> standards of practice of school nursing. standards of practice of school nursing.
• School nurse.
• I am a registered nurse, a licensed school nurse.
• We review the plan and then give feedback to you. nurse. I have my doctorate in um nursing nurse.
• Nurse Lear. I have two brothers who Dr. Nurse Lear.

Committee: Senate Education Policy

Transcript Highlights:

• CalVet has a home loan program.
• not just come work for us, but you can move up the ladder in the nursing program.
• alongside other farm-based programs And the remaining licensing programs were placed within the Department
• Cohort 2 program.
• Programming statewide through grants, programs, and services.

Transcript Highlights:

• It says Grant program. It adds infant. I'll crab a disease to the newborn screening program.
• You're giving everyone the ability to practice on supervised from cardiac nurse nurse is to every kind
• of nurse, and philosophically, I think that's going way too far.
• These people are the backbone of this program.
• She understands the program and my family has what we need.

Transcript Highlights:

• Full life care is a program that specializes in services that help keep seniors and those with a program
• And second is our TTK program.
• We understand that there may be no new funding for programs, but when programs are established and they're
• and the state long-term care program.
• We operate LEAD and AJA programs.

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

Transcript Highlights:

• programs, with both practical nursing and the RN program being top recipients of Open Door scholarships
• our nursing program.
• And even our nursing programs continue to see increases in enrollments.
• It's been phenomenal to see these kinds of enrollments in our cybersecurity, our nursing programs, the
• In many cases, for example in programs such as nursing and line worker, our starting salaries for our

Summary: The Higher Education Appropriations Committee met for its first meeting of the session and heard presentations focused on workforce education in the Florida College System and district technical colleges. Members introduced themselves and discussed their personal connections to higher education, then heard from Department of Education senior chancellor Kevin O’Farrell, South Florida State College president Fred Hawkins, and Pinellas Technical College representative Mark Hunt. O’Farrell outlined the department’s budget request, including increases for adult education, Florida College System program funds, workforce development capitalization grants, apprenticeship and teacher apprenticeship programs, Open Door scholarships, and CAPE industry certification funding. He emphasized record growth in enrollments, completions, dual enrollment, and program offerings, and described grant-funded expansion in fields such as health sciences, manufacturing, logistics, aerospace, and AI-related programs. Committee members raised concerns about whether current programs match actual labor-market demand, how artificial intelligence may reduce future human labor needs in some fields, and how the state should avoid unwarranted duplication of programs. O’Farrell said the department uses economic forecasts, employer demand data, and a CTE audit process to review programs and phase out those that do not meet performance thresholds. Members also asked for more detail on the teacher apprenticeship model, the transition from technical college clock hours to college credit, job placement and salary outcomes, and the LPN-to-RN pathway. O’Farrell said he would provide additional information later. Hawkins described South Florida State College’s rural service area, low college-going rates, and difficulty recruiting and retaining faculty and staff because salaries lag behind local market alternatives and nearby school district pay. He said the college has had to turn away students in high-demand programs due to staffing and operational limits, while also noting strong outcomes in nursing, dental hygiene, EMT/paramedic, and radiography. Hunt said Pinellas Technical College serves about 5,000 students annually, including many dual-enrolled high school students, and reported a placement rate above 90% and strong local economic returns. He said many programs have waiting lists and that additional operational funding is needed to meet demand, maintain equipment, and keep pace with salary and cost increases. The meeting ended after public comment was opened and no further business was brought before the committee, and the committee adjourned.

Transcript Highlights:

• Whereas the Legacy Keepers Nurse Honor Guard of Arkansas was established in 2025 by a group of nurses
• Arkansas upholds the legacy of nursing as a sacred calling and honors those nurses who gave so much
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.
• I've had many family members as nurses, and my niece is currently training to be a nurse.

Transcript Highlights:

• CalVet has a home loan program.
• programs.
• They needed more time to stand up their retail programs.
• We're now seven years into the program.
• And as a state agency, we support local arts infrastructure, programming, statewide through grants, programs

Summary: The Assembly Budget Subcommittee 5 on State Administration held an informational hearing on budget issues for the Department of Veterans Affairs, the Department of Cannabis Control, the Department of Consumer Affairs, the Commission on the Status of Women and Girls, and the California Arts Council. The chair noted there would be no votes. CalVet gave an overview of its programs serving veterans and families, including transition assistance, county veterans service officers, education approvals, housing and homelessness programs, home loans, long-term care homes, and state veterans cemeteries. Members asked about future long-term care needs for aging veterans, staffing and recruitment challenges at veterans homes, and the Yountville steam infrastructure replacement project, for which CalVet sought a $38.8 million reappropriation and said federal reimbursement was expected. CalVet also discussed the role of county veterans service officers in helping veterans file claims and avoid predatory unaccredited representatives. The Department of Cannabis Control described its regulatory role from seed to sale and requested one position to implement SB 1064’s combined activities license. Members and public witnesses focused heavily on the illicit cannabis market, enforcement staffing, and the impact of taxes and fees on the legal market. DCC said it had roughly 87 enforcement positions with about a 15% vacancy rate and more than 200 compliance staff. Its economist presented the 2024 cannabis market report, which found licensed production and retail quantity were up, but retail value and prices were down, with an estimated 11.4 million pounds of illicit production and about 60% of California consumption still coming from the illicit market. Industry witnesses argued the legal market is in crisis, urged repeal of the scheduled excise tax increase, stronger enforcement against illicit cannabis and hemp-derived intoxicants, and expanded retail access. The Department of Consumer Affairs briefly presented nine budget proposals, including a $2.6 million ongoing request to maintain a business modernization system for several boards and bureaus. The Commission on the Status of Women and Girls described its work on economic and educational equity, health care, violence prevention, student rights, and archival and outreach projects, and said its budget request would convert limited-term positions to permanent. A member urged the commission to narrow its priorities toward current issues such as affordability, child care, and women’s health. The California Arts Council outlined its role as the state’s only statewide arts funder and requested restoration of $5 million in local assistance; supporters testified that the funding would leverage additional local investment and help sustain arts access, especially in rural communities. The hearing ended after the non-presentation items were noted and no further public comment was offered.

Transcript Highlights:

• practitioners, and Manoa has a PMHMP program, which is psychiatric mental health nurse practitioner.
• One of the things that we found from our pilot program with the nurse practitioners was that if we had
• </c><00:26:18.559><c> with</c><00:26:18.799><c> the</c><00:26:18.960><c> nurse</c> uh pilot program with
• the nurse uh pilot program with the nurse practitioners<00:26:19.919><c> was</c><00:26:20.159><c> that
• I know nurse certification.

Transcript Highlights:

• I was very taken with your narrative around the nursing workforce specialty programs.
• But to give a brief overview, San Diego State plans multiple programs in nursing at the new Millenia
• for immediate development in business administration, a 2+2 program, ADN to BSN nursing in both online
• for immediate development in business administration, a 2 plus 2 program, an ADN to BSN nursing, both
• like around nursing.

Summary: The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs. On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known. The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.

Transcript Highlights:

• We are honored to be running the pilot program on...
• Is it a mandated, unfunded program?
• which resulted in her nursing coverage being terminated.
• I am a certified nurse midwife. I'm a certified lactation educator.
• On November 4th, the nurse On November 4th, the nurse from Graceful Care Hospice came to our home.

Committee: Senate Health

Transcript Highlights:

• Yes, this model is drawn from a program in Oklahoma.
• My name's Gloria Doherty, a PhD prepared nurse and nurse practitioner.
• I'm here representing the New Mexico Nursing Association and the New Mexico Nurse Practitioner Council
• Linda Siegel with all the health care providers, doctors, nurses, nurse practitioners, OTs, PTs, psychologists
• Again, Gloria Doherty I'm a PhD-prepared nurse practitioner and nurse, and a recipient of this in the

Committee: Senate Senate Health & Public Affairs

Transcript Highlights:

• So this is really great that we have this universal home visiting program where nurses can come into
• I think the program is universal home visit where a nurse actually visit the whole.
• A nurse can educator on the program. A physician can educate on that program.
• that program.
• and R B H Impact program.

Transcript Highlights:

• If you talk to nurses, you talk to else.
• </c><00:03:53.120><c> to</c> painful for the doctors and nurses to painful for the doctors and nurses
• Doctors and nurses and clinics.
• Doctors and nurses terms of providers. Doctors and nurses and<00:09:52.440><c> clinics.
• </c> programs anymore. programs anymore.

Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.

Transcript Highlights:

• We know we need nurses, but what kind of physicians? What kind of nurses?
• We're gonna be short about 6000 nurses by 2030.
• Um, so we're already, we're already experiencing nursing short.
• or even the NP program?
• I don't foresee these programs being successful.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• So this is really great that we have this universal home visiting program where nurses can come into
• I think the program is your universal home visit, where a nurse actually visits the home.
• How does that program work?
• A mother who is going to her doctor's appointment can be educated on that program by a nurse or a physician
• that program.

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• from a program.
• In terms of staffing, CARES programs were comprised of social workers, EMTs, paramedics, nurses, and
• In terms of staffing, CARES programs were comprised of social workers, EMTs, paramedics, nurses, and
• Also, social workers can be an asset to care programs, but as with nurses, this is not a common career
• program.

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:

• Federal funding of the SNAP program, for example, and of school lunch programs could be a start.
• It's a rule that would triple the registered nurse requirements in nursing homes, which is going to lead
• The SNAP program—everything you've said about the SNAP program, I agree with.
• Look at the school health program.
• Which program you're using when.

Committee: Senate Finance Committee

Transcript Highlights:

• </c> than the other programs. Miss Pen, Mr. than the other programs. Miss Pen, Mr.
• For example, our federal program.
• of DHS licensed programs.
• They were enrolled in our program and substance use programs.
• Not in our program at in our program.

Bills: HF2216 , HF1978 , HF2354 , HF1963 , HF1994 , HF1995 , HF1894

Committee: House Human Services Finance and Policy

Transcript Highlights:

• </c> nurse is never a physician. nurse is never a physician.
• Support Program in our adult program. Support Program in our adult program.
• . program. program.
• </c> resilience programs. resilience programs.
• </c> do the RX program? do the RX program?

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• I am a registered nurse.
• I am a current school nurse and have been a school nurse for 22 years for the Kuna School District.
• for the National Association of School Nurses.
• So I have been very involved with school nursing for half of my career.
• I represent myself as a school nurse today.

Committee: House Health and Welfare