Transcript Highlights:

• Programs and services and analyzing gaps.
• Meal programs assist in keeping people in their homes.
• It increases the current emergency services program.
• Lund on the work that is being done with this program.
• This is about allowing skilled nurses to do a task that they are licensed to do under the Nurse Practice

Committee: House Human Services Finance and Policy

Transcript Highlights:

• There's a California pay-per-value program. Rhode Island and Tennessee have a commercial program.
• Last weekend, a nurse manager relayed the recent experience of a nurse receiving her concerning mammogram
• It means a nurse, nurse aide, medical assistant, hospital employee, allied health professional, laboratory
• There are practitioners stating that when a nurse or nurse practitioner complaint is... ...reported to
• Even though the same prior complaint regarding the nurse by the Board of Nursing was addressed prior

Bills: SB95 , SB268 , SB493 , SB619 , SB660 , SB922 , SB984 , SB1098 , SB1188 , SB1307 , SB1332 , SB1822

Committee: Senate Health & Human Services

Transcript Highlights:

• </c><00:11:47.360><c> Program</c> number of key provisions. Program number of key provisions.
• We also see aligning assistance program.
• I think we practices for DHS programs.
• </c><00:19:38.320><c> homes,</c> settings as we do for nursing homes, settings as we do for nursing homes
• ><c> the</c><00:19:40.559><c> benefit</c> skilled nursing that enjoy the benefit skilled nursing that

Transcript Highlights:

• Anything we can do to get more nurses, but improve patient-to-nurse ratio.
• Anything we can do to get more nurses, but improve patient to nurse ratio.
• Our nurses are burnt out.
• That's not what the major events reimbursement program looks like.
• actually benefit from the reimbursement program.

Bills: SCR46 , SB31 , SB39 , SB227 , SB330 , SB401 , SB407 , SB467 , SB482 , SB500 , SB506 , SB512 , SB527 , SB584 , SB619 , SB636 , SB646 , SB647 , SB648 , SB659 , SB663 , SB715 , SB732 , SB758 , SB801 , SB816 , SB847 , SB870 , SB884 , SB1020 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1283 , SB1383 , SB1395 , SB1410 , SB1433 , SB1490 , SB1558 , SB1574 , SB1626 , SB1666 , SB1718 , SB1727 , SB1756 , SB1757 , SB1845 , SB1924 , SB1964 , SB1972 , SB2018 , SB2031 , SB2075 , SB2076 , SB2080 , SB2111 , SB2117 , SB2154 , SB2161 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2314 , SB2322 , SB2351 , SB2371 , SB2476 , SB2533 , SB2540 , SB2570 , SB2589 , SB2623 , SB2658 , SB2660 , SB2692 , SB2693 , SB2717 , SB2722 , SB2753 , SB2779 , SB2877 , SB2880 , SB2900 , SB2920 , SB3031 , HJR4 , SB5 , SB260 , SB1786 , SJR3 , SJR18 , SB1 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1924 , SB2253 , SB2018 , SB2206 , SB584 , SB1085 , SB1490 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB1558 , SB884 , SB227 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB648 , SB647 , SB512 , SB1721 , SB2268 , SB2366 , SB1013 , SB2692 , SB2570 , SB2797 , SB2111 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB1718 , SB2779 , SB2004 , SB1756 , SB2119 , SB527 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , HJR4 , HB135 , HB 1109 , SCR30 , SCR3 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HCR35 , HCR64

Summary: The Senate first adopted a motion to move the intent calendar deadline to 4 p.m. and then took up several bills by suspending the regular order of business. Senate Bill 2031, concerning removal of high fences around breeder deer release sites, passed after an amendment shortened the testing period from five years to three, tied visible identification requirements to the date Parks and Wildlife began requiring them, and made the bill effective immediately. Senate Bill 1490, a cleanup to adult charter high school funding, and Committee Substitute Senate Bill 2227, creating a process for delayed birth certificates and renamed the Charles E. Barton Act, both passed unanimously after floor amendments. Committee Substitute Senate Bill 1964, regulating artificial intelligence systems used by state agencies, also passed unanimously after the author described guardrails for high-risk AI and disclosure requirements. The Senate then considered Senate Bill 2877, which increases penalties for election fraud and related attempts; after debate over whether existing law already covers some conduct and whether the bill was necessary given the small number of convictions, it passed to engrossment and later final passage on a 21-10 vote. Committee Substitute Senate Bill 2658, on brackish groundwater production and study, passed after four amendments, including one giving water districts authority to stop production if monitoring shows harm to freshwater supplies or subsidence and another returning a portion of transported water revenue to districts. Committee Substitute Senate Bill 648, strengthening recording requirements for real property instruments to help prevent deed theft, also passed on a 26-4 vote. Other measures approved included Committee Substitute Senate Bill 401, making it easier for homeschool students to participate in UIL activities through local district opt-in/nearest-district participation rules; Committee Substitute Senate Bill 407, requiring health care facilities to honor conscience or religious vaccine exemptions for employees, despite extensive questioning about patient safety and immunocompromised patients; Committee Substitute Senate Bill 2117, creating a Texas Committee on Foreign Investment to review risky foreign acquisitions; Senate Bill 1718, adding the NRA annual meeting to the major events reimbursement program after a failed amendment seeking equal space for gun-control advocacy; Committee Substitute Senate Bill 1626, clarifying limits on censorship and interference with digital expression by social media platforms; and Senate Bill 2206, updating the state R&D franchise tax credit and related sales tax treatment, which passed 31-0. The chamber also debated Senate Bill 1395 on school health advisory councils. An initial amendment to restore voting seats for teachers and school employees failed, but a later amendment by Senator West added students back in an advisory, non-voting capacity. The Senate then handled routine motions, committee scheduling, first-reading referrals, and adjourned until April 29, with the session ending in memory of two constituents.

Transcript Highlights:

• The bill defines a dropout retrieval program as a program that serves students who have officially withdrawn
• education programs and school performance calculations.
• So I believe the first example is a school nurse.
• So that could be with the school nurse or that could be at a...
• But what can happen is there's a train-the-trainer program.

Committee: Senate Education Pre-K - 12

Summary: The Senate Committee on Education Pre-K through 12 considered a series of education-related bills, many of them after adopting amendments. SB 1122 on Florida Virtual School was amended to remove virtual preschool provisions and then passed favorably, with the sponsor describing it as a clarifying bill about FLVS operations, revenue sources, reporting, and student access. SB 1374, on school district reporting requirements for educator arrests and misconduct, was also approved; it requires faster district action and reporting when instructional personnel are arrested for certain offenses and clarifies that self-reports are not admissions of guilt. SB 1402, on student enrollment and dropout retrieval programs, was amended and passed to broaden eligibility for dropout retrieval services and allow certain virtual providers to receive a school improvement rating instead of a school grade. SB 364, moving the Council on the Social Status of Black Men and Boys from the Department of Education to Florida Memorial University, was amended and reported favorably. The committee also approved SB 772 on diabetes management in schools, which would allow districts to obtain and store glucagon for emergency use by trained school staff or nurses, with liability protections included. SB 1102 on school readiness programs for children with disabilities passed after testimony that it would expand identification of disabilities, require more training for providers, and direct special-needs funding toward better-supported classrooms. SB 1382, also on school readiness, was approved and would change the definition of economically disadvantaged families, adjust priority tiers, and update the waitlist and forecasting process for child care assistance. The most debated measure was SB 140, which was substantially rewritten by delete-all amendment to create “job engine charter schools,” allow municipalities to seek charter schools aimed at attracting industry, authorize parent votes for conversion of existing public schools, and set requirements for district five-year property plans and surplus property use, including affordable housing and charter school purposes. Supporters argued it could aid economic development and repurpose underused property, while opponents raised concerns about privatization, reduced stakeholder input, unclear voting procedures, and loss of district control over property. Despite extensive debate and multiple public speakers against it, the bill passed favorably. The committee also approved SB 430, a merged AED and cardiac emergency response bill requiring public schools to have a cardiac emergency plan, trained staff, and an operational AED in a publicized location, with reimbursement provisions and liability protections; it passed after supporters emphasized life-saving benefits and manageable training costs. The committee adjourned after recording additional members’ votes on selected bills.

Transcript Highlights:

• practitioners, and nurse midwives.
• Family Pact, Cancer Detection Program, Every Woman Counts, the Breast and Cervical Cancer Treatment Program
• The program rules were changed, which devastated the entire program system.
• comply or even want to be in the program.
• wrong in relation to the program.

Transcript Highlights:

• </c><00:55:20.839><c> long-term</c> while ensuring the programs long-term while ensuring the programs
• You're representing the University of Hawaiʻi system and also the Center for Nursing, School of Nursing
• You're representing the University of Hawaiʻi system and also the Center for Nursing, School of Nursing
• Center for Nursing School of Nursing um Center for Nursing School of Nursing and<01:17:52.920><c> dental
• </c><01:18:13.480><c> I</c> the hawwai State Center for Nursing I the hawwai State Center for Nursing

Summary: The Committee on Education heard several Department of Education-related bills and received extensive testimony on school meals and veteran diplomas. HB 628 would restore authority for the Department of Education to issue high school diplomas to veterans whose schooling was interrupted by World War II, the Korean War, or the Vietnam War. The superintendent testified in support, explaining the authority had sunset in 2020 and describing the measure as a way to recognize veterans. No opposition or questions were raised, and the bill was left without further action in the excerpt. The committee also heard HB 1074 and HB 110, both supported by the Department of Education and the School Facilities Authority. HB 1074 was described as a cleanup measure to clarify land-related language and make the statute more consistent across state agencies and DOE. HB 110 concerned benchmarking and the farm-to-school/local food effort; DOE and several supporters, including county councils, the Hawaii Public Health Institute, the Hawaii Farm Bureau, and the Hawaii Farmers Union, said the bill would help align metrics and support the 30% local food goal by 2030. Members questioned DOE about progress, and DOE said it was working on menus, procurement, and coordination with distributors and farmers. A Farm to School representative said the current bottleneck was poor communication with farmers and the need to bring them into planning earlier; DOE said it was still figuring out the process and that island-based procurement and separate RFPs were being explored. HB 328, relating to school meals and local resource food and plant-based options, drew the most testimony. DOE testified with comments, and the Attorney General’s office suggested revisions to clarify that the bill would apply to both DOE and charter schools, to separate public and private funds if donations or grants are accepted, and to add standards if nonprofit or private entities receive public money. Supporters included HSTA, the Hawaii Public Health Institute/Farm to School Network, Climate Protection Hawaii, the Hawaii Cattlemen’s Council, and numerous individuals and organizations. Supporters emphasized healthier school meals, student-requested plant-based options, support for local farms, and the 30% by 2030 goal. Some testimony urged more local purchasing and raised concerns about decentralization, while DOE said it was considering island-based procurement and separate contracts to better support local producers. No votes were taken in the excerpt.

Transcript Highlights:

• home beds in a skilled nursing facility.
• home beds in a skilled nursing facility.
• It modernizes the Veterans Employment Program.
• The Veterans Employment and Training Services Program becomes the Veterans Florida Opportunity Program
• The program becomes the Veterans Florida Opportunity Program.

Committee: Senate Military and Veterans Affairs, Space, and Domestic Security

Summary: The Committee on Military, Veterans Affairs, Space, and Domestic Security met with a quorum present and took up three veteran-related bills. SB 78 would allow the Florida Department of Veterans’ Affairs to authorize a nonprofit retirement community serving only veterans, spouses, and surviving spouses to create veteran- and spouse-designated nursing home beds in a skilled nursing facility, including transfer of certificate-of-need beds within 100 miles. The Air Force Enlisted Village CEO testified in support, saying it would add needed skilled nursing care to their continuum; the bill was reported favorably. The committee then considered CS for SB 1280, a broad veterans bill that modernizes employment and training programs, renames the program the Veterans Florida Opportunity Program, creates a job-training grant program, adjusts reimbursement caps, expands university/agriculture training stipends for veteran spouses, provides various fee reliefs, waives a one-time state business filing fee for veterans, and expands veterans’ treatment courts. Two amendments were adopted: one changed the state flagship designation to the SS American Victory and allowed disabled veteran designation on specialty plates via a DV embossing, while removing outdated references; the second removed hunting and fishing license provisions due to funding concerns. Veterans Florida representatives waved in support, and the committee reported the bill favorably as amended. Finally, SB 1282 created a public records exemption for information submitted to the Veterans Florida Opportunity Program when veterans are developing business opportunities, protecting trade secrets and related sensitive information from disclosure. Veterans Florida supported the measure, and after brief debate the bill was reported favorably. The committee then briefly reconsidered the vote for recording purposes and adjourned without further business.

Transcript Highlights:

• in health science education programs as well as nursing education programs.
• We have some nurses from the Florida Nurses Association.
• Nurses Association, as well as Sandra Falk, a retired operating room nurse.
• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. 440,000 nurses

Transcript Highlights:

• We increased programming.
• We increased programming.
• He did the same program.
• There's a nursing shortage.
• There's a nursing shortage.

Committee: House General Laws

Transcript Highlights:

• We'll relocate the building, expand the nursing programs that are offered there, and those programs are
• Other programs in there will be anatomy, nursing assistant, nursing pharmacology, mental health, childbearing
• </c> build building expand the nursing build building expand the nursing programs<00:12:30.839><c> that
• ><c> nursing</c><00:12:38.639><c> assistant</c><00:12:39.639><c> uh</c> will be Anatomy nursing assistant
• </c><00:12:41.480><c> health</c> nursing pharmacology mental health nursing pharmacology mental health

Summary: The House Budget Review Subcommittee on Postsecondary Education met for its first meeting and heard an update from KCTCS President Dr. Ryan Corral. He opened with a brief report on flood impacts across the state, noting damage at Big Sandy and Hazard, support for displaced faculty and staff, emergency student aid, and the use of campuses as shelters and Red Cross sites. He then outlined KCTCS’s role as the state’s largest postsecondary system, serving about 107,000 students across 16 colleges and 70 campuses, with strong enrollment growth, major dual credit and GED operations, and a large workforce-training mission. Corral emphasized student support needs such as food, housing, and mental health services, and said KCTCS wants to expand work with incarcerated populations and recovery communities. Corral also described system changes focused on compliance, stability, leadership development, property disposal, and curriculum review. He said KCTCS has addressed prior audit findings, is conducting additional audits, has sold or is selling several buildings, and has removed 400 underutilized credentials to better align programs with employer needs. He highlighted transfer agreements with the University of Kentucky, University of Louisville, and Western Kentucky University, and said KCTCS is working to align training with employers and local governments. He also discussed the system’s response to House Bill 6 and the $90 million appropriated for an efficient operations and innovation plan, including three proposed capital projects: a Somerset Community College facility for diesel, automotive, welding, HVAC, CAD, and 3D printing; replacement of an outdated Louisville building; and a South Central/Glasgow allied health facility to expand nursing and related programs. In response to questions, Corral said the Blue Oval SK training building in Glendale is open and operational, though workforce demand there has been slower than initially expected, and that KCTCS is working with the company and state officials to cover operating costs. Members praised KCTCS’s workforce role and flexibility in meeting employer needs statewide. Representative Moll also commented on the system’s progress and importance to Kentucky’s workforce development. No votes were taken, and the meeting ended with adjournment.

Transcript Highlights:

• </c> that aren't covered by the nursing that aren't covered by the nursing facility.<00:29:03.520><c>
• </c> patient account at a nursing facility. patient account at a nursing facility.
• /c><00:31:31.279><c> allowed</c> nursing facility recipient being allowed nursing facility recipient
• Happy to answer Cannabis Program.
• Um, when I think about the program.

Summary: The committee heard testimony on Senate Bill 118, as amended, which contains several unrelated provisions with a modest fiscal note. Nathan White of the Department of Health and Human Services explained that section 1 would change the personal needs allowance for Medicaid-eligible residents of private and county nursing homes from an adjustment every five years to an annual adjustment, increasing the state cost by about $50,000 per year. He also described section 2, a one-time appropriation of about $160,000 to make certain Hampstead employees whole for missed bonuses and lost leave during the state’s transition of the facility to Dartmouth management. White then outlined sections 3 through 5, which would create a dedicated fund for Hampstead lease revenue to cover the state’s contractual obligation to match Dartmouth capital improvements dollar-for-dollar up to $3 million. He said the state receives about $1.141 million in lease revenue in the first year, with a 3% annual escalator, and that the fund would hold lease revenue until needed for reimbursement. Members questioned how the matching arrangement would work, what happens if Dartmouth spends before the fund has enough money, and whether the state could refuse to match certain improvements. White said Dartmouth has final determination under the agreement if disputes arise, and that if the bill does not pass the state could face difficulty meeting the obligation without cutting services or finding other general funds. Several members also raised policy concerns about the personal needs allowance becoming an automatic cost driver. Brian Clark, attorney for the Bureau of Adult and Aging Services, clarified that current law requires the allowance to be updated at least every five years, but the legislature could change it in an off year if it chose. He also explained that the allowance is money residents retain from their own income, such as Social Security, as part of Medicaid cost-of-care calculations, and that the department does not regulate how residents keep those funds. No vote was taken during the discussion, and the committee paused to correct the bill copy before continuing testimony.

Transcript Highlights:

• And most of the students that are in this nursing program are minority students.
• A little bit of history here: WSU started nursing and pharmacy programs in Yakima without any dedicated
• state support, ran them at a deficit for several years, and in the nursing program in particular, their
• A little bit of history here, WSU started nursing and pharmacy programs in Yakima without any dedicated
• Had they had that enrollment, they would be able to grow the program, continue a very viable nursing

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate convened with roll call, prayer, and approval of the previous day’s journal, then moved to a resolution honoring piano teachers. Senate Resolution 8698 was adopted after remarks from Senator Conway and others describing the role of piano teachers in music education, family life, and community service. Members of the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then took up the operating budget and considered a long series of amendments. Several amendments focused on housing costs and local planning, utility and energy policy, ballot measure costs, state spending growth, tort liability, and paid family and medical leave. Some amendments were adopted, including a study of utility cost impacts from climate laws, a grid-related funding amendment, a tort liability oversight/reporting amendment, and a workgroup on services for people with intellectual and developmental disabilities. Others were rejected, including proposals to create a housing task force, cap state spending growth, fund ballot initiative costs, restore local planning grants, and change paid family and medical leave usage rules. Debate on the budget amendments was often partisan and detailed, with supporters arguing for fiscal restraint, cost transparency, and relief for taxpayers and local governments, while opponents emphasized existing work, program solvency, and the need to preserve services. The Senate also heard amendments on zero-based budgeting, federal education tax credit opt-in language, reproductive health funding, food assistance work requirements, and support for the Pediatric Interim Care Center; some were defeated and some were adopted. Roll-call votes were taken on certain amendments, and the transcript ends during consideration of Amendment 0787, which would restore funding for the Pediatric Interim Care Center.

Transcript Highlights:

• </c> our public health care programs. our public health care programs.
• Integrated Health Partnership Program is called the IHP program.
• this PMAP program, prepaid medical assistance program.
• </c> safety net healthcare programs. safety net healthcare programs.
• This is our public program. These programs do not belong to the private sector.

Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.

Transcript Highlights:

• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• Program.
• that program has gone in a second.
• program approved by the Board of Dentists.
• It would have been through the Medicaid program.

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• </c> programs available. So, thank you. programs available. So, thank you.
• Is it not enough nursing?
• Is it not enough nursing? condition? Is it not enough nursing?
• And to have these nursing homes that are veterans nursing homes and not even have that capability is
• </c> parents and in-laws in private nursing parents and in-laws in private nursing care. care. care.

Committee: Joint Veterans, Military Affairs, & Public Protection

Transcript Highlights:

• There are a couple of programs.
• And that's why we're really looking at this program. Oh, what is this program?
• the program That's why we're really looking at this program. How old is this program?
• as just a housing program.
• I don't want the program to be misconstrued as just a housing program.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• </c> to find another nurse for us. to find another nurse for us.
• </c> nursing for the entire 2026 year. nursing for the entire 2026 year.
• </c> consumer of this home care nursing? consumer of this home care nursing?
• </c> easy to get this private duty nursing. easy to get this private duty nursing.
• </c> How much nursing does that cover? How much nursing does that cover?

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• This is a contract for the used tire program for District 4 of Arkansas.
• The company actually has in-state contractors who do the nursing service for us.
• contract nurses and not nurses that are hired by you directly?
• waiver program.
• waiver program.

Committee: All ALC-REVIEW

Summary: The subcommittee first considered a used tire program contract for Arkansas District 4, an $88,000 one-year contract with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could leave the district unable to pay. Questions also focused on solicitation language that excluded bidders under corrective action plans. On motion, the committee held the contract until next month and encouraged the tire board to appear. Members then reviewed and, without objection, moved forward a series of methods of finance, alternative delivery projects, and discretionary grants. These included multiple university and college projects such as renovations, roof replacements, a new UCA multipurpose arena, and a revised financing package for UA Fayetteville’s Maple Hill residence hall. The committee also reviewed DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition outreach, hearing-loss follow-up, HIV services, maternal health, and rural hospital quality improvement. The committee next handled contract items, including a UAMS ratification for FMLA Source after an amendment was not submitted for review and payments continued past expiration; UAMS said it had retrained staff and would review for other missed contracts. Members also reviewed numerous construction, intergovernmental, out-of-state, and in-state contracts across state agencies and universities. Questions were raised about an out-of-state aeronautics study, a U of A Fayetteville parking guidance system, and a Veterans Affairs nursing contract. Most items were reviewed without objection, and the meeting adjourned after informational reports on contract amendments and minor contracts.

Transcript Highlights:

• <00:10:42.480><c> require</c><00:10:42.959><c> department's</c> programs require department's programs
• Now, while all departments can access some programs, eligibility for additional programs increases as
• </c> firefighter foundation program fund. firefighter foundation program fund.
• </c><00:19:34.240><c> Let's</c> programs specified within it. Let's programs specified within it.
• for that program.

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.