Transcript Highlights:

• <00:07:03.080> facilities<00:07:04.080> um long-term care in nursing facilities um
• <00:13:32.560> homes care facilities so that is nursing homes care facilities so that is nursing
• All right, moving on to nursing facilities. A proposal here related to nursing home payment rates.
• all right moving on to nursing all right moving on to nursing facilities<00:37:01.319> a<
• it will reimburse States for nursing it will reimburse States for nursing facility<00:37:15.359>

Keywords: 1183, house

Transcript Highlights:

• This is the time frame that the health care providers and facilities except for nursing homes, U.S. produce
• So currently health care facility.
• And many hospitals are now organized as a limited facilities.
• It clarifies that healthcare facility.
• Is that a nurse?

Keywords: 999, senate, all

Transcript Highlights:

• Counties operate 11 long-term care facilities and 10 county correctional facilities across the state.
• Hillsborough County has a 300-bed facility.
• Hillsboro County has a 300 uh facility Hillsboro County has a 300 uh bed<01:21:34.239> facility
• if you allow the option for the nursing if you allow the option for the nursing home<01:22:32.199
• facilities so there County correctional facilities so there would<01:23:23.239> be<01:23:23.440

Keywords: 1191, senate, all

Transcript Highlights:

• This is for nursing investigations upon request from the Board of Nursing.
• This is for nursing investigations upon request from the Board of Nursing.
• This is for a workers' compensation telephonic nurse triage.
• This is for the Nursing Assistant competency evaluation program.
• investigations requested by the Board of Nursing on nurses.

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• This is going to help move nursing facilities over in that.
• This is going to help move nursing facilities over in that.
• It's staffing cuts and costs to nurses and nursing, CNAs, residents, activities, and social work.
• It's staffing cuts and costs to nurses and nursing, CNAs, residents, activities, and social work.
• It's staffing cuts and costs to nurses and nursing, CNAs, residents, activities, and social work.

Keywords: 1183, house

Transcript Highlights:

• Representative Schumacher: We fixed some property right issues for nursing facilities in Chair David's
• You guys want to talk about nursing homes and long-term care facilities? Well, guess what?
• I want everybody to know that nursing homes and assisted living facilities are vital to the economy and
• I want everybody to know that nursing homes and assisted living facilities are vital to the economy and
• And nursing of going to a nursing home.

Keywords: 1183, house

Transcript Highlights:

• The unfortunate reality is that many of these facilities have State, but mostly out of state.
• Many of these students are sent to high-risk facilities.
• Nurses Organization, and Dr.
• nurses and Dr.
• of the school nurse credential program at Sac State.

Summary: The Assembly Education Committee met without a quorum for much of the hearing and heard several bills out of order. SB 249 by Senator Umberg would move county board of education elections from the primary to the statewide general election. Supporters, including the League of Women Voters and many educators, argued the change would increase turnout and make the electorate more representative. The Orange County Board of Education opposed the bill, saying it would increase costs, reduce local control, and bury education races on crowded general-election ballots. The chair and members discussed turnout, cost, and representation, but the bill was held pending a quorum. Senator Grove presented SB 373, which adds safeguards for California students placed in out-of-state non-public schools through IEPs. The bill would require more robust LEA and CDE oversight, including annual site visits, student interviews, quarterly contact, stronger certification standards, and restrictions on prone, supine, and mechanical restraints. Testimony from a survivor of an out-of-state placement and from advocates emphasized abuse, neglect, and the need for stronger monitoring. There was broad support and no opposition testimony, but the measure was also held pending a quorum. Senator Ashby presented SB 568, the epinephrine in schools modernization act, to clarify and expand requirements for stocked epinephrine so they clearly apply to all public schools, including preschool programs. School nurses and medical experts said the bill would close gaps created by universal preschool and ensure life-saving treatment is available for anaphylaxis. The committee discussed dosing and implementation, and the bill was supported without opposition testimony. The committee also heard SB 414, the Charter School Accountability Act, which would strengthen fiscal oversight, audit standards, and transparency for charter schools and authorizers. Supporters said it responds to fraud and audit findings while preserving charter flexibility; opponents, including school employees and teachers, said it did not go far enough on authorizer accountability and small-district oversight. After discussion, the committee voted 7-0 to pass SB 414 as amended to Appropriations. The committee also briefly heard SB 743 by Senator Cortese, which would create an equalization reserve account to provide additional funding to underfunded school districts and reduce funding inequities tied to ZIP code. The author said the bill would support student achievement and teacher retention over time. The transcript cuts off before testimony or action on SB 743 was completed.

Transcript Highlights:

• I had my mom in an assisted living facility last year.
• Board of Nursing, and currently I'm the CEO of Vitra Health.
• I'm a licensed registered nurse, a former executive director of the Massachusetts Board of Nursing, and
• I'm a licensed registered nurse, a former executive director of the Massachusetts Board of Nursing, and
• , nurse practitioners, PAs, and physicians.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• And Ken Weston is everything facilities, capital planning, facilities maintenance, all that for the university
• The library is a very familiar facility...
• We also have our turnpike facilities.
• And same thing with our patrol facilities.
• That's removed from our facility.

Keywords: 928, house, all

Summary: The hearing reconvened with testimony from several agencies on their capital budget requests. The Department of Environmental Services requested a little over $38 million, with major emphasis on dam repairs and design work for aging state-owned dams, including a $5.25 million match for possible FEMA BRIC funding at Pawtuckaway/Tuckaway and other projects such as Milton Three Ponds, Murphy Dam, and Lakeport Gates. DES also requested funding for state revolving loan fund matches, a Superfund match for the Savage Well site, IT and air-monitoring upgrades, and a new $750,000 cybersecurity request for water and wastewater systems. Committee members asked about FEMA eligibility, the distinction between design and construction money, and the timing and risk of banking funds if federal grants do not materialize. The University System of New Hampshire requested $20 million in state support, primarily $15 million for a major Diamond Library renovation at UNH to create a student support hub and reduce/repurpose collection space, plus $2.5 million each for deferred maintenance at Plymouth State and Keene State. The Community College System requested about $16.6 million across seven projects, led by critical maintenance, campus safety/security upgrades, IT infrastructure, parking and site improvements, HVAC replacement at White Mountains Community College in Littleton, a building management/energy system, and modernization of NHTI’s dental clinic and radiology spaces. The Department of Education requested $29.5 million, including a $4.9 million internal management platform to replace paper-based and siloed systems, plus career and technical education capital projects; Milford’s CTE project was described as being revised after repeated failed bond votes, while ConVal said its revised project would focus on modernizing existing CTE space and adding a security vestibule. Fish and Game requested $1.075 million for three facilities: Sewall Falls in Concord, the Lancaster Armory, and the Bunker Lane Barn in Durham, focusing on structural repairs, security, reconfiguration, and in one case replacement of a failing barn with a new 40-by-60 building. The department also said hatchery work is ongoing but that it is taking a cautious approach because of the planned New Hampton Hatchery and future capital needs. The Department of Natural and Cultural Resources requested $9.26 million for eight projects, including campground electrical upgrades at Ellacoya and Lake Francis, White Lake water system replacement, Mount Washington fuel tank and safety work, Odiorne Point visitor center work funded through parks revenue, roofing and parking lot repairs, Fox Forest office safety upgrades, and historic site repairs at White Island and Fort Constitution. Members asked about revenue-based capital, the stability of the parks fund, and flexibility in choosing projects as bids come in. The Department of Transportation began its presentation at the end of the transcript, but its detailed requests were not yet discussed.

Transcript Highlights:

• House Bill 178 provides updates to the Nursing Practice Act to account for current nursing practice and
• It allows the Board of Nursing to assist in recruitment and retention of nurses.
• New Mexico Nurse Practitioners.
• President and Senator, these facilities, do they have windows? bars, all kinds of facilities.
• Left there at the facility.

Transcript Highlights:

• First, the elimination of the Skilled Nursing Facility Workforce and Quality Incentive Program, or WQIP
• Bill SB 1511, and 2024, requires skilled nursing facilities to have an alternative source of power for
• Jennifer Snyder, on behalf of Flagstone Healthcare, which operates 70 skilled nursing facilities in the
• The workforce quality incentive payments for nursing facilities, which are essential payments that are
• I oppose any budget cuts directed toward the elderly and PACE programs, skilled nursing facilities, and

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• HB 1756 by Manuel relating to the licensing Authority of Advanced Practice registered nurses for the
• HB 1823 by Thompson relating to the operation of concrete crushing facility near a hospital.
• of Nursing and the creation of a work group on nursing career pathways for the Committee on Public Health
• facilities.
• facilities, assisted living facilities, or senior independent living communities providing an administrative

Transcript Highlights:

• But nursing facility cost increases, waiver rates, the various waivers I'll talk about in a few minutes
• But nursing facility cost increase.
• But nursing facility cost increases,<00:20:59.600> waiver<00:21:00.000> rates,<00:21:00.400
• We want more nurses. We need more nurses.
• . facility. facility.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:11 Executive Budget 00:00:50, 958, all

Summary: The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations. Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities. He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.

Transcript Highlights:

• IN THE ANTICIPATED COST OF BUILDING AND RUNNING THOSE FACILITIES.
• IT HAS BEEN A MINUTE IN THE NURSING HOME OPENED WHEN I LEFT. BUT I KNOW FOR A FACT. >> Sen.
• IT WILL BE OUR TENTH STATE VETERAN NURSING HOME. IT WILL BE IN COLLIER COUNTY.
• THE NUMBER OF BEDS WE PROVIDE FOR SKILLED NURSING BUT ALSO ASSISTED LIVING.
• THIS IS ONE I AM PROUD OF AND EXCITED ABOUT AND IT WILL BE 120 BED SKILLED NURSING FACILITY BUT WE WOULD

Keywords: 999, senate, all

Transcript Highlights:

• facility proposal related to nursing facility payment rates.
• Finally, in the nursing facility realm, I have two proposals.
• spend, and that was the nursing home facility stuff.
• spend, and that was the nursing home facility stuff.
• was the nursing home facility and that was the nursing home facility stuff<01:46:44.159> what

Keywords: 1187, senate, all

Transcript Highlights:

• arena for nurse practitioners.
• Nursing... Nursing is a very complex discipline with multiple opportunities for people to practice.
• nurses.
• the facility.
• of these facilities actually have housing when they were first built.

Transcript Highlights:

• We should not be cutting mental health facilities, is my opinion.
• I'm an ICU nurse at Brigham and Women's Hospital and President of the Massachusetts Nurses Association
• And like I said earlier, use that facility for even more.
• Like in the nursing field, you have to have certain things.
• Soon after, I was sent to an inpatient facility.

Keywords: 995, all

Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.

Transcript Highlights:

• Nurse workforce costs rise.
• This provides facilities like hospitals, pharmacies, nursing homes, and other points of care where a
• , freestanding emergency medical care facilities, special care facilities, private psychiatric facilities
• facilities will be exempt.
• , freestanding emergency medical care facilities, special care facilities, private psychiatric facilities

Keywords: 1185, senate, all

Transcript Highlights:

• and secretaries ...instructional facilitators, nurses, and secretaries.
• facilities made up the largest expenditure.
• Technology-related facilities line.
• In relation to, like, in terms of the facility funding, if you're referring to the facility funding,
• . and then related facility expenses.

Summary: The House/Joint Education committee continued its adequacy study with a Bureau of Legislative Research presentation on resource allocation, focusing first on matrix spending and then non-matrix spending. Staff explained the methodology for mapping APSCN expenditure data to matrix lines, reviewed district and school categories used in the analysis, and highlighted key findings: foundation funding covered a large share of matrix costs but total spending on matrix items exceeded foundation funding, with classroom teachers making up the largest share. Members asked for additional breakdowns on waivers, superintendent survey responses, trend data, and spending by district type, size, and rural/urban status. Staff also noted limitations in tracking two matrix lines—salary enhancement for other employees and all personnel health insurance—because of coding and definition issues. The committee then reviewed non-matrix expenditures, including instructional aides, facilities, school safety, mental health, dyslexia services, gifted and talented, and career and technical education. Staff reported that non-matrix spending remained above $2 billion over the last three years, with most of it coming from other funds rather than foundation funding. Members raised concerns about dyslexia identification and funding, mental health needs, school safety, food service, athletic transportation, and whether some items should be added to the matrix. The Department of Education clarified that the building fund reflects district-held funds for construction and maintenance projects, while the facilities partnership program is a separate state process for approved projects. In the final discussion, staff summarized total spending as more than $15,800 per student in 2025, with about 69% going to matrix resources and 31% to non-matrix resources. The chair explained the adequacy process and the committee’s role in setting future funding recommendations, and members discussed the recommendations worksheet included in the binder. The chair then proposed postponing the remainder of Part Two of the presentation until a May meeting after the fiscal session, along with inviting the Department of Education back for more detailed questions; with no objections, the committee adjourned.

Transcript Highlights:

• So we talked about the facilities or the master facilities plan. I also mentioned...
• Her background is in nursing.
• I'm the associate dean over allied health and nursing.
• I'm the associate dean over allied health and nursing.
• There's now practical nursing. We've added registered nursing, LPN to RN, and such.

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.