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:

• 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:

• House Bill number 405 by Representative Blackshere, regarding nursing homes, is referred to the Committee
• to store alcoholic beverages in a permanent storage... alcoholic beverages in a permanent storage facility
• Under this license, unconsumed alcoholic beverages would be required to be returned to the storage facility
• before subsequent transfer to... facility before subsequent transfer to another special event.

Bills: SJR 39, SB 22, SB 30, SB 33, SB 34, SB 37, SB 75, SB 209, SB 310, SB 505, SB 552, SB 618, SB 626, SB 636, SB 732, SB 747, SB 762, SB 769, SB 819, SB 825, SB 870, SB 926, SB 964, SB 1030, SB 1080, SB 1099, SB 1124, SB 1177, SB 1208, SB 1233, SB 1314, SB 1325, SB 1333, SB 1405, SB 1455, SB 1506, SB 1524, SB 1541, SB 1577, SB 1579, SB 1596, SB 1646, SB 1667, SB 1727, SB 1750, SB 1758, SB 1760, SB 1791, SB 1804, SB 1806, SB 1869, SB 1923, SB 1927, SB 1951, SB 1960, SB 1962, SB 2023, SB 2024, SB 2056, SB 2078, SB 2122, SB 2129, SB 2180, SB 2183, SB 2185, SB 2207, SB 2252, SB 2361, SB 2365, SB 2368, SB 2405, SB 2411, SB 2420, SB 2425, SB 2569, SB 2717, SJR 36, SJR 50, SJR 39, SJR 63, SJR 68, SCR 12, SCR 39, SCR 38, SCR 37, SCR 42, SCR 29, SB 762, SB 1596, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1539, SB 1505, SB 583, SB 957, SB 1502, SB 507, SB 1026, SB 1349, SB 1433, SB 1434, SB 310, SB 505, SB 264, SB 1364, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 1877, SB 732, SB 731, SB 397, SB 508, SB 1333, SB 1436, SB 964, SB 287, SB 2143, SB 261, SB 1247, SB 1882, SB 618, SB 393, SB 2243, SB 2226, SB 1919, SB 1791, SB 22, SB 651, SB 1080, SB 826, SB 1079, SB 1243, SB 1504, SB 1851, SB 1879, SB 2237, SB 1257, SB 2034, SB 1522, SB 1151, SB 596, SB 1191, SB 226, SB 570, SB 870, SB 991, SB 60, SB 1401, SB 1728, SB 586, SB 529, SB 217, SB 209, SB 1923, SB 1839, SB 387, SB 1874, SB 1872, SB 1873, SB 1921, SB 1883, SB 1620, SB 1838, SB 2024, SB 2429, SB 1999, SB 511, SB 2309, SB 2166, SB 510, SB 33, SB 2420, SB 1860, SB 1541, SB 1314, SB 1398, SB 1869, SB 1750, SB 855, SB 1233, SB 2425, SB 2037, SB 1758, SB 1759, SB 2365, SB 1924, SB 1818, SB 1405, SB 1762, SB 1968, SB 1977, SB 2077, SB 2321, SB 1662, SB 1663, SB 2124, SB 2204, SB 1855, SB 863, SB 37, SB 819, SB 2078, SB 2252, SB 1962, SB 2253, SB 825, SB 1577, SB 1184, SB 2018, SB 2206, SB 1901, SB 1030, SB 2368, SB 1963, SB 1960, SB 1643, SB 1625, SB 1299, SB 841, SB 668, SB 584, SB 231, SB 2411, SB 1085, SB 2431, SB 2231, SB 1490, SB 530, SB 34, SB 1261, SB 552, SB 1099, SB 1646, SB 2180, SB 1804, SB 1937, SB 1936, SB 2569, SB 1372, SB 1208, SB 1124, SB 1506, SB 1806, SB 1868, SB 2361, SB 2314, SB 769, SB 1409, SB 2122, SB 434, SB 1214, SB 1951, SB 2183, SB 2046, SB 1667, SB 1870, SB 1727, SB 2405, SB 2127, SB 1975, SB 1760, SB 1734, SB 1335, SB 2066, SB 2129, SB 2246, SB 2439, SB 1624, SB 1244, SB 1468, SB 2717, SB 1612, SB 1262, SB 604, SB 2395, SB 2185, SB 1832, SB 1745, SB 1746, SB 2207, SB 2023, SB 1784, SB 1524, SB 626, SB 528, SB 437, SB 269, SB 1137, SB 968, SB 636, SB 747, SB 1325, SB 1789, SB 1455, SB 2056, SB 75, SB 1940, SB 2052, SB 1927, SB 2010, SB 1579, SB 2068, SB 3034, SB 844, SB 1920, SB 1177, SB 1558, SB 1236, SB 1044, SB 926, SB 884, SB 463, SB 331, SB 227, SB 240, SB 517, SB 1200, SB 1410, SB 1626, SB 1845, SB 1863, SB 2216, SB 2681, SB 1717, SB 2053, SB 546, SB 2141, SB 2949, SB 2323, SB 2200, SB 2332, SB 2199, SB 1642, SB 1150, SB 1757, SB 2050, SB 1138, SB 2051, SB 2626, SB 2458, SB 1864, SB 30, SB 2201, SB 1862, SB 1583, SB 1583, SB 1055, SB 2660, SB 1898, SB 2662, SB 2662, SB 2161, SB 2161, SB 2964, SB 2881, SB 1065, SB 1065, SB 801, SB 2743, SB 2533, SB 2533, SB 1413, SB 1413, SB 1, SB 34, SB 310, SB 819, SB 1030, SB 1124, SB 1208, SB 1233, SB 1333, SB 1405, SB 1541, SB 1750, SB 1758, SB 1869, SB 2078, SB 2365, SB 2411, SB 762, SB 33, SB 37, SB 505, SR 402, SR 409, SB 2695, SB 2695

Keywords: constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading

Transcript Highlights:

• But the existence of the wafer facility is known today.
• . that's near a semiconductor wafer manufacturing facility.
• So you say all facility equipment.
• It only applies to a facility that's going to create basically a large-grade facility.
• Battery storage facilities. Battery...

Bills: SJR39, SB22, SB30, SB33, SB34, SB37, SB75, SB209, SB310, SB505, SB552, SB618, SB626, SB636, SB732, SB747, SB762, SB769, SB819, SB825, SB870, SB926, SB964, SB1030, SB1080, SB1099, SB1124, SB1177, SB1208, SB1233, SB1314, SB1325, SB1333, SB1405, SB1455, SB1506, SB1524, SB1541, SB1577, SB1579, SB1596, SB1646, SB1667, SB1727, SB1750, SB1758, SB1760, SB1791, SB1804, SB1806, SB1869, SB1923, SB1927, SB1951, SB1960, SB1962, SB2023, SB2024, SB2056, SB2078, SB2122, SB2129, SB2180, SB2183, SB2185, SB2207, SB2252, SB2361, SB2365, SB2368, SB2405, SB2411, SB2420, SB2425, SB2569, SB2717, SJR36, SJR50, SJR39, SJR63, SJR68, SCR12, SCR39, SCR38, SCR37, SCR42, SCR29, SB762, SB1596, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB310, SB505, SB264, SB1364, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB1877, SB732, SB731, SB397, SB508, SB1333, SB1436, SB964, SB287, SB2143, SB261, SB1247, SB1882, SB618, SB393, SB2243, SB2226, SB1919, SB1791, SB22, SB651, SB1080, SB826, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB1401, SB1728, SB586, SB529, SB217, SB209, SB1923, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB510, SB33, SB2420, SB1860, SB1541, SB1314, SB1398, SB1869, SB1750, SB855, SB1233, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB1818, SB1405, SB1762, SB1968, SB1977, SB2077, SB2321, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SB552, SB1099, SB1646, SB2180, SB1804, SB1937, SB1936, SB2569, SB1372, SB1208, SB1124, SB1506, SB1806, SB1868, SB2361, SB2314, SB769, SB1409, SB2122, SB434, SB1214, SB1951, SB2183, SB2046, SB1667, SB1870, SB1727, SB2405, SB2127, SB1975, SB1760, SB1734, SB1335, SB2066, SB2129, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB2185, SB1832, SB1745, SB1746, SB2207, SB2023, SB1784, SB1524, SB626, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB75, SB1940, SB2052, SB1927, SB2010, SB1579, SB2068, SB3034, SB844, SB1920, SB1177, SB1558, SB1236, SB1044, SB926, SB884, SB463, SB331, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2053, SB546, SB2141, SB2949, SB2323, SB2200, SB2332, SB2199, SB1642, SB1150, SB1757, SB2050, SB1138, SB2051, SB2626, SB2458, SB1864, SB30, SB2201, SB1862, SB1583, SB1583, SB1055, SB2660, SB1898, SB2662, SB2662, SB2161, SB2161, SB2964, SB2881, SB1065, SB1065, SB801, SB2743, SB2533, SB2533, SB1413, SB1413

Keywords: constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading

Transcript Highlights:

• also preempts local government from adopting policies to regulate activities of public educational facilities
• FACILITIES CONSTRUCTED BY A BOARD OF AGRICULTURE EDUCATION.
• SHE REQUIRES 24-HOUR NURSING CARE. AND SUPERVISION OF THE CLAIMANT.

Bills: SJR39, SB22, SB30, SB33, SB34, SB37, SB75, SB209, SB310, SB505, SB552, SB618, SB626, SB636, SB732, SB747, SB762, SB769, SB819, SB825, SB870, SB926, SB964, SB1030, SB1080, SB1099, SB1124, SB1177, SB1208, SB1233, SB1314, SB1325, SB1333, SB1405, SB1455, SB1506, SB1524, SB1541, SB1577, SB1579, SB1596, SB1646, SB1667, SB1727, SB1750, SB1758, SB1760, SB1791, SB1804, SB1806, SB1869, SB1923, SB1927, SB1951, SB1960, SB1962, SB2023, SB2024, SB2056, SB2078, SB2122, SB2129, SB2180, SB2183, SB2185, SB2207, SB2252, SB2361, SB2365, SB2368, SB2405, SB2411, SB2420, SB2425, SB2569, SB2717, SJR36, SJR50, SJR39, SJR63, SJR68, SCR12, SCR39, SCR38, SCR37, SCR42, SCR29, SB762, SB1596, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB310, SB505, SB264, SB1364, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB1877, SB732, SB731, SB397, SB508, SB1333, SB1436, SB964, SB287, SB2143, SB261, SB1247, SB1882, SB618, SB393, SB2243, SB2226, SB1919, SB1791, SB22, SB651, SB1080, SB826, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB1401, SB1728, SB586, SB529, SB217, SB209, SB1923, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB510, SB33, SB2420, SB1860, SB1541, SB1314, SB1398, SB1869, SB1750, SB855, SB1233, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB1818, SB1405, SB1762, SB1968, SB1977, SB2077, SB2321, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SB552, SB1099, SB1646, SB2180, SB1804, SB1937, SB1936, SB2569, SB1372, SB1208, SB1124, SB1506, SB1806, SB1868, SB2361, SB2314, SB769, SB1409, SB2122, SB434, SB1214, SB1951, SB2183, SB2046, SB1667, SB1870, SB1727, SB2405, SB2127, SB1975, SB1760, SB1734, SB1335, SB2066, SB2129, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB2185, SB1832, SB1745, SB1746, SB2207, SB2023, SB1784, SB1524, SB626, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB75, SB1940, SB2052, SB1927, SB2010, SB1579, SB2068, SB3034, SB844, SB1920, SB1177, SB1558, SB1236, SB1044, SB926, SB884, SB463, SB331, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2053, SB546, SB2141, SB2949, SB2323, SB2200, SB2332, SB2199, SB1642, SB1150, SB1757, SB2050, SB1138, SB2051, SB2626, SB2458, SB1864, SB30, SB2201, SB1862, SB1583, SB1583, SB1055, SB2660, SB1898, SB2662, SB2662, SB2161, SB2161, SB2964, SB2881, SB1065, SB1065, SB801, SB2743, SB2533, SB2533, SB1413, SB1413, SB1, SB34, SB310, SB819, SB1030, SB1124, SB1208, SB1233, SB1333, SB1405, SB1541, SB1750, SB1758, SB1869, SB2078, SB2365, SB2411, SB762, SB33, SB37, SB505, SR402, SR409, SB2695, SB2695

Keywords: constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading

Transcript Highlights:

• Under tab 1, Senators, SB 78, Veterans Nursing Homes, by Senator Trinnell.
• home beds in a skilled nursing facility.
• home beds in a skilled nursing facility.
• It further... ...beds in a skilled nursing facility.
• We have assisted living, but we are not able to provide a skilled nursing facility on our campus.

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:

• 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:

• 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:

• Well, from there, there was some confusion in the role of the supervising nurse.
• facility or assisted living facility occurs, and the facility is not suspended, terminated, or subject
• facility or assisted living facility occurs, and the facility is not suspended, terminated, or subject
• But during that time, the facilities, they continue their care, but they can't bill Medicaid for the
• , as a licensee fresh out of nursing school, I can't give chemotherapeutics.

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate bills and memorials across several policy areas, with most items presented as consent or third-read measures and little debate. Topics included special license plates for the Arizona Space Commission, local land-use and housing restrictions, liquor regulation updates, limits on municipal delays in permitting and exactions, election equipment security and timekeeping requirements, precinct committeeman vacancy procedures, assisted living and deed-fraud measures, a Freedom of Speech Monument committee, renaming Wesley Bolin Plaza, and a ban on gender transition procedures for minors. Members also discussed health and human services bills on behavioral health technician standards, Medicaid billing during ownership changes, breast cancer screening cost-sharing, naturopathic IV administration authority, safe-haven newborn surrender at hospitals, and access claim-processing timelines. The Judiciary portion covered probation limits for dangerous crimes against children, a civil cause of action related to prohibited gender reassignment surgery on minors, elimination of the statute of limitations for failure to register as a sex offender, probation incentive calculations, victim-rights expense recovery, unlawful flight penalties, vulnerable adult theft definitions, motor fuel theft, unlawful alerting, and evidence rules in sexual-assault-related hearings. In discussion, members asked for clarifications on several bills, including the definitions of “malicious” delay, internet access on election equipment, the scope of the breast screening bill, and the meaning of unlawful alerting. Supporters repeatedly described bills as common-sense, fraud-prevention, patient-access, or public-safety measures, while one member noted a no vote on extending the Vulnerable Adult System Study Committee. Additional measures in land, agriculture, water, public safety, and transportation included foreign-entity restrictions on land transactions, limits on transporting Mexican gray wolf puppies, water reuse and groundwater fee extensions, a larger water supply revolving fund loan cap, congressional memorials on EPA authority and the San Carlos irrigation project, expanded traumatic event counseling coverage, reimbursement of legal costs for certain disciplined law enforcement officers, data sharing with the federal government on unauthorized aliens, roadable aircraft registration, motor vehicle booting rules, military-property sign placement, a towing and impound study committee, photo enforcement penalties, and highway renaming memorials. No roll-call votes were described in the transcript, and the meeting ended after the transportation items and memorials were completed.

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:

• 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:

• 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:

• 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:

• 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.

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:

• 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:

• <00:32:33.720> Facility growth in Managed Care Nursing Facility growth in Managed Care Nursing
• facility payments in medical assistance, we would put nursing facility savings, if you like, in Ms.
• facil so that would be would put nursing facil so that would be a<00:48:08.720> savings<00:48
• Incorporated our payments um to nursing Incorporated our payments um to nursing facilities<00:48
• price<00:50:26.400> um nursing facilities has periodic price um nursing facilities has

Bills: HF3

Keywords: legislative auditor, reporting, accountability, state finance, executive agency oversight, 1183, house

Transcript Highlights:

• It requires residential care facilities for the elderly, also known as RCA.
• That the staffing levels and facilities definitely correlate with the quality of care in those facilities
• Facilities also failed to be transparent about their staffing issues.
• A facility will provide a loved one.
• for the elderly and skilled nursing facilities.

Keywords: 988, house, 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:

• ,<00:59:06.720> our healthc care facilities, our healthc care facilities, our organizations
• <01:07:02.960> or addestation from those facilities or addestation from those facilities or
• <01:07:56.799> or July 1st 26 a healthcare facility or July 1st 26 a healthcare facility or
• <01:14:12.960> Pra,<01:14:13.280> Nurse England, Vermont Nurses Pra, Nurse England,
• Vermont Nurses Pra, Nurse Practitioners<01:14:14.400> Association,<01:14:15.840> Vermont

Keywords: 927, senate, all