Transcript Highlights:

• The way that nursing education program.
• c> might</c><01:20:04.719><c> be</c> nursing education program that might be nursing education program
• Yes, approved nursing education program.
• ><c> education</c> a board approved nursing education a board approved nursing education program<01:21
• nursing education programs.

Summary: The committee opened a hearing on Senate Bill 185, which would add timelines to Office of Professional Licensure and Certification (OPLC) investigations. Senator Howard Pearl said the bill was prompted by concerns from the New Hampshire Association of Realtors about delays at the Real Estate Commission, and he explained that the proposal would require OPLC staff to make an initial determination within 30 days and, if misconduct is found, complete an investigation within 60 days. He said the goal is to improve transparency and give consumers and licensees more timely information, while preserving the board’s adjudicatory role. He also noted that the bill had been amended to delay implementation to give OPLC time to work through its backlog. Committee members questioned how the bill would work when an investigation is incomplete and whether the board could send a case back to OPLC without a firm deadline. Pearl said the board would have discretion to continue the investigation or make a final determination, and that the bill was intended to streamline OPLC’s process rather than impose a hard cap on complex cases. OPLC Executive Director Deanna Durus and General Counsel Nicholas Fry then testified that the agency has already changed its procedures under prior legislation, including a facial review of complaints and monthly board review of dismissal memos. They said the bill would substantially alter the current structure, could conflict with existing limitation periods and board duties, and would be difficult to implement without additional staff and funding. Durus said the agency’s backlog is large, that new complaints are being triaged and prioritized, and that some urgent matters are moved ahead based on risk and statutory deadlines. She said OPLC had completed a review of about 500 backlog cases that would now be dismissed under current screening standards, and that those cases are being turned into memos for board review. Board of Medicine public member Nina Gardner testified in favor of the bill but said the backlog is significant and that the agency needs more resources to make the process work effectively. She said the board is seeing progress, but not fast enough, and suggested the bill may not go far enough without additional staffing and funding. No vote was taken during the hearing.

Transcript Highlights:

• Haney, you have a great nursing program.
• They have to be in that LVN program or that nursing program, and it’s conditional by their quality of
• They have to be in that LVN program or that nursing program.
• We spoke already about the nursing medics and nurses programs.
• We spoke already about the nursing medics and nurses programs.

Summary: The Select Committee on Veterans Affairs met to hear testimony on interim charge 2, focused on military-to-civilian transition, and later on the role of the Military Veteran Peer Network and broader transition supports. The committee first heard from representatives of Midwestern State University and Wichita Falls, who described partnerships with Sheppard Air Force Base, expanded military student services, scholarship support, and the importance of helping service members connect to education, employment, and community before separation. Witnesses emphasized that successful transition is not just about finding a job, but about creating a warm handoff to local employers, colleges, civic groups, and veteran organizations, and they urged earlier outreach while service members are still on active duty. Testimony from Texas A&M University–Central Texas and the Texas A&M University System focused on the Military Talent Pipeline, credentialing, and workforce alignment. Witnesses said Texas should better capture service members’ skills earlier, improve information-sharing with employers, and expand pathways that translate military training into civilian credentials. A major recommendation was a Texas “medic/corpsman to registered nurse” pathway modeled on Wisconsin’s WISMAC program, along with broader reciprocity and bridging programs for military certifications in fields such as aircraft maintenance, trucking, and other high-demand occupations. Members also discussed the need for more staffing and resources at university veteran offices, and the value of measuring the return on state investment in veteran education benefits such as Hazelwood. The committee then heard from the Texas Veterans Commission’s Mental Health Department on the Military Veteran Peer Network. The witness described peer support coordinators and rural veteran counselors who provide warm handoffs, suicide prevention support, and counseling, especially during the first 18 months after separation, which was identified as a high-risk period. She said the network is effective but too small and needs growth, and noted barriers to base access and TAP participation. Additional testimony from a retired Army officer and transition leader stressed that Texas has many strong programs but weak coordination, and recommended using installation-specific approaches, commander engagement, consent-based data sharing, and stronger links between TAP, state resources, and local communities. A final witness from Onward Ops described upstream enrollment, risk screening, certified peer mentors, and data-sharing to proactively support separating service members; he said the current system leaves veterans to navigate stovepiped programs on their own and called for more community partners, especially in rural areas. No votes were taken during the hearing.

Transcript Highlights:

• We hire people to become certified nursing assistants.
• So we hire people to become certified nursing assistants.
• So it's an additional certification and training program where we have our own nurse trainers on site
• You know, we're 75% of our nurses are RNs in Arkadelphia or traveling nurses, or they were.
• That means we're paying them way more than we are the current nurses because we can't hire nurses there

Transcript Highlights:

• program, or the storm assistance for immigrants program, which provided state-funded disaster relief
• We do not administer any programs.
• I, for 13 years, worked with nurses, deployed nurses to disaster areas for a chunk of that time.
• I, for 13 years, worked with nurses, deployed nurses to disaster areas for a chunk of that time.
• I will just say that all of those traveler nurses or day nurses sort of come at a pretty significant

Summary: The Assembly Health Committee held an informational hearing on the health impacts of wildfires and the effects on health care systems and access to care. The first panel focused on public health consequences, with testimony from UCLA and UCSF physicians, a community organizer, and an Altadena recovery leader. Witnesses described acute and long-term physical harms from wildfire smoke and ash, including asthma and COPD exacerbations, cardiovascular and stroke risks, pregnancy impacts, infection risk, and possible added hazards from lithium-ion battery fires. They also emphasized mental health effects such as anxiety, depression, PTSD, “firebrain,” and the need for psychological first aid, trauma-informed community networks, and youth-focused resilience programs. Community advocates stressed that Latine, Indigenous, undocumented, and Black communities face disproportionate harm because of language barriers, unsafe work conditions, lack of insurance, and exclusion from disaster aid, and they called for stronger language access, worker protections, permanent disaster relief, and better outreach. Committee members asked about air monitoring, masks, wind events, lithium-ion batteries, and how to reach communities with translation and emergency information. Panelists said AQI is useful but incomplete, that N95s help for smoke but P100 masks are needed for ash/asbestos exposure, and that communities should be warned to stay indoors and avoid windy dust-ups after fires. They also discussed the importance of building relationships during non-emergency periods, using text alerts and trusted community organizations, and providing culturally and linguistically appropriate information. Several members and witnesses highlighted the need for more research on long-term health effects, especially for people with chronic lung disease, workers who cannot stay indoors, and residents exposed to repeated disasters. The second panel addressed health care system response and access to care. DHCS and DMHC described emergency flexibilities used during the Southern California fires, including federal waivers, extended Medi-Cal renewal deadlines, reinstated coverage for some disenrolled members, suspension of prior authorization and prescription refill barriers, out-of-network access at in-network cost-sharing, and communication through websites, toll-free numbers, and social media. Hospital and community health center leaders described major operational strain: emergency room surges, canceled surgeries, dialysis disruptions, staff displacement, temporary housing needs, and financial losses. Huntington Health and AltaMed reported using incident command systems, temporary care spaces, bilingual and culturally tailored services, mobile clinics, infection control measures, and community health workers to keep care going. Members and witnesses also discussed the need for better disaster staffing pools, more flexible facility rules, stronger mental health coverage, child care planning, and statewide coordination for future emergencies; no formal votes were taken.

Transcript Highlights:

• the school nurse school nurses, the school nurse association,<01:04:07.280><c> and</c><01:04:07.520><
• </c> specifically for school nurses. specifically for school nurses.
• Nurses Association wasn't clear. Is Nurses Association wasn't clear.
• Outbreaks are in nursing homes.
• Do you want to talk to a nurse? to do? Do you want to talk to a nurse?

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• degree program.
• Why those programs?
• programs.
• They are graduating the nurses that we need right now, and those nurses are staying in our community,
• programs.

Committee: House Utilities

Transcript Highlights:

• Joseph the Worker doing, or is that program converted differently? How's St.
• Joseph the Worker doing, or is that program converted differently?
• And consistency is what drives successful outcomes in these programs.
• And continuing up, 2729, Nursing Board.
• The primary mandate of the Board of Nursing is to protect the public.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• We're also calling it Nurse Practitioner Day at the Capitol, and I'd like to read this resolution.
• Whereas nurse practitioners work to expand access in communities across the state, promote equity in
• Whereas nurse practitioners provide high-quality And chronic health conditions, whereas nurse practitioners
• visits annually to nurse practitioners across the United States.
• And a lovely labor and delivery nurse saw me and came out and said, 'Are you her dad?'

Bills: HR39 , HR40 , HR41 , HCR19 , HCR20 , HCR21 , HB2 , HB3 , HB15 , HB441 , HB976 , HB977 , HB978 , HB979 , HB980 , HB981 , HB982 , HR19 , HR20 , HR21 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR34 , HR35 , HR36 , HR37 , HR38 , HCR15 , HCR16 , HCR17 , HCR18 , SCR10 , HB115 , HB208 , HB465 , HB964 , HB965 , HB966 , HB967 , HB968 , HB969 , HB970 , HB971 , HB972 , HB973 , HB974 , HB975 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB78 , HB112 , HB148 , HB149 , HB190 , HB221 , HB346 , HB354 , HB355 , HB356 , HB358 , HB384 , HB427 , HB657 , HB675 , HB716 , HB207 , HB300 , HB331 , HB428 , HB464 , HB587 , HB618 , HB629 , HB801 , HB853 , HB891 , HB901

Summary: The House opened with procedural motions, receipt of enrollment and committee reports, and several personal privilege recognitions for visiting groups and commemorative observances. Members welcomed Irish dignitaries, the Convention of States, the Louisiana Nursery and Landscape Association, nurse practitioners, professional surveyors, a birthday recognition for a member’s daughter, an America 250 concert announcement, and a youth leadership group. The chamber also introduced a number of resolutions and bills, including major fiscal measures such as HB 2 (capital outlay) and HB 3 (bond authorization), along with local and policy bills covering retirement, utilities, law enforcement, education, and public safety. Several resolutions were adopted without objection, including observances for HBCU Day, Opportunity and Action Day, and commendations and condolences for individuals and organizations. The House then considered numerous second-reading bills and committee reports, including measures on income tax check-offs, traffic signal penalties, utility terrain vehicles, personal delivery devices, tax underpayment penalties, road dedications, and motor vehicle regulations. In floor action, HB 78 passed 96-0 to expand the jurisdiction of the Bogalusa city court. HB 190 passed 97-0 to create a Civil Code standard of care for software and computer programs, and HB 427 passed 99-0 to clarify online child-protection provisions and replace “sexually explicit” with the statutory “material harmful to minors” definition. HB 675 passed 100-0 after an amendment removing a middle name from the honoree, and HB 716 passed 99-0 to rename the Chalmette Ferry Terminal for Michael C. Ginnart Jr. The chamber also approved several memorial highway and bridge designations, including HB 346 for Speaker Joe Salter Memorial Highway, HB 355 for Veterans Park Memorial Highway, HB 356 for the Everett Brady Jr. Memorial Bridge, and HB 358 for a memorial highway honoring Charles Bordelon. Other bills were returned to the calendar or temporarily deferred, including HB 112, HB 148, HB 149, HB 221, HB 354, and HB 657. The House also announced committee meetings for the next day, received additional committee reports, and adjourned until 2:00 p.m. the following day.

Transcript Highlights:

• We're also calling it Nurse Practitioner Day at the Capitol, and I'd like to read this resolution.
• Whereas nurse practitioners work to expand access in communities across the state, promote equity in
• Whereas nurse practitioners provide high-quality And chronic health conditions, whereas nurse practitioners
• visits annually to nurse practitioners across the United States.
• And a lovely labor and delivery nurse saw me and came out and said, 'Are you her dad?'

Bills: HR39 , HR40 , HR41 , HCR19 , HCR20 , HCR21 , HB2 , HB3 , HB15 , HB441 , HB976 , HB977 , HB978 , HB979 , HB980 , HB981 , HB982 , HR19 , HR20 , HR21 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR34 , HR35 , HR36 , HR37 , HR38 , HCR15 , HCR16 , HCR17 , HCR18 , SCR10 , HB115 , HB208 , HB465 , HB964 , HB965 , HB966 , HB967 , HB968 , HB969 , HB970 , HB971 , HB972 , HB973 , HB974 , HB975 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB78 , HB112 , HB148 , HB149 , HB190 , HB221 , HB346 , HB354 , HB355 , HB356 , HB358 , HB384 , HB427 , HB657 , HB675 , HB716 , HB207 , HB300 , HB331 , HB428 , HB464 , HB587 , HB618 , HB629 , HB801 , HB853 , HB891 , HB901

Keywords: St. Joseph's Day, Saint Joseph's Day, St. Joseph's Altar, Italian American, Italian heritage, Italian immigrants, Louisiana culture, New Orleans, Sicilian heritage, Catholic, Feast of Saint Joseph, cultural resolution, heritage caucus, legislative caucus, ethnic heritage, jazz history, Italian Louisiana, immigrant contributions, cultural recognition, House Resolution 40

Transcript Highlights:

• degree program.
• programs.
• They are graduating the nurses that we need right now, and those nurses are staying in our community,
• programs.
• programs to it.

Committee: House Utilities

Summary: The committee spent most of the meeting discussing a proposed overhaul of Missouri’s higher education funding model, centered on shifting core funding toward an FTE-based formula. The chair and vice chair argued the current system is outdated and inequitable, saying the new approach would better align state dollars with student enrollment and workforce outcomes. Several members supported the need for change but raised concerns about the speed of implementation, the lack of advance consultation with universities, and the possibility that some institutions could face severe budget cuts, accreditation problems, or even closure. Community college representatives were noted as unanimously opposing the recommendation, and members repeatedly asked for clarification on whether graduate programs would be counted at 9, 12, or 15 credit hours, with no definitive answer provided during the meeting. Testimony and comments focused heavily on the consequences for specific institutions and programs. Some members warned that the proposal could hurt schools with expensive programs such as nursing, engineering, doctoral study, research, and specialized missions, while others argued that institutions should be rewarded for producing graduates who are in demand in the workforce. Truman State, Harris-Stowe, Missouri State, and several community colleges were discussed as examples of schools that could either gain or lose substantially under the model. The chair and vice chair said the proposal was not intended to force consolidation, but several members said the size of the cuts could indirectly lead to consolidation or closure and would require a phase-in to avoid harming students. After the higher education discussion, the committee moved through other budget items. The chair described cuts and restorations in several areas, including removing easement funding at the Department of Revenue, adding hearing officers for the State Tax Commission, restoring some MODOT requests, and shifting interest earnings from I-70 and I-44 project funds back to general revenue. Members also asked about Bartle Hall funding, a Bolivar road project, and new language restricting personal-service spending unless appropriations explicitly allow it. No formal votes were taken in the portion provided; the chair indicated the committee would continue moving through the budget items and follow up on unresolved questions with the department.

Transcript Highlights:

• I’m a registered nurse and a member of the United Nurses Associations of California, Union of Healthcare
• I’ve been a nurse for more than 20 years, and I can’t remember a time when nurse-patient ratios have
• It really made a world of difference for nurses.
• You know, nurses that I talk to, we know nurses are leaving the profession, and this is one of the huge
• As a member, this doesn't change the amount of hours a nurse works, the amount of shifts a nurse will

Committee: House Health

Summary: The Assembly Health Committee heard several bills focused on health care access, staffing, and coverage. A major special order was SB 306 by Senator Becker, which would reduce prior authorization requirements for services and drugs that are routinely approved. Becker and supporters, including the California Medical Association, California Hospital Association, Health Access, Planned Parenthood, and others, argued prior authorization delays care, adds administrative burden, and can lead to serious patient harm. Opponents from health plans, insurers, the Chamber of Commerce, and physician groups raised concerns about preserving utilization management, the bill’s 90% approval threshold, drug coverage, and how “modifications” are counted. After late amendments and discussion with the Department of Managed Health Care, Local Health Plans of California withdrew opposition, while the bill remained opposed by some groups. Committee members discussed patient stories, cost concerns, and the bill’s amended structure, and the author asked for an aye vote. The committee also heard SB 35 by Senator Umberg, which would let cities and counties inspect unlicensed sober living homes if the Department of Health Care Services does not act on complaints within set timelines. Supporters, including the League of California Cities and several local governments, said the bill responds to inadequate state enforcement and growing problems with unlicensed facilities. One county behavioral health group opposed unless amended. Members largely supported the bill, citing community impacts and the need for stronger oversight. SB 62, also by Senator Becker, would codify California’s proposed essential health benefits update if approved federally, adding hearing aids, durable medical equipment, and infertility/IVF coverage. Health Access California and several advocacy groups supported the measure, while the California Family Council opposed. The committee then heard SB 596 by Senator Menjivar, which would tighten the definition and use of hospital on-call lists in the nurse staffing ratio enforcement process. Nurses and labor groups supported the bill as closing a loophole, while the California Hospital Association and other hospital groups opposed, arguing it would reduce staffing flexibility and increase costs. Finally, SB 40 by Senator Wiener would cap insulin copays at $35 per month and limit step therapy for insulin; it drew broad support from medical, patient, labor, and student witnesses, with no opposition testimony heard. The committee ended with discussion of SB 363, which would address health care coverage and independent medical reviews, but the transcript cuts off before that item was fully taken up.

Transcript Highlights:

• She was a nurse.
• Our largest AS degree program is our nursing program. We graduated 316 nurses last year.
• And we have tripled the size of our College of Nursing programming to help meet the nursing shortage
• program.
• Program is four weeks in length. It is our commercial truck driving program.

Summary: The subcommittee began with an informal “college day” exercise in which members described what careers and colleges they would choose if starting over, often citing factors such as program reputation, location, cost, graduation rates, employment outcomes, and family or personal interests. Members mentioned a range of possible paths including law, aviation, education, construction management, psychology, social work, criminal justice, nursing, intelligence studies, and the arts. Several also highlighted the value of historically Black colleges and universities, dual enrollment, and career/technical education. The chair used the exercise to frame the meeting’s broader focus on Florida’s higher education pathways and student outcomes. Dr. Kathleen Plinsky of Valencia College then gave an overview of the Florida College System and Valencia’s role in it, emphasizing Florida’s statewide articulation and transfer framework, open-access mission, affordability, and workforce alignment. She described Valencia’s record enrollment, high retention, large share of first-generation and working students, and partnerships such as Direct Connect to UCF, Osceola Prosper, and Open Door grants for short-term training. Members asked about guaranteed transfer, apprenticeships, enrollment trends, student demographics, out-of-state residency, county scholarship costs, dual enrollment outcomes, and barriers to expanding career dual enrollment. Dr. Plinsky said the system supports transfer and acceleration well, but funding constraints limit growth in some areas; she also noted that dual enrollment participation is high and that Valencia’s affordability and student support efforts have driven recent enrollment gains. Dr. Jim Clark of Florida State University followed with an overview of the State University System, describing its governance, performance-based funding, low tuition, and strong graduation and research outcomes. He highlighted FSU’s enrollment, research profile, transfer student success, FSU Health, the National High Magnetic Field Laboratory, partnerships with K-12 schools and Tallahassee State College, and efforts to expand nursing and medical education to address workforce shortages. After the presentations, the committee heard from a panel on student acceleration and mobility: Shannon Mercer of the Department of Education explained the Office of Articulation, the statewide course numbering system, FASTER records, the 2+2 transfer model, specialized AA transfer degrees, and credit for industry certifications, military, medical, and law-enforcement training. Panelists from Kaiser University, Florida State University, and Pinellas County Schools described their institutions’ roles in transfer, advising, career pathways, apprenticeships, and dual enrollment. No formal votes or bills were taken up in the portion provided.

Transcript Highlights:

• or another state-based program.
• So there's a difference between nurses are not allowed... There is a difference between nurses.
• Cannot tell a nurse to just do an ultrasound.
• “When they’re looking at this program, such as like what services do they offer, how is the program funded
• We can agree to that, but this is to start a program.

Committee: House Health and Welfare

Summary: The committee first took up House Bill 611 by Rep. Freeman, which would require pregnancy-related service centers that provide health care services to be licensed or, as amended, to clearly disclose that they are not a licensed medical facility regulated by the Louisiana Department of Health. Rep. Freeman and supporting witnesses argued the bill was prompted by a legislative auditor report and concerns that some centers provide ultrasounds, STI testing, pregnancy tests, and related services without clear medical oversight. The Louisiana State Board of Medical Examiners’ executive director testified that interpreting ultrasounds and performing certain tests can constitute the practice of medicine, while opponents argued the centers already operate under medical directors and that the disclosure requirement was unconstitutional under the NIFLA case. The committee adopted an amendment, but after debate on the amended bill, a motion to report favorably failed on a roll call vote, and the bill was voluntarily deferred. The committee then heard House Bill 902 by Rep. Marcelle, which directs the Louisiana Department of Health to develop trauma-informed training. Supporters said the bill grew out of a task force on student behavior, mental health, and discipline, and that educators need a more consistent, evidence-based trauma-informed curriculum than what is currently available online. Some members raised concerns about cost and whether the bill would mandate new school obligations, while a witness from the Louisiana Baptist Convention opposed the measure as mission creep and argued trauma-informed care is too specialized for general teacher training. Other members supported the bill as a way to help educators identify and respond to children facing trauma. The bill was amended with technical changes and then discussed further, but the transcript ends before a final vote on HB 902 is shown.

Transcript Highlights:

• There's Sashin and Camille are nurse practitioners in the E&T program working a lot around Cleveland.
• Nurse practitioners in the E&T program working a lot around Cleveland.
• I'd like to focus on the N in SNAP program: nutrition.
• You don't hear me often say that we need to put more money into a program, but this program... ...but
• , DOH programs, to do MOUD, 988, Narcan, working with the new PAC program for tobacco misuse.

Committee: House House Health & Human Services

Transcript Highlights:

• Please recognize Representative Kane to present the Nurse of the Day.
• , and flight nurse.
• As a paramedic, emergency room nurse, and flight nurse, she brings a depth of clinical expertise and
• Program.
• And then that follow-up, continued follow-up... of such a program.

Bills: SB1475 , SB1447 , HB2288 , SB1521 , SB592 , SB1533 , HB1276 , SB201 , SB1477 , SB1232 , SB1255 , SB1327 , SB1525 , SB1721 , SB667 , SB1436 , SB1317 , SB604 , SB1325 , SB1496 , SB2007 , SB1567 , SB2112 , SB1980 , SB1735 , SB1558 , SB1491 , SB1287 , SB1378 , SB1369 , SB1441 , SB137 , SB483 , SB843 , SB1433 , SB1257 , SB1365 , SJR49 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , HJR1094

Summary: The House convened, called the roll, offered prayer and the Pledge of Allegiance, and recognized the Nurse of the Day and several student and athletic groups, including Career Tech students, charter school students, Meridian Tech students, and Carl Albert championship teams. A lengthy personal privilege/farewell-style speech was delivered by Representative Lepak, reflecting on his service, family, staff, and legislative colleagues, and offering general advice about public service and the legislative process. The chamber then took up several Senate bills. SB 1369, creating a 988 revolving fund to support Oklahoma’s mental health lifeline, passed 85-7. SB 1441, clarifying penalties for drones contacting critical infrastructure, passed 80-2. SB 137, adding DUI/GBI to electronic monitoring ineligibility and clarifying Department of Corrections language, passed 72-18 after questions about retroactivity and administrative authority. SB 843, raising the minimum ADA threshold from 400 to 550 for school districts to hire relatives of board members, passed 77-4, and its emergency clause also received the required two-thirds vote. The most extensive debate centered on SB 483, which would have authorized county commissioners to establish a relocation assistance program for people seeking to move to supportive housing or services. Members raised concerns about homelessness policy, county capacity, public-private partnerships, safeguards, and possible misuse or “bussing” of people between communities. The bill ultimately failed 35-52, and notice was given of a possible motion to reconsider. Later, SB 1433, requiring agencies to publicly post guidance documents and note they lack the force of law, passed unanimously; SB 1257, updating THC-related language in controlled substances law, passed 68-13; and SB 1365, updating promotional fund language for state retail outlets, lodges, gift shops, and golf courses, failed 43-42, with notice of reconsideration also given. The House then moved to recess until 1:15 p.m.

Transcript Highlights:

• </c> the nursing facility? Will they pass? the nursing facility? Will they pass?
• </c> or 76 nursing facilities. or 76 nursing facilities.
• They can go to the 5B program, or they can go to this program.
• </c><01:25:02.040><c> program.
• </c> of that would be um born by the program. of that would be um born by the program.

Committee: Senate Finance

Transcript Highlights:

• Next is the nursing home adjustment.
• There are a couple of programs.
• The witness continued that the program helps people transition from hospitals, nursing facilities, or
• Our programs are filled up today.
• That sounds like a great program.

Committee: House Appropriations

Transcript Highlights:

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

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

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

Transcript Highlights:

• I'm the chief nursing officer of the only community-based sexual assault nursing program in the state
• So our program is community-based, so we have a standard of care for our entire program.
• And so our program does offer it through us.
• So it would really, it would truly impact where us nurse, our nursing programs across the state would
• So I will say that when we, I pulled all of our program managers, there's very little programs in the

Committee: House Crime and Public Safety

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

Transcript Highlights:

• An act to amend the Public Health Law in relation to the closure of nursing homes.
• An act to amend the Public Health Law in relation to the closure of nursing homes.
• and physician practice support program.
• home quality improvement demonstration program.
• home quality improvement demonstration program.

Committee: Senate Health

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.