Transcript Highlights:

• Also note that the regulations California used then, a lot of the regulations California used then...
• Those regulations, as we've heard, are still in place.
• Hanna, and I'm representing the California Nurses Association, National Nurses United.
• Hanna, and I'm representing the California Nurses Association, National Nurses United, and it's more
• Nurses see the impacts of corporate profiteering on patients.

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the state’s water’s-edge election versus worldwide combined reporting. The LAO and Franchise Tax Board explained the basic mechanics of unitary taxation, apportionment, and how water’s-edge generally excludes most foreign subsidiaries while worldwide reporting includes the full unitary group. FTB officials said water’s-edge filers are a small share of corporate filers but account for a large share of tax liability, and they described filing trends, industry mix, and the administrative steps needed to administer either system. Members and witnesses debated the policy trade-offs. Supporters of moving away from water’s-edge argued that it enables profit shifting, especially for large multinational and IP-heavy firms, and that eliminating it could raise significant revenue and improve fairness for smaller domestic businesses. They cited estimates of billions in potential revenue and said California already has the audit and reporting infrastructure to handle worldwide reporting, though some transition time would be needed. Opponents argued that worldwide reporting would tax foreign activity unrelated to California, create double taxation, increase compliance burdens and litigation, and could be difficult for foreign-based multinationals to document. They also warned that some of the revenue estimates are highly uncertain because foreign affiliate income is not directly observable. Committee members asked about foreign government pushback, the risk of companies leaving California, the effect on intellectual property shifting, and whether federal or Supreme Court action could block a change. Witnesses generally said major firms would be unlikely to leave because California taxes sales rather than physical presence, but some costs could be passed on to consumers. The panel also discussed alternatives such as conforming to federal international tax rules like NCTI/GILTI and adding anti-abuse rules. No vote or bill action was taken; the hearing was informational only.

Transcript Highlights:

• My name is Katie Murphy, and I'm the President of the Massachusetts Nurses Association.
• I'm a registered nurse.
• The regulations governing the LMHC licensure have been pending since 2018.
• A peer respite, on the other hand, using DMH's reimbursement numbers, is set by regulation.
• So I'm curious if this does speak to having them regulated. Yes, it does.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Department of Public Health regulations and inspection, as well as CHIA reporting.
• for CCRCs at the moment. 93A, but we have no specific regulation for CCRCs at the moment.
• generally give a consumer... 93A regulations generally give a consumer the right to sue if they have
• So these next two slides are about the changes that are currently— the regulations are in development
• But again, regulations are currently pending. Any questions on this final charge or comments?

Summary: The commission met to review its draft final report on continuing care retirement communities (CCRCs), with most of the discussion focused on whether recommendations required unanimous consensus and how to handle disagreements in the report. Members agreed that consensus meant no stated opposition, and several participants argued that unresolved issues should still be described in the report rather than omitted. The chairs said the report would include agreed-upon recommendations, note areas without consensus, and preserve written comments or dissent letters submitted by members. The draft report’s findings and slides were reviewed charge by charge, including CCRC definitions, financial condition, entrance fee refunds, regulatory oversight, advertising practices, and closure/change-of-ownership procedures. Members suggested several factual and wording edits, including clarifying financial data sources, correcting a presenter’s name, refining language about entrance fee use and refund timing, and revising statements about Attorney General authority and CCRC advertising. There was also discussion about the need to distinguish nonprofit and for-profit CCRCs and to better explain how different care levels and licensing structures are described. On recommendations, the commission kept the proposal to advance the disclosure bill (S. 478) and update the consumer guide, but removed a recommendation for annual open board meetings after objections that it was inadequate. The group spent considerable time debating whether to recommend resident representation on CCRC boards, timely refund requirements for entrance fees, and possible state registration or definition changes for CCRCs, but no consensus was reached on those items. The chairs said the final report would be completed by the statutory August 1 deadline, with final written comments due before then and the report and meeting materials posted on the legislature website.

Transcript Highlights:

• Please recognize Senator Dossett to introduce the nurse of the day.
• President, today it is my honor to introduce to you Nurse Eric Reagan.
• This industry is still regulated in other statutes.
• This actually only applies to regulated entities.
• The Department of Commerce is going to oversee this and regulate it.

Bills: SR44 , HCR1027 , SJR50 , SJR52 , SJR53 , HB1185 , HB1937 , HB2035 , HB2137 , HB2166 , HB3148 , HB3323 , HB3466 , HB3498 , HB3661 , HB3678 , HB3710 , HB3977 , HB3986 , HB4104 , HB4108 , HB4142 , HB4191 , HB4274 , HB4275 , HB4322 , HB4336 , HB4484 , HB3880 , HB1687 , HB3673 , HB1170 , HB2959 , HB3718 , HB3021 , HB3443 , HB3501 , HB4143 , HB4326 , HB2992 , HB3660 , SB171 , SB1325 , SB1980 , SB2045 , HB4422 , HB4423

Transcript Highlights:

• nursing facilities are available.
• nursing facilities are available.
• As a result, individuals leaving hospitals or skilled nursing facilities in rural areas may...
• They will go to nursing homes.
• Nursing facilities cost California $137,000 per year, five times as much as IHSS.

Transcript Highlights:

• A registered nurse will not be able to delegate to a regular home health aide or certified nursing assistant
• To a regular home health aide or certified nursing assistant.
• Basically, it's limited in scope to the nurse delegation statute.
• It's limited in scope to the nurse delegation statute.
• These products are regulated by the Food and Drug Administration.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• Our nursing facilities face significant job vacancies for critical caregiving and nursing roles.
• This budget proposal uses nursing homes to balance a budget and puts nursing homes at further risk of
• homes to balance a budget and nursing homes to balance a budget and puts<01:03:04.960><c> nursing</c
• practical nurses.
• </c> minimum wages for certified nursing minimum wages for certified nursing assistants<01:28:14.159>

Committee: House Human Services Finance and Policy

Transcript Highlights:

• And now today, we're here, and we have green cards from the nursing home association and AARP.
• Wes Hadaway with the Louisiana Nursing Home Association.
• of only three nursing homes in the nation to win the gold quality award.
• Louisiana's extremely fortunate to have nursing homes like that. That's unbelievable.
• Louisiana's extremely fortunate to have nursing homes like that.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• We are supporting nursing education initiatives, nurse residencies, nurse specialty transition-to-practice
• supporting Nursing education initiatives nurse<00:13:15.440><c> residencies</c><00:13:16.320><c> nurse
• </c><00:13:16.720><c> specialty</c> nurse residencies nurse specialty nurse residencies nurse specialty
• </c><00:35:02.160><c> here</c> nurses but there are 17,000 nurses here nurses but there are 17,000 nurses
• > nurses to Mentor those new nurses nurses to Mentor those new nurses and<00:41:28.160><c> create</c>

Summary: The House Committees on Health and Labor heard testimony on HB 1244, a measure relating to labor standards at health care facilities and nursing staff ratios. Committee members opened by explaining hearing procedures, including a suggested two-minute testimony limit and Zoom rules. The bill drew extensive testimony from hospitals, nursing organizations, unions, and individual nurses, with the central debate focusing on whether staffing ratios should be set by statute or left to collective bargaining and unit-level staffing decisions. Opponents included the Department of Labor and Industrial Relations, the Healthcare Association of Hawaii, Straub Benioff Medical Center, Hawaii Pacific Health, Kapiolani Medical Center, and Queen’s Health Systems. They argued that fixed ratios are too rigid for the changing conditions of hospital care, could worsen workforce shortages, and should be handled through labor negotiations, staffing committees, and existing agreements. Several also pointed to investments in nursing education, loan repayment, and workforce development as better solutions. Queen’s said it had recently reached an agreement with nurses after more than 40 meetings that included a staffing framework, and Kapiolani and others emphasized the need for flexibility in emergencies and specialty care. Supporters, including the Hawaii State Center for Nursing, Pride at Work Hawaii, the Hawaii Nurses Association/American Nurses Association chapter, Hawaii Nurses Association Local 50, UNAC/UHCP, and individual nurses, said unsafe staffing levels contribute to burnout, turnover, errors, and patient harm. Testifiers described chronic short staffing, emotionally and physically exhausting workloads, and situations in which nurses were responsible for too many patients at once. Supporters argued that safe ratios are necessary to protect both patients and nurses, and that collective bargaining has not been enough to ensure safe conditions statewide, especially in facilities without unions. No vote or final committee action was announced in the portion provided.

Transcript Highlights:

• What rules and regulations could we suspend in order to put more money into the facilities instead of
• That fee is not regulated anywhere. Is that what I'm hearing? Not in the state of Texas. Okay.
• Which is just incredibly low when you compare it to a regular commercial nursing home.
• This includes a room, board, nursing. Hygiene, pharmaceuticals, just everything, and activity.
• We have all sorts of IRS regulations that we have to meet to unwind.

Committee: House S/C on Defense & Veterans' Affairs

Transcript Highlights:

• I am a board-certified reproductive health and family-building nurse, and I'm also a board-certified
• I don't know why we are... ...nurse ensuring that the people who need it are the ones who are getting
• The nurse in me wants to hug you so bad right now and I'm so very sorry.
• The nurse in me wants to hug you so bad right now and I'm so very sorry.
• The nurse in me wants to hug you so bad right now and I'm so very sorry.

Bills: HB2408 , HB2434 , HB2725 , HB2728 , HB2729 , HB2730 , HB2731 , HB2732 , HB2733 , SB1192 , SB1398 , SB1399 , SB1494 , SB1557 , SB1813 , SB1821

Committee: Senate Health and Human Services

Transcript Highlights:

• The pipeline program was created in 2022 to reward performance and excellence of the 10 university nursing
• The line program, The LEY program was created in 2022 as well to help grow university nursing programs
• The university nursing programs will reach out to health care partners to establish relationships to
• increase the number of nurses.
• The Board of Governors does have a regulation that caps the system-wide number of students at 10%.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education received a presentation from Tim Jones, Senior Vice Chancellor and CFO for the State University System of Florida, on the system’s funding methodology, budget structure, tuition, and performance-based funding. He outlined the system’s scale, including 12 universities, more than 430,000 students taking classes, about 78,000 employees, and a roughly $20 billion operating budget. He also reviewed tuition levels, noting Florida’s low resident undergraduate tuition, the lack of tuition increases since 2013, and the distinction between state-set resident tuition and Board of Governors authority over other tuition categories. Jones described several funding components, including performance funding, preeminence funding, faculty recruitment and retention programs, universities of distinction, nursing pipeline and matching programs, and operational enhancements. He explained that performance funding is based on a 100-point model tied to retention, graduation, employment, and other metrics, with student success plans required if scores decline or fall below 70 points. He said the current performance funding allocation is $350 million and the legislative budget request seeks $400 million. He also said the new SUS 30 strategic plan will lead to updates in the performance metrics and benchmarks, with some changes possibly phased in over time. Senators asked questions about how the new strategic plan will affect future scoring, how long universities have to improve after declining scores, and how out-of-state enrollment and tuition are handled. Jones said universities will be evaluated on the current metrics for the upcoming budget cycle, while the new plan’s changes will be developed later and may include glide paths. He also said there is no statutory cap on nonresident students, though the Board of Governors has a 10% systemwide guideline under discussion, and that graduate out-of-state tuition varies by program and requires institutional and Board of Governors approval. No votes were taken, no public testimony was offered, and the committee adjourned.

Transcript Highlights:

• So back in 1970, the federal government mandated that all nursing homes must have a licensed nursing
• to run the nursing home administrator to run the nursing<00:00:51.760><c> home.
• </c> nursing home. nursing home.
• And a nurse on the board. Um Thank you. And a nurse on the board.
• </c> nursing homes. nursing homes. &gt;&gt; Okay. &gt;&gt; Okay. &gt;&gt; Okay.

Committee: Joint Appropriations

Transcript Highlights:

• Senator Hines, you're recognized and introduced the nurse of the day. Thank you, Mr. President.
• Members, today is my honor to recognize our nurse of the day, Marla Lincecomm, RN, with Integris Health
• Marla brings more than 27 years of nursing experience with a strong clinical background in critical care
• Members, we are grateful for Marlon Linscom's dedication to the nursing profession and for her service
• Oklahoma needs nurses. They need physical therapists. They need engineers.

Bills: HB1937 , HB2153 , HB3674 , HB2978 , HB3885 , HB3671 , HB3261 , HB3021 , HB3029 , HB4274 , HB3701 , HB3076 , HB2299 , HB3852 , HB3244 , HB3345 , HB3114 , HB3764 , HB4144 , HB3304 , HB2939 , HB4227 , HB3262 , HB2941 , HB3498 , HB4343 , HB4425 , HB3386 , HB3087 , HB3062 , HB3431 , HB4141 , HB3581 , HB4237 , HB2960 , HB3645 , HB3648 , HB3974 , HB3045 , SCR18 , HCR1024 , SJR39 , SJR49 , HB4486 , SB1130 , SB1131 , SB1132 , SB1133 , SB1134 , SB1142 , HB1823 , HB4476 , HB3378 , HB3880 , HB3031 , HB3369 , HB3429 , HB3657 , HB4215 , HB3624 , HB1170

Transcript Highlights:

• Chair: Call the Licensing, Occupations, and Administrative Regulations Committee meeting to order.
• It also removes the emergency medicine physician and the acute care nurse from the controlled substance
• </c><00:02:25.280><c> that</c> were going to initiate a regulation that were going to initiate a regulation
• </c><00:03:19.200><c> or</c> veterinarians through uh regulation or veterinarians through uh regulation
• </c><00:13:09.360><c> like</c> in the statutes over to regulations like in the statutes over to regulations

Committee: House Licensing, Occupations, & Administrative Regulations

Transcript Highlights:

• They want to be regulated.
• So what are we regulating and what's not being regulated? Yes, sir.
• At regulating, we regulate the right things because we are going to regulate a lot of things out of business
• It's regulated by the Medical Practice Act and it's regulated by the Texas Pharmacy Act.
• As a transplant nurse, I'm a cardiovascular transplant nurse.

Bills: HB265 , HB25

Committee: House Public Health

Transcript Highlights:

• And we're talking about now replacing all of our nurses with nurse assistants or even...
• Replacing all of our nurses with nurse assistants or even taking like one nurse and making them responsible
• And these are kids that have diabetes and health issues, and so if there's no nurse there on staff to
• Chairman, we don't regulate the private schools. They're private schools.
• We regulate the government schools, including our districts and our government-sponsored charters.

Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved the journal, and heard introductions of guests. Members then adopted several procedural motions, including extending the second regular session, suspending the seven-bill limit for Representative Livingston on budget-related measures, and requesting the Senate return SB 1786 on artificial intelligence content verification for reconsideration. The House also moved into Committee of the Whole to consider calendar items. In Committee of the Whole, the House recommended do pass on SB 1057, SB 1171, SB 1424, and SB 1515, while retaining SB 1178 on the calendar. SB 1171, dealing with fingerprinting and fraud prevention in health and human services, was amended and received supportive comments about accountability and Medicaid fraud. SB 1424, concerning firearm safety instruction in schools, drew extensive debate: a proposed Gutierrez amendment modeled on “Christian’s Law” to require secure firearm storage measures was defeated by division vote 23-31, and the bill itself was defended as age-appropriate firearm safety education while opponents argued it was an unfunded mandate, a parents’ rights issue, and an improper burden on schools. SB 1515, creating a public safety parity fund for DPS and corrections bonuses from rainy-day fund interest, was amended and recommended do pass. The House then considered an additional Committee of the Whole for SB 1552, adopted a floor amendment, and recommended the bill do pass as amended. In third reading, SB 1021 failed 22-35, while SB 1215, SB 1345, SB 1456, and SB 1493 all passed, with SB 1345 drawing a floor explanation about an added regulatory requirement for health care facilities. The House also received first readings of several appropriations bills and announced a special Joint Appropriations Committee hearing on the budget the next morning before adjourning until Tuesday, April 28, 2026.

Transcript Highlights:

• Nursing, auto tech, you pick it. Nursing, auto tech, you pick it.
• </c> been included in the kind of regul been included in the kind of regul regulatory<04:35:22.959><c
• losing more nursing home beds.
• , including 10 county 33 nursing homes, including 10 county nursing<05:20:31.280><c> homes,</c><05:20
• </c> of nursing home care in New Hampshire. of nursing home care in New Hampshire.

Transcript Highlights:

• I'm the chief nursing officer for our Bismarck market and the executive sponsor for our behavioral health
• And then we do have, everyone's kind of struggling for nurses.
• So if we can't recruit to nursing, then we can have contract nursing available, as everyone does at some
• Gerard's nursing home, a critical asset of the community.
• Typical time period to appeal. what the law regulations are.

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

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

Committee: Senate Senate Health & Public Affairs