Transcript Highlights:

• continue and expand proven healthcare workforce development for high school students and current nurses
• Hawaii State Center for<01:01:32.640> Nursing<01:01:33.040> in<01:01:33.200> support
• <01:01:33.760> Hawaii<01:01:34.079> State for Nursing in support.
• Hawaii State for Nursing in support.
• <01:01:56.720> in Hawaii American Nurses Association in Hawaii American Nurses Association

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Higher Education hearing took up HB 441 HD2, a measure to increase cigarette taxes and dedicate the revenue to the University of Hawaii Cancer Center. The Department of Taxation said it had no substantive objection but requested an effective date of January 1, 2026 if tax rates change so it can order new stamps. The Department of Health, the Deputy Attorney General/tobacco enforcement, the University of Hawaii Cancer Center, the Hawaii Public Health Institute, the American Cancer Society, the Hawaii Medical Association, and several other health organizations and youth advocates supported the bill, arguing that higher cigarette prices reduce youth initiation, encourage cessation, and help fund cancer research and care. Several supporters asked for a larger increase, including at least $1 per pack, while opponents from retail, wholesale, and tobacco-related groups argued the tax would be regressive, burden low-income smokers, and drive sales to the illicit market. The Tax Foundation and other opponents also criticized reliance on sin taxes and said smoking rates are already at historic lows. After testimony and questions, members discussed how the revenue should be used and whether higher taxes change smoker behavior or push people toward vaping or other alternatives. The chairs announced they would pass HB 441 HD2 with amendments, replacing the contents with SB 528 SD1 except for changes reflecting the Department of Taxation’s request and a provision directing all proceeds from the tax increase to the Hawaii Cancer Center’s debt reduction, with an effective date of December 31, 2025. The House Health, Human Services, and Higher Education committees then voted to adopt the recommendation; the Health, Human Services committee vote was adopted with Chair and several members voting aye and one member voting no in the Higher Education committee vote. The hearing also briefly covered HB 1334 on meat donation, which drew support from the Department of Agriculture, Hawaii Farm Bureau, food industry, and community groups, though no action was taken in the excerpt. The committee then heard HB 1098 on crimes against protective services workers. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying assaults on protective services workers can have chilling effects and deserve stronger deterrence; a committee question raised whether the bill should instead be part of a broader, more proactive approach to assault statutes. The Department of Human Services also described safety steps such as panic buttons and phone apps for social workers. The excerpt ends before any final vote on HB 1098.

Transcript Highlights:

• This bill provides a narrow exception to liquor law for assisted living and nursing homes when alcohol
• law for assisted living and nursing law for assisted living and nursing homes<00:03:23.560> when
• I'm here to testify in support of the bill exempting licensed assisted living facilities and nursing
• <00:04:41.840> homes<00:04:42.960> from facilities and nursing homes from facilities
• home dining operations are nursing home dining operations are already<00:06:58.600> operating

Bills: HF4145, HF4009, HF4304, SF2511, HF4090, HF357, HF901

Keywords: alcohol consumption, nursing homes, assisted living, resident activities, Minnesota Statutes, seasonal liquor licenses, resorts, intoxicating liquor, county board, Brainerd, Northern Pacific Center, event center, liquor license, on-sale license, alcohol sales, special law, local option, Minnesota liquor law, chapter 340A, Sunday sales

Transcript Highlights:

• Nursing good morning chair Vice chair Nursing good morning chair Vice chair members<00:13:29.839>
• Hawaii Association of Professional Nurses not present in support. Hawaii Academy of...
• <00:15:24.079> not Association of professional nurses not Association of professional nurses
• Hawaii American Nurses Association. Elizabeth Kahaku — not present.
• particularly as comparison to nursing particularly as comparison to nursing and<00:17:44.080>

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• The other exciting thing is the bill mandated the development of a universal postpartum visit by a nurse
• midwifery, the other exciting update is that as of January 1st of this year, MassHealth pays certified nurse
• Practitioners, Children's Behavioral Health Advisory Council, and the Nurses United for Responsible
• has been a large number of certified midwives who have gone on to become psychiatric mental health nurse
• I thought I saw mental health nursing on here, but I don't know if it was that specified.

Keywords: 995, all

Summary: The Ellen Story Commission for Postpartum Depression held its spring meeting with a large turnout, beginning with roll call and a review of the agenda. Co-chairs Representative Brandy Fluker-Reid and Senator Liz Miranda highlighted progress from the recently enacted maternal health omnibus law and the Moms Matter Act, including creation of a midwifery board, expansion of out-of-hospital birth options, doula services, lactation support, MassHealth coverage changes, and a trust fund for community-based behavioral health and substance use grants. Members also discussed implementation of the new law, the commission’s annual report, and the need to continue supporting birth centers and perinatal mental health services. A substantial portion of the meeting focused on commission membership and vacancies. Commissioners discussed whether to remain on the body, the need to fill several open seats, and whether the commission’s statutory composition should be updated to better reflect current practice and expertise. Members suggested adding more clinicians working directly with perinatal families, infant mental health experts, and a representative from PSI of Massachusetts, while also noting the value of having regulators and professional society representatives at the table. Several participants said any changes to membership would likely require legislation, and the co-chairs said they would explore options and possibly circulate a flyer or other invitation process for nominations. The commission also discussed meeting structure and future planning. Members generally supported moving to quarterly virtual meetings, with a preference for a 4 p.m. start time, and some suggested one annual in-person gathering. The group agreed to postpone the usual May Advocacy Day because the Great Hall was unavailable and instead aim for a fall event, with volunteers stepping forward to help plan it. Commissioners raised top-of-mind issues including postpartum depression screening reimbursement, care for people after miscarriage or abortion, access for undocumented pregnant people, and the impact of federal cuts. The meeting ended with agreement to crowdsource legislative priorities for the next quarter, consider future presentations from outside organizations, and send updates between meetings, followed by a motion to adjourn that passed unanimously.

Transcript Highlights:

• It keeps people out of nursing homes.
• So he's in a nursing home. He's from Jamaica Plain also.
• So he's in a nursing home. He's from Jamaica Plain also. In Saugas.
• It’s all of the people who are stuck, like my friend Justin, in the nursing home. Thank you.
• Manny struggled in a nursing home with social isolation, lack of activity, and not being able to make

Keywords: 995, all

Summary: The Public Safety and Homeland Security Joint Committee heard testimony on several bills focused on accessibility, fire safety, and transportation safety. House 2569, expanding adaptable housing for people with disabilities and seniors, drew broad support from Rep. Christine Barber, disability advocates, and members of the Massachusetts Developmental Disabilities Council. Witnesses said the bill would close gaps in the Architectural Access Board’s authority, require more adaptable housing in rehabs and older conversions, and extend accessibility requirements to employee-only work areas. They emphasized the shortage and cost of accessible housing, the benefits for aging in place, and the risk of institutionalization when accessible units are unavailable. The committee also heard strong support for House 2577, which would allow local fire departments to inspect and enforce fire code compliance in state-owned buildings. Rep. Robert Cataldo and Boston Fire Chief Pat Ellis described this as closing a long-standing loophole that leaves state properties outside local fire-code enforcement, despite the hazards posed by aging state buildings and life-safety systems. Fire service representatives also supported bills to create a statewide technical rescue system under the Department of Fire Services, standardizing training, equipment, funding, and coordination across regional rescue teams, and they backed related fire-safety measures including sprinkler-related legislation and professionalism measures. Rep. James O’Day testified for House 2676, which would require window screens to prevent child falls, arguing it is a common-sense safety measure and noting recent fatal incidents. Ann Shuey and John Kalura testified for House 2601, which would require motor coach passengers to wear seat belts, citing a family tragedy, low seat-belt use, and research showing signage can improve compliance. Steven Poglisi of NAGE supported House 2568, requiring carbon monoxide alarms in public buildings, describing a past CO exposure incident involving a union member. The committee took no votes on the bills during the hearing and adjourned after testimony concluded.

Transcript Highlights:

• Sam Miller, create a task force on school nurse orientation relative to registered nurse graduates and
• House Bill 1247 by Representative Spell: sexual assault nurse examiners, membership of the Sexual Assault
• Oversight Commission, creation of a subcommittee, provides for a statewide sexual assault nurse examiner
• House Bill 1247 by Representative Spell: sexual assault nurse examiners, membership of the Sexual Assault
• Oversight Commission, creation of a subcommittee, provides for a statewide sexual assault nurse examiner

Bills: HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, SCR40, SCR60, SB112, SB131, SB145, SB194, SB268, SB307, SB312, SB319, SB333, SB341, SB346, SB464, SB466, SB488, SB495, SB503, SB507, SB509, HR9, HR196, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR20, HB123, HB251, HB625, HB662, HB709, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB97, SB105, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB66, HB153, HB165, HB326, HB387, HB455, HB513, HB603, HB660, HB719, HB762, HB766, HB802, HB816, HB833, HB940, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, HCR32, HB798, HB998, HB1084, HB1223, HB59, HB955, HB1191, HB1234, HB646, HB824, HB341, SB397, SB442, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB926, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB47, SB82, SB89, SB149, SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Summary: The House met with a quorum, opened with prayer and the pledge, adopted the journal, and received a large number of Senate messages, committee reports, and bill referrals. Members also introduced several resolutions and recognized guests, including students from Allen Parish, federal appointees Brandon Beach and Paul Hollis, and other visitors. The chamber then moved through a lengthy agenda of House and Senate measures, with many bills and resolutions reported favorably, amended, or referred to committee. Among the notable floor actions, the House adopted H.R. 32 urging the Port of New Orleans to obtain backup motors for the St. Claude Avenue Bridge. It also passed bills on a wide range of topics, including local court and ordinance procedures for Alexandria, prohibiting reporting criminal fines and fees to credit bureaus, veterans’ lottery benefits, police chief residency in Tickfaw, fire marshal plan review authority, expanding the definition of first responder to include public works employees, NIL protections for student athletes, salary increases and additional positions for assistant district attorneys, limiting OMV debt referrals for unpaid reinstatement fees, watershed restoration and flood control funding, a sexual assault survivor task force, elderly consumer protection education, recreation of the Public Service Commission, Medicaid reimbursement for non-emergency medical transportation, local sales tax audit procedures, alcoholic beverage definitions for salons and similar businesses, transfer of removed monuments to state park property, hearing aid dealer regulation updates, a permit fee for small in-state distillers, expanded city court jurisdiction in Avoyelles Parish, and a narrowed version of the Alexandria administrative adjudication bill. Several measures were amended on the floor before passage, including the Alexandria ordinance bill, the sales tax audit bill, the alcohol/beverage bill, and the monument transfer bill. The House also temporarily returned some bills to the calendar for later consideration. Most measures passed overwhelmingly, though House Bill 153 on criminal court debt reporting passed with 67 yeas and 18 nays, House Bill 660 on assistant district attorney salaries passed 94-1, House Bill 719 on additional ADA positions passed 95-0, House Bill 883 on the sexual assault task force passed 86-2, House Bill 1028 on non-emergency medical transportation passed 81-15, and House Bill 1215 on monuments passed 78-14.

Transcript Highlights:

• Please recognize Representative Kelly to present the Nurse of the Day.
• Representative Kelly, you're recognized to present the Nurse of the Day. Thank you, Mr. Speaker.
• It's my privilege to introduce our Nurse of the Day, Caitlin Simack.
• She's a registered nurse of five years in acute care and post-surgical inpatient at Integris Baptist.
• Please welcome Caitlin Simack, our Nurse of the Day. Mr. Floor Leader. Thank you, Mr. Speaker.

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Summary: The House convened, called the roll, and opened with prayer, the Pledge of Allegiance, and a series of recognitions and presentations. Members honored Vice Admiral Jeff Trusler as Veteran of the Week, recognized the Prague Kolache Festival royalty and candidates, unveiled an artwork for the Capitol’s Hall of Heroes, and introduced the Doctor, Psychologist, and Nurse of the Day, along with the OSBI cold case team. The House also adopted HCR 1026, a resolution tied to Earth Day and “Lights Out Day” in Oklahoma, aimed at reducing light pollution and protecting migrating birds. A major portion of the meeting consisted of farewell remarks from Representatives Mike Osborne and Kevin West. Both reflected on their years of service, thanked family, staff, colleagues, and constituents, and emphasized themes of public service, hard work, conviction, and working across differences. Osborne’s remarks focused on freedom, immigration, service, and doing good in public life, while West stressed standing on principle, listening to others, and choosing courage over convenience. After the presentations and personal privilege speeches, the House moved into consideration of legislation. Chairman Caldwell presented the joint committee report on Senate Bill 1130, relating to the University Hospitals Authority, saying it would help ensure Oklahoma and the University of Oklahoma have one of the world’s leading pediatric cardiology units. The transcript ends as members begin considering the bill, with no final vote shown in the excerpt.

Transcript Highlights:

• Standing in between them, with her big smile today, we're proud to have our nurse, Ms.
• Standing in between them, with her big smile on today, we're proud to have our nurse. Ms.
• It is transferring three new positions to the nursing board: two RN positions and one APRN position to
• help support the work of the full independent practice nurse practitioner committee.

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum with 98 members present, and granted leave for Representative Jack Ladyman. The chamber then received committee reports from the Joint Budget Committee recommending passage of several appropriation bills, and the Governor’s communication noting approval of House Bill 1001 (Act 2). The Speaker also recognized guests in the galleries, including law enforcement personnel, doctors, students visiting for STEM Day, line workers, and representatives from the Council of State Governments. The bulk of the meeting was devoted to budget amendments and appropriation bills. The House adopted amendments to House Bills 1018, 1023, 1036, 1041, 1055, 1068, and 1077, covering items such as title changes at East Arkansas College, DHS and Department of Health staffing adjustments, Capitol Police positions for the Winthrop Rockefeller Building, transfer of the early childhood nutrition program to the Department of Agriculture, DFA position changes and the Rural Health Transformation Program, and DHS county office reductions. The chamber then passed House Bill 1060 for the State Library, and Senate Bills 5, 13, 39, and 56, which funded the Tobacco Settlement Commission, Judicial Discipline and Disability Commission, Arkansas State University, and Auditor of State continuing education/local offices. Most measures passed with strong support, though Senate Bill 56 drew 14 nays. Before adjournment, the Speaker announced the House was ahead of schedule and planned to move the following week’s calendar earlier, with a possible sine die adjournment on Wednesday if business proceeded as planned. Representative Meeks moved to adjourn until 1 p.m. the next day, and the motion carried without objection.

Transcript Highlights:

• How will we make up for effectively closing an elementary education school and a nursing school?
• Getting rid of the nursing and educational schools that right now they're filling workforce gaps.
• regards to kind of going back to New College, what happens to a future student who wants to get an MBA, nursing
• Programs at the USF Manatee County, they have developed programs to meet the local economy, from nursing

Transcript Highlights:

• So you will see that this includes advanced practice registered nurses, counseling, dietitians, emergency
• medical services personnel, the Interstate Medical Licensure Compact, the nurses' compact, occupational
• be aware, it's the Board of Medicine which licenses physician assistants in North Dakota, and the Nursing
• Board licenses advanced practice registered nurses.

Keywords: 908, all

Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.

Transcript Highlights:

• Rosemary Latham, Florida Association of Nurse Practitioners, waving in support.
• 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.

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:

• And we know that nurse practitioners and physician assistants will write this.
• And I, you know, if I was a camp or a nurse, I mean, and we're going to talk through this, right?
• I<00:18:47.280> mean,<00:18:47.440> nurses<00:18:47.840> can<00:18:48.000> do
• <00:18:48.160> it,<00:18:48.559> paramedics<00:18:49.200> can I mean, nurses
• can do it, paramedics can I mean, nurses can do it, paramedics can do<00:18:49.520> it,<00:18

Keywords: 1191, senate, all

Transcript Highlights:

• I was brutally burned and left to nurse my third-degree wounds.
• These people could have been released to the care of their family or a proper nursing facility.
• Most people seeking medical parole live in nursing units in the DOC, where they are in bed pretty much
• This means that we have an unusually high number of individuals in sick or nursing home condition.
• My name is Lauren O'Shea, and I am the lead palliative care nurse practitioner at Brigham and Women's

Keywords: 995, all

Summary: The hearing before the Joint Committee on Public Safety and Homeland Security focused on several correction-related bills, including visitation reform, elder and medical parole, incarcerated persons’ human rights, and creation of an independent correctional oversight office. Vice Chair Christopher Worrell chaired the hearing in place of Chair Dan Cahill for much of the session and explained that the committee would first hear from incarcerated individuals remotely, then move to public testimony. The committee repeatedly enforced three-minute limits and accepted written testimony as well. Much of the testimony from incarcerated people emphasized that visitation is central to rehabilitation, family stability, and reentry, and that current DOC policies—visitor caps, pre-approval requirements, scheduling rules, dress-code enforcement, and restrictions on contact—have reduced family contact and caused harm. Several speakers argued that elderly and medically frail prisoners should be released through parole because incarceration is costly, ineffective, and inhumane for people who pose little public-safety risk. Others described poor prison conditions, limited programming, inadequate healthcare, segregation-like housing, and the impact of K2 use, suicides, and self-harm. Supporters of the oversight bill said an independent office is needed to address racial disparities, grievance failures, and lack of accountability within the DOC. A number of speakers tied their support to personal experiences, including alleged racial discrimination, denial of programs, and barriers to family visits. Some testified that rehabilitative programming, education, and restorative justice reduce violence and improve outcomes, while others said the DOC spends too little on programming and too much on punishment. Committee members asked a few follow-up questions, including about K2 contraband and how to reduce drugs in facilities, and one member asked about typical visitation lengths. No votes were taken during the hearing; the committee heard testimony on the bills and several witnesses urged favorable reports.

Transcript Highlights:

• So you have confusing things in Hawaii like the attempt to expand nursing programs.
• So you have confusing things in Hawaii like the attempt to expand nursing programs.
• So you have confusing things in Hawaii like the attempt to expand nursing programs.
• So you have confusing things in Hawaii like the attempt to expand nursing programs.
• So you have confusing things in Hawaii like the attempt to expand nursing programs.

Keywords: 910, house, all

Transcript Highlights:

• If the hospital can't get those doctors, then a nurse practitioner.
• If the hospital can't get those doctors, then a nurse practitioner.
• Some hospitals using a nurse practitioner when a doctor is available to save money.
• <00:55:58.799> practitioner supervision uh of a nurse practitioner supervision uh of a nurse
• And nurse practitioners and physician assistants, they are essential and valued parts of our team.

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• My mother has been a registered nurse for 40 years and does not qualify on that alone to be a teacher
• We're not nurses. We're not doctors.
• Representative María Pérez-Vega [member_13433]: I'm not nurses. We're not doctors.
• <00:39:18.560> I'm<00:39:18.680> not<00:39:18.800> a<00:39:18.920> nurse<
• /c> because I'm not a nurse I'm not a nurse because I'm not a nurse I'm not a nurse practitioner<00:39

Bills: HF1247, HF628

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• I'm sorry, I'm a nurse.
• My name is Vanessa Childs, and I'm a certified nursing assistant through the state.
• I have been a nurse for 25 years.
• Doctors and the nurses. Make it make sense. Make it make sense.
• The nurse at that moment is the first responder.

Bills: S0042, S0688, S0762, S1168, S1296, S1298, S1300, S1318, S1332, S1376, S1548, S1570, S1574, S1632, S1634, S1750

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, criminal defense, legal representation, death penalty, indigent defense, regional counsel, conflict of interest, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• I'm a former registered nurse of 38 years.
• <00:05:08.000> from I'm a former reg registered nurse from I'm a former reg registered nurse
• I am a former neonatal intensive care and flight nurse. I did that for about 18 years.
• I am a former neonatal intensive care and flight nurse. I did that for about 18 years.
• <00:52:17.119> home breakout of how many are nursing home breakout of how many are nursing

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• If you go across the state, we've got a nursing program in Bismarck that's doing great work.
• We produce nearly two-thirds of the state's engineering graduates, half of the nursing graduates, and
• Nursing, health care, really important to a state like North Dakota. Agriculture, no question.
• NDSU is also home to the largest undergraduate nursing program in the state, and over time more than
• We are the home of the largest nursing program in the state.

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• , and also RNs, registered nurses, particularly for our healthcare division, in order to address the
• uh and PRNs, advanced practice uh and PRNs, advanced practice uh registered<00:24:49.360> nurses
• <00:24:49.840> and<00:24:50.159> also<00:24:50.720> RNs, registered nurses and
• also RNs, registered nurses and also RNs, registered<00:24:51.679> nurses<00:24:52.240> and
• <00:24:52.480> that's registered nurses and that's registered nurses and that's particularly

Keywords: 912, senate, all

Summary: The Judiciary Committee first considered Governor’s Message 574, confirming Michael Tenoi to continue serving on the Commission to Promote Uniform Legislation through June 30, 2028. Several supporters testified, and Tenoi said he valued working with Hawaii and national commissioners and hoped to focus on emerging issues such as artificial intelligence, cybersecurity, and data security. The committee recommended advise and consent and adopted the measure, with a photo taken afterward. The committee then heard HB 1519 on campaign contributions, which would require disclosure of compensated officers and immediate family members of certain state contractors and grantees. The Campaign Spending Commission and State Procurement Office supported the bill but asked for clarifying amendments; several advocacy groups supported the measure but urged stronger language, including removing branch-of-government limits and narrowing loopholes. The chair proposed amendments to remove monetary thresholds, limit the bill to paid officers, add appropriations for the Campaign Spending Commission and State Procurement Office, define “officer” more broadly, and note that false-name contributions are already felonies. The committee voted to pass HB 1519 with amendments. HB 2250, the claims against the state bill, drew testimony from the Attorney General and multiple departments in support, but members raised extensive questions about why many claims would be paid from the general fund, how corrective action is being pursued, and the handling of several specific claims, including wrongful imprisonment, a cesspool citation, Department of Corrections deaths, a large special education settlement, a charter school lease dispute, and an outdated check. Because of those outstanding questions, the committee postponed decision-making on HB 2250 until Tuesday, March 24, at 10:30 a.m. in Room 016. Later, the committee also considered Governor’s Message 725, confirming Daniel M. Gluck as an associate judge of the Intermediate Court of Appeals; the committee recommended consent and adopted the measure.