Transcript Highlights:

• A bill to be entitled, an act relating to advanced practice registered nurse autonomous practice.
• No shade to nurses. I have a lot of friends that are nurses.
• Members, nurses are nurses, psychiatrists are psychiatrists. Vote no.
• We're not allowing these nurses to do anything that they aren't already doing today. That down.
• We're not allowing these nurses to do anything that they aren't already doing today.

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report and moved into a series of budget-related bills. The chamber first took up HB 5011/SB 2506 on environmental resource management and natural resources funding, where Democrats argued the bill would reduce recurring support for the Resilient Florida program, the Florida Wildlife Corridor, invasive species removal, and other conservation efforts. Supporters said the change would shift money from recurring to nonrecurring funding so the Legislature could reassess priorities each year and rely more on private-sector stewardship. After a strike-all amendment and conference posture change, SB 2506 passed 97-12. HB 5013, reducing state-funded property reinsurance reserves, passed 108-0, and HB 5501, redirecting documentary stamp tax distributions from housing and transportation trust funds into general revenue, passed 82-26 after extended debate over its impact on affordable housing and transportation funding. The House also passed HB 5015 on state group insurance, which requires DMS to develop a formulary management system and was described as producing significant savings; members raised concerns about prescription access and implementation, but the bill passed 109-0. HB 5201 on state financial accounting and HB 5203 on the Capitol Center both passed unanimously, as did HB 5009, which creates a Florida Accountability Office and reorganizes audit functions. The chamber then passed HB 7031, a major sales tax reduction bill lowering the state sales tax rate and several related rates; supporters framed it as permanent relief for all Floridians, while opponents said property tax relief would be more meaningful and that the sales tax cut would also benefit tourists and out-of-state visitors. HB 7031 passed 112-0. The House then began consideration of HB 501, the proposed fiscal year 2025-26 budget, totaling $112.9 billion and emphasizing reduced recurring spending and large reserves. Subcommittee chairs outlined their budget silos: K-12 education at $20.6 billion with teacher raises, school hardening, literacy, transportation stipends, and security funding for Jewish day schools; health care at $47 billion with full Medicaid and KidCare funding, opioid settlement spending, mental health beds, and senior services; transportation/economic development at $18.5 billion; agriculture and natural resources at $5.8 billion with reduced Everglades spending but continued water, resiliency, and land management funding; higher education at $8.7 billion; state administration at $2.9 billion; justice at $7.3 billion; and IT at $529 million for Florida PALM, FX, and other systems. Members then began questioning the K-12 budget, focusing on FEFP funding, proration, voucher growth, stabilization dollars, mental health and school safety funding, and whether districts would be held harmless under the proposed allocations.

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:

• 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:

• settings, the three main areas of our continuum of care are home care, assisted living residences, and nursing
• long-term care bill, which made the first major changes in a quarter century to our assisted living and nursing
• Home care is more affordable than paying for assisted living or a room in a nursing home.
• of home care to older adults' health and well-being, including savings from delayed or prevented nursing
• applications, including applicants with 5% ownership in the home care agency, the same threshold for nursing

Keywords: 995, all

Summary: The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge. The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1. In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.

Transcript Highlights:

• Representative Booth, you're recognized to explain House Bill 1325 relating to the linking industry to nursing
• I'm happy to bring before you today House Bill 1325, which expands the linking industry to nursing education
• As Florida continues to face persistent shortages in the nursing field, this bill helps to strengthen

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:

• 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.

Transcript Highlights:

• Speaker, in the gallery today, we have Nurse Shea Pugh of Windsor High School in Isle of Wight County
• , and I would ask Nurse Pugh and her guest to please stand.
• Nurse Pugh was selected as the 2025 school nurse of the year by the Virginia Association of School Nurses
• She helped develop the mental health toolkit for school nurses after collaborating with the Virginia
• drive, supporting families in need, and they also wrote Valentine's Day cards for senior citizens and nursing

Keywords: March 06, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• For over 30 years, I worked as a nurse case manager in workers' compensation, advocating for workers.
• We have a shortage of 800, um, and many nurses.
• We have a shortage of 800, um, and many nurses.
• We have a shortage of 800, um, and many nurses.
• Uh the worst problem in the nurses.

Keywords: 912, senate, all

Summary: The Senate Committee on Labor and Technology heard testimony on several labor-related bills. SB 2567 would allow public employers to seek temporary restraining orders against harassment of employees; the Judiciary, DHS, DOE, and others supported it, with some asking that coverage be broadened to all public employees. The Judiciary said it would not oppose expanding the bill’s scope. The chair deferred decision-making on SB 2567 to February 13, 2026, to allow further discussion with the Judiciary and Attorney General’s Office. SB 2386 would expand pay-transparency requirements for job listings and lower the small-employer exemption threshold from 50 to 25 employees. Testifiers largely supported the measure, citing transparency and retention benefits, while one opposition was noted. The committee voted to pass SB 2386 with amendments, including changing the effective date to January 1, 2077. SB 2389, the Warehouse Workers Protection Act, drew support from labor advocates but concerns from DLIR and the Attorney General’s Office about enforcement and a prosecutorial provision; after questions about quota tracking and recordkeeping, the chair deferred the bill. SB 2663 would require employers to respond in writing to workers’ compensation treatment plans within seven days and establish related penalties. DLIR opposed the bill as drafted, citing fairness and existing statutory conflicts, while injured workers and labor representatives supported it and described long delays in treatment approvals. The committee voted to pass SB 2663 with amendments, including directing fines to the special compensation fund, clarifying enforcement, and setting the effective date to January 1, 2077. SB 2555 would allow retirees to work in succession-planning positions without losing retirement benefits; ERS supported the intent but suggested an annual reporting requirement and noted existing rehire mechanisms. The committee voted to pass SB 2555 with amendments, including an annual report requirement and the same January 1, 2077 effective date. The meeting then adjourned.

Transcript Highlights:

• Currently, the law protects nurses and other medical service personnel under the felony assault statute
• , but it does not provide any coverage for nurses and medical staff.
• Currently, the law protects<00:25:24.080> nurses<00:25:24.559> and<00:25:24.799> other
• <00:25:25.039> medical protects nurses and other medical protects nurses and other medical
• for nurses and medical staff. staff. staff.

Keywords: 958, all

Summary: The committee first took up House Bill 4, which would expand Kentucky’s grooming statute. The sponsor and supporters explained that the bill is intended to target bad-faith sexual grooming while avoiding criminalizing ordinary, good-faith conversations, including teacher-student discussions about sexual health and age-appropriate conversations about puberty. Members raised concerns about possible overbreadth, the age cutoff for non-trust relationships, and whether terms like “prepare” or “emotional connection” were too vague. Several members said they would pass for now but work on the language before floor debate. The bill was reported favorably with 14 yes votes, no no votes, and five pass votes. The committee then considered House Bill 84, which updates Kentucky’s riot-liability statute for local governments. The sponsor said the bill is a cleanup measure to ensure the law applies to consolidated and unified local governments, especially Louisville and Jefferson County, after a recent court decision. Members questioned whether the bill could encourage vigilante behavior or be used against peaceful protest, but the sponsor and another member argued it simply preserves long-standing accountability when property damage from riots could have been prevented. The bill passed favorably with 15 yes votes, two no votes, and one pass vote. House Bill 188 followed, expanding legal protections for jail employees and medical staff. The sponsor said the bill would extend peer-support confidentiality protections from police officers to jail staff and add jail medical personnel to the assault protections already available to nurses and other medical workers. Members voiced support, noting the need to protect correctional and healthcare workers, and the bill passed unanimously with 18 yes votes and no no votes. Finally, the committee heard House Bill 143, a technical change to fiduciary bond procedures that would allow bonds to be notarized rather than attested by a circuit court clerk. The sponsor said the change was requested by circuit clerks and would make probate and similar matters easier to process. The bill passed unanimously with 18 yes votes and no no votes. The committee then adjourned.

Transcript Highlights:

• We have a rural nursing education program that's run out of the Department of Health that we are seeking
• We have a rural nursing education program that's run out of the Department of Health that we are seeking
• second, I can just read a quote out loud that we have in our opening slide: “All doctors, surgeons, nurses
• It's a huge lift for us, both regulatory and clinically, and it involves all areas of the hospital: nursing
• So we have board-certified transplant surgeons, medical doctors, nurses, social workers, dietitians.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• And then I go back into my district and we're cutting my nursing homes by $15 million. a few years ago
• <00:20:46.320> we're<00:20:46.559> cutting<00:20:46.960> my<00:20:47.200> nursing
• my district and we're cutting my nursing my district and we're cutting my nursing homes<00:20:47.919
• And the staffing, the people that work in the nursing homes, which are closing left and right across
• homes, which are closing left nursing homes, which are closing left and<00:26:21.520> right<00

Keywords: 1187, senate, all

Transcript Highlights:

• We're adding $110 million in fiscal years 26 and 27 for skilled nursing services for individuals with
• We're increasing the special fund ceiling by $35 million in both fiscal years for the nursing facility
• by 35 million in both fiscal years for by 35 million in both fiscal years for the<00:13:20.120> nursing
• <00:13:20.639> facility<00:13:21.199> sustainable the nursing facility sustainable
• the nursing facility sustainable program<00:13:23.680> adding<00:13:24.440> 750,000<00:

Keywords: 912, senate, all

Summary: The committee met in decision-making only and first took up HB 300, the Senate majority budget package. The chair described the bill as a response to economic uncertainty and reduced revenue forecasts, and outlined a wide range of appropriations and staffing changes across state agencies, including agriculture, education, health, public safety, housing, labor, natural resources, and corrections. The package emphasized one-year funding for many new programs, vacancy reductions, and investments in services such as preschool, mental health, wildfire mitigation, cybersecurity, public access, and workforce development. HB 300 was recommended to pass with amendments and was adopted unanimously, with members voting yes and no reservations noted only as procedural responses. The committee then acted on HB 794 and HB 795, both recommended to pass with amendments by changing the defective date to 2050; both measures were adopted without discussion. On the 101 agenda, HB 400, the Judiciary budget bill, was recommended to pass with amendments. The bill included vacancy reductions, security funding, permanent staffing for several court and justice programs, and support for civil legal services, immigration-related services, and technology licenses. HB 400 was adopted. HB 410 was also adopted with amendments and a defective date change to 2050. On the 102 agenda, the committee passed several bills either unamended or with targeted amendments. HB 3, HB 134, HB 177, HB 237, HB 648, HB 713, HB 735, HB 1391, and HB 1462 were passed unamended. HB 214 passed with amendments expanding eligibility for retired employees to fill labor-shortage or succession-planning positions, including certain management positions excluded from collective bargaining; one member raised concerns about school resource officers and community fit, which the chair said could be addressed in the committee report. HB 441 passed with amendments to direct cigarette tax funds to the Hawaii Cancer Research Special Fund, with a discussion about whether e-cigarettes should be included. Other measures passed with amendments included HB 448, HB 667, HB 727, HB 740, HB 806, HB 1020, HB 1345, and HB 1365, generally involving date changes, blank appropriations, or technical language. HB 1391 was adopted with a reservation from Senator Kim. The meeting concluded with HB 1462 adopted unamended.

Transcript Highlights:

• We need more doctors, nurses, and skilled professionals, not fewer.
• I urge you to reject SB nurses and skilled professionals, not fewer.
• I'm a nurse. I'm a native Floridian, so born and raised in this state.
• I'm also a nurse, so I teach about belonging and understanding.
• Nurse, and I’m a proud father of Shelby Nurse, who is 33 years old and benefited from inclusion.

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service without debate. It then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded liability, and preserves the 3% employee contribution rate. Senator Fine said the bill would increase FRS Trust Fund revenue by about $310 million annually and also gives certain elected officers an option related to DROP accumulations. An amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably. The committee then heard SB 1710, a bill by Senator DeSantis/DeSigley to prohibit state agencies, vendors, and grant recipients from using state funds for DEI-related policies, trainings, and programs, and to impose related restrictions on medical institutions of higher education. Senator Polsky and others questioned the bill’s broad and vague language, its effect on health-related work, public-facing agency positions, private contractors, and medical school admissions. The sponsor said the bill was intended to stop DEI from influencing state agencies and that the medical-school portion would likely be amended out later. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and minority communities; a few supporters said DEI is ideological and should be removed from government and public institutions. After debate, the bill was reported favorably on a party-line style vote, with Senator Errington voting no. The committee then began SB 1678, relating to entities that boycott Israel, with a delete-all amendment. Senator Leak said the bill would expand Florida’s anti-BDS framework to cover nonprofits, foreign educational institutions, foreign government funds, academic boycotts, political subdivisions, and certain grants, while the amendment aligned the bill with existing law and clarified procurement and divestment provisions. Testimony included support from proponents who said Florida should not do business with entities engaged in boycotts of Israel, and opposition from speakers who argued the bill would restrict academic freedom and conscience. Debate continued as the transcript ended, with no final vote shown in the excerpt.