Transcript Highlights:

• going to try to keep nursing homes open. going to try to keep nursing homes open.
• In other words, our snowplow drivers and nurses at one state facility.
• <01:52:22.560> Um deal with a lot of traveling nurses.
• Um deal with a lot of traveling nurses.
• ,<03:48:19.199> and these, but um plow drivers, nurses, and these, but um plow drivers, nurses

Keywords: 916, all

Transcript Highlights:

• The other part of this equation is not at the table today: the VA nursing home.
• hire folks, and we most definitely should because we're always amending that contract for the VA nursing
• So, as of paid to date for contract nurses alone, it's $28.9 million so far to date, correct?
• And then we're projected, though, to spend $145 million just on contract nursing alone.
• And we've got to stop just immediately going to contract nursing.

Summary: The meeting began with a prayer, approval of the prior minutes, and a February 2026 revenue report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year, and said the updated forecast showed a larger expected surplus than before. Members asked about declines in some tax categories, natural gas severance fees, and possible effects of inflation and international conflict; Silva generally attributed the changes to timing issues, prior tax cuts, refund activity, and price fluctuations, and said he could not speculate on future impacts. The committee then heard and adopted several subcommittee reports, including the Executive Committee, Administrative Rules, Claims Review, Game and Fish State Police, Higher Education, Infrastructure Investment and Jobs Act, Hospital/Medicaid/Developmental Disabilities, Occupational Licensing Review, State Insurance Programs Oversight, and APER filings. Most reports were approved without objection. One budget classification transfer for the Commissioner of State Lands was reviewed and failed. The review report also led to discussion of several contracts, including DHS staffing contracts and a Department of Education security contract, with some items held or separated for individual votes. A major portion of the meeting focused on DHS and state staffing contracts for the Human Development Centers, Arkansas State Hospital, and related facilities. DHS officials said the contracts were on track against seven-year projections, but members expressed concern about heavy reliance on contract labor, vacancy rates, and the need to move workers onto state payrolls. Officials said they were preparing a recruitment and retention plan and described staffing levels, vacancies, and turnover. Members also questioned contract projections and federal-state funding matches, and several urged faster action to reduce contract labor costs. The committee also discussed a Department of Commerce reduction-in-force affecting the Division of Services for the Blind and Employment and Training. Secretary Hugh McDonald said the cuts were driven by funding shortfalls, over-obligation of funds, and federal issues, and that 27 positions would be permanently eliminated while furloughed employees would be recalled. Members raised concerns about service impacts, board appointments, and the division’s fiscal management. The meeting ended after the personnel report was adopted and APER was filed as reviewed, followed by adjournment.

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

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Summary: The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars. The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action. SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.

Transcript Highlights:

• clinical medical assistant, certified pharmacy technician, entry-level cybersecurity, and certified nursing
• volunteering, basic foundational skills instruction, career and technical education, including certified nursing
• clinical medical assistant, certified pharmacy technician, entry level cybersecurity, and certified nursing
• assistance, medical aid, pharmacy tech, Certified nursing assistants, medical aide, pharmacy tech, heavy
• , including the work or wage program and career technical education programs, including certified nursing

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• His team included doctors, nurses, family members, friends, and so many others. Kentucky.
• His team included doctors, nurses, family members, friends, and so many others.
• His team included doctors, nurses, family members, friends, and so many others.
• His team included<00:18:56.640> doctors,<00:18:57.120> nurses,<00:18:57.679> family<
• /c> included doctors, nurses, family included doctors, nurses, family members,<00:18:58.400> friends

Keywords: 958, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, then established a quorum with 34 members present. The chamber approved the journal from January 28, received notice that the House had passed House Bills 56, 320, 366, and 389 and requested concurrence, and heard a report that second-reading bills were sent to the Rules Committee. Committee reports advanced several measures, including Senate Bills 1, 3, 48, 84, 102, and 122, which were ordered to first reading and placed on the calendar. The Senate also received new bills and resolutions, including measures on SNAP benefits, unemployment insurance, medical licensing, proxy advisory services, child protection, disabled veterans, public school construction, and a concurrent resolution encouraging nuclear workforce training at Kentucky universities. The Rules Committee posted Senate Bills 20, 34, and 68 for the next regular orders, and the Committee on Committees referred Senate Resolutions 60, 61, 63, 64, and 65 to the floor. Senate Floor Amendment 1 to Senate Bill 3 was introduced. Several honorary and memorial resolutions were adopted, including Senate Resolution 63 honoring Reverend George Clifton Currington, Sr., Senate Resolution 49 honoring Dr. Jacqueline Sugarman, and Senate Resolution 31 designating Suits and Sneakers Day to recognize cancer patients, survivors, and advocates. Senators spoke at length about cancer awareness, personal family experiences, and Kentucky’s efforts to improve screening and treatment access. Announcements were made about an oversight committee meeting after adjournment and a Kentucky State Police Professional Association breakfast the next morning. The Senate adjourned until 9:00 a.m. on Friday, January 30, 2026.

Transcript Highlights:

• As a 19 year old nursing student.
• During the late 1960s, explosive sexual revolution, I was a 17-year-old. nursing student.
• My testimony is based on my years of experience working as a nurse in a large county health department
• Meanwhile, my staff collected a list of licensed nursing and assisted living homes in my district. from
• care retirement communities contain independent living in addition to a assisted living and skilled nursing

Bills: HB14, HB 106, HB146, HB267, HB274, HB 1127, HB1359, HB1393, HB1584, HB1640, HB1710, HB2152, HCR101, HJR8, HR51

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• However, many ERs are ill-equipped to treat infants and children and are staffed with doctors and nurses
• Third, it requires all emergency departments to designate a physician, nurse, paramedic, or physician
• these general emergency departments are receiving care that at least helps those ER physicians and nurses
• Twelve hours just puts it in line with the current schedule for regular private duty nurse.
• Twelve hours just puts it in line with the current schedule for regular private duty nurse, and we wanted

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• Nurses set nursing standards through professional boards.
• Nurses set nursing standards through professional boards.
• Nurses set nursing standards do this.
• Nurses set nursing standards through<00:34:20.480> professional<00:34:20.960> boards.
• So, thank you. nursing home, you have to be a nursing nursing home, you have to be a nursing assistant

Keywords: 1183, house

Transcript Highlights:

• nursing. Let's fix it for everyone else. nursing. Let's fix it for everyone else.
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity
• We also do nursing reviews of the nursing facility assessments that help to, again, calculate that acuity

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• I'm a mom, friend, nurse, and a survivor. Linsky, for all of your support. My name is Joe.
• I'm a mom, friend, nurse, and a survivor of domestic abuse.
• Me, as a nurse, and working in the nurse... Present. Welcome. Thank you.
• Me, as a nurse, and worked in me in the nurse. Medical care.
• Me, as a nurse and having worked in the corrections field, it's very detrimental that this bill be passed

Keywords: 995, all

Summary: The Judiciary Committee heard testimony on a wide range of criminal justice, victim services, and records-sealing bills. Early testimony focused on H.1811, the Clean Slate automated record-sealing bill, with supporters arguing that automatic sealing after existing waiting periods would remove barriers to jobs, housing, and education without changing eligibility rules. Advocates from legal aid, business, and housing organizations said the current petition-based system is underused, burdensome, and costly, while opponents of expanding surveillance-related laws urged the committee to preserve privacy protections. The committee also heard testimony on H.1693, which would immediately seal records in cases ending without conviction and clarify the presumption of innocence, with speakers describing how dismissed cases still create lasting collateral consequences and prevent people from moving forward. No votes were taken during the hearing. Several bills centered on victim safety and domestic violence. Senator Michael Moore testified for S.1201, which would keep child-protective orders in effect even if the parent or guardian who filed them dies, and for S.1204, which would update the wiretap statute. Multiple survivors and advocates supported S.1215 and S.1222, arguing for a narrow wiretap defense for recordings made to document threats or abuse and for making GPS tampering a separate felony offense. Testifiers described situations in which GPS devices were cut off or disabled and said current law leaves victims at risk and gives abusers too much leeway. The committee also heard emotional testimony on H.1685/S.1238, a bill prompted by the suicide of Stavri Yanka in custody, with the sponsor, his mother, and the sheriff describing the need for better information-sharing so suicide-risk information follows a person into custody. Law enforcement and prosecutors supported several due-process and dangerousness-related bills. MassCOP, the Boston Police Patrolmen’s Association, and the State Police Association backed H.1828/S.1039/S.1235, which would require de novo Superior Court review for POST Commission suspensions over two weeks or decertifications, arguing officers need a meaningful appeal beyond administrative review. The committee also heard support for H.1691, expanding the dangerousness statute to additional offenses; Bristol County District Attorney Quinn said the changes would let prosecutors seek detention in serious cases such as child rape and manslaughter when facts warrant it. In contrast, the Committee for Public Counsel Services opposed expanding dangerousness detention, warning that pretrial detention causes serious harms and disproportionately affects Black and Hispanic defendants. The hearing also included testimony on H.1654/S.1063 to enhance victims’ rights and H.1525, which would rename and expand community corrections into community justice programs, with supporters emphasizing reentry, reduced stigma, and broader service access.

Transcript Highlights:

• its first year, $32.3 million in Medicaid provider rate increases, $212 million to support quality nursing
• The nursing homes received an annual pay increase, and they seem to be the only entity, among Medicaid
• Can you talk to us about why the nursing homes were given this rate increase when other providers were
• So I think not only did we increase some funding for nursing homes, but we did not take away from some
• Very briefly, I want to ask you about the nursing home quality payment program.

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Transcript Highlights:

• its first year, $32.3 million in Medicaid provider rate increases, $212 million to support quality nursing
• Can you talk to us about why the nursing homes were given this rate increase when other providers were
• So I think not only did we increase some funding for nursing homes, but we did not take away from some
• But it has been a priority of this Senate and of the House to get the nursing homes back to where they
• Very briefly, I want to ask you about the nursing home quality payment program.

Summary: The Senate convened with prayer and the Pledge of Allegiance, then moved to the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27. Budget chairs presented the major spending areas, describing a $114.5 billion overall budget that they said was fiscally responsible and below the prior year’s spending. Highlights included pay increases and retirement adjustments for public safety employees, education funding for K-12, higher education, health and human services, criminal justice, transportation, environmental programs, and agriculture/regulatory agencies. Members then questioned chairs on several items. In education, senators discussed K-12 declining enrollment funding, teacher salary set-asides, private school scholarship spending, mental health funding, preeminence funding for universities, the Hamilton Center at UF, and charter school PICO funding. In health and human services, questions focused on the iBudget waiver waitlist, provider rates, ADAP/HIV funding and the return of Biktarvy to the formulary, KidCare, rural health funding, SNAP-related IT and error reduction efforts, and the IDD managed care program. In criminal justice, senators asked about correctional officer pay, prison staffing and infrastructure, air conditioning in prisons, juvenile justice facilities, law enforcement recruitment, and court system funding. Environmental and transportation questions covered Florida Forever, water quality, state parks, water projects, housing, elections funding, and emergency management. Several specific actions and explanations were given during debate: the budget includes $8.8 million for state attorney competitive area differentials but no funding for public defender CAD requests; assistant state attorneys will start at $70,000 and assistant public defenders at $65,000; the battery disposal issue was described as a temporary study/preemption approach; and the Senate said the budget does not fund Medicaid expansion, preeminence funding, or the SunBucks Summer EBT state share. Senators also noted that some proposals discussed in committee did not make it into the final budget. The transcript ends with debate statements from members praising the budget process and Chair Hooper, while also expressing concerns about public schools, health care access, affordability, and the lack of funding for certain priorities.

Transcript Highlights:

• They're going to have to go to nursing care. And then eventually end up, you know, passing away.
• Services, nursing home care are still included in the base unless they're provided through a managed
• This is a surcharge on skilled nursing facilities and intermediate care facilities based on their number
• Similarly to the health care quality surcharge, which is on nursing facilities and intermediate care
• Sharon Clark mentioned for nursing care, nursing homes, and kind of the aging.

Transcript Highlights:

• You're in agreeance now that licensed nursing homes, assisted living facilities, retirement communities
• When my daughter was two. she decided she wanted to be a nurse.
• I was able to pursue that dream by obtaining a BS degree in nursing and practicing for 30 years. three
• We need one million more registered nurses in this country by 2030.
• No nurse in a hospital is ever going to get sick.

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• This year these requests are very targeted around nursing and the nursing programs.
• <00:29:30.080> and<00:29:30.240> the<00:29:30.360> nursing nursing and the nursing
• nursing and the nursing programs programs programs um<00:29:35.360> uh<00:29:35.480> there
• then also the West aahu pre nursing then also the West aahu pre nursing pathway<01:04:46.400>
• They really provide a lot of support so that social workers, nurses, nurse practitioners, PAs, docs,

Keywords: 910, house, all

Summary: The House Finance Committee held an informational briefing with the University of Hawaiʻi, led by new President Wendy Hensel and Vice President for Budget and Finance Calbert Young. Hensel outlined the university system’s scope, student demographics, research activity, and campus missions, emphasizing four strategic priorities: serving Native Hawaiians and Hawaiʻi, student success, workforce development, and economic diversification through innovation and research. She highlighted the system’s enrollment, research funding, and the roles of Mānoa, Hilo, West Oʻahu, the community colleges, and specialized institutions such as JABSOM and the Cancer Center. Young then reviewed the budget request, focusing largely on making prior one-time appropriations permanent and supporting recurring needs. Items included funding for Mānoa athletics, the Hawaiʻi Institute for Marine Biology, K-12 teacher education, Pamantasan Council support, Hilo programs, Windward’s mental health technician certificate, Maui’s practical nursing bridge program, and student support positions such as financial aid and admissions counselors. He also described workforce-related requests tied to nursing expansion at Mānoa and West Oʻahu, as well as facilities support at West Oʻahu. A major portion of the testimony addressed the university’s two Kakaʻako medical facilities. Young explained that declining tobacco settlement and cigarette tax revenues are no longer sufficient to cover debt service for JABSOM and the Cancer Center, so the governor’s budget includes general fund support to supplement those obligations. He also described a regents-approved request not included in the governor’s proposal: expanding the Hawaiʻi Promise financial aid program to the four-year campuses, estimated at about $11–12 million. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• Did you mean a certified nurse midwife or a professional midwife? primary insurance.
• <01:06:45.720> You<01:06:45.880> you I believe she's a certified nurse midwife.
• And then are y'all partnering with or have the public schools that have nurse practitioners and nurses
• have the public schools that have nurse have the public schools that have nurse practitioners<01
• practitioners and nurses that provide practitioners and nurses that provide health<01:09:40.319>

Keywords: 958, all

Transcript Highlights:

• I mean, we have a nursing shortage. We have an education shortage.
• I mean, we have a nursing shortage. We have an education shortage.
• We have mean we have a nursing shortage.
• I was a nursing assistant at 16.
• I was a nursing assistant at 16. school. I was a nursing assistant at 16.

Bills: HF4598, HF4884, HF3732

Keywords: workers' compensation, Minnesota workers' compensation, Workers' Compensation Advisory Council, reinsurance association, Workers' Compensation Reinsurance Association, WCRA, occupational disease, presumption, first responders, firefighter cancer, PTSD, post-traumatic stress disorder, police officer, paramedic, emergency medical technician, correctional officer, security counselor, public safety dispatcher, temporary total disability, permanent partial disability

Transcript Highlights:

• I'm the chief nursing officer for our Bismarck Market and the executive sponsor for our behavioral health
• With social spaces built in, quiet sensory rooms, and three nurses stations with audio visual of the
• 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.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• and nurse practitioners, creating this really robust response out of the first response system and part
• What co-response means in Washington State could possibly be a nurse that's able to come to your home
• These are your mobile crisis teams—clinicians, social workers, nurses, peer specialists, psychiatrists
• That being, we have a medical provider on our team, an ARNP; we have nursing provision on our team as
• I'm the psychiatric nurse practitioner on our team.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• It's not that they're better doctors, or better psychiatrists, or better nurses, or technicians.
• benefit, and if we're not giving the right tools for that, then the doctor, the clinician, and the nurses
• But make sure that we have the quality of doctors, nurses, and staffing that we need to take care of
• But make sure that we have the quality of doctors, nurses, and staffing that we need to take care of
• Where the director of the facility is saying, "We need more nurses. We need more doctors.