Transcript Highlights:

• Um, maybe they were going to be a nurse and now they're a CNA at a nursing home.
• So they're a CNA at a nursing<00:58:41.760><c> home.
• home.
• I would like to make sure nursing home.
• Uh we're bringing this home. years ago. Uh we're bringing this home.

Bills: HF2634 , HF2241 , HF2649 , HF2520 , HF2610

Committee: House Higher Education Finance and Policy

Keywords: North Star Promise, scholarship, higher education, Minnesota Office of Higher Education, in-demand jobs, workforce development, career training, job market, high-demand occupations, high-demand industries, college aid, state financial aid, FAFSA, student eligibility, program of study, degree program, certificate program, community college, university, labor market data

Transcript Highlights:

• I was raised on the reservation, still go home.
• Now I'm going to move on to nurse licensure classification, proposed rule amendment.
• So this establishes a system for school nurses more similar to that of teachers in New Mexico.
• And the proposed rule adds clarity on these levels and the processes for school nurses.
• I have two, one on the nurses and one on the AED staff training.

Summary: The committee began with a presentation on the 520 Native American Language and Culture certificate, created to let proficient tribal language and culture speakers teach in K-12 schools without a bachelor’s degree. LESC staff, PED, and HED described the certificate’s statutory basis, the role of tribes and pueblos in setting proficiency standards, and ongoing challenges such as uneven MOAs, limited professional development, rural access barriers, data gaps, and retention concerns. PED said oversight of 520 is moving from the licensure bureau to the Indian Education Division, and HED reported that the tribal education technical assistance centers authorized in 2023 are still in procurement but are expected to be awarded in early 2026. A student, Alonzo Hughes, testified about how learning Tewa from 520-certified teachers helped him understand his culture and speak with elders, and members praised the program’s role in language revitalization and asked about funding, teacher pathways, and whether similar models exist in other states. Committee members then discussed several PED rule updates. Staff reviewed an adopted rule implementing HB 54 on AEDs and cardiac emergency response plans, including staff training requirements and staggered compliance dates, and a proposed rule for school nurse licensure under HB 195 that would create a three-tier system and align nurse pay with teacher pay. They also reviewed proposed changes to the Community Schools Act rule, including a full-time community school coordinator requirement, updated grant language, and broader coalition membership criteria; PED said the broader language would not conflict with the Martinez-Yazzie work. A proposed bilingual teacher rule would standardize coursework requirements, add trans-languaging and culturally relevant curriculum competencies, and allow Native American language certification applicants to demonstrate proficiency using tribal standards. In questions, members raised concerns about AEDs being present at athletic events, the need for the amended school nurse bill to move experienced nurses directly into higher levels, and whether the community schools rule’s broader coalition language could affect current education litigation. Members also asked about funding for 520 programs, teacher residency or cohort models, and how to support advanced language instruction and sustainability. PED said the Indian Education Fund and school budgets can support some of the work, but additional strategic funding and cross-training are needed. The committee also heard that New Mexico’s 520 system is unusually robust compared with other states, and members encouraged staff to present the model at national conferences. The meeting ended with the director’s report, which noted a flat budget request of $2,024,300, staff turnover including Natasha Davalos’s departure, and appreciation for the committee’s work before adjournment for the holidays.

Transcript Highlights:

• We are in the process of hiring nurses, and so we're hiring a nurse for the Covington region currently
• the nurses that would be tri-regional.
• We have myself, we have a nurse practitioner, and we have a nurse that are on our team.
• We are in the process of hiring nurses, and so we're hiring a nurse for the Covington region currently
• We have myself, we have a nurse practitioner, and we have a nurse that are on our team.

Bills: SB25 , SB132 , SB155 , SB157 , SB202 , SB237 , SB250 , SB433

Committee: House Appropriations

Keywords: dental care, cancer treatment, health insurance, medically necessary, health coverage, paid parental leave, educators, teachers, school employees, public schools, local education agency, LEA, school board, charter schools, maternity leave, paternity leave, adoption leave, foster care leave, pregnancy loss, stillbirth

Transcript Highlights:

• and then they go to a nursing home.
• They don't have any nursing homes.
• and then they go to a in their home and then they go to a nursing<00:21:12.080><c> home.
• They go somewhere and they nursing home.
• Can we don't have to have nursing homes? Can we do<00:21:46.159><c> that?

Transcript Highlights:

• care, assisted living residences, and nursing homes.
• Home care is more affordable than paying for assisted living or a room in a nursing home.
• savings from delayed or prevented nursing home stays and the strong desire of our aging population to
• Under the home care program, home care agencies that contract with aging services, Home care agencies
• care agency, the same threshold for nursing homes and assisted living that was established in the long-term

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:

• When the Black Barons played Sunday home games, local pastors would often...
• Senate Bill 76 offers nursing mothers an exemption from...
• Senate Bill 76 offers nursing mothers an exemption from jury duty.
• midwife, or a... ...certified nurse midwife, or a pediatrician.
• I can remember when I was a child, and my mother nursed me.

Bills: SJR 1 , SB 9 , SB 40 , SJR 36 , SJR 1 , SJR 5 , SB 9 , SB 40 , SR 61 , SR 91 , SR 97 , SR 103 , SR 104 , SR 112 , SR 115 , SR 116 , SCR 16 , SB 26 , SB 26

Transcript Highlights:

• Paul's Homes and Services for the Aging, opposing the PACE proposals as well.
• Paul's Homes and Services for the Aging, opposing the PACE proposals as well.
• I am a registered nurse from Harbor UCLA in Los Angeles County.
• But again, just not to continue the night's long, 9:06 p.m., I think we want to go home.
• And we do all want to go home.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• homes, and community health centers.
• Our home care programs provide vital in-home services that support individuals to stay in their homes
• House 2 recommends $918 million to fund our home care and community $918 million to fund our home care
• in it who would otherwise be in nursing homes.
• with more supports at home.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session on health and human services, held in Clinton and opened with remarks from the House and Senate co-chairs, local officials, and committee members. The chairs emphasized the importance of hearing directly from agencies about the Commonwealth’s health care and human services budget needs, thanked Clinton for hosting, and introduced the day’s panels, beginning with the Executive Office of Health and Human Services (EOHHS) and then MassHealth. Secretary Kiame Mahania presented Governor Healey’s FY27 EOHHS budget, describing a $33.7 billion request driven largely by non-discretionary cost growth, caseload increases, and federal uncertainty. He highlighted targeted investments in foster parent reimbursement, family resource centers, maternal health, food assistance, immigrant legal services, and workforce rates, while warning that federal cuts and the Trump administration’s One Big Beautiful Bill Act could strip billions from state health funding. Members questioned him about primary care shortages, federal program integrity audits, ConnectorCare, regional health disparities, and the proposed cap on adult dental coverage; he defended the cap as a difficult but necessary cost-control measure and said the administration would continue cooperating with federal partners. Undersecretary Michael Levine then testified for MassHealth, saying the agency faces two major challenges: rapid cost growth and looming federal changes. He outlined a $22.7 billion gross MassHealth budget and proposed actions including a moratorium on new expansions, capping adult dental benefits at $1,000, ending GLP-1 coverage for weight loss only, reducing care management spending to peer-state levels, and convening work groups to slow growth in personal care attendant, adult foster care, and adult day health programs. He also warned that federal policy changes could cause about 300,000 residents to lose coverage by 2030 and reduce federal revenue by about $3.5 billion, and said MassHealth would use outreach and systems changes to help eligible members stay covered. Members raised concerns about the impact of these cuts on homeless care, preventive services, dental access, GLP-1s, and regional hospital and specialist shortages, while Levine argued the proposals were aimed at preserving core coverage and sustainability.

Transcript Highlights:

• We need these nurses. We need these technicians.
• They are graduating the nurses that we need right now, and those nurses are staying in our community,
• We restored the FY26 core for home visiting for CTF on line 31.
• We did reduce the transfer for the veterans' homes.
• And then we have a cut to the nursing home staffing campaign there on line 34, line 35, the dangerous

Committee: House Budget

Summary: The committee heard extended discussion of the chair’s House budget substitute, especially House Bill 2 for elementary and secondary education and House Bill 3 for higher education. The chair said the operating budget leaves roughly $300 million in reserve, explained several cuts and restorations, and described proposed changes to child care, including cutting enhancement payments and keeping attendance-based rather than enrollment-based subsidy payments. Representative Fogle objected to the child care cuts and the proposed language limiting the department’s move to prospective payment and enrollment-based reimbursement; State Budget Director Dan Hogg testified that the governor’s office still intended to move to payment on enrollment in May if the budget language did not block it, while prospective payment remained under review because of federal funding concerns. The chair also explained a restriction on Parents as Teachers services for children already in public pre-K, and members debated whether that would reduce duplication or improperly limit services. The chair further proposed a new competitive Title I innovation grant program funded by a reallocation of some Title I dollars, with questions raised about what services would be reduced to offset it. The bulk of the meeting focused on a major higher education funding overhaul in House Bill 3. The chair and vice chair proposed replacing the current base-plus model with an FTE-based formula that would distribute the same overall state funding according to student credit hours, with community colleges funded on a 12-hour FTE, four-year undergraduate students on a 15-hour FTE, and graduate enrollment discussed as a separate issue. They said the goal was to make funding follow students rather than institutions and to reduce long-standing disparities between schools. Several members supported the idea as overdue and more transparent, while others warned it was being done too quickly and could harm institutions with high-cost programs, research missions, or smaller enrollments. Concerns were raised about possible closures, accreditation problems, and unintended effects on workforce programs such as nursing, engineering, and technical training. The chair and vice chair said there was no intent to force consolidation, but acknowledged that some institutions would gain and others would lose under the new model. Members also questioned how the formula would treat research and doctoral funding, especially at the University of Missouri, and whether graduate programs were properly counted. The chair said some special-purpose lines were retained, but a large portion of MU’s research and doctoral funding was folded into the broader pool and redistributed through the FTE model. Several members asked for clarification on whether graduate hours were counted at nine credits, and the chair said he was not certain and would seek follow-up from staff or the department. Community college representatives were discussed as having unanimously opposed the recommendation, and the chair noted that the institutions were briefed only shortly before the hearing. No votes were taken during the exchange, and the committee appeared to be gathering testimony and concerns ahead of markup and future action on the budget bills.

Transcript Highlights:

• Nurses that deal with OBGYN patients, and I think his includes all physicians, not just OBGYN, so his
• At least at this point, one of the differences is yours is more inclusive in the It includes nurses,
• Bill 2626 relating to ectopic pregnancies and continuing education for certain. physicians and nurses
• It's about housing and home ownership. That's what the bill does.
• So that dream of home ownership doesn't get further and further out of reach for Texans, I move final

Bills: SJR85 , SCR29 , SCR38 , SCR42 , SB23 , SB39 , SB209 , SB227 , SB240 , SB330 , SB527 , SB584 , SB618 , SB619 , SB636 , SB663 , SB715 , SB732 , SB758 , SB801 , SB825 , SB826 , SB843 , SB844 , SB847 , SB870 , SB884 , SB912 , SB957 , SB1013 , SB1020 , SB1065 , SB1143 , SB1152 , SB1164 , SB1183 , SB1257 , SB1299 , SB1325 , SB1349 , SB1413 , SB1455 , SB1539 , SB1558 , SB1574 , SB1583 , SB1624 , SB1642 , SB1643 , SB1667 , SB1717 , SB1718 , SB1727 , SB1734 , SB1756 , SB1757 , SB1784 , SB1789 , SB1832 , SB1868 , SB1870 , SB1883 , SB1896 , SB1920 , SB1924 , SB1963 , SB2010 , SB2018 , SB2024 , SB2037 , SB2052 , SB2073 , SB2111 , SB2161 , SB2196 , SB2207 , SB2253 , SB2268 , SB2322 , SB2323 , SB2332 , SB2349 , SB2371 , SB2533 , SB2570 , SB2601 , SB2626 , SB2692 , SB2705 , SB2717 , SB2774 , SB2788 , SB2877 , SB2920 , SB2 , SB260 , SB1786 , SB1 , HJR4 , SJR36 , SJR50 , SJR63 , SJR85 , SJR84 , SCR12 , SCR39 , SCR38 , SCR42 , SCR29 , SCR4 , SCR18 , SCR43 , SCR46 , SB2023 , SB825 , SB2010 , SB1870 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB618 , SB393 , SB1791 , SB826 , SB1257 , SB870 , SB529 , SB209 , SB1883 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1860 , SB2037 , SB1924 , SB2253 , SB2018 , SB2206 , SB1963 , SB1643 , SB1299 , SB841 , SB668 , SB584 , SB1085 , SB2431 , SB1490 , SB1868 , SB2314 , SB434 , SB2046 , SB1667 , SB1727 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB1832 , SB1745 , SB1746 , SB2207 , SB1784 , SB1524 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB1940 , SB2052 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1558 , SB1236 , SB1044 , SB884 , SB463 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2141 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1757 , SB2050 , SB1138 , SB2626 , SB2458 , SB1864 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB1183 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB39 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB23 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , HB135 , HB 1109 , SCR48 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666

Transcript Highlights:

• home health aides.
• What it does specifically is modernize the certification process for certified nurse assistants and home
• homes and health agencies without compromising safety.
• assistants and home health aides are not afforded the same protections.
• Peter Kellis on behalf, the California Association of Health Services at Home.

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• So we have to make stay close to home.
• </c> be mainly a school of nursing facility. be mainly a school of nursing facility. uh<00:35:57.920>
• </c> presentation was was basically a nursing presentation was was basically a nursing uh<00:52:32.480
• </c> And this slot is the school of nursing And this slot is the school of nursing and<01:10:28.400><
• </c> in response to our growing nursing in response to our growing nursing program<01:10:36.640><c> as

Summary: The meeting opened with prayer and the Pledge of Allegiance, followed by a roll call establishing a quorum. The committee then approved the prior meeting’s minutes. Members were reminded to silence cell phones, and the chair noted an informational item on capital plan amendments made by state agencies during the latest revision period before moving to university capital plan presentations. Eastern Kentucky University President David McFaden outlined EKU’s enrollment growth, strong Kentucky student retention, and signature programs in nursing, occupational therapy, criminal justice, education, manufacturing engineering, and aviation. EKU’s main capital priorities were a new health innovation project to support a proposed osteopathic medical program, including a $50 million escrow requirement until accreditation; a collaborative center for health innovation to address outdated health sciences facilities; a $5 million startup request for an air traffic control program; aircraft upgrades for the aviation fleet; and continued asset preservation funding. In response to questions, EKU said roughly 40% of the new health facility would be dedicated to the medical school, with shared simulation space for multiple health programs, and that aviation maintenance needs are currently being met through KCTCS partners but could be expanded if demand grows. KCTCS representatives then described the system’s scale and capital needs, noting service to 107,000 students, extensive dual credit and workforce training, and a network of 342 buildings across 70 campuses. They said prior legislative support, including $277 million in asset preservation and $90 million released for approved projects, had helped with safety, roofs, energy efficiency, and campus security. Their current priorities include about $30 million for systemwide safety and security upgrades, renovations tied to consolidation and footprint reduction under Senate Joint Resolution 179, and broader asset preservation needs estimated at roughly $300 million to $325 million. Members discussed the need to preserve and expand skilled trades training, and KCTCS said its plan includes construction trades and flexible, multiuse facilities that can adapt to changing workforce needs. No votes were taken beyond approval of the minutes, and the presentations concluded with questions and discussion only.

Transcript Highlights:

• Sebastiana went home with her family at just 18 days old.
• I'm here in support of H. 1409, which penalizes nursing homes 2% of their Medicaid funds owed to us if
• I treat medically frail, compromised nursing home patients.
• She's 69 years old, resides in a nursing home in suburban areas of Boston. Mrs.
• Only then could she be discharged with home hospice care.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• Kate Rogers from the Student Homes Coalition. We're proud to sponsor AB 1732 to examine...
• I'm excited to present a second housing bill to you all, AB 2433, Affordable Homes Bonus Law.
• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• Cheryl Spradling, Paradise wildfire survivor, says, “This is my home.

Committee: House Appropriations

Transcript Highlights:

• </c><01:04:03.000><c> after</c> necessarily if a child goes home after necessarily if a child goes home
• You're representing the University of Hawaiʻi system and also the Center for Nursing, School of Nursing
• You're representing the University of Hawaiʻi system and also the Center for Nursing, School of Nursing
• Center for Nursing School of Nursing um Center for Nursing School of Nursing and<01:17:52.920><c> dental
• </c><01:18:13.480><c> I</c> the hawwai State Center for Nursing I the hawwai State Center for Nursing

Summary: The Committee on Education heard several Department of Education-related bills and received extensive testimony on school meals and veteran diplomas. HB 628 would restore authority for the Department of Education to issue high school diplomas to veterans whose schooling was interrupted by World War II, the Korean War, or the Vietnam War. The superintendent testified in support, explaining the authority had sunset in 2020 and describing the measure as a way to recognize veterans. No opposition or questions were raised, and the bill was left without further action in the excerpt. The committee also heard HB 1074 and HB 110, both supported by the Department of Education and the School Facilities Authority. HB 1074 was described as a cleanup measure to clarify land-related language and make the statute more consistent across state agencies and DOE. HB 110 concerned benchmarking and the farm-to-school/local food effort; DOE and several supporters, including county councils, the Hawaii Public Health Institute, the Hawaii Farm Bureau, and the Hawaii Farmers Union, said the bill would help align metrics and support the 30% local food goal by 2030. Members questioned DOE about progress, and DOE said it was working on menus, procurement, and coordination with distributors and farmers. A Farm to School representative said the current bottleneck was poor communication with farmers and the need to bring them into planning earlier; DOE said it was still figuring out the process and that island-based procurement and separate RFPs were being explored. HB 328, relating to school meals and local resource food and plant-based options, drew the most testimony. DOE testified with comments, and the Attorney General’s office suggested revisions to clarify that the bill would apply to both DOE and charter schools, to separate public and private funds if donations or grants are accepted, and to add standards if nonprofit or private entities receive public money. Supporters included HSTA, the Hawaii Public Health Institute/Farm to School Network, Climate Protection Hawaii, the Hawaii Cattlemen’s Council, and numerous individuals and organizations. Supporters emphasized healthier school meals, student-requested plant-based options, support for local farms, and the 30% by 2030 goal. Some testimony urged more local purchasing and raised concerns about decentralization, while DOE said it was considering island-based procurement and separate contracts to better support local producers. No votes were taken in the excerpt.

Transcript Highlights:

• Please recognize Representative Tammy West to present the Nurse of the Day.
• She is the Nurse of the Day. She is the charge nurse of a cardiac step-down unit at St. Anthony's.
• Went home and died. Became septic. Preeclampsia killed her.
• Foster care, in its original intent, was to take children out of their home until that home environment
• When they found out, they moved the boy out of the home immediately.

Bills: HR1036 , HB2975 , HB3026 , HB3297 , HB2981 , HB2978 , HB4144 , HB1322 , HB1818 , HB3194 , HB3767 , HB3342 , HB3344 , HB4170 , HB3287 , HB3288 , HB4454 , HB3264 , HB3266 , HB3268 , HB4095 , HB4115 , HB4316 , HB3530 , HB3428 , HB4272 , HB4273 , HB4274 , HB3405 , HB3406 , HB3467 , HB3469 , HB3931

Summary: The House opened with roll call, prayer, the Pledge of Allegiance, and several recognitions, including Veteran of the Week Donald W. DeLap, 2025 Oklahoma Teacher of the Year Melissa Yvonne, Doctor of the Day Dr. Corey Shawnaway, Nurse of the Day Rusty Rutherford, and Psychologist of the Day Dr. Glenna Stumbling Bear Riddle. Members also recognized Bob Wills Day at the Capitol with a resolution and musical presentation, and introduced visiting student groups and pages. The chamber then moved into second- and third-reading business on a series of bills. Several measures passed with little or no opposition. House Bill 2975, a Department of Agriculture cleanup bill on poultry litter spreading/exporting, passed 89-8 after questions about removed misdemeanor language and hauler information. House Bill 3026, allowing children of U.S. military allies to start kindergarten according to their home-country timelines, passed 97-0 and its emergency clause also passed 97-0. House Bill 3297, creating a regulatory framework for highway remediation services, passed 87-0. House Bill 2981, requiring school boards to post approved meeting minutes within two weeks and within two clicks, passed 93-0. House Bill 4144, clarifying that arrest and incident reports are open records, passed 97-0. House Bill 1818, updating social work licensing terminology, also passed 97-0. House Bill 3767, updating controlled dangerous substance scheduling to match federal law and DEA watch lists, passed later in the day. The most extended debate centered on House Bill 3194, which would protect pregnancy resource centers from being singled out for regulation or lawsuits. Supporters argued the bill would shield private nonprofit centers from post-Dobbs legal attacks and let them focus on helping pregnant women and families. Opponents raised concerns about transparency, oversight of private nonprofits receiving state funds, the bill’s abortion definition, and whether it could create liability or reduce accountability. After lengthy debate, the House passed the bill 79-18. House Bill 3342, relating to Medicaid audits, passed 67-25 after discussion about making audits corrective rather than punitive. House Bill 3344, a foster care bill based on an interim study, was extensively debated over kinship placement standards, income thresholds, sleeping arrangements, transportation, tribal placement issues, and whether codifying DHS rules would improve accountability; the transcript cuts off before a final vote is shown.

Transcript Highlights:

• He says he stands with the registered nurses of Arizona.
• Members, I stand strong with the registered nurses of Arizona.
• There's no oversight by any physician, by any nurse. There's no training certification.
• We've got nurses that are for it.
• Yeah, as a nurse, I've seen the value of prevention.

Transcript Highlights:

• DOH staff interview hospital staff, including administrators, nurses, and doctors.
• health and in-home services, nursing homes, ambulatory surgical facilities, and then some tertiary services
• doing home health, their clinics—it's all wrapped up in this margin.
• Because in my community, that's what we keep hearing: more nurses are being cut, more nurses are being
• You're cutting physicians, you're cutting nurses.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• As you see, rent increases notices coming out of the Manufactured Mobile Home Landlord-Tenant Act to
• It allows a registered nurse. It's time and received unanimous support.
• All housing is housing, and this is an important piece of ensuring we have homes of all kinds for all
• All housing is housing, and this is an important piece of ensuring we have homes of all kinds for all
• our neighbors. we have homes of all kinds for all our neighbors.

Committee: Senate Rules

Transcript Highlights:

• Brewing beer at home is legal.
• We have a lot of home brewers around here.
• I think we need to get this on down so these home brewers can help. All right. I have a motion.
• Nurse practitioners and PAs are not midlevels.
• And my pharmacy at home, and I have a conversation with with Erri Kincaid, where did Greg go?

Bills: HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457

Committee: House Health and Human Services Oversight

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing