Transcript Highlights:

• But I'm also speaking about unlicensed personnel like CNAs and medical assistants, who with the proper
• This is CNAs. Everything that goes, everyone that works with patients.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• I know that hospitals around the state continue to rely heavily on... travel nurses, CNAs, LPNs, and
• What incentives or loan forgiveness programs currently are being used to keep our nurses and CNAs employed

Transcript Highlights:

• my parents' insurance," you know, and if you can become a travel nurse or a travel LNA or a travel CNA
• travel LNA<01:19:02.880><c> or</c><01:19:03.120><c> a</c><01:19:03.440><c> travel</c><01:19:04.480><c> CNA
• ><01:19:05.840><c> we're</c><01:19:06.239><c> competing</c><01:19:06.640><c> in</c> LNA or a travel CNA
• , we're competing in LNA or a travel CNA, we're competing in a<01:19:07.120><c> very</c><01:19:07.440

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• I'd like to see money spent on certificate programs, welding programs, CNA programs, things like that

Bills: HB2438, HB2422, HB2525, HB2586, HB2427, HB2458, HB2474, HB2540, HB2589

Keywords: education, scholarship, early childhood, funding, higher education, early education, support, degree seekers, private security, security guard, armed security guard, security company, licensing fees, license renewal, endorsement fee, fingerprints, background check, workforce retention, low-wage workers, public safety

Transcript Highlights:

• I'd like to see money spent on certificate programs, welding programs, CNA programs, things like that

Summary: At the February 3 meeting of the Postsecondary Education and Workforce Committee, members reviewed several bills for possible executive session and noted that House Bill 2538 would be heard later in the session, while no action would be taken that day on House Bills 2422, 2427, and 2589. Staff walked the committee through proposed substitutes and amendments on multiple bills, including HB 2438 (early childhood education degree seekers scholarship), HB 2525 (heritage orchard program at WSU), HB 2586 (Passport to Careers and Washington College Grant alignment), HB 2458 (expanding Washington College Grant eligibility to certain non-degree credential programs), HB 2474 (student consumer protections and tuition recovery for school closures), and HB 2540/2450 relating to EMT recertification timing. Members discussed fiscal impacts, use of the GET account, student aid access, support for trades and vulnerable students, and protections for students when institutions or programs close. The committee adopted a proposed substitute for HB 2438 and reported it out on a 13-4 vote, with supporters emphasizing early childhood workforce shortages and opponents raising concerns about using GET account funds. HB 2525’s proposed substitute and a null-and-void amendment were adopted, and the bill was reported out unanimously. HB 2586 was reported out on a 17-0 vote, with members citing benefits for students experiencing homelessness and foster care. HB 2458’s amendment was adopted and the substitute bill passed out of committee on an 11-6 vote, despite objections about available financial aid funding. For HB 2474, members withdrew several amendments, adopted REN 076 to narrow exemptions for certain private institutions, and then reported the substitute bill out on a narrow 9-8 vote after debate over student protections versus institutional flexibility. The final bill considered, relating to EMT recertification intervals, was reported out of committee by voice vote with 17 ayes. Throughout the meeting, the committee generally advanced the bills with do-pass recommendations, while recording split views on funding sources, student consumer protections, and the scope of aid eligibility.

Transcript Highlights:

• It actually just removes that paper protocol so CNA Cra's can practice without the approval.

Transcript Highlights:

• . >> Representative Smith having closed on the bill CNA please call the Roll Chair Persons-mulicka.

Transcript Highlights:

• that the goal has always been to have the highest wages for dietary, maintenance, housekeeping, and CNAs
• that the goal has always been to have the highest wages for dietary, maintenance, housekeeping, and CNAs
• have always had a standard of wanting the highest wages for dietary, maintenance, housekeeping, and CNAs
• have always had a standard of wanting the highest wages for dietary, maintenance, housekeeping, and CNAs
• have always had a standard of wanting the highest wages for dietary, maintenance, housekeeping, and CNAs

Bills: HF500, HF718, HF1096, HF1246, HF1469

Keywords: nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, workforce development, job training, economic stability, low-income, career pathways, education funding, Summit Academy, employment, STEM programming, GED preparation, Neighborhood Development Center, NDC, small business, entrepreneurship, business training

Transcript Highlights:

• We do turn over a lot of those positions, so we are consistently hiring CNAs and working through that
• Are they open because they're CNAs, RNs, physical therapists that you cannot fill because there aren't
• But it's also an ongoing discussion point because we do hire a lot of CNAs that have turnover.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• We do turn over a lot of those positions, so we are consistently hiring CNAs and working through that
• Are they open because they’re CNAs, RNs, physical therapists that you cannot fill because there aren’
• But it’s also—” “But it’s also an ongoing discussion point because we do hire a lot of CNAs that are

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• CNAs are often overworked and undervalued, but my work requires physical strength, emotional resilience
• beautiful daughters—one who is a public educator, one who works in the service industry, one who is a CNA
• beautiful daughters—one who is a public educator, one who works in the service industry, one who is a CNA

Keywords: 999, senate, all

Transcript Highlights:

• the years, we have seen many students entering trade programs, including Certified Nursing Assistant (CNA
• Registry in the state of New Mexico has approved Alamo as a site for CNA training.
• This year, we just started on Monday, September 15th, and we have about 15 CNA candidates working towards

Transcript Highlights:

• I have worked in residential care facilities as a caregiver, and I now work in a hospital as a CNA.

Summary: The Assembly Labor and Employment Committee met on March 19, 2025, adopted its rules, and approved the consent calendar before hearing several bills. AB 538, by Assemblymember Berman, would require awarding bodies on public works projects to make a timely attempt to obtain certified payroll records from contractors when the public requests them, rather than simply saying they do not have the records. Supporters said it would clarify existing prevailing wage enforcement; county, city, special district, and housing groups opposed it over workload, privacy, and potential funding risks. The bill passed the committee on a do-pass recommendation to Appropriations. The committee then heard AB 485, authored by Chair Ortega, which would direct state agencies to deny or renew business licenses for employers with outstanding wage theft judgments unless the judgments are satisfied or bonded. Supporters, including labor groups and a caregiver who described delayed recovery of unpaid wages, said the bill would give workers meaningful leverage to collect judgments. The California Hospital Association opposed it, warning that license action could threaten patient access to care. The bill passed on a do-pass recommendation to Appropriations. AB 596, by Assemblymember McKinnor, would codify workers’ right to wear a face covering or respirator at work unless it creates a direct safety hazard. Supporters said the measure would protect workers from illness, wildfire smoke, and employer restrictions after prior Cal/OSHA protections expired; the Chamber of Commerce opposed it narrowly, asking for an exception where masks are infeasible for certain tasks. The committee supported the bill and sent it to Appropriations. The hearing concluded with the roll kept open for absent members and the committee adjourned.

Transcript Highlights:

• There may be a CNA that wants to become an LPN or an RN.
• And who knows, I know one CNA that became a medical doctor, and he's very well liked in his rural area

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.

Transcript Highlights:

• It takes CNAs out of circulation for us. So we would be opposed to that amendment.
• So I would say I learned a bit from working in the VA with the Corman and with CNAs and so forth.
• Working in the VA with the Corman and with CNAs and so forth.
• I understand that when we train our CNAs, they're going to give you the right dose at the right time

Keywords: 1146, all

Transcript Highlights:

• colleagues are also using it to provide those sort of specific trainings and things like CDL and welding and CNA
• trainings and things like CDL and<00:20:42.400><c> welding</c><00:20:42.799><c> and</c><00:20:43.039><c> CNA
• </c><00:20:44.000><c> for</c><00:20:44.159><c> those</c><00:20:44.559><c> young</c> and welding and CNA
• And for those young and welding and CNA.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:58 Putting Young Kentuckians to Work: First Year Update 00:04:06 Kentucky Talent Attraction Initiative 00:21:59 Kentucky Manufacturing Extension Partnership 00:57:15, 958, all

Summary: The committee met with a quorum, approved the October minutes, and heard first a progress report on the state-funded “Putting Young Kentuckians to Work” initiative. Workforce leaders from Cumberland Workforce Development Board and Kentucky Works said the HB 1 funding has allowed them to contract with all 10 workforce boards and build new pipelines with high schools, area technology centers, school districts, and community and technical colleges. They reported an end-of-year goal of 3,600 job placements, with 218 placements reported as of October 2025 and enrollment numbers continuing to rise. Testimony emphasized that the program is aimed at disconnected youth and high school seniors, that federal WIOA funds are too limited to support this work alone, and that the flexible state funding has enabled short-term training and placements in fields such as welding, CDL, and CNA. Members asked about barriers to implementation, wage levels, and services for students with disabilities; presenters said the main challenge was building school relationships and that wage growth should improve as students gain more skills and credentials. The committee then received an update on the Kentucky Talent Attraction Initiative. Representatives from Greater Louisville Inc. and Commerce Lexington explained that the General Assembly previously provided $250,000 for a consultant to develop a statewide talent attraction and retention strategy, and that more than 13 organizations across the state support the effort. Development Counsellors International described its research process, including statewide stakeholder engagement, and said the goal is to create a Kentucky talent value proposition that combines job opportunities with quality-of-place messaging. They reported that Kentucky faces a shrinking labor force and a projected national worker shortfall, while internal research found 47% of working-age respondents could consider leaving the state within two years because they are not confident in career opportunities. At the same time, they said 96% of surveyed higher education students would stay if offered a full-time job, and 72% of employers expect to expand staffing in the next two years. The presenters said they are moving from research into messaging and an action plan, and that the strategy should be customized and measurable rather than one-size-fits-all.

Transcript Highlights:

• YOU RIGHT NOW THAT THERE IS A RETURN ON INVESTMENT AS WE ALREADY HAVE STUDENTS ENROLLED AND PURSUING CNA

Keywords: 999, senate, all

Transcript Highlights:

• During my time as a patient, I was cared for by nurses, physical therapists, CNAs, and an entire team
• And then in the Service Unit, would that be like patient care techs, CNAs, housekeeping, dietary?

Transcript Highlights:

• CNAs are often overworked, undervalued, but my work requires physical strength, emotional resilience,
• beautiful daughters, one who is a public educator, one who works in the service industry, one who is a CNA
• beautiful daughters, one who is a public educator, one who works in the service industry, one who is a CNA

Summary: The committee took up a long agenda of bills, beginning with several measures that were amended and reported favorably, including a strike-all to SB 4 on child protective investigations and specific medical diagnoses, SB 1570 restoring a statewide missing-persons project for individuals with special needs, and SB 182 creating a teacher training and mentoring program for schools needing improvement. Members also advanced SB 794 on APD background screening and support coordination standards, SB 1168 on background screening for athletic coaches and related entities, and SB 214 to let rural special districts pay verified invoices directly for state- and federally funded work. Supporters emphasized improved child welfare investigations, help for families of vulnerable individuals, teacher retention, and better administrative efficiency; the APD bill drew especially strong testimony from waiver clients and providers about the importance of competent support coordinators and stable services. The committee also favorably reported SB 1376 on grants for genetic counseling education, SB 1574 requiring newborn screening for biliary atresia, SB 1510 as the DEP agency package with environmental, septic, water quality, solar, and permitting changes, and SB 598 updating funeral and cemetery licensing and consumer protections. SB 688, after a delete-all amendment, would create licensure for naturopathic doctors and a board of naturopathic medicine; it drew strong support from naturopathic advocates and sharp opposition from a critic who argued the bill would authorize diagnosis and treatment beyond appropriate limits. SB 1318 made a technical change to scholarship account reversion language, with senators clarifying that remaining funds would return to the scholarship funding organization for future use rather than to the state. Later, the committee approved SB 682 on domestic violence and protective injunctions, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local Act iteration expanding affordable housing options and limiting local barriers. It also reported favorably SB 536 on criminal gang membership criteria after extensive debate about constitutional issues and modern gang activity, SB 762 allowing cross-jurisdiction assignment of capital cases among regional conflict counsel offices, SB 1332 strengthening career offender registration requirements, SB 1742 creating a new offense for indecent exposure of sexual organs to a minor, and SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The most contentious discussion came on SB 1226, which would overhaul Public Employee Relations Commission rules, require majority support for union certification, and impose new limits on union activities and dues-related practices; members debated constitutional concerns, differences between first responders and other public employees, and the bill’s impact on union representation and public-sector labor rights. Most bills were reported favorably by roll call, with SB 536 drawing several no votes and SB 1226 still under active debate at the end of the transcript.

Transcript Highlights:

• In Texas, the CNA role requires a state certification. administered by HHSC.
• I was a CNA while going through nursing school, and now here I am today, a doctorally prepared nurse.
• We heard from our RN colleagues earlier on a different matter, talking about the pathway from CNA to

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards