Transcript Highlights:

• I've been a nurse for 43 years.
• Cindy Smith: I'm a nurse, a mother, and a grandmother about to tell you a true story.
• And I want to say as a mental health crisis prevention certified nurse, this is a mental health crisis
• But luckily that child had advocates at the hospital - nurses, physicians, specialists - to reexamine

Transcript Highlights:

• So you could go in, you could put in your ZIP code, and up pops the nursing homes, the ALFs, the adult
• You could put in your ZIP code and up pops the nursing homes, the ALFs, the adult daycares in your area
• But the bigger picture on the family care councils is I come from the nursing home profession.
• The family care councils is I come from the nursing home profession, right?

Summary: The Human Services Subcommittee met to receive an update from the new director of the Agency for Persons with Disabilities on implementation of House Bill 1103. The director said APD is working to update the funding algorithm through a contracted study due November 15, 2025, expand transparency on its website, launch an online crisis application by the end of 2025, improve client choice in qualified organizations and waiver support coordinators, and coordinate with AHCA on the managed care pilot and Florida HealthFinder listings for APD providers. He also said APD is working on family resource materials, a monthly newsletter, and stronger transition planning with DCF. Members asked about whether the new algorithm would include transportation and what services might change, but the director said the replacement model is still being developed and any new methodology would be implemented through rulemaking. Questions also focused on Family Care Councils, including the statewide council’s membership and appointment process; the director said the statute sets the process and APD is helping councils recruit and organize. On transparency, members praised the website improvements and asked for more interactive data tools. The director said APD would consider suggestions and continue expanding public reporting. The committee also discussed eligibility and waiver notices, including concerns about outdated language in APD letters and how autism cases are reviewed. The director said clinicians and behavioral analysts review cases and asked to see the specific letter. On the pre-enrollment list, the chair asked about the wait list, and the director said APD recently sent 5,612 service offers to people on the list and is working to better distinguish those who truly need services from those who do not. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• The breathing treatments, uh, even when, during allergy season when I've had to go to the nurse because
• For certain nursing facilities with a high population of patients with intellectual and developmental
• They have, uh, one, the only one, the only facility in Texas got the skilled nursing for specifically
• IDD clients and, uh, the reimbursement for skilled nursing is really focused on a different type of

Transcript Highlights:

• Nursing homes were initially meant for the aged and the infirmed.
• the term residential care as nursing the term residential care as nursing home<01:03:42.799>
• > meant<01:04:07.599> for Nursing homes were initially meant for Nursing homes were initially
• i.e. the nursing home of their parent, i.e. the nursing home or<01:04:58.680> hospital,<01:04
• We all need to the county nursing homes.

Keywords: 1189, house, all

Transcript Highlights:

• It wasn't a big deal to, you know, share a nurse.
• In fact, we probably couldn't afford a nurse, or we might have had to cut a nurse had we not had those
• In fact, uh we know, share a nurse.
• <02:10:11.920> We're We're paying for nursing support.
• We're We're paying for nursing support.

Keywords: 1187, senate, all

Transcript Highlights:

• They had nurses in there multiple times a day. We had access to health facilities.
• They had nurses in there multiple times a day. We had access to health facilities.
• The nurses... The nurses were great.
• The nursing staff and how I was treated when I first got to Matzzi didn't compare to how I was treated
• We have advanced nurse practitioners, psychiatric nurse practitioners, that are more than capable of

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• certified to practice as a clinical nurse specialist or nurse practitioner.
• registered assistant, advanced practice registered assistant, advanced practice registered nurse
• certified to practice as a nurse certified to practice as a clinical<00:36:29.800> nurse<00:36
• :30.000> specialist<00:36:30.960> or<00:36:31.160> nurse clinical nurse specialist
• or nurse clinical nurse specialist or nurse practitioner. practitioner. practitioner.

Keywords: 1183, house

Summary: The House convened with prayer, the Pledge of Allegiance, roll call, and approval of the previous day’s journal. The chamber received Senate messages announcing a joint convention for the governor’s message and transmitting Senate Files 1251, 3769, and 3868. The House also introduced House Files 4868 through 4933 and adopted committee reports and comparison report motions without objection. The Rules Committee placed several bills on the calendar and required pre-filing of amendments for specified measures. On the calendar, the House passed Senate File 3602, which enacts the Uniform Electronic Estate Planning Documents Act and expands electronic signing to estate planning documents beyond wills. Supporters said it would help people who are homebound, hospitalized, or in rural areas and reduce uncertainty for banks and hospitals about electronically signed powers of attorney and health care directives. The bill passed 134-0. The House also passed House File 3516, a Board of Dentistry policy bill that updates licensure language, allows retired dentists to serve low-income uninsured patients, and increases the number of dental hygienists a dentist may collaborate with from four to eight; it passed 134-0. The House then passed House File 3528, a technical barbering bill that reduces training and retesting burdens, gives the board more testing flexibility, repeals duplicative rules, clarifies that waxing is not barbering, and makes other fee and registration changes; it passed 134-0. House File 3718, updating veterinary medicine and veterinary technology statutes, was amended to restore board seal language and then passed 134-0 as amended. Supporters said it modernizes definitions and standards, recognizes licensed veterinary technicians, and may help address veterinary shortages, especially in greater Minnesota. Finally, the House passed Senate File 3402, which broadens who may serve as a medical consultant for Community Health Boards to include additional licensed professionals such as DOs, physician assistants, and advanced practice registered nurses; it passed 134-0. The chamber also considered several motions to move bills between committees, including referrals involving veterans, education, health, and psilocybin-related legislation. A motion to suspend the rules for House File 4487 was presented, and the bill was described as providing a one-time $1 billion property tax rebate or credit, but the transcript cuts off during extended debate on that motion before any final disposition is shown.

Transcript Highlights:

• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• Regionally, we are represented by over 30 dual board-certified pain physicians and approximately 90 nurse
• uh nurse practitioners and PAs. uh nurse practitioners and PAs.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Summary: The committee first took up House Bill 527, a cleanup bill related to insurance matters and the Strengthen Kentucky Homes program. The committee substitute removed language that would have repealed the workers’ compensation deductible range, added a one-time grant/reimbursement provision for contractor fortified-roofing certifications, and added an emergency clause. The Department of Insurance said the bill also updates licensing language, addresses issues with unlicensed pharmacy benefit managers, and supports contractor training tied to the roof grant program. The commissioner noted the program is set to go live March 1 and asked members to inform constituents about possible roof grants of up to $10,000. House Bill 527 received a favorable report after the committee adopted the substitute and title amendment by voice vote and then approved the bill on a roll call vote. The committee then heard House Bill 627, a PIP reform bill. The sponsor and State Farm’s legislative agent said the substitute clarified language so the Attorney General can prosecute insurance fraud and reflected negotiations with hospitals, the Kentucky Hospital Association, the Kentucky Justice Association, chiropractors, and physical therapists. The bill would apply the workers’ comp fee schedule to most PIP claims, require bills within 180 days, prohibit balance billing and credit impairment, raise funeral benefits to $5,000 and weekly wage benefits to $500, require an annual fraud report, and give the Attorney General concurrent jurisdiction over insurance fraud cases. A physician testifying in opposition argued the bill would cut reimbursement for non-hospital providers, shift costs to hospitals and other payers, reduce access to care, and create an uneven playing field that favors hospitals. Committee members asked about the lack of a PIP fee schedule and the effect of the workers’ comp schedule relative to Medicare and commercial insurance. After debate, the committee adopted the substitute and then passed House Bill 627 with favorable expression on a roll call vote, with one member voting no. The committee also considered House Bill 355 on real estate appraisers. The sponsor said the bill would restore an independent board, allow evaluations under federal guidelines, and move Kentucky from a voluntary to a mandatory appraisal state. Testimony from insurance and appraisal representatives said the bill would require licensure for real property damage appraisers, exempt insurance agents and claims adjusters licensed under the insurance code, and create clearer standards and oversight. Members asked about the cost of an executive director and whether the board could sustain itself through fees; the sponsor said the board had historically been self-sustaining. The committee adopted the substitute and then gave House Bill 355 a favorable report by roll call vote. Finally, the committee began House Bill 568, which would prohibit new public adjuster licenses while allowing current licensees to renew. The sponsor said the bill responds to ongoing complaints and investigations in the industry and noted that most licensed public adjusters in Kentucky are not residents of the state. The transcript cuts off as the bill’s presentation was beginning.

Transcript Highlights:

• mental health nurse practitioners.
• And then each provider, so those would be the psychiatrist and the nurse practitioners, would need an
• mental health nurse practitioners.
• mental health nurse practitioners.
• We settled on nine nurse practitioners specifically the PMHNPs, which are psychiatric mental health nurse

Keywords: 910, house, all

Transcript Highlights:

• And then suddenly, there was a look of concern from the doctor or nurse, and they took our baby away.
• It requires healthcare practitioners and facilities, excluding nursing homes, to provide records in 14
• The bill requires nursing homes to provide residents with access to records within 24 hours and a copy
• Nurses are nurses, psychiatrists are psychiatrists. Vote no. >> Representative Gottlieb in debate.
• We are not allowing nurses to do anything they are not already doing today.

Bills: HJR 99, HB 1399, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HCR 35, SB 14, HB 12, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912, HJR 99, HB 1399, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HCR 35, HCR 123, HCR 124, HR 57, HR 87, HR 111, HR 228, HR 230, HR 322, HR 624, HR 625, HR 626, HR 627, HR 628, HR 630, HR 631, HR 634, HR 635, HR 636, HR 637, HR 638, HR 639, HR 640, HR 645, HR 646, HR 648, HR 649, HR 651, HR 652, HR 653, HR 654, HR 664, HR 665, HR 668, HR 675, HR 676, HR 678, HR 679, HR 680, HR 683, HR 686, HR 688, HR 689, HR 694, HR 695, HR 697, HR 698, HR 699, HR 472, HR 622, HR 632, HR 633, HR 643, HR 655, HR 657, HR 660, HR 661, HR 662, HR 663, HR 667, HR 670, HR 674, HR 681, HR 682, HR 696

Keywords: animal feed, tax exemption, ad valorem taxation, retail, constitutional amendment, retail sale, tangible personal property, Texas tax code, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption, regulation, deceased transportation, HB 365

Transcript Highlights:

• I’m saying they would have the same functionality as a PA or a nurse practitioner.
• The surgeons I work with, along with the nurses, are impressed by my surgical skills.
• The Texas Nurse Association and you're for the bill, is that correct? That's correct. Thank you.
• So I'm just here to say that the Texas Nurses Association is in support of this bill.
• You are Jack Frazee with the Texas Nurses Association, you are for the bill, is that correct?

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• taking the time of a doctor or nurse. taking the time of a doctor or nurse.
• So, OPLC oversees licensing of plumbers, doctors, nurses, and electricians and on and on, right?
• <03:03:39.520> So<03:03:39.760> that nursing homes and the like.
• So that nursing homes and the like.
• <03:08:16.319> who employees, particularly nurses who employees, particularly nurses who already

Keywords: 928, house, all

Summary: The meeting was a House budget briefing focused on the overall state budget and the first of three divisions. The presenter reviewed the size and structure of the budget, noting that the state had eliminated the interest and dividends tax and still balanced the budget. He explained the major spending categories in the general fund and total budget, emphasizing that health and human services and education remain the largest areas, while transportation is largely self-funded. He also walked through the revenue picture, including business taxes, insurance taxes, court fees, communications taxes, and Medicaid recoveries, and said the remaining interest and dividends tax revenue reflected late payments from prior assessments. Members asked about the size of the tax cut from eliminating the interest and dividends tax, federal funding stability, and why Medicaid was being reduced if federal support was expected to remain steady. The response was that the lost revenue would have been about $200 million absent repeal, and that the budget gap was addressed through many small cuts across departments. On federal funds, the presenter said most aid is tied to multi-year grants and that core programs such as Medicare and Medicaid were expected to remain relatively stable, though some federal reductions could occur. He also said some agency reductions came from eliminating long-vacant, funded positions and from expected lapses. The discussion then moved into Division One, which covers smaller and miscellaneous agencies. The division made cuts to the governor’s office, eliminated a temporary position at the Governor’s Commission on Disability, reduced Department of Information Technology spending through a back-of-budget cut, and found savings in Administrative Services. It also delayed maintenance at the Sununu Youth Services Center, stopped advertising for paid family medical leave, changed retiree health insurance funding, and consolidated several personnel-related boards into one. The division eliminated the Commission on Aging and the Office of the Child Advocate, made a temporary special education advocate position permanent, reduced the Secretary of State’s budget, kept municipal rooms-and-meals distributions flat, and made changes to the retirement system, including $55 million to improve Group 2 retirement benefits and a new retirement structure for future state hires. The judicial branch was also asked to find savings and received two additional judges because of expected caseload increases from other eliminations.

Transcript Highlights:

• I'm the chief nursing officer for our Bismarck market and the executive sponsor for our behavioral health
• will be positioned within the area that's been identified for construction, as well as all of the nurses
• 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.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• I'm the chief nursing officer for our Bismarck Market and the executive sponsor for our behavioral health
• will be positioned within the area that's been identified for construction, as well as all of the nurses
• 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 major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• In the nursing home, Manny struggled with social isolation, lack of activity, and not being able to make
• Improvements to the Alternative Housing Voucher Program give people like Manny a pathway out of nursing
• It's helped people move out of nursing homes, shelters, couch surfing, you name it.
• We were able to use 50 vouchers to get people out of nursing homes into their own homes.
• They're continuing to use 50 AHVP vouchers specifically to get people out of nursing homes every year

Keywords: 995, all

Summary: The Joint Committee on Housing opened a hybrid hearing focused on housing production bills, with Chairs Julian Cyr and Rich Haggerty emphasizing Massachusetts’ housing shortage and the need to produce more than 200,000 units over the next decade. The committee then heard testimony on a wide range of proposals, including social housing, starter homes and the “missing middle,” accessory dwelling units (ADUs), single-stair residential buildings, permanent affordability homeownership, and housing for people with disabilities. Several witnesses framed the bills as tools to expand supply, lower costs, and address racial and generational wealth gaps. Representative Connolly testified for H. 1478 on the Massachusetts Social Housing Program, describing publicly owned, mixed-income housing financed through a revolving loan fund. Senator Feeney testified for S. 989 on missing middle starter homes, arguing for zoning changes, incentives, and affordability tools to support smaller starter homes and duplexes, triplexes, and fourplexes. Multiple witnesses, including housing advocates, real estate representatives, and local officials, supported the ADU trust fund bill and the single-stair study bill, saying they would reduce barriers, support homeowners, and enable more family-sized and infill housing. Some witnesses opposed bills they said would weaken ADU reforms or add new restrictions, while others urged broader deregulation to speed production. A major portion of the hearing focused on H. 1576/S. 1010, the Homes for Lasting Affordability bill, which would create a permanent affordability homeownership program for low- and moderate-income buyers and support small developments with long-term affordability restrictions. Testimony from community land trust leaders, legislators, and housing advocates emphasized that permanent affordability can preserve public investment, stabilize neighborhoods, and help families build wealth over generations. Senator Miranda and Representative Worrell tied the bill to closing the racial wealth gap and expanding access to homeownership for Black and Latino residents. The committee also heard testimony on S. 971, which would reform the Housing Development and Incentive Program to require more affordability in Gateway City projects. The committee additionally heard from Senator Kennedy and disability advocates on S. 1004, which would strengthen the Alternative Housing Voucher Program for people with disabilities by codifying project-based vouchers and aligning the program more closely with other voucher systems. Witnesses described long waitlists and the lack of accessible, affordable units as major barriers that can lead to homelessness or unnecessary institutionalization. No votes were taken during the hearing; the session was devoted to testimony and questions from committee members.

Transcript Highlights:

• We're adding an advanced practice nurse or physician assistant because many of these facilities don't
• And so this just opens that up to allow these nursing homes to have an advanced practice registered nurse
• It would allow advanced practice registered nurses or physician assistants to perform physicals for people
• entering or being readmitted to a nursing home. ...to perform physicals for people entering or being
• readmitted to a nursing home.

Keywords: 959, house, all

Summary: The House opened with prayer, approval of the prior day’s journal by a 120-0 roll call, and a successful motion to suspend House Rule 98 so members could wear hats on the floor. The chamber then spent time on introductions of special guests, including the Eugene High School Class 2 basketball champions, family members of members, and other visitors. One member also used a personal privilege speech to respond to the U.S. Supreme Court’s voting-rights ruling, arguing it weakens protections for Black voters and other communities of color and calling for expanded access to the ballot. The House received committee reports recommending passage of House Substitute for House Bill 2426 and Senate Substitute No. 2 for Senate Bills 863 and 866. It then agreed to a motion to go to conference on the property-tax omnibus, Senate Bills 1066 and 1088. On third reading, House Bill 3329 passed 142-0 to repeal expired tax credits, and House Bill 3405 passed 138-0 to clean up SALT deduction language and improve tax-credit accounting. House Committee Substitute for House Bill 2426, a parental-rights bill, failed on a 70-60 vote after opponents argued it would burden schools and could endanger vulnerable students, while supporters said it affirmed parents’ fundamental rights. The House also took up House Committee Substitute for Senate Bill 1233, a professional licensure bill dealing with CPA licensing and other occupational-licensure provisions. Members adopted an amendment removing compact language, an amendment allowing APRNs and physician assistants to perform nursing-home physicals was offered but then withdrawn after the sponsor objected, and the bill ultimately passed 129-6. Finally, the chamber debated House Committee Substitute for Senate Bill 1408, a transportation package centered on allowing MoDOT to raise rural interstate speed limits up to 75 mph, with multiple amendments added or removed. The bill drew sharp debate over speed limits, vehicle inspections, DOR language, and road safety, and members also began considering an amendment to add specialty license plates for women’s professional sports teams such as the Kansas City Current and a future WNBA franchise.

Transcript Highlights:

• by a physician, or a physical examination by a licensed physician, an advanced practice registered nurse
• We're adding advanced practice registered nurse or physician assistant because many of these facilities
• And so this just opens that up to allow these nursing homes to have an advanced practice registered nurse
• Practical registered nurses or physician assistants to perform physicals for people entering or being
• readmitted to a nursing home.

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal by roll call vote, 120-0. Members also suspended House Rule 98 to allow hats on the chamber floor, approving that motion 87-32. The chamber then recognized several special guests and personal introductions, including the Eugene High School basketball team, family members of members, and other visitors. One member delivered a lengthy personal privilege speech responding to a U.S. Supreme Court voting-rights decision and urging protection of democracy and voting access. In committee reports, the House received favorable reports on substitute House Bill 2426 and Senate Bills 866 and 863. The chamber then agreed to a conference on the property-tax omnibus package, Senate Bills 1066 and 1088. On third reading, House Bill 3329 passed 142-0, repealing expired tax credits, and House Bill 3405 passed 138-0, cleaning up SALT deduction language and clarifying it as a deduction rather than a credit. House Committee Substitute for House Bill 2426, a parental-rights bill, was debated at length with opposition focused on its school reporting and financial-ledger provisions, but the motion to pass it failed 70-60. The House then took up Senate Bill 1233, a licensure bill dealing with CPA licensing and other professional licensing provisions. One amendment removing compacts and related language was adopted, a nursing-home physicals amendment was withdrawn, and the bill passed 129-6. Senate Bill 1408, originally a highway-speed bill, was heavily amended to remove some Department of Revenue and other provisions, while adding or revising items including vehicle inspections, motorcycle lighting, hands-free enforcement, driver education, and specialty plates for women’s professional sports; it passed 82-53. The final bill of the day, Senate Substitute No. 2 for Senate Bill 863, creating a five-member interscholastic athletic oversight commission for appeals from statewide activities associations, was introduced and debated, with questions raised about its relationship to MSHSAA.

Transcript Highlights:

• We'll expand the use of our state lands for workforce housing so teachers and nurses and firefighters
• She works as a cook<00:34:50.879> in<00:34:51.119> a<00:34:51.280> nursing<00:34
• <00:34:52.240> She<00:34:52.480> takes<00:34:52.720> care cook in a nursing
• She takes care cook in a nursing home.
• We'll expand the health initiative, and that will bring hundreds more doctors, nurses, and PAs to our

Keywords: 910, house, all

Transcript Highlights:

• Like, does every facility have a nurse practitioner or physician in-house?
• But in terms of whether Not physicians or nurse practitioners are in jails and prisons.
• I know there is one in Luna County and have a nurse practitioner in the house.
• I've noticed we have nursing students. Can we give them a round of applause?
• Thank you, nursing students. So, we will start with Representative García. 3 minutes. Thank you.

Transcript Highlights:

• I'll zoom in a little bit on the sexual assault nurse examiner's unit, since that is the one that is
• We have a body of nurses in our first judicial district, and with them we work, and their work is done
• I know the schools do programs with nursing programs in the schools.
• It's so impressive all the different people, and I'll also say Reiterate your sexual assault nurse, um
• , those nurses are awesome.