Transcript Highlights:

• She became a RN, went to TCC in 2023, and received her BSN from NSU in 2024.

Bills: HB3281, HB3320, HB3081, HB3127, HB3128, HB3498, HB2035, HB3765, HB4324, HB3678, HB4170, HB3495, HB3040, HB3062, HB4140, HB4106, HB4109, HB4104, HB3581, HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130, HB3700, HB3379, HB3129, HB3132, HB3315, HB2950, HB3242, HB3041, HB4428, HB4429, HB1064, HB3265, HB3721, HB3028, HB3313, HB3588, HB3020, HB3724, HB3392, HB3466, HB4060, HJR1074, HB3501, HJR1070, HB3794, HB3796, HB3928, HB2955, HB4453, HB4460, HB4128, HB3659, HB3270, HB3145

Keywords: administrative procedures, guidance documents, transparency, public inspection, rulemaking, sunset laws, statutory entities, regulatory compliance, emergency provisions, board re-creation, fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, medical marijuana, employment rights, safety-sensitive positions, workplace policies, public assistance

Transcript Highlights:

• not have to have a direction of an RN not have to have a direction of an RN for<03:59:38.000>
• Sorry, follow up: and only RNs can do that at present. No.
• LPNs can do it as well, but the way it was specified in the language previously was that RNs would do
• would do an previously was that RNs would do an initial<04:02:13.840> assessment<04:02:15.120
• <04:03:01.359> uh an LPN sees something before an RN uh an LPN sees something before an RN

Keywords: 1189, house, all

Transcript Highlights:

• Bartleman: AS A MOTHER OF AN RN TOO, RECENTLY A UF GATOR NURSE, THEY ALREADY HAVE PROVISIONS FOR THAT

Transcript Highlights:

• I don't believe this does exist for nurses, actually, okay, for RNs.
• So a registered nurse, because our RNs have this now, right?
• so this could be a significant investment then for an employer, yeah, more than we would see with an RN
• so this could be a significant investment then for an employer, yeah, more than we would see with an RN
• /c><00:39:37.440> yeah Investment then for an employer, yeah, more than we would see with an RN

Keywords: 1191, senate, all

Transcript Highlights:

• They might, at the RN level, decide, like, this is what I wanted to do. That's totally fine.
• someone jump in and be able to, in the four years, get their license or credentialing to then become an RN

Keywords: 995, all

Summary: The Workforce Support Subcommittee met to discuss using registered apprenticeships to help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a follow-up to earlier discussions with state labor officials and representatives from developmental disability and behavioral health provider associations. The panel focused on how apprenticeships can create paid, structured pathways into jobs while also supporting credentialing and retention. Amara Ramon of the Division of Apprenticeship Standards explained how Massachusetts apprenticeship programs are registered and supported, including the roles of apprenticeship liaison staff, operations, quality assurance, and grant support. She described the core features of apprenticeships—paid on-the-job training, related technical instruction, wage progression, and industry credentials—and contrasted them with internships or co-ops. Melissa Chabelli of the MassHire Hampden County Workforce Board described the intermediary role her board plays in designing programs, registering apprentices, coordinating employers, and handling compliance. She emphasized flexibility, employer investment, tax credits, retention benefits, and the importance of mentors and local workforce partnerships. Lisa Morris of UMass Chan/For Health Consulting described a developing apprenticeship for medical interpreters, built from an existing training foundation and designed to address the gap between classroom preparation and work experience. She said the model would combine pre-apprenticeship training, employer interviews, 2,000 hours of apprenticeship, and related technical instruction tied to national certification. Speakers also discussed examples for nursing, early childhood education, CNC machining, and programs serving neurodivergent learners, including Bridgewater State’s Excel program. In response to audience questions, panelists said state agencies can serve as intermediaries, recruitment can come through career centers, youth programs, community colleges, ESL centers, and incumbent workers, and accommodations or modified curricula can support apprentices with disabilities. No votes were taken; the session ended with encouragement for attendees to contact the presenters and Division of Apprenticeship Standards for help developing programs.

Transcript Highlights:

• Our DHS staff, our field nurses, our RNs that work with them on an individual basis, are working with
• Our DHS staff, our field nurses, our RNs that work with them on an individual basis are working with

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• I read RTS and an RN wrote as an RN in an already strained hospital, who will do these quarterly reports

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, a roll call showing 27 present, and approval of the prior journal. Members then introduced guests, including representatives of the Arizona Fair Association, Mohave County Parks and Fair officials, a constituent guest, a candidate shadowing a senator, Father David Myers, and the Doctor of the Day. The chamber then moved into Committee of the Whole and considered three bills. SB 1268/HB 2792, a veterans property tax exemption cleanup measure, was explained as clarifying that the exemption applies to a primary residence and jointly owned property for spouses; it received a due pass recommendation and later passed 29-1 with an emergency clause. SB 1051, requiring hospitals to collect and report patient immigration-status information tied to public spending, drew extensive debate over privacy, public health, cost, and immigration enforcement; supporters framed it as accountability for taxpayer spending, while opponents called it discriminatory and harmful to care-seeking, and it passed 17-13. SB 1316, creating a process for Arizona rural health transformation funds and requiring public hearings and JLBC involvement, was defended as a transparency measure for a $167 million federal rural health award; opponents argued it added bureaucracy and could delay rural care, but it passed 17-13. After the Committee of the Whole report was adopted, the Senate took up third readings. HB 2792 passed 29-1 with an emergency clause, SB 1123 passed 29-1, SB 1125 passed 30-0, SB 1145 passed 29-1, SB 1316 passed 17-13, and SB 1051 passed 17-13. Several members explained votes, with repeated arguments over immigration, public health, transparency, and the role of JLBC. The Senate then announced committee meetings for the next day and adjourned until February 11, 2026, at 1:15 p.m.

Transcript Highlights:

• well, we have a licensed social worker and we have, um, um, a nurse who is licensed uh like is it an RN
• or she's an RN.

Transcript Highlights:

• statistics from the Center for Nursing Workforce Studies project that Texas will have a severe shortage of RNs
• duplicate coursework if they choose to earn… further credentials, such as advancing from a PCT to an LVN or RN

Bills: HB295, HB824, HB1579, HB1581, HB2189, HB295

Keywords: bullying, antisemitism, school policies, school discipline, education, education policy, Texas Education Code, hate speech, student rights, civics education, high school curriculum, government, voting process, elected officials, Texas Seal of Biliteracy, biliteracy, bilingual education, multilingual, language proficiency, high school diploma

Transcript Highlights:

• local pregnancy centers as a nonprofit, and they worked with an intermediary organization to get an RN
• So obviously, taking an RN who maybe has a background in a private practice or a hospital, and working

Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.

Transcript Highlights:

• We trained over 200 nurse practitioners, eight physician assistants, 30 RNs, and 16 medical assistants
• We trained over 200 nurse practitioners, eight physician assistants, 30 RNs, and 16 medical assistants
• Additionally, most APRNs have multiple years of practice as an RN prior to preparation for their advance
• Additionally, most APRNs have multiple years of practice as an RN prior to preparation for their advance
• <01:15:49.679> prior<01:15:49.920> to<01:15:50.159> preparation practice as an RN

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• walk into my clinic, they might see social workers, therapists, care coordinators, medical assistants, RNs
• walk into my clinic, they might see social workers, therapists, care coordinators, medical assistants, RNs
• coordinators, team coordinators, medical coordinators, team coordinators, medical assistants,<01:33:22.320> RNs
• ,<01:33:22.960> LPNs,<01:33:24.080> nurse assistants, RNs, LPNs, nurse assistants,
• RNs, LPNs, nurse practitioners,<01:33:25.320> physician<01:33:25.760> assistants,<01:33

Keywords: 1187, senate, all

Transcript Highlights:

• So I would love to see us invest in our staff and say, if you're an LPN and you want to become an RN,
• So I would love to see us invest in our staff and say, if you're an LPN and you want to become an RN,
• So I would love to see us invest in our staff and say, if you're an LPN and you want to become an RN,
• it's<00:52:22.960> a<00:52:23.119> one-year<00:52:23.520> bridge become an RN
• and one uh two lnas to LPN and full RNs and one uh two lnas to LPN we<00:52:40.440> would<00:

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• She's an RN, BSN, and is a trauma burn nurse and trauma burn coordinator at OU Health.

Bills: SB1636, SB1772, SB1221, SB1932, SB1687, SB1213, SB843, SB1410, SB1317, SB1338, SB1976, SB1314, SB1191, SB1613, SB1246, SB1439, SB1930, HR1044

Keywords: cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, motor vehicle safety, headlamps, headlights

Transcript Highlights:

• take only a few minutes to administer, and can be conducted by various providers like doctors, APRNs, RNs
• take only a few minutes to administer, and can be conducted by various providers like doctors, APRNs, RNs
• take only a few minutes to administer, and can be conducted by various providers like doctors, APRNs, RNs

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• between the community college system and the university system dates to 2013, I believe, and it was the RN
• and<00:21:13.760> it<00:21:14.000> was<00:21:14.080> the<00:21:14.480> RN
• <00:21:14.880> tobs<00:21:15.679> program believe, and it was the RN tobs program believe
• , and it was the RN tobs program between<00:21:17.280> the<00:21:17.520> community<00:21

Keywords: 928, house, all

Summary: The committee met to review the annual report on collaboration between the University System of New Hampshire and the Community College System of New Hampshire, and the meeting began with approval of the prior minutes and a gubernatorial proclamation recognizing the community college system’s 80th anniversary. Both chancellors praised the proclamation and described the report as a statutory follow-up to the public higher education task force. They said the two systems have built a close working relationship and that the collaboration is intended to continue, though progress may be limited by resources and staffing changes. Much of the discussion focused on transfer pathways and new academic models. The chancellors said House Bill 1530 helped drive the creation of more than 100, and possibly about 130, “universal pathways” between the systems, with a reported 30% increase in community college associate-degree graduates transferring to the university system in the last academic year. They also discussed direct-admit outreach for community college graduates, early college and CTE-to-workforce pathways, and the development of three-year bachelor’s programs at Plymouth State and in some health-care fields. Members asked about nursing, allied dental health, and radiologic technology, and the chancellors said they are exploring whether some programs can be streamlined, while noting that nursing’s requirements may limit how short a pathway can be. Members also raised concerns about whether transfer pathways could affect university enrollment, but the university chancellor said declining enrollment is more likely due to a smaller pool of college-age students and broader competition, not the transfer programs. Another topic was the ERP/technology platform recommendation from the task force: the university system is moving to Workday, while the community college system is working to align business practices and move from an on-premises system to a cloud-based solution. Officials said a shared enterprise system could create efficiencies in the future, but it is not expected in the short term; student-facing tools like Canvas are already shared. The committee also discussed House Bill 112, which would require passing a civics test for graduation, and the chancellors said they support civic education but see implementation challenges. No votes or formal actions were taken beyond approving the minutes and receiving the report.

Transcript Highlights:

• I'm a retired RN, 30 years in natural, nontoxic, so I quit hospital nursing.
• grandmother of this bill I'm a mom I'm a grandmother a<01:09:01.319> retired<01:09:01.679> RN
• c> 30<01:09:02.480> years<01:09:02.640> in<01:09:02.880> natural a retired RN
• 30 years in natural a retired RN 30 years in natural nontoxic<01:09:04.000> so<01:09:04.319><

Keywords: 912, senate, all

Summary: The joint Housing and Health and Human Services hearing began with Senate Bill 878, which would extend the sunset date for the state rent supplement program for kupuna to June 30, 2028. Testimony was uniformly supportive, including from the Statewide Office on Homelessness and Housing Solutions, Hawaii Public Housing Authority, Executive Office on Aging, Catholic Charities Hawaii, and others. Catholic Charities described a waitlist of seniors at imminent risk of homelessness and said the program helps seniors retain housing or secure units with landlord support. Members asked whether the bill would expand the number of households served; staff said the contract allows up to 127 households and that additional pending households could be funded, but applicants must still go through the program process. Both committees voted to pass SB 878 unamended. The committees then heard Senate Bill 1610 on Ohana Zones. The Statewide Office on Homelessness and Housing Solutions supported the measure so long as it did not supplant existing funding, and described the funding as supporting homelessness services and wraparound supports. The Department of Human Services and Department of Land and Natural Resources offered comments, with DHS suggesting a definition of “kali” be added for clarity. The committee chair said the bill would receive technical amendments for clarity and consistency and accepted proposed amendments related to including “tales” in the program; the measure was advanced with amendments, with members voting in favor in both committees. In the joint Health and Human Services and Labor and Technology hearing, Senate Bill 1496 on civil rights and website accessibility drew support from disability advocates and organizations, including the Hawaii State Council on Developmental Disabilities, the National Federation of the Blind, the Deaf and Blind Task Force, and the Disability and Communication Access Board. Testimony emphasized the need for stronger state protections amid concerns about federal enforcement, while one testifier raised concerns about jurisdiction, minimum contacts, the use of WCAG 2.1 standards, and the bill’s immediate effective date. The committees decided to pass SB 1496 with technical amendments, including adding a defective date to allow further work before conference, and the recommendation was adopted in both committees. Later, the joint Health, Human Services, and Commerce and Consumer Protection hearing took up Senate Bill 404 on service animals. The Attorney General’s office raised a possible constitutional issue and the lack of an enforcement mechanism, while DHS deferred to other agencies. DCAB supported the bill but recommended amendments to identify an enforcement agency and require notices from professionals and sellers of service-animal or emotional-support-animal paraphernalia. Several advocacy and real estate-related groups testified in support. After discussion, the chair recommended deferring SB 404 for further work because of the Attorney General’s concerns, and the hearing adjourned without a vote on the measure. The final joint Transportation, Culture and the Arts, and Health and Human Services agenda heard SB 1526 on a drug and alcohol toxicology testing laboratory and SB 1492 on mobility management; both measures were advanced with amendments or as-is, with SB 1526 sent forward with technical amendments and SB 1492 moved ahead after members noted blank dollar amounts and requested the Department of Transportation provide figures.

Transcript Highlights:

• LPNs, RNs, and APRNs play a critical role in primary care, often serving as frontline providers.
• LPNs, RNs, and APRNs play a critical role in primary care, often serving as frontline providers for patients

Bills: SB268, SB306, SB264, SB312

Keywords: federal workers, government shutdown, interest-free loans, tax deferral, public transportation, Rehoboth Beach, municipal charter, city charter amendment, commissioners, mayor, local government, election qualifications, affidavit of eligibility, domestic partner, cohabitant, conflict of interest, freeholder, leaseholder, municipal court, Alderman

Summary: The House Administration Committee met to consider a series of resolutions and bills covering arts districts, child care background checks, federal worker relief, health care reform, court transparency, school tax reassessment, municipal charter changes, constitutional amendment procedures, data center nondisclosure agreements, state employee benefits governance, and lieutenant governor vacancies. Members also noted that House Concurrent Resolution 12 had been removed from the agenda and that public comment would be limited to one minute per speaker. The committee released SCR 167 to study arts, culture, and creative districts in Delaware; HB 438 to close a loophole in the child care service letter requirement; SB 268 to provide interest-free loans, free transit, and tax deferrals for federal workers during shutdowns; SS2 for SB 1 to expand and permanently strengthen primary care investment while also addressing hospital cost growth; HCR 147 to request a Court of Chancery report on audio recordings and automated case assignment; SB 322 to replace the current post-reassessment 10% school revenue increase authority with a 2% annual increase option under safeguards; SB 306 to amend the Rehoboth Beach charter; HB 440 to require voter approval for constitutional amendments after legislative approval; SB 312 to bar nondisclosure agreements for large data center projects; SS1 for SB 289 to change State Employee Benefits Committee governance; and SB 264 to require a special election to fill a lieutenant governor vacancy. Testimony was mixed on several measures. Arts, child care, federal worker relief, primary care, court transparency, data center transparency, and the lieutenant governor vacancy bill drew mostly supportive testimony, while SB 322 and SB 306 drew both support and opposition, especially over tax impacts and the proposed spouse/partner restriction in Rehoboth Beach. HB 440 prompted debate over whether 55% voter approval was the right threshold for constitutional amendments, and SB 312 was supported as a transparency measure by residents affected by prior data center NDAs. All of the listed measures were released from committee by roll call vote, with some members voting no on HB 440, SB 306, SB 312, SS1 for SB 289, and SB 264.

Transcript Highlights:

• Those types of positions, those delegate-level positions, include RNs, LPNs.
• Those types of positions, those delegate level positions include RNs, LPNs.

Keywords: 959, house, all

Transcript Highlights:

• Those types of positions, those delegate level positions include RNs, LPNs.
• Those types of positions, those delegate level positions include RNs, LPNs.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.