Transcript Highlights:

• have to large family childcare homes.
• We didn't extend it to large family care homes.
• I've been a nurse for 43 years.
• The child was out of home a year and a half.
• And we spent over $100,000 trying to bring our baby home.

Transcript Highlights:

• </c> they want a home school. they want a home school.
• Over the last 28 years, I have worked in clinic settings such as, but not limited to, nursing homes,
• </c><01:50:45.680><c> homes,</c><01:50:46.200><c> public</c><01:50:46.480><c> schools,</c> to, nursing
• homes, public schools, to, nursing homes, public schools, hospitals,<01:50:48.120><c> and</c><01:50:
• </c> experienced out-of-home placement. experienced out-of-home placement.

Committee: Senate Health and Human Services

Transcript Highlights:

• in communities across the state, particularly in my home region of San Diego.
• in communities across the state, particularly in my home region of San Diego.
• And, you know, as someone who worked with nurses for 13 years before coming here, making sure that nurses
• They just want to go to work and take care of patients and go home.
• Of course, it's not limited to retail theft, but to individuals' homes as well.

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.

Transcript Highlights:

• It would delay scheduled increases and rebates for assisted living facilities, as well as nursing homes
• nurses who work in isolation.
• Hospital discharges 46,000 individuals to skilled nursing every year.
• This program saved my home very recently.
• This program saved my home very recently.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• I'm sorry, I'm a nurse.
• I have been a nurse for 25 years.
• And many of our residents cannot afford to buy a home.
• Teachers, firefighters, they can't purchase a home.
• The nurse at that moment is the first responder.

Bills: S0042 , S0688 , S0762 , S1168 , S1296 , S1298 , S1300 , S1318 , S1332 , S1376 , S1548 , S1570 , S1574 , S1632 , S1634 , S1750

Committee: Senate Fiscal Policy

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• Our largest major is nursing. We graduate the most students each year in the field of nursing.
• We'll switch to nursing. Dr. Amy Lee is our chair of our nursing department at Minot State. Amy.
• We'll switch to nursing. Dr. Amy Lee is our chair of our nursing department at Minot States. Amy.
• So we have two different tracks for our nursing program.
• Like this week, we had, I think, 26 nursing students.

Committee: Joint Higher Education Institutions Committee

Transcript Highlights:

• </c> emergency power and fuel in nursing emergency power and fuel in nursing homes.<00:49:52.480><c>
• The recent ice storm has made us aware of the need for electricity, particularly in nursing homes and
• After Katrina, my grandmother was in a nursing home. She had a DNR.
• </c><00:55:29.359><c> homes</c><00:55:29.839><c> because</c> things like the nursing homes because things
• </c> nursing homes and personal care homes. nursing homes and personal care homes. &gt;&gt; Yes.

Committee: Joint Public Health and Welfare

Transcript Highlights:

• home country, and only California sales are here.
• Every time we go into the home, we make... We save California money.
• Every time we go into the home, we make $19.25 in Sacramento, but if you go into a nursing facility,
• Hanna, and I'm representing the California Nurses Association, National Nurses United, and it's more
• Nurses see the impacts of corporate profiteering on patients.

Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available. Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals. In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.

Transcript Highlights:

• critical need we have in the nursing field.
• Doing it through the Center for Nursing, we will be able to do that.
• My parents had a home there.
• We had a family home up until about years ago until they fully retired.
• We'll connect when I get home. Can't wait. Please do. We'll connect when I get home. Can't wait.

Committee: Senate Appropriations Committee on Higher Education

Summary: The committee first heard a confirmation from UCF trustee reappointee Mr. Christie, who described his background in medical devices and prior board service and said he wanted to help UCF strengthen its financial foundation, workforce alignment, and engineering and technology pipeline. Members asked about UCF’s direction, and he emphasized the university’s role in producing engineers and supporting Florida’s space and technology sectors. The committee then moved to the higher education budget for fiscal year 2025-26, which was presented as an $11.5 billion total budget including local funds and focused heavily on workforce education, nursing, agriculture technology, tutoring, student aid, and university initiatives. Chair Harrell highlighted increases for school district workforce education, Florida College System operations, career and technical education grants, the GATE program, nursing education through USF’s Florida Center for Nursing, UF/IFAS rural and agricultural programs, UCF’s Community School Grant Program, UF’s literacy and tutoring initiatives, autism and neurodevelopment services, full funding for major scholarship programs, and $250 million for state universities through the Board of Governors. Senator Davis asked about line grant flexibility, and Harrell said a conforming bill would address the details. The budget proposal was adopted as a recommendation to the full Appropriations Committee, with staff authorized to make technical corrections. The committee then took up a series of confirmations, beginning with Florida State University reappointee Peter Collins, who emphasized his long FSU ties, leadership on the board, and goal of keeping FSU on a path toward top-10 status and AAU membership. Rebecca Matthews, a new University of West Florida appointee, discussed her education-related volunteer work, Florida Education Foundation service, and interest in supporting UWF’s continued excellence; senators questioned her on Title IX and she said she would support student protections and compliance. Rachel Moyah, another UWF appointee, highlighted her education, school board experience, and priorities of student safety, fiscal discipline, and workforce readiness; she also said she would comply with Title IX and other applicable rules. Ashley Ross, also nominated to UWF, said she would focus on university advancement, military ties, cybersecurity, civil engineering, and strong governance, and agreed that Title IX protections should be preserved and advanced. The most extensive questioning came during the confirmation of Adam Kessel, a UWF appointee and Heritage Foundation fellow, who was asked about prior writings on privatizing public universities, his comments about the GI Bill, and his views on free speech and Project 2025. Kessel said he did not recommend privatizing Florida universities, clarified that his comments about the GI Bill and over-enrollment were about broader higher education policy, and said he supports veterans and the GI Bill. He described his higher education work as focused on civic education, accreditation, student success, tenure, and free speech, and said trustees should improve campus culture through policies, training, and institutional neutrality. Public testimony on UWF was sharply divided: former UWF leaders and community members warned that the new slate of trustees and their vote to make Scott Yenor chair had chilled donations, enrollment, and community trust, while a James Madison Institute representative praised Kessel’s scholarship and thoughtful approach. The committee also heard from FAMU reappointment Belvin Perry, who cited his judicial career and board service and said his goal is to support student success, retain strong faculty and staff, and help FAMU continue rising in national standing. Finally, the committee began hearing from remote appointees, including UCF nominee Mark Philburn, who emphasized his construction, affordable housing, and higher education board experience, and FSU nominee Peter Jones, who described his finance and investment background and long service to FSU boards and committees. The last nominee heard before the transcript ended was Florida Gulf Coast appointee Paul Applegarth, whose audio issues delayed his remarks; he began by noting his prior federal confirmation, military service, and GI Bill-supported education.

Transcript Highlights:

• Please recognize Representative Latrell to present the nurse of the week.
• You know, we're not talking about people at home drilling wells for domestic use.
• Caitlin is a senior from Carnegie, home of the show dog at the Liberty Theater.
• Caitlin is a senior from Carnegie, home of the show dog at the Liberty Theater.
• Caitlin is a senior from Carnegie, home of the show dog at the Liberty Theater.

Summary: The House convened, opened with prayer, the Pledge of Allegiance, and several recognitions, including Veteran of the Week First Sergeant Jeff Osterdock, Nurse of the Day Madison Lehman, Psychologist of the Day Dr. Jennifer Steber, and a large group of student pages and visitors. Members also made personal announcements and welcomed guests from schools and community groups. On the floor, the House considered and adopted Senate amendments to House Bill 1484, a schools measure, and passed it 96-1; the emergency clause also passed 96-1. The House then took up House Bill 1085 on contracts, which would standardize service warranty fees with a delayed phase-in schedule, adopted the Senate amendments, and passed the bill 8-1. The House also considered Senate Bill 133 on groundwater permits. After an amendment and debate, members discussed how the bill would apply to commercial water wells and how it would interact with marijuana-related licensing and notification to the Oklahoma Water Resources Board. The bill passed 85-12, and the emergency clause also passed by the same vote. The chamber then adjourned until February 24, 2026, at 9:30 a.m.

Transcript Highlights:

• After COVID and the tragic events at the state veterans' homes, the leadership realized there was an
• We have a project right now on nursing licenses.
• We need nurses.
• But now, at least within nursing, we are having some discussions. Good.
• We don't have a lot of depth to go, which is why right now we're focused just on nursing. Got it.

Summary: The Employment Subcommittee of the Massachusetts Permanent Commission on the Status of Persons with Disabilities met on May 18, approved the prior meeting minutes, and heard an introductory announcement about ASL interpretation procedures for the Zoom meeting. The first presentation was an update on the Massachusetts Disability Employment Tax Credit from MassAbility. The speaker explained that the credit, created in 2022, offers employers up to $5,000 in the first year and $2,000 in later years for hiring and retaining certified employees with disabilities. The certification process was described as intentionally simple, relying largely on self-attestation and an online application that screens applicants in through participation in disability-related programs or receipt of certain benefits. Members asked about employer awareness, the website and application process, available data, and whether credits can be carried forward; the speaker said outreach is ongoing, one employer had used the credit in the prior tax season, and some implementation questions would need to be directed to the Department of Revenue. The committee then heard from Scott Pitta of the Office of the Veteran Advocate, who described the office as an independent agency created after COVID and the state veterans home трагедies to improve veteran services and investigate problems. He focused on veterans’ disability ratings, explaining that VA disability does not necessarily prevent work, and discussed how discharge status can affect access to benefits. He highlighted vocational rehabilitation, GI Bill supports, housing and mental health services, and the role of municipal veteran service officers under Chapter 115. A major theme was professional licensure and employment barriers for veterans, especially in nursing and other trades; members discussed whether Massachusetts is doing enough compared with other states and whether the office could connect with workforce and licensure stakeholders. Pitta said his office is beginning a narrow review of nursing licensure issues and invited follow-up through regional liaisons and the office inbox. In the final portion of the meeting, members turned to a SEED policy brief and related future work. Because time was short, they deferred a full discussion to a later meeting and agreed to revisit the brief at the August 31 meeting. The group identified two likely areas of focus: the “benefit cliff” and youth/young adult pathways into employment, including apprenticeships. Members discussed the need to map existing services, gather information from partner agencies, and possibly develop a white paper or spreadsheet-style summary for appointing authorities. The meeting ended with a request for members interested in the benefit cliff work to contact the co-chairs, and the subcommittee adjourned.

Transcript Highlights:

• House Bill 2408, relating to Arizona State Board of Nursing.
• It raised the prices of homes on every Arizona family.
• The faster we get through these, the faster we get you home.
• Majority Leader, bring us home. With the Committee of the Whole report.
• Majority Leader, bring us home. With the Committee of the Whole report.

Summary: The meeting began with prayer, the Pledge of Allegiance, attendance, and a guest introduction for Deputy Frank Sloop. The Senate then moved through multiple Committee of the Whole calendars, with most measures receiving do-pass recommendations after brief explanations and, in several cases, floor amendments. Topics included public records, capital outlay review, local government, taxation, state budget implementation, higher education appropriations, utility regulation, towing regulation, homeowners association disclosures, nursing board regulation, veteran services, criminal justice, human services, K-12 education, state property management, and the continuation of the Arizona State Board of Nursing. Several bills were amended on the floor before receiving favorable recommendations. House Bill 2114 on motorcycle-related provisions was amended to require that at least one registered owner be legally licensed to operate a motorcycle in Arizona. House Bill 2397 on HOA/condominium disclosures was amended to change disclosure timing and fee rules and make other conforming changes. House Bill 2408 on nursing board regulatory action was amended to remove a clear-and-convincing-evidence burden in disciplinary matters and clarify complaint-sharing procedures. House Bill 2957 on driver’s license/handheld provisions, House Bill 2305 on towing regulation, and House Bill 2321 on DCS-related reporting also received amendments before do-pass recommendations. The largest item was Senate Bill 1847, the 2026-2027 General Appropriations Act. Senators offered extensive floor amendments affecting agriculture, corrections, criminal justice, school safety, law enforcement equipment, vehicle theft task force funding, liquor licensing, and other budget items. During third reading and debate on the budget, Democratic senators praised negotiated gains such as funding for aging services, food assistance, civil legal aid, school meals, heat relief, and a three-year moratorium on new data center tax incentives, while criticizing border-related funding, ESA/voucher policy, and cuts to higher education and adult education. One member’s remarks were ruled dilatory after repeated off-topic comments, and the ruling of the chair was sustained by a 16-12 vote. The transcript ends with additional budget-related explanation of votes continuing after the budget’s third reading.

Transcript Highlights:

• home would go in the Commonwealth.
• ,</c><01:07:32.400><c> in</c> veterans nursing home would go, um, in veterans nursing home would go,
• </c> of nursing type facilities. of nursing type facilities. in<01:08:37.279><c> our</c><01:08:37.520
• Don't let us because we know skilled nursing facility. We're not experts there.
• We have direct State Veterans Homes.

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Transcript Highlights:

• People were getting priced out of their homes because the property taxes were going up.
• It applies to second homes.
• So you're like telling the nurse, get me out of here by five, you know, so that I can basically... ..
• And the nurse was great.
• And the nurse was great.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, a medical malpractice reform measure. Sponsor Chair Chandler and Minority Leader Armstrong described months of stakeholder negotiations aimed at balancing patient compensation with concerns from physicians, hospitals, and insurers about litigation costs, punitive damages, and access to care. The committee substitute kept the existing monetary damage caps but changed several provisions, including definitions of “occurrence” and “value of medical care,” treatment of future medical expenses, a higher clear-and-convincing standard for punitive damages, a two-step process before punitive damages can be pled, and a lower punitive-damages cap for smaller providers versus a higher cap for large hospital systems. Supporters said the bill would help recruit and retain doctors and stabilize the malpractice market; opponents argued it weakens accountability, especially for corporate and out-of-state hospital systems, and several speakers urged a stronger amendment to preserve patient rights. After debate, the committee voted 10-0 to give the House Judiciary Committee substitute for HB 99 a do-pass recommendation. The committee then heard House Joint Resolution 5, which would amend the state constitution to allow legislative compensation. Sponsors and supporters said paying legislators would make service more accessible to working people, parents, rural residents, and others without independent wealth, and would broaden representation. Several advocacy groups and individual commenters backed the proposal, while members raised questions about the pay formula, with the resolution tying compensation to the state median income. Some members supported the idea but preferred a salary commission or a different mechanism. The committee approved HJR 5 on a 7-3 vote. Finally, the committee began hearing House Memorial 39, which calls for a task force to study the current state of sexual assault examination kits and report on backlog progress. Sponsor Rep. Ferrari and the New Mexico Coalition of Sexual Assault Programs explained that a prior task force a decade ago found more than 5,000 untested kits and led to policy changes, including the Sexual Assault Survivors Bill of Rights and a statewide tracking system. The memorial is intended to reassess whether backlogs remain and recommend further fixes.

Transcript Highlights:

• </c> including 46,000 affordable homes. including 46,000 affordable homes.
• :51.679><c> home.
• home.
• She takes care cook in a nursing home.
• homes permanently.

Transcript Highlights:

• </c><00:05:08.000><c> from</c> I'm a former reg registered nurse from I'm a former reg registered nurse
• And is there a breakout of how many are nursing home recipients, how many are children, how many are
• We would have to request that from Medicaid, but I'm sure that they because I know that nursing home
• </c><00:52:17.119><c> home</c> breakout of how many are nursing home breakout of how many are nursing
• nursing home is a because I know that um nursing home is a lot.<00:52:32.480><c> And</c><00:52:32.640

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• Would you please recognize Senator Guthrie to introduce the nurse of the day?
• Senator Guthrie, you are recognized to introduce the nurse of the day. Thank you, Mr. President.
• She has served in the Saint Francis Health Care System as an ICU registered nurse, community volunteer
• , and Oklahoma Nurses Association board member, and advocates for patients, nurses, and equitable access
• Also, the placements where there's a distance, a long distance from the original home.

Bills: SB1323 , SB1863 , SB1932 , SB1950 , SB1956 , SB1970 , SB1599 , SB1312 , SB1776 , SB1858 , SB1985 , SB1302 , SB1809 , SB1401 , SB2053 , SB1503 , SB1553 , SB1427 , SB1642 , SB1421 , SB1837 , SB1566 , SB1567 , SB1794 , SB1484 , SB1557 , SB1564 , SB1591 , SB1395 , SB1456 , SB1562 , SB1613 , SB1983 , SB1550 , SB2065 , SB2152 , SB2159 , SB2172 , SB2110 , SB2111 , SB2114

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several guests and Senate family members, including the psychologist and nurse of the day. Members then moved to the agenda, laying over items 1 and 4 before taking up several bills. Senate Bill 1395, a recommendation from the Incentive Evaluation Commission, would eliminate the tax credit portion of the investment and new jobs tax credit incentive and limit carry-forward of the investment portion to seven years; it passed 48-0. Senate Bill 1456, as amended, extended the sunset of the Board of Tests for Alcohol and Drug Influence, with the amendment changing the sunset date to 2031; it passed 48-0 and was also approved as an emergency measure. Senate Bill 1562, requested by the Oklahoma Hospice and Palliative Care Association, was described as protecting terminally ill patients and families from aggressive hospice marketing practices; it passed 48-0. Senate Bill 1613, requested by the Oklahoma Liquefied Gas Association, was revised to remove language the governor had previously objected to regarding vehicle ownership and leasing outside OMES; it passed 48-0. Senate Bill 1983 directed the Department of Human Services to provide de-identified foster care data to resource family partners, including information on children without placement, demographic and geographic trends, areas of high need and low availability, placement disruptions, sibling separations, and distance from original homes. After a question from Senator Deevers about the scope of the data, the bill advanced and passed 48-0. The Senate then heard announcements about committee meeting times and adopted a motion to adjourn until Tuesday, February 17, 2026, at 1:30 p.m.

Transcript Highlights:

• Somebody came into my home when I was home making dinner and targeted him and took his life.
• when I was home making into my home when I was home making dinner<00:13:49.920><c> and</c><00:13:50.240
• 40.319><c> delivering</c> they protect nursing staff, delivering they protect nursing staff, delivering
• So, and then a lot of the times obviously nursing staff and hospital staffs are obviously our nursing
• are obviously our nursing and staffs are obviously our nursing and doctors<00:54:03.839><c> and</c><

Bills: HF2358 , HF3496 , HF3504 , HF2169 , HF3440

Committee: House Public Safety Finance and Policy

Keywords: public safety, coercion, criminal penalties, law enforcement, victim protection, HF3496, supervision abatement, earned compliance credit, earned compliance credits, conditional release, supervised release, corrections, Minnesota Department of Corrections, restitution, willful nonpayment, probation-like supervision, release supervision, community supervision, lifetime conditional release, early termination of supervision

Transcript Highlights:

• Kim, want to bring us home on this panel? I sure will.
• It makes a difference if they've had that training, particularly the nurses, who are mostly women—not
• You've got to involve the physicians, the nurses, the midwives, the doulas in the project.
• When I think the other piece, increasing the number of Black and Latina OB-GYNs and nurses and other
• Karen Stout here, on behalf of the California Nurse Midwives Association.

Transcript Highlights:

• briefly a series of rules that were finalized regarding prior authorization, managed care access, home
• homes and assisted living facilities.
• homes and assisted living facilities, you know, we're not paying the, we're not up to 100% yet.
• Most of those are in primary care, geriatrics, and nursing home settings.
• home, you are seeing an IMG.

Committee: Senate Health & Long-Term Care

Summary: The committee opened with an extensive update on the expected effects of federal HR1 on Washington’s health care system, especially Medicaid and the individual market. Governor’s office and Health Care Authority staff said the bill is likely to cause immediate coverage losses in the exchange beginning in January, followed by larger Medicaid impacts over the next several years. They highlighted likely premium increases, administrative burdens from more frequent eligibility checks and work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, and possible effects on rural hospitals and safety-net providers. They also noted separate CMS rules already being implemented in Washington on prior authorization, managed care access, home- and community-based services, and eligibility/enrollment, and explained how those rules interact with HR1’s new requirements and timelines. Members asked about Planned Parenthood funding, work requirements, rural health grants, provider impacts, and how the state will use existing systems and a forthcoming timeline to prepare for implementation. The committee then received an update on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Presenters described the state’s clinical experience license, the clinical evaluation tool used to assess readiness, a grant program for career guidance and clinical training, and a 2025 law adding a hardship waiver process. National presenters from World Education Services and the Federation of State Medical Boards said many states have adopted similar pathways because of physician shortages, but approaches vary widely. They recommended clear guardrails, employment offers before application, ECFMG certification, supervised provisional practice, data collection, and protections against exploitation. Committee members asked about portability across states, retention of IMGs, and whether Washington should pursue additional options such as dedicated residency slots, preceptorships, or practice-ready assessment models. The final topic was an update on the Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles praised the state’s work, noting Washington’s high Medicaid reimbursement rate for doulas and the importance of building infrastructure to support equitable maternal care. Health Care Authority staff said the benefit launched on January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled with Apple Health, 287 clients served, and 641 claims paid so far, while also acknowledging barriers such as provider enrollment, claims submission, client matching, and language access. Doulas for All described the hub as part of a broader effort to expand access, support community-based birth workers, and reduce maternal and infant mortality disparities, especially for Black and Indigenous families.