Transcript Highlights:

• It helps develop program initiatives or change program initiatives.
• the program.
• nurses.
• But I'm going to tell you that it's an important program and it works.
• This program works, and we need to utilize it.

Committee: All ALC-REVIEW

Summary: The review subcommittee met to consider a supplemental agenda, methods of finance, an alternative delivery project, discretionary grants, and a large slate of construction, out-of-state, and in-state contracts. The supplemental item was a $2.6 million out-of-state contract with Tyler Technologies for a mobile app that would let citizens access state services through a single sign-on, initially for DFA vehicle and licensing services, with possible expansion to other agencies. Members also reviewed five methods of finance, including University of Arkansas projects for roof and cooling tower replacements, a new $100 million academic classroom building at U of A Fayetteville, a police department renovation at UA Fort Smith, and a boiler/chiller replacement at Hope-Texarkana. Questions focused on project timing, why some items were being reviewed after work had begun, and the high estimated cost of the Fayetteville classroom building; DFA explained that projects under $250,000 are not reviewed and that the larger project was still in design and would later seek a guaranteed maximum price. The committee also reviewed two DHS discretionary grants: one for targeted youth advocacy in southwest Arkansas and another adding $582,000 for family-centered treatment training and implementation. In the services contract section, members discussed construction-related contracts, including an ASMSA electrical scope increase tied to three-phase power requirements and the U of A Fayetteville architect contract for the classroom building. Out-of-state contracts included major items such as ACT Education’s $17 million amendment to provide required pre-ACT testing for 9th and 10th graders, a $12.5 million DFA contract for rural health transformation grant management, DHS’s $16.5 million EBT services contract with updated chip-card and fraud-prevention features, and ADH’s special procurement for the Behavioral Risk Factor Surveillance System survey. The committee also reviewed U of A system consulting contracts for financial advisory and sponsorship strategy work, with university officials saying the outside expertise was needed for specialized planning and revenue-generation efforts. In-state contracts covered corrections reentry services, nursing board investigations, foster care and child welfare services, DHS office janitorial work, emergency management radio system expansion, veterans’ home nursing staffing, and UAMS grants consulting. A lengthy exchange centered on the Department of Corrections’ reentry housing contract, with members pressing officials about vacant beds and urging fuller use of the program, while corrections staff said placements depend on screening and eligibility. Another discussion addressed the balance between out-of-state and in-state contracting, with a member noting the large dollar volume going to out-of-state vendors and asking whether Arkansas vendors receive any preference; State Procurement said current law does not allow an in-state preference. The committee approved the supplemental agenda, the methods of finance, the alternative delivery project, the discretionary grants, and the contract lists, and then received routine reports and an emergency action report before adjourning.

Transcript Highlights:

• As a nurse and a reassign them.
• </c><00:37:54.640><c> nurses.
• </c><00:37:55.680><c> It</c><00:37:55.920><c> explicitly</c> doctors and nurse nurses.
• It explicitly doctors and nurse nurses.
• And it healthcare training programs.

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• process for nursing facilities.
• Madam Chair and members, House Bill 2189 mandates that the State Board of Nursing revise the rules or
• It also defines a licensed medical provider as one of the following: a physician, a nurse practitioner
• It also defines a licensed medical provider as one of the following: a physician, a nurse practitioner
• after the death of the program participant.

Summary: The caucus reviewed a long list of House bills that had returned from the Senate with amendments, with members repeatedly noting that sponsors intended to concur on most items. Topics included public health and vaccination rules (HB 2086, HB 2248), state investment in gold and silver (HB 2140), property records and voter-registration privacy (HB 2327), municipal and county regulation of business property and development fees (HB 2460, HB 2946, HB 2999), legislative subpoenas (HB 2745), cold plunge regulation (HB 2439), nursing-facility complaint timelines and licensed health aide rules (HB 2195, HB 2189), court-ordered treatment review (HB 2923), Access/Medicaid reimbursement and prior authorization for diagnostic services (HB 2932), inmate mental health study committee language (HB 2673), prenatal development instruction in schools (HB 2830), public records requests by legislators (HB 4056), parents’ rights and social transitioning in schools (HB 2249), school district financial compliance and facilities contracting (HB 2481, HB 2482), Native American language proficiency for graduation (HB 2895), advanced math auto-enrollment (HB 2423), special education and military-family procedures (HB 2621), AI rules for state agencies (HB 2592), eviction record sealing (HB 2244), tax filing penalties (HB 2016), shade structures in HOAs (HB 2342), homelessness-related community restitution (HB 2028), medical records timelines (HB 2557), PFAS firefighting foam restrictions (HB 2641), family-court expert testimony and prisoner transition services (HB 2662, HB 2440), address confidentiality protections (HB 2594), guardianship notice attestation (HB 2661), utilities for high-load customers (HB 2756), and nuclear-ready community planning (HB 2456). The committee also briefly moved to Caucus Calendar 19 for additional bills on mobile food vendors, school board training, out-of-state travel and meeting transparency, and a medical-intervention nondiscrimination bill. Several bills drew substantive discussion or criticism. Members debated HB 2932 at length, with staff explaining that Access said the bill would have a high fiscal impact because it would require reimbursement for non-contracted lab services and eliminate prior authorization for a broad range of diagnostic services, potentially increasing costs substantially. HB 2249 also prompted concern from members who argued it could force teachers to out students and create civil liability for using preferred pronouns or failing to notify parents about social transitioning. HB 2830 was criticized as requiring prenatal-development instruction while barring discussion of sexual activity or reproduction. HB 2028, which allows community restitution instead of a $20 probation assessment for people who are indigent and experiencing homelessness, was questioned as potentially punitive. HB 2481 was discussed as a way to help, rather than punish, small rural school districts struggling with financial-record compliance. The caucus also noted that several of the measures were sponsored by Democrats, which was highlighted as notable during the meeting. No formal votes were taken in the transcript. The caucus chair repeatedly asked for questions, and in most cases there were none, after which the sponsor was understood to intend concurrence with the Senate amendments. The meeting ended with adjournment after the caucus moved through the remaining calendar items.

Transcript Highlights:

• In addition, the geographic adequacy threshold for nursing homes should not be broader than a managed
• The Health Care Authority must obtain feedback from stakeholders such as hospitals, nursing homes, and
• managed care organizations when developing the network adequacy standard. hospitals, nursing homes,
• I'm the vice president of case management and chief nursing executive for ambulatory nursing for the
• It also does not require new state funding or programs for implementation.

Committee: House Health Care & Wellness

Transcript Highlights:

• to nursing assistants.
• The next bill is Substitute House Bill 2339 concerning the regulation of nursing.
• We have House Bill 2340 before us, applying substance use disorder monitoring program provisions to nursing
• We have Substitute House Bill 2339 concerning the regulation of nursing before us.
• We have Substitute House Bill 2339 concerning the regulation of nursing before us.

Summary: The Senate Health and Long-Term Care Committee held its final regularly scheduled meeting of the 2026 session and moved into executive session to consider 11 bills. The bills covered a range of health care and licensing topics, including the dietician licensure compact (SHB 2088), ambulance transport staffing for inter-facility specialty care (E2SHB 2110), substance use disorder monitoring for nursing assistants (HB 2340), hospital inspections (SHB 2577), temporary licensure exemptions for music therapy applicants (SHB 2363), nursing regulation (SHB 2339), EMT recertification (HB 2540), supervision of radiologic and MRI technologists (HB 2113), continuing care retirement community oversight (2SHB 2384), and veterinarian-client-patient relationships (ESHB 2247). The committee also considered ESHB 1187, which protects patients involved in motor vehicle accidents from delayed ambulance bills, though it was not part of the initial briefing list read aloud in full. Several bills had amendments adopted. On E2SHB 2110, the committee adopted Senator Harris’s amendment changing hospital coordination with ambulance providers from a recommendation to a requirement. SHB 1187 received a striking amendment, and 2SHB 2384 and ESHB 2247 also had striking amendments adopted; the veterinary bill’s amendment clarified that the commercial breeding provisions apply to livestock, added a definition of livestock, and tightened prescription drug language. The committee also discussed the 2SHB 2384 amendment as making technical corrections and clarifying life care contract language. After each bill was moved, the committee voted to give it a do pass recommendation and send it to the Rules Committee. All bills considered in executive session passed the committee, subject to signatures. The chair then thanked staff and members for their work during the session, noted the committee would turn to interim work in a few weeks, and moved to adjourn.

Transcript Highlights:

• potential impacts to our health care system here in the state, particularly impacts to our Medicaid programs
• Most of those are in primary care, geriatrics, and nursing home settings.
• or meets the requirements of a residency program.
• , which we found was a necessary step in putting forth an IMG-dedicated residency program.
• Chair Cleveland and members of the committee, I'm Beth Tinker, clinical nurse specialist.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• Speaker, please recognize Representative Tedford to present the nurse of the day.
• Members, it's my honor to introduce to you today Amanda Fisher, the nurse of the day.
• First of all, we have a bunch of nursing students and their faculty in the House today.
• First of all, we have a bunch of nursing students and their faculty in the House today.
• Members, today we have the criminal justice program from Kymus Career Tech and McAlister here.

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

Summary: The House convened with a roll call, prayer, and the Pledge of Allegiance, then followed its regular order of business. The chamber also completed administrative items including correction/reassignment of measures and introductions of the Doctor of the Day, Dr. Lee Sheffler, and Nurse of the Day, Amanda Fisher. A special recognition was held for the 2025 Mustang Bronco 6A fast-pitch softball state champions, who were introduced in the chamber and gallery. Several members made announcements about committee and caucus meetings, including the Women’s Caucus, Native American Caucus, Rural Caucus, insurance committee, judicial criminal committee, public health, banking, business committee, and a devotional gathering. Members also welcomed nursing students and faculty, and a criminal justice program from Kiamichi Career Tech and McAlester. No legislation was debated or voted on in the transcript. At the end of the session, the floor leader moved to adjourn once the clerk’s desk was clear, and the House agreed without objection. The chamber adjourned until Wednesday, February 11, 2026, at 1:30 p.m.

Transcript Highlights:

• The largest increase in spending was for student support staff at 10%, followed by nurses at 8%.
• Spending from foundation funding was lowest on student support staff at 28% and nurses at 44%.
• And then there's a breakdown for each nurse. The matrix is funded based on 500 students.
• information about that program in the accountability report.
• So there is a facilities partnership program.

Transcript Highlights:

• Unfortunately, what happens then is that they get into a rehabilitation program, and that's where we
• I have the privilege of serving as program director with NeuroRestorative.
• Our program provides a structured, supportive environment where individuals...
• She eventually found her way to our program and advocated to receive the care that she needed.
• I run the Rare Cancer Program for LCMC Health, and I'm employed by LSU.

Committee: House Insurance

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.

Transcript Highlights:

• It requires certified nursing assistant serving in a nursing home to receive training on recognizing
• So the seeing as in the nursing homes that you need to the nursing homes, not the ALS, because again,
• It establishes a grant program for the Critical Infrastructure Mapping Grant program.
• Receive reimbursement for the program under the private Duty nursing Service category.
• program that is more consistent with the need to the program with the needs of the child.

Transcript Highlights:

• and uh and other nutrition programs and the like.
• It's basically slowing the growth of the program.
• About the same amount of nurses in the programming and that the job losses will be greater than the,
• We don't have enough doctors and nurses already. Uh.
• That could be like a nutrition program like SNAP or school, school meals, could be a mandatory program

Transcript Highlights:

• Um, but he had some very serious cuts to nursing homes, some very serious cuts to programming that would
• Um, but he had some very serious cuts to nursing homes, some very serious cuts to programming that would
• It focuses on program integrity and efficiency.
• Um, but he had some very serious cuts to nursing homes, some very serious cuts to programming that would
• </c><00:13:01.519><c> over</c> on on our on the on the programs over on on our on the on the programs

Transcript Highlights:

• have in our in the nursing field.
• programs.
• a multi-year grant program.
• They need a multi-year program doing it through the center for nursing. We will be able to do that.
• East Grant program.

Transcript Highlights:

• Today, Medicaid is a $1,16 billion program with about 85 million people enrolled in the program as of
• Recently, Minnesota's applied behavioral analysis program, or ABA program, stole national headlines.
• But some programs may be lifelong programs for independence for people. Absolutely.
• Program.
• And it is on the HHSC program. Where did the money go? And it is on the HHSC program.

Committee: Senate Health & Human Services

Transcript Highlights:

• This bill amends the Education Law to establish the Mental Health Educational Opportunity Program and
• the Mental Health Higher Education Opportunity Program.
• This bill amends the Education Law to authorize direct support staff and non-facility OPWDD programs
• to provide nursing services if ordered by a registered professional nurse.
• to provide nursing services if ordered by a registered professional nurse.

Committee: Senate Higher Education

Summary: The Senate Higher Education Committee met on March 10, 2026, with a quorum present and took up seven bills. The committee advanced S.553, which would require SUNY and CUNY to observe all religious holidays and specifically include Asian Lunar New Year; S.2046, creating Mental Health Educational Opportunity Programs and sending it to the Finance Committee; S.516, establishing a Black History Preservation Commission within SUNY; S.6334, allowing direct support staff in non-facility OPWDD programs to provide nursing services under a registered professional nurse’s order; S.6482, updating geologist licensure requirements; S.6759, authorizing parents or legal guardians to apply topical fluoride varnish to a child’s teeth; and S.6929, requiring dental laboratories to register with the Department of Health. Most bills had no opposition or only a support memo, including support from CUNY for S.553 and from the New York State Council of Professional Geologists for S.6482. Members generally moved the bills forward without substantive debate, though several were reported “without recommendation.” S.2046 was the only measure explicitly referred onward to the Finance Committee. During consideration of S.6929, Senator May asked whether the registration requirement would affect a dental office using its own 3D printer to make dental items; staff said they would check and follow up. The committee completed its work and adjourned at 11:12 a.m.

Transcript Highlights:

• When my nursing supports are stable.
• </c><00:45:19.760><c> hours,</c> would mean cuts to nursing hours, would mean cuts to nursing hours,
• This issue has got real-world impact. like this in nursing homes, we have a like this in nursing homes
• </c><01:10:07.199><c> Federal</c> programs or networks change. Federal programs or networks change.
• </c><01:30:03.600><c> It's</c> the ones that need the program. It's the ones that need the program.

Bills: HF3174 , HF3800

Committee: House Human Services Finance and Policy

Transcript Highlights:

• of Nursing Practice program, and four certificate programs online.
• Um, my first question is related to your nursing program.
• I know that you your nursing program.
• I think it was a $50 million or $65 million allocation to build the nursing program this time next year
• Uh, my question revolves around the nursing program and that future what I think is going to be a future

Summary: The committee met with a full quorum and approved the prior minutes. Members offered introductions of guests and family members, then heard a presentation from University of Louisville President Thomas Jared Bradley, who was sworn in before testifying. He described his background and outlined U of L’s strategic priorities: student success, access and affordability, workforce development, community engagement, and research. Bradley highlighted enrollment growth, increases in first-generation and Pell-eligible students, strong transfer pathways with KCTCS, and support programs such as the Cardinal Commitment Grant, 15-to-Finish, Comeback Cards, tutoring, mentoring, and mental health services. Bradley also emphasized U of L’s statewide and regional impact through UofL Health, rural outreach, the Bullitt County rural cancer education and research center, nursing expansion, and the Kentucky Manufacturing Extension Partnership program. He noted major institutional distinctions, including R1 status, a new Carnegie Opportunity College and University designation, and community-engaged classification. He said the university is one of only 10 public universities nationwide with all three designations and reported record enrollment, improved retention, and strong research expenditures. He also thanked lawmakers for significant capital and operating support, including funding for the simulation center, health science center, asset preservation, and the MEP program. During questions, members praised the university’s public service role and asked about first-generation enrollment, retention, graduation rates, and post-graduation outcomes. Bradley said the university is working to improve completion by expanding academic support, early alerts, incentives for tutoring, and faculty/advisor mentoring, especially for first-generation and high-need students. He acknowledged that post-graduation employment data is difficult to collect but said the new Carnegie classification reflects positive outcomes. No votes were taken beyond approving the minutes, and no formal actions were taken on legislation in this portion of the meeting.

Transcript Highlights:

• Certainly with nursing programs, because there is a cap that's established by the...
• Certainly with nursing programs, because there is a cap that's established by the State Board of Nursing
• , and so we routinely see waiting lists for nursing kinds of programs.
• And how successful are our community colleges with their nursing programs?
• Okay, and how successful are our community colleges with their nursing programs?

Committee: House Budget

Transcript Highlights:

• We started our first nursing program in the early days of the college.
• ><00:08:40.959><c> early</c><00:08:41.760><c> days</c><00:08:42.039><c> of</c> nursing program um in
• nurse practice practitioning Pro nurse practice practitioning Pro practitioner<00:09:30.959><c> programs
• We host the second-largest nursing program in Minnesota.
• We host the second-largest nursing program in Minnesota.

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• Are you looking for either a program, a non-profit program, or Medicaid-paid set aside... ...cooling
• I'm a nurse by background.
• The New Mexico Care Program is a pilot program that provides financial assistance to caregivers for being
• Our current program services continue to seek enhancements and sustainability of these services and programs
• Trying to play nurse from a distance.

Committee: House Legislative Health & Human Services Committee