Transcript Highlights:

• Louisiana Medicaid programs, All without cutting any existing providers' payments.
• Louisiana Medicaid program simply has lagged behind this important federal reform.
• I can't hire another nurse practitioner because our rate is just not high enough.
• When I know within USDA, we have a lot of grant programs.
• We have a lot of things through USDA that help them, you know... ...programs.

Committee: House Health and Welfare

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Please recognize Representative Kelly to present the Nurse of the Day.
• Representative Kelly, you're recognized to present the Nurse of the Day Thank you, Mr.
• He is a registered nurse with a strong intensive care background, currently working in a variety Of ICU
• His goal is to earn his doctorate in nurse anesthesia and is currently working on his master's in nursing
• So I'd appreciate it, and so would my son who's running the program.

Bills: HR1055 , SB2170 , SB1833 , SB1198 , HR1056 , SB1730 , SB563 , SB1379 , SB1645 , SB2155 , SB1280 , SB1455 , SB1456 , SB1461 , SB1457 , SB1463 , SB1465 , SB1466 , SB1344 , SB1309 , HR1054 , SB2159 , SB1948 , HB1371 , SB1365 , SB1976 , SB1975 , SB2026 , SB1565 , SB1621 , SB237 , SB933 , SB1427 , SB1642 , SB171 , SB1873 , SB2067 , SB1623 , SB1771 , SB1805 , SB1826 , SB2072 , SB444 , SB2184 , SB1966 , SB1812 , SB2117 , SB2135 , SB330 , SB1239 , SB1428 , SB1531 , SB1484 , SB1405 , SB3

Keywords: Oklahoma Agriculture Day, agriculture, farmers, ranchers, agribusiness, food production, wheat, cattle, beef, dairy, soybeans, cotton, poultry, pork, rye, rural economy, urban-rural, trade, commodity production, Oklahoma Department of Agriculture

Transcript Highlights:

• I have 13 more weeks left in my program.
• I understand this graduate program is sort of broad.
• Communication Skills in Spanish program.
• Such as nursing and what have you. I know NMSU has a doctorate program there.
• Program in the Spanish department for the undergrads.

Bills: SB106 , SB171 , SB179 , SB106 , SB171 , SB179

Committees: Senate Senate Education , Senate House Education

Keywords: graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare

Transcript Highlights:

• So after finishing that program, she served as an intern in the White House.
• Please recognize Representative Woolley to present the Nurse of the Day.
• Representative Woolley, you are recognized for Nurse of the Day. Thank you, Mr. Speaker.
• Members, today I have the honor of presenting Leah Oliver for Nurse of the Day.
• Leah has been a registered nurse for 14 years, including the last 10 years specializing in forensic nursing

Bills: HB3419 , HB4153 , HB3430 , HB3791 , HB3277 , HB4119 , HB4408 , HB3905 , HB3968 , HB3835 , HB3386 , HB2650 , HB3742 , HB3588 , HB3748 , HB4303 , HB4311 , HB3028 , HB4428 , HB4429 , HB4132 , HB1889 , HB3265 , HB1739 , HB4434 , HB3313 , HB3852 , HB4263 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3420 , HB2116 , HB2206 , HB3625 , HB2939 , HB3721 , HB1823 , HB2425 , HB4440 , HJR1087 , HB4003 , HJR1077 , HB1770 , HB1675 , HB3627 , HB3891 , HJR1067 , HB3462 , HJR1053 , HJR1054 , HJR1044 , HB3472 , HB1225 , HJR1019 , HB4145 , HJR1081 , HB1746 , HJR1069 , HJR1050 , HB1638 , HB3327 , HJR1055 , HB3127 , HB4488 , HB2955 , HB3781 , HB3783 , HB3802 , HB2471 , HB2937 , SCR16 , HB2960 , HB3466 , HB3262 , HB3269 , HB3152 , HB4140 , HB4142 , HB3148 , HB3378

Summary: The House convened, heard an invocation and the Pledge of Allegiance, and then moved through a long floor calendar with several introductions and recognitions, including guests from Broken Arrow, Oklahoma Trucking Day participants, Mid America Christian University, and the day’s doctor and nurse honorees. The chamber also adopted Senate Concurrent Resolution 16, recognizing March as National Women’s History Month. Members debated and passed House Bill 2937, which extends constitutional carry to allow qualified individuals to carry firearms on boats. Questions focused on alcohol use on lakes, public safety, and whether law enforcement agencies had requested or opposed the bill. The House also passed House Bill 2960, limiting lawsuits against firearm manufacturers when a purchaser modifies a firearm; House Bill 3466, removing the Corporation Commission’s unused petty cash fund from statute; House Bill 3262, increasing the warrant-service fee from $50 to $150 at the request of the Oklahoma County Sheriff; and House Bill 3269, allowing electronic arrest warrants to mirror existing electronic search-warrant procedures. Additional bills passed included House Bill 3152, authorizing Corporation Commission officers to transport certain detained truckers to jail and book them; House Bill 414, making theft of a firearm a Class 2 felony regardless of value; House Bill 4142, expanding criminal statutes at the request of the Oklahoma City Police Bomb Squad; House Bill 3148, modernizing VIN inspection procedures and fee handling; and House Bill 3378, creating a revolving board for OCAST’s grant-awarding body after all members rolled off at once and delayed grants. House Bill 3378 also had its emergency clause adopted. Most measures passed with strong bipartisan margins, and the House adjourned after announcements and committee notices.

Transcript Highlights:

• Mr Leader Mr President would you please recognize Senator Prietto for introduction of our nurse of the
• day Senator Prieto, you are recognized to introduce the nurse of the day youembers help me welcome nurse
• Lea has been a nurse for 14 years and a forensic nurse for 10 years.
• Please help me welcome nurse Leah Oliver to the senate floor and give her privileges of the floor.
• It's our countywide leadership development program dedicated to educating, connecting, and equipping

Bills: SB2102 , SB1940 , SB1625 , SB1442 , SB1623 , SB1242 , SB1949 , SB1592 , SB1913 , SB592 , SB992 , SB1241 , SB259 , SB1928 , SB1426 , SB1531 , SB1561 , SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• It requires CNA serving in a nursing home to receive training on recognizing the signs and symptoms of
• Your bill requires some new requirements for nursing assistants.
• So my question is: how will the nursing homes ensure that these certified nursing assistants receive
• , our nursing home staff, LPNs, and CNAs, that it's appropriate for their level of responsibility so
• There's a tax credit that it's been modeled by, but this is more or less, other than that tax program

Committee: Senate Health Policy

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• So both in our disability services programs for youth and adults and then in our long-term care program
• And lastly, it helps us contain costs in the program.
• This next one, the Idaho Home Visiting Program.
• We come back and we collect on nursing home payments.
• So two programs that already have work requirements.

Committee: House Health and Welfare

Transcript Highlights:

• </c><00:10:47.079><c> uh</c> and consumer affairs midwives program uh and consumer affairs midwives program
• </c><00:13:28.720><c> midwives</c> College of nurse midwives College of nurse midwives I'm<00:13:29.959
• I got licensed as a nurse midwife here, and I'm practicing currently as a nurse midwife at Kaiser.
• I entered a Master of Science program in midwifery as a non-nurse student. I graduated.
• </c> Program in Midwifery as a non-nurse Program in Midwifery as a non-nurse student<02:01:01.079><c>

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• So, health professional student loan repayment program, nursing student loan repayment program, actual
• Some of the programs in this core are inspection programs that are regulatory and include programs such
• Waiver Program.
• program.
• , our Medicaid program.

Committee: House Budget

Transcript Highlights:

• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• Nurse practitioners, certified nurse midwives, and physician assistants, also known as advanced practice
• We know what the cost-ineffective programs are. A lot of this work's already been done.
• AB 2146 creates no new program and appropriates no new funds.
• , No Place Like Home, Homekey, and the tax credit programs.

Committee: House Appropriations

Transcript Highlights:

• "My last question is concerning the Guardian Program.
• My last question is, are concerning the guardian program.
• Let me shift to the Guardian program.
• Let me shift to the Guardian program.
• It's such a popular program.

Committee: Senate Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:

• </c> known for their large animal programs. known for their large animal programs.
• with the large program.
• with the large program.
• get into the program.
• get into the program.

Transcript Highlights:

• We have some targeted programs like the WIC program, the Women, Infants, and Children feeding program
• We also have some targeted programs like the WIC program, the Women, Infants, and Children feeding program
• We also have some targeted programs like the WIC program, the Women, Infants, and Children feeding program
• We also have some targeted programs like the WIC program, the Women, Infants, and Children feeding program
• So the loan program, for example, is that if you attract a nurse from another location who had the loans

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• He also notes there is an alternatives-to-detention program and a Youth Development Center in Morehead
• Additionally, DJJ employs four nurse program administrators who currently oversee the medical program
• </c> additionally DJJ employs four Nurse additionally DJJ employs four Nurse Program<00:16:21.600><c>
• program and ensure oversee the medical program and ensure compliance<00:16:26.319><c> with</c><00:16
• </c><00:17:23.280><c> structure</c><00:17:24.120><c> uh</c> RNs LPNs and uh our nursing structure uh

Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.

Transcript Highlights:

• >> For nursing, there is.
• >> For nursing, there is.
• >> For nursing, there is.
• >> For nursing, there is.
• >> For nursing, there is.

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• This regulation is being amended to allow nurse practitioners to apply for the Veterans Affairs nurse
• loan repayment program any time throughout the year.
• nurse loan the Veterans Affairs nurse loan repayment<00:01:21.600><c> program</c><00:01:22.080><c> any
• repayment program any time throughout the<00:01:23.119><c> year.
• Um, no other Canadian exam program.

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• Yeah, Madam Chair, Representative, everything that we do, particularly because of the programs that we
• English training for nursing.
• But it also allows our educator prep programs to train on one standard. ...allows our educator prep programs
• I'm looking at the maintaining of an evaluation program of the system that monitors implementation...
• And so this monitoring program, the evaluation program, is what that is referencing.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• I think this is a good program.
• This program move forward.
• Anybody can call in a transfer—a doctor, a nurse.
• The continuing reliance on that program is a failed paradigm.
• The continuing reliance on that program is a failed paradigm.

Bills: HB2014 , HB2156 , HB2180 , HB2554 , HCR2047 , HR2002

Committees: House Appropriations , House House Appropriations Committee of Reference

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, livestock, compensation, funding, ranching, agriculture, appropriation, University of Arizona, education, state budget, biennial budget, state funding, appropriations, budget procedures, fiscal years, Judea

Transcript Highlights:

• And we heard testimony this summer about the school nurse program and how that's impacting health.
• If you have a school nurse program, that's your equity contribution.
• that's</c> school nurse program and how that's school nurse program and how that's impacting<00:29:10.320
• If you have a school<00:29:15.200><c> nurse</c><00:29:15.440><c> program,</c><00:29:15.840><c> that's
• nurse program, that's your equity contribution.<00:29:17.279><c> Anything</c><00:29:17.600><c> you're

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• I'm a family nurse practitioner working in rural health in Vermilion Parish.
• I've been a registered nurse since 1992.
• He died in an adult day program due to dereliction of duty.
• He died in an adult day program due to dereliction of duty.
• The nursing, I mean, I say nurse. What would the hospital association like to speak?

Bills: HB414 , HB786 , HB1041 , HB1052 , HB1118 , HB1139 , HB1182 , HB1185 , HB1214 , HB1217 , HB1231 , SR63 , SCR27 , SB5 , SB194 , SB415 , SB433 , SB451 , SB462 , SB516

Committee: House Health and Welfare

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital