Transcript Highlights:

• To practice nursing in Washington, a person must be licensed by the Washington State Board of Nursing
• The board licenses registered nurses, advanced registered nurse practitioners, and licensed practical
• nurses.
• The bill provides that a non-human entity may not use the titles registered nurse, nurse, RN, advanced
• registered nurse practitioner, nurse, or APRN, or licensed practical nurse, or LPN.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• This is a real-time regulation.
• Covered California is not a health plan regulator.
• Rightfully so, infant formula is regulated like a medicine, whereas baby food is regulated like all other
• So we can't regulate that. I don't know. We can only regulate what's sold here.
• On November 4th, the nurse On November 4th, the nurse from Graceful Care Hospice came to our home.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• HOME HEALTH REGULATIONS TO IMPROVE PATIENT CARE AND REDUCE ADMINISTRATIVE BURDENS.
• BY MODERNIZING FLORIDA'S HOME HEALTH REGULATIONS WE ARE REDUCING UNNECESSARY ADMINISTRATION THAT ALLOWS
• KEEPING THEM OUT OF NURSING HOMES.
• HOME BED IN A SKILLED NURSING HOME FACILITY.
• MAY BE NOW IT IS A LITTLE BIT MORE REGULATED.

Keywords: 999, senate, all

Transcript Highlights:

• As AB 2051 puts California law on all of our environmental regulations.
• Pernardino County Medical Society, Society of Latinik's Nurses, St.
• But I kind of feel that in conversations the default position has always been any regulation, bad regulation
• And CARB already has the authority to regulate stationary sources of pollution.
• I will say that when you are implementing regulations, especially regulations on, you know, it's a new

Committee: House Natural Resources

Keywords: 988, house, all

Transcript Highlights:

• some of the nurses that we need there for a variety of reasons.
• That they're not as competitive as with other nursing, and that could be a reason.
• COVID had an effect on all nurses across the entire country, not just CalVet.
• I will mention, though, that the nurses that we do have are tremendous.
• We support a legal, well-regulated marketplace.

Summary: The Assembly Budget Subcommittee 5 on State Administration held an informational hearing on budget issues for the Department of Veterans Affairs, the Department of Cannabis Control, the Department of Consumer Affairs, the Commission on the Status of Women and Girls, and the California Arts Council. The chair noted there would be no votes. CalVet gave an overview of its programs serving veterans and families, including transition assistance, county veterans service officers, education approvals, housing and homelessness programs, home loans, long-term care homes, and state veterans cemeteries. Members asked about future long-term care needs for aging veterans, staffing and recruitment challenges at veterans homes, and the Yountville steam infrastructure replacement project, for which CalVet sought a $38.8 million reappropriation and said federal reimbursement was expected. CalVet also discussed the role of county veterans service officers in helping veterans file claims and avoid predatory unaccredited representatives. The Department of Cannabis Control described its regulatory role from seed to sale and requested one position to implement SB 1064’s combined activities license. Members and public witnesses focused heavily on the illicit cannabis market, enforcement staffing, and the impact of taxes and fees on the legal market. DCC said it had roughly 87 enforcement positions with about a 15% vacancy rate and more than 200 compliance staff. Its economist presented the 2024 cannabis market report, which found licensed production and retail quantity were up, but retail value and prices were down, with an estimated 11.4 million pounds of illicit production and about 60% of California consumption still coming from the illicit market. Industry witnesses argued the legal market is in crisis, urged repeal of the scheduled excise tax increase, stronger enforcement against illicit cannabis and hemp-derived intoxicants, and expanded retail access. The Department of Consumer Affairs briefly presented nine budget proposals, including a $2.6 million ongoing request to maintain a business modernization system for several boards and bureaus. The Commission on the Status of Women and Girls described its work on economic and educational equity, health care, violence prevention, student rights, and archival and outreach projects, and said its budget request would convert limited-term positions to permanent. A member urged the commission to narrow its priorities toward current issues such as affordability, child care, and women’s health. The California Arts Council outlined its role as the state’s only statewide arts funder and requested restoration of $5 million in local assistance; supporters testified that the funding would leverage additional local investment and help sustain arts access, especially in rural communities. The hearing ended after the non-presentation items were noted and no further public comment was offered.

Transcript Highlights:

• feedback that the regulations... ...off-load time.
• So the AB 40 legislation called for MSA to produce emergency regulations...
• things that become regulations and stakeholders have to respond to.
• Emergency Communications Nurse System, ECNS, which uses nurses to triage 9-1-1 calls to reduce unnecessary
• We need to evacuate that nursing home, for example.

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• Let's give the regulations time.
• California's legal industry is among the most regulated in the world.
• Also, this circumvents legal challenges to federal PFOS regulation.
• The emergency regulations make me very nervous.
• It's the emergency regulations.

Summary: The committee heard several environmental and consumer-safety bills. AB 405, the Fashion Act, would require fashion companies to disclose and manage toxic chemicals in their supply chains; supporters said it would reduce worker and consumer exposure and align with existing industry frameworks, while retailers and business groups argued it would duplicate existing laws and raise costs. After questions about DTSC workload, international standards, and affordability, the bill was moved on a due-pass-as-amended motion to Natural Resources and held on call with three votes. AB 762 would ban the sale and distribution of disposable vape devices; supporters emphasized battery-fire risks, recycling contamination, and waste impacts, while cannabis and convenience-store interests warned it would push consumers to illicit markets and harm legal businesses. The bill passed on a due-pass motion to Business and Professions with three votes and was held on call. The committee also adopted the consent calendar with six votes. AB 794 would direct California to keep in place the federal PFAS drinking-water standard if federal protections are weakened, with supporters citing health risks and the need for certainty, and water agencies opposing the emergency-rulemaking authority and potential costs. Members debated whether the bill was too broad and whether federal funds would cover implementation; the bill passed on a due-pass-as-amended motion to Appropriations with four votes and was held open. AB 1148, the Safer Food Packaging Act, would restrict certain chemicals in food packaging; supporters cited cancer and reproductive-health concerns, while chemical, beverage, and manufacturing groups argued the bill should go through existing regulatory processes and that some chemicals lacked feasible alternatives. The author said she would remove antimony trioxide later in the process after hearing opposition concerns; the bill passed on a due-pass motion to Judiciary with four votes and was held open. Finally, AB 1338 would allow local air districts to recover costs for implementing fence-line air monitoring at metal shredding facilities, building on prior legislation and local air district efforts in AB 617 communities. The author said the bill would preserve local control and improve efficiency, and the South Coast Air Quality Management District testified in support. The transcript ends as the district witness begins testimony, with no vote yet taken on AB 1338.

Transcript Highlights:

• </c><01:21:26.320><c> are</c> common Services those regulations are common Services those regulations
• </c><03:05:47.000><c> at</c> um again I'm a public health nurse at um again I'm a public health nurse
• lower than the actual cost of nursing home care, so nursing homes rely on the revenue from self-pay
• home with uninsured Medicaid, so on and so forth. of nursing home care so nursing homes of nursing home
• </c> need Rehabilitation or a nursing need Rehabilitation or a nursing facility<03:59:56.920><c> you<

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• The Senate amended the bill to include additional requirements for investigated procedures for nursing
• Does that apply to nursing home institutions? Yes. Thank you.
• Does that apply to nursing home institutions? Yes. Yes, please.
• Does that apply to nursing home institutions? Yes. Thank you.
• Madam Witt, members, as passed the House, House Bill 2189 requires the nursing board to adopt rules to

Keywords: 1182, all

Summary: The Republican caucus reviewed a long list of House bills returned from the Senate with amendments, generally asking staff to describe the changes and then confirming whether the sponsor concurred. Many measures were accepted with little or no debate, including bills on tax filing penalties (HB 2016), court-ordered restitution for homeless or indigent defendants (HB 2028), vaccination and mask restrictions (HB 286), bullion investments by the state treasurer (HB 2140), nursing care complaint timelines (HB 2195), privacy protections for county records (HB 2327), cold plunge regulation (HB 2439), medical records access timelines (HB 2557), licensing board procedures (HB 2660), school and public records provisions, AI governance (HB 2592), fingerprint clearance temporary work authorization (HB 2916), development fees (HB 2946), affordability infrastructure districts (HB 2999), distracted driving penalties (HB 2109), health aide scope of practice (HB 2189), eviction record sealing (HB 2244), backyard structure rules in planned communities (HB 2342), inmate transition services (HB 2440), nuclear-ready community designation criteria (HB 2456), address confidentiality protections (HB 2594), groundwater/medical reimbursement changes (HB 2932), traffic citation signature authority (HB 2369), advanced math enrollment (HB 2423), school district training and intervention requirements (HB 2435), job order contracting limits (HB 2482), special education and placement rules (HB 2621), DCS parent rights notice changes (HB 2661), domestic violence expert testimony standards (HB 2662), inmate mental health study committee provisions (HB 2673), legislative subpoena enforcement (HB 2745), ACA trade office oversight (HB 2752), utility reporting changes (HB 2756), Native American language proficiency credit (HB 2895), mental health judicial review timelines (HB 2923), mobile food vendor licensing (HB 2118), medical intervention/school attendance rules (HB 2248), school board finance training (HB 2379), and school board meeting access/video requirements (HB 2380). Sponsors repeatedly stated they concurred with the Senate amendments, and no roll-call votes were taken in the transcript. A few items were set aside or sent back, including HB 2035 and HB 2249, and one bill (HB 2594) was left pending because the sponsor had not yet responded.

Transcript Highlights:

• I started last session hearing reports about there being gaps in our coverage with sexual assault nurse
• too this bill I have not nurses too this bill I have not specifically<00:04:19.400><c> ran</c><00:04
• do you want to yeah sure good nurses do you want to yeah sure good morning<00:05:26.199><c> um</c><00
• What we really want is those sexual assault nurse examiners that have that training in these hospitals
• </c> know on the behavioral regulation know on the behavioral regulation 15005<00:19:06.760><c> it</c

Keywords: 00:00 Call to Order/Roll Call 01:23 Discussion of 25RS HB 219 06:40 Roll Call Vote on 25RS HB 219 07:44 Discussion of 25RS HCR 20 09:36 Roll Call Vote on 25RS HCR 20 10:58 Discussion of 25RS HB 303 17:02 Roll Call Vote on 25RS HB 303 18:38 Consideration of Referred Administrative Regulations 21:46 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first considered House Bill 219, sponsored by Representative Rebecca Raymer. The bill requires emergency services to provide mandatory training for emergency medical staff on sexual assault emergency response requirements, with the training developed in collaboration with the Sexual Assault Response Team advisory committee. Testimony from Jenna Cassidy of the Kentucky Association of Sexual Assault Programs and WN Stevens of Children’s Advocacy Centers of Kentucky explained that the training would help emergency department staff properly respond to sexual assault patients, preserve evidence, and connect patients to needed resources; the committee also clarified that the bill is training-focused and not a certification requirement. HB 219 received favorable expression and was reported to the House floor. The committee then heard House Concurrent Resolution 20, also from Representative Raymer, which directs the Legislative Research Commission to study gaps in sexual assault nurse examiner coverage, why those gaps exist, and what hospitals do when no SANE nurse is available. Raymer said the study was intended to gather data for future legislation, and members noted the importance of documenting current practices and supporting efforts to expand SANE coverage. The resolution was adopted with 16 favorable votes and recommended for passage on the House floor. Next, the committee took up House Bill 303, sponsored by Representative Steve Bratcher, which creates a pathway for military medical personnel to translate their training into civilian Kentucky credentials through colleges and universities. The committee substitute broadened participation beyond KCTCS to any Kentucky institution with accredited programs, and Bratcher explained that schools would evaluate military experience, award applicable credit, identify gaps, and still require the relevant licensure exam. Members asked about university participation, credentialing standards, and how prior military radiology training would transfer; Bratcher said the program is voluntary for institutions and works with existing SkillBridge and veterans’ programs. HB 303, as amended by committee substitute, passed unanimously and was recommended for passage. At the end of the meeting, the committee briefly reviewed administrative regulations. Representative Fleming asked about a behavioral regulation that had previously been found sufficient, and staff indicated it had been deferred, later found deficient again in the Senate Health Services Committee, and may be addressed through Senate Bill 65. The chair then allowed members to record additional votes before adjourning and announced the next Health Services meeting would be February 20 at noon in Room 149.

Transcript Highlights:

• New nurses, new graduate nurses are leaving the profession at unprecedented rates.
• You will be able to recruit more nurses. There are plenty of nurses in our state.
• We don't have nurses.
• Doctors and nurses, okay?
• Keep our nurses here and attract our nurses through other means.

Transcript Highlights:

• We need all the nurses we can get. Thank you for nurses and doctors, right? Thank you.
• Massachusetts nurse practitioner myself.
• It simply ensures that state-regulated insurance plans recognize nurse practitioners with full practice
• Association of Nurse Anesthesiology.
• I think that nurse anesthetists, even though we are advanced practice nurses like our nurse practitioner

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• Does the bill put any new regulation around?
• It requires ACCA to impose a $10,000 fine against a nursing home or home office of a nursing home that
• We exempt state-owned nursing homes from that report.
• So this bill does not affect nurse practitioners who hold a Doctor of Nursing Practice.
• I also want to address the issue of OSHA regulation.

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• We have some nurses from the Florida Nurses Association.
• Nurses Association, as well as Sandra Falk, a retired operating room nurse.
• We have some nurses from the Florida Nurses Association.
• The Florida Nurses Association is a voice for over 440,000 nurses in each of our districts. 440,000 nurses
• Nurses Association, as well as Sandra Falk, a retired operating room nurses.

Keywords: 998, house, all

Transcript Highlights:

• Senate Bill 80 by Senator Mazzle is an act in Title 51 relative to the regulation of certain broadband
• licensing of plumbers, to provide the state licensing board of contractors the power to license and regulate

Bills: SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.

Transcript Highlights:

• Senate Bill 80 by Senator Mazzle is an act in Title 51 relative to the regulation of certain broadband
• licensing of plumbers, to provide the state licensing board of contractors the power to license and regulate

Bills: SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• I ask you to support this bill, or if you can do it by regulation, to do it by regulation.
• She needs to transfer to a nursing home.
• He has not yet taken a stand on how to regulate it.
• It's a rule that would triple the registered nurse requirements in nursing homes, which is going to lead
• I don't regulate farms.

Committee: Senate Finance Committee

Transcript Highlights:

• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• You know, the nursing home regulations are largely controlled by the federal government, which may limit
• You know, the the nursing home regulations are largely controlled by the federal government which may

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• In one example, we have a home care nursing agency.
• Her nursing home bills don't get paid.
• nursing home.
• I would have to look more at the federal regulations.
• In the Home Care Nursing Agency case, nurses aren't billed in the same way that PCAs are, and they're

Bills: HF3043 , HF2891

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud

Transcript Highlights:

• </c> to institutionalization, nursing to institutionalization, nursing facilities<00:17:22.240><c> do
• </c> where we we engage with regulator where we we engage with regulator sanctioned,<01:01:18.400><c>
• </c> they have to go into a nursing facility. they have to go into a nursing facility.
• Um, at the same time, you know, our nursing homes, our county nursing homes are at capacity.
• nursing home. >> Okay.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.