Transcript Highlights:

• Rehab therapy and skilled nursing visit services, as well as the home care nursing services.
• able to reach out to her home care nurse able to reach out to her home care nurse to<00:10:26.880
• Such as hospitals or nursing homes.
• <00:19:35.880> programs then which colleges and nursing programs then which colleges and nursing
• are we partnering with in nursing are we partnering with in nursing programs<00:19:48.919> representative

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Transcript Highlights:

• Our nurses, in order to recruit nurses, we have to pay nurses, and rightly so.
• nurses and professionals.
• Working as a nurse in a correctional facility presents unique security challenges, requiring nurses to
• Nursing in a facility like this? Yes.
• We did maintain our own nurses on our own staff.

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• So that's 15,000 nursing homes across the U.S.
• homes, who works in nursing homes.
• So that's, you know, 15,000 nursing homes across the U.S.
• homes, who works in nursing homes.
• Nursing home staff have become very creative.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• nursing home, and so the Benedictine Health System had a nursing home in our community.
• times I'll speak to the skilled nursing times I'll speak to the skilled nursing facilities<00:49
• Which means we call nurses in, or our nurse manager or director become our staff nurse, which again we
• Which means we call nurses in, or our nurse manager or director become our staff nurse, which again we
• Which means we call nurses in, or our nurse manager or director become our staff nurse, which again we

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• nurse midwives.
• I'm a nurse by profession.
• registered nurses, and nursing practitioners.
• It does not include nurses who report working in a field outside of nursing, nurses licensed in Texas
• The four types include the nurse practitioner, certified registered nurse anesthetist, certified nurse

Keywords: 1184, house, all

Transcript Highlights:

• losing more nursing home beds.
• home sector and prevent losing nursing home sector and prevent losing more<01:23:06.800> nursing<
• more nursing home beds. more nursing home beds.
• of nursing home care in New Hampshire. of nursing home care in New Hampshire.
• fast as the cost of nursing home care. fast as the cost of nursing home care.

Keywords: 1189, house, all

Transcript Highlights:

• :03:01.280> Terrilyn<00:03:01.720> Luke, Nursing Advisory Board, Terrilyn Luke, Nursing
• we also have Hawaii American Nurses we also have Hawaii American Nurses Association.
• Um, and also um making sure that we do allow for more for nursing, so I apologize for not for nursing
• there, I have um been a registered nurse there, I have um been a registered nurse uh<00:04:37.400
• <00:04:45.240> and the president of the Hawaii Nurses and the president of the Hawaii Nurses

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• IN 2024 FLORIDA PRODUCED 19,673 NURSING GRADUATES.
• TRAFFICKED COMES IN FRONT OF A NURSE AND THE NURSE DOESN'T RECOGNIZE THAT BUT IT'S LATER ACKNOWLEDGED
• THIS PERSON WAS BEING TRAFFICKED AND SAW A NURSE.
• WE DON'T WITHOUT THIS BILL THAT STAYS THE SAME SCENARIO FOR ALL NURSES.
• ASSOCIATION, FLORIDA NURSES ASSOCIATION IS A VOICE FOR 440,000 NURSES IN FLORIDA READ WE APPRECIATE

Transcript Highlights:

• AMAZING NURSING HOME CARE PROVIDERS ACROSS OUR STATE.
• A NURSING HOME.
• IF A NURSING HOME CONTAINS AN ELECTRONIC NURSING SYSTEM IT MUST MAKE ALL DISCHARGE DATA AVAILABLE TO
• HOME HOME OFFICE OR THE NURSING HOME.
• OF A NURSING HOME THAT FAILS TO SUBMIT FINANCIAL DATA TO THE FLORIDA NURSING HOME UNIFORM REPORTING SYSTEM

Keywords: 999, senate, all

Transcript Highlights:

• We need all the nurses we can get. Thank you for nurses and doctors, right? Thank you.
• Massachusetts nurse practitioner myself.
• I'm a certified registered nurse anesthetist.
• Association of Nurse Anesthesiology.
• I think that nurse anesthetists, even though we are advanced practice nurses like our nurse practitioner

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:

• This is for the nursing shortage task force.
• I'm a real nurse and a nurse practitioner.
• I'm here on behalf of the New Mexico Nursing Association and the New Mexico Nurse Practitioner Council
• Mexico Nurse Practitioner Council representation, and deans of colleges of nursing. ...nurse practitioner
• I've been a nurse for 40 years. Do we have people applying to nursing...

Keywords: 996, all

Transcript Highlights:

• And so the nurse anesthetists are on the incline, right?
• Just like supervised cardiac nurses, anesthesia nurses, even though with a doctorate, I believe that
• I've been a nurse for 16 years and a practicing certified registered nurse anesthetist for six years
• after earning a doctorate in nursing practice in nurse anesthesiology.
• Florida Center for Nursing data shows demand for CRNAs in Florida, Florida Center for Nursing data shows

Summary: The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays. The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.

Transcript Highlights:

• Process more efficient while also creating accountability for nursing facilities.
• It repeals the nursing facility direct care staff rate enhancement program.
• Of a nursing home? Well, because every nursing home is different. I mean, I'm a financial geek.
• of Nursing Home Providers, and we're a group of providers in Texas that operate over 600 nursing homes
• However, one statistic that stands out to me is the 52%. turnover rate of Texas' nursing facility nurse

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• facilities and skilled nursing.
• So I know you have some questions about nurses.
• This is based on all licensed nurses in the state.
• This is based on all licensed nurses in the state.
• The national median annual turnover rate for certified nursing assistants in nursing homes was 99%.

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.

Transcript Highlights:

• Nursing Practice in Nurse Anesthesiology program at USF.
• CRNAs are advanced practice nurses who begin with a four-year Bachelor of Science degree in nursing,
• Nurse anesthetists have a four-year undergraduate nursing degree in basic nursing.
• That is the PA equivalent of a nurse anesthetist.
• Or perhaps that physician or nurse is not used to...

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• I'm a registered nurse and a member of the United Nurses Associations of California, Union of Healthcare
• I've been a nurse for more than 20 years, and I can't remember a time when nurse-patient ratios have
• It really made a world of difference for nurses.
• You know, nurses that I talk to, we know nurses are leaving the profession, and this is one of the huge
• As a member, this doesn't change the amount of hours a nurse works, the amount of shifts a nurse will

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Nursing services is one of them. Nursing homes is one of them.
• nursing home closes in a community. nursing home closes in a community.
• About how safe standards and nursing homes will go in our nursing homes.
• are no um nurses waiting to go work. are no um nurses waiting to go work.
• people in nursing homes just from math. people in nursing homes just from math.

Keywords: 1187, senate, all

Transcript Highlights:

• We just want to cover these nurses that are also working as nurse practitioners or nurse practitioners
• <01:37:00.480> the<01:37:00.719> nurses you are covered um as a nurse the nurses you
• nurses that are also working as nurse nurses that are also working as nurse practitioners<01:37:
• as nurse practitioners.
• c><01:42:01.080> staff<01:42:02.080> um Nursing Home Nurses um and staff um Nursing Home

Keywords: 1191, senate, all

Transcript Highlights:

• For licensed practical nurses.
• officers, vice presidents, chief nursing officers, vice presidents, and<00:09:30.720> nursing
• at<00:19:30.160> the to us that nurses all nurses work at the to us that nurses all nurses
• Counties operate nursing homes. Counties operate nursing homes.
• nursing skills, the nursing diluting the nursing skills, the nursing skill<01:13:23.160> set?

Keywords: 1191, senate, all

Transcript Highlights:

• She's a highly skilled nurse educator. She's also a pediatric nurse practitioner.
• Tammy is a nurse nomination today.
• She's a highly skilled nurse educator. She's also a pediatric nurse practitioner.
• teaching Ko's nurses. teaching Ko's nurses.
• with the nursing advisory board as a professor of nursing at Kauai Community College.

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard a series of gubernatorial nominations, primarily to the State Rehabilitation Council, the Policy Advisory Board for Elder Affairs (PABEA), the Hawaii State LGBTQ+ Commission, and the Center for Nursing Advisory Board. Nominees included Patrick Gartside, Judith Daniels, James Montgomery (not present), Christine Park, Tammy Napoleon, Scott Spelina, Roy Katsuda, and Dr. Sylvia Rom. Each nominee described their background and why they wanted to serve, with recurring themes of disability advocacy, vocational rehabilitation, nursing workforce development, elder issues, and LGBTQ+ health and community support. Department of Human Services and Executive Office on Aging representatives generally testified in strong support of the nominees and emphasized their qualifications and relevance to the boards’ missions. Members and agency witnesses also discussed substantive policy issues during the nominations. For PABEA nominee Scott Spelina, the committee asked about a bill involving strict liability and elder abuse-related criminal penalties; Spelina supported the approach, saying it would be easier to enforce and better protect seniors. For other nominees, testimony highlighted the need for stronger rehabilitation services, qualified vocational rehabilitation counselors, adult education partnerships, and nursing recruitment and retention, especially on Kauaʻi. Dr. Sylvia Rom’s nomination drew broad support from commission members and community supporters, with testimony focusing on LGBTQ+ health, gender-expansive youth, and intersectional advocacy. No final votes were taken during the hearing. The chair repeatedly stated that decision-making would be deferred until later in the calendar, and in some cases until the nominee was present or quorum was available. One nomination, James Montgomery, was skipped because he was not present on Zoom, and Kevin Nakamura’s nomination was also deferred to a later date. The committee accepted written and oral testimony and generally moved through the nominations without questions from members.