Transcript Highlights:

• meet learning outcomes... ...the simulation that you funded with millions of dollars, unusually high NCLEX
• The NCLEX pass rate Tim talked about: they insist on 80% on the first try.
• Licensure laws require graduates to come from a board-approved program to sit for the NCLEX, protecting
• That shows all of the changes we're making to the NCLEX pass rate metrics, to qualifications for nurse

Bills: HB2498, HB2443, HB2567, HB2363, HB2422

Keywords: nursing education, nursing program standards, board of nursing, state board, national accreditation, accreditation body, nursing school, nurse educator, clinical simulation, simulation director, lead nurse educator, NCLEX, licensure exam pass rate, corrective action plan, technical assistance, higher education, program approval, Washington RCW, professional development, nursing licensure

Summary: The committee held courtesy hearings on three bills before moving to executive action on two unrelated measures. House Bill 2443 would create an Armed Forces Reserve post-secondary education grant. Staff explained the bill as written would apply to Army Reserve members and their spouses/dependents, with eligibility tied to Washington domicile or stationing, enrollment in an in-state postsecondary program, and a service obligation or repayment requirement. Rep. DeFoe said the intent was to extend educational support to reservists similar to benefits already available to Washington National Guard members. A reserve ambassador testified in support, emphasizing the role of reserve components in state and national security and disaster response. No vote was taken on the bill during the hearing. House Bill 2567 would restore Washington College Grant and College Bound Scholarship award levels for students attending four-year private, not-for-profit institutions. The sponsor, Rep. Street, said the Legislature had made a budget-driven cut last session and should reinstate the aid as soon as possible. Students and representatives from private colleges testified that the cuts would reduce access, increase debt, and disproportionately harm low-income, first-generation, and students of color; supporters also argued the aid helps students stay in Washington and supports workforce needs, including health care. Public university faculty and some others opposed the bill, arguing state funds should prioritize public institutions and that public higher education has also faced cuts. The committee heard extensive testimony but took no action on the bill in the hearing. House Bill 2498 would change nursing education standards by limiting the Board of Nursing’s authority where programs are nationally accredited, requiring technical assistance for low NCLEX pass rates, and expediting approval for certain programs. The sponsor said the bill was intended to reduce barriers, address perceived overreach by the board, and improve diversity and workforce supply in nursing. Community college leaders and some nursing educators supported the bill, saying current rules create unnecessary delays and hinder expansion, especially in rural areas. The Board of Nursing, nursing education groups, hospitals, clinical placement organizations, and other nurses opposed it, arguing state oversight is needed for patient safety, local workforce needs, and consistent standards; several said the board is already revising its rules through the existing WAC process. After the public hearings, the committee went into executive session and passed Substitute House Bill 2363 and Substitute House Bill 2422 out of committee with do-pass recommendations, each after adopting amendments that delayed implementation dates. The vote on 2422 was 9-7, with one excused member.

Transcript Highlights:

• We have fewer NCLEX RN test takers in 2024 compared to 2023, but we have a higher NCLEX pass rate.
• Key findings of our evaluation for the 2024 NCLEX data. Florida produced for the 2024 NCLEX data.
• Similar trends for our NCLEX PNs.
• And our NCLEX rates went up.
• And our NCLEX rates went up.

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• I would like to take a look at the NCLEX.
• In Florida, we produce 8.73% of the nation's NCLEX RN test takers and 6.5% of the nation's NCLEX PN test
• So, I know we're talking about passage rates of the NCLEX, but how do you pass the NCLEX?
• Yes, the most recent change in the NCLEX was what they call the Next Generation NCLEX, and it was April
• Again, I'll ask, The NCLEX.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• rate to offer remediation at no cost to the students who have failed the NCLEX.
• That if they're 10% lower than the, what is it, the national passage rate of the NCLEX?
• The NCLEX does not.
• So each of these schools don't have the NCLEX as their terminating exam.
• And I'm not sure if the NCLEX also provides NCLEX prep courses. So we had Kaplan, Barbri.

Summary: The Careers and Workforce Subcommittee heard three bills. HB 919 on nursing education programs would tighten accountability for nursing schools with low NCLEX pass rates by shortening the probation period, requiring remediation plans, mandating free remediation for students who fail, and requiring tuition reimbursement for programs with very low pass rates. The sponsor argued Florida’s nursing pass rates are unacceptably low and that stronger consequences are needed; opponents warned the bill could shut down programs, worsen the nursing shortage, and unfairly target private schools, while supporters said it would protect students and improve outcomes. After debate, the bill was reported favorably by a vote of 18-0. The committee then heard PCS for HB 1261, the “Smart Living Act,” a student-driven proposal from Jefferson High School in Hillsborough County to expand personal financial literacy and practical life-skills instruction in high school. Students and school officials testified that the bill would better prepare graduates for adulthood by covering topics such as budgeting, credit, loans, FAFSA, resumes, interviews, and basic household skills. Members praised the students’ work and the bill’s practical focus, and the PCS was reported favorably 18-0. Finally, the committee considered HB 809, which would exempt school social workers from educator certification requirements for general and subject-area knowledge. Supporters from Lee and Broward counties said the current testing requirement is unrelated to social work, creates financial and recruitment barriers, and has contributed to staffing shortages. Members from both parties supported the measure as a simple way to remove an obstacle to hiring and retaining school social workers. HB 809 was also reported favorably by a vote of 18-0, and the meeting adjourned after all agenda items were completed.

Transcript Highlights:

• So it hasn't, doesn't mean we have improved our NCLEX scores.
• So it hasn't, doesn't mean we have improved our NCLEX scores.
• It simply proves that other states, improved our NCLEX scores.
• They do everything except click the box on NCLEX.
• That exit exam will help them get ready for the NCLEX.

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• Get them ready for the exam for NCLEX.
• And NCLEX scores aside, number one in this country in producing nurses.
• This is directly from the NCSBN who does the reporting for NCLEX, so on and so forth.
• The number two, the reporting for NCLEX, so on and so forth.
• I want her to be a nurse and pass the NCLEX. I want her to be a nurse and pass the NCLEX.

Summary: The Committee on Health Policy met with a quorum and considered three bills. Senate Bill 526 on nursing education programs, sponsored by Senator Harrell, would tighten oversight of nursing schools by requiring admission criteria, exit exams, remediation plans, annual reporting, on-site inspections, and stronger action against programs with poor NCLEX results or adverse actions in other jurisdictions. After testimony from the sponsor and several committee questions, a late-filed amendment restored a two-year probation period instead of one year, and the bill was reported favorably. Senate Bill 714, also by Senator Harrell, would create a voluntary non-opioid advance directive allowing patients to document a wish not to receive opioids, including when incapacitated, with the form developed by the Department of Health and potentially included in electronic medical records. The sponsor said it would not prevent treatment discussions and would provide liability protection for providers who lack actual knowledge of the directive in emergencies. The bill drew no opposition in the meeting and was reported favorably. Senate Bill 170, sponsored by Senator Burton, would add nursing home quality and transparency measures, including consumer satisfaction surveys, patient safety culture surveys, electronic health record requirements, reporting to the Florida Health Information Exchange, a $10,000 fine for failure to submit required financial data, and reporting on Medicaid quality payments. An amendment clarified the fine’s application to both facilities and home offices. Testimony from AARP and the Florida Health Care Association supported the bill, and it was reported favorably after discussion about implementation and costs.

Transcript Highlights:

• HERE THIS SLIDE IS SHOWING YOU OUR NCLEX PN PASS RATES.
• THIS IS A VERY TYPICAL TREND WITH OUR NCLEX RN DATA.
• RN AND NCLEX PN RATINGS.
• FROM 2020 TO 2024 FLORIDA RANKS 52ND OR 53RD OUT OF 55 JURISDICTIONS FOR NCLEX RNS.
• NOW WE LOOK AT HOW DO WE HELP THESE KIDS ACTUALLY GO THROUGH AND PASS THE NCLEX?

Transcript Highlights:

• In fact, the Florida Center for Nursing just published their 2025 NCLEX report for the second quarter
• That 2025 second-quarter first-time NCLEX pass rate was 83%, which is well below the national average
• It also requires the programs to publish their NCLEX passage rate on the front page of their web page
• tuition and also allow remedial classes for those students that have failed the NCLEX at no charge,
• The NCLEX is not the first test they've taken.

Summary: The Education and Employment Committee met with a quorum and considered one bill, HB 121 by Representative Overdorf, relating to nursing education programs. The sponsor said Florida’s nursing shortage is projected to worsen and argued that low NCLEX passage rates show some programs are not adequately preparing students. The bill would tighten probation for underperforming programs, require program directors to be accountable, authorize Department of Health on-site inspections, require admission criteria and public posting of NCLEX passage rates, and require tuition reimbursement and free remediation for students at programs with passage rates below 30 percent. Members asked about how the bill would interact with the Board of Nursing, the Commission for Independent Education, and other agencies, and whether it would address fraudulent or low-quality schools. An opponent from the Florida Association of Independent Nursing Schools said current law already requires Board of Nursing and commission review, institutional accreditation, and provisional status for programs on probation, and argued the bill could reduce the supply of nurses. He also said Florida’s NCLEX results had recently improved. A representative of the Florida Nurses Association supported the bill, saying weak programs waste students’ time and money and do not produce licensed nurses. During debate, several members described concerns about diploma mills, fraudulent programs, student debt, and the need for stronger screening and accountability. Others emphasized that raising standards would improve patient safety and help ensure better-prepared nurses. The chair noted the importance of private nursing colleges in the state’s nursing pipeline. The committee then voted 19-0 to report HB 121 favorably and adjourned.

Transcript Highlights:

• And the preceptorship is a very important part to help students get ready for that NCLEX.
• And the preceptorship is a very important part to help students get ready for that NCLEX.
• They must administer the national standardized comprehensive exit exam to assess NCLEX readiness.
• We also are requiring the NCLEX be taken within six months, as I said previously.
• We really, that shows when you do that, your NCLEX passage rate increases tremendously.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• Do you know what your NCLEX score is? I was reliably informed that it's 80%. 80.
• So would you happen to know anything about your NCLEX scores?
• Do you happen to know what your NCLEX score is? 83 percent. Need some work there.
• Hollis's statement that we only have an 80 percent NCLEX passage rate.
• Thank you very much, and thank you for giving us those NCLEX scores.

Summary: The Appropriations Committee on Higher Education met to consider a slate of trustee confirmations for several Florida state colleges and universities. Chair Harrell outlined the process, including swearing in nominees, allowing brief presentations and questions, taking public comment after each nominee, and voting on the full slate at the end unless a member was pulled for separate consideration. One nominee, Edward Fleming, was not heard and was deferred to a future meeting. The committee also dealt with several technical issues for remote participants before proceeding through the agenda. Nominees and reappointees emphasized their personal ties to their institutions and focused their remarks on workforce development, affordability, and partnerships with local employers. Several highlighted nursing and allied health programs, with committee members repeatedly asking about NCLEX pass rates; reported figures included Polk State at 100%, Lake-Sumter at 97.5%, Northwest Florida State at 100%, Daytona State at 95%, Pasco-Hernando at 97% for associate degree and 100% for practical nursing, Pensacola State at 90% practical nursing and 85% RN, and Hillsborough College at 87.5%. Other priorities mentioned included construction technology, agriculture and ag technology, surveying/geodetic programs, maritime and diesel mechanics, aircraft maintenance, dual enrollment, AI, cybersecurity, and support for military and veteran transitions. After hearing from all nominees, the committee asked whether any names should be voted on separately; none were requested. Senator Bradley moved a block vote to recommend confirmation, the motion was approved by roll call, and all nominees heard that day were recommended for confirmation except Tab 10, Edward Fleming, who was postponed to a later meeting. The committee then adjourned.

Transcript Highlights:

• And the preceptorship is a very important part to help students get ready for that NCLEX.
• And the preceptorship is a very important part to help students get ready for that NCLEX.
• They must administer the national standardized comprehensive exit exam to assess NCLEX readiness.
• We also are requiring the NCLEX be taken within six months, as I said previously.
• We really, that shows when you do that, your NCLEX passage rate increases tremendously.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• They must administer the national standardized comprehensive exit exam to assess NCLEX readiness.
• Chair: We also require the NCLEX to be taken within six months as I said previously.
• This shows when you do that, your NCLEX passage rate increases tremendously.
• Both before they get their NCLEX.
• Research on NCLEX program shows improvement happens over multiple exam cycles taking over two years.

Keywords: 999, senate, all

Transcript Highlights:

• The nursing exam is called the NCLEX, so when I refer to NCLEX, you'll know this is the national exam
• That students who finish these programs are going to be able to pass the NCLEX exam at the different
• So when you go to the NCLEX, you are ready to take it.
• To their graduates in order to help them get ready for that NCLEX exam.
• The impact and where Florida is now moving out of the bottom portion of the NCLEX passage rate...

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• THE NURSING EXAM IS CALLED NCLEX. THIS IS THE NATIONAL EXAM. WE ARE 50 OUT OF 50. FIFTY.
• IF YOU HAVE DONE ALL YOUR CLASSWORK AND A READY TO TAKE THE NCLEX YOU HAVE TO TAKE AN EXIT EXAM FROM
• AND THEY TAKE AT THE NCLEX AT THE END OF THE PRECEPTORSHIP IS VERY GOOD.
• BUT THEY ALSO ARE RESPONSIBLE FOR 73.2 PERCENT OF ALL STUDENT FAILURES ON THE NCLEX.
• IT'S A GOOD IDEA TO HAVE SOME SCHOOLS THAT ARE DOING GOOD ON TESTS AND HAVE HIGH NCLEX PASSAGE RATES.

Keywords: 999, senate, all

Transcript Highlights:

• The nursing exam is called the NCLEX.
• So when I refer to NCLEX, you’ll know this is the national exam. We are 50 out of 50—50.
• That students who finish these programs are going to be able to pass the NCLEX exam at the different
• So when you go to the NCLEX, you are ready to take it.
• is now moving out of the bottom portion of the NCLEX passage rates is from the private schools.

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• It's very much like the NCLEX. If they don't get high enough passage rate, they're gone.
• It's very much like the NCLEX. If they don't get high enough passage rate, they're gone.
• We can't dismiss a student just because they might fail the NCLEX.
• </p> <p>Programs that dismiss if they can't pass the NCLEX, I'm not familiar with that.
• So I've never heard of being dismissed just because they can't pass the NCLEX.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• My favorite question: Do you know what your NCLEX passage rate is?
• And our NCLEX rate is 95.9%, which is above both the state and the national average.
• I'm very happy to hear your NCLEX scores as well. Thank you. Thank you, ma'am.
• We are incorporating a new nursing review team to prepare students for the NCLEX.
• Our NCLEX passing rates for RN is 95%. LPN is 100%. And we offer several vocational classes.

Bills: S0720, S1246

Keywords: tuition, resident status, incarceration, education, equal access, nursing shortage, health care, education funding, workforce development, LINE Fund, monetary contributions, nonmonetary contributions

Summary: The Appropriations Committee on Higher Education met to consider one bill, a postponed bill, and a slate of trustee confirmations. The committee first took up CS/SB 1246, which expands the Linking Industry to Nursing Education (LINE) fund to support health science workforce shortages beyond nursing, including allied health programs. The bill also broadens eligible uses of funds, revises matching requirements and grant criteria, and updates reporting requirements. A strike-all amendment was adopted without objection, and the committee then reported the bill favorably after supportive testimony from Florida State College at Jacksonville, the Florida Hospital Association, the College of Central Florida, and the Florida Chamber of Commerce. Senator Davis also noted a favorable vote on the bill for the record. The committee then temporarily postponed SB 720 at the sponsor’s request. Chair Harrell explained that the bill had been incorporated into a larger committee measure and would likely be heard later in another form. Public witnesses who had come to speak on the bill were not heard because of the postponement. The remainder of the meeting focused on confirmations for trustees at several state colleges, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. The appointees emphasized themes of affordability, workforce training, nursing and allied health success, dual enrollment, community partnerships, and local economic development. After hearing from the appointees, the committee approved a block motion to recommend confirmation of all appointees on tabs 2 through 25. The meeting then adjourned.

Transcript Highlights:

• My favorite question: Do you know what your NCLEX passage rate is?
• And our NCLEX rate is 95.9%, which is above both the state and the national average.
• I'm very happy to hear your NCLEX scores as well. Thank you, ma'am.
• We are incorporating a new nursing review team to prepare students for the NCLEX.
• Our NCLEX passing rates for RN is 95%. LPN is 100%. And We offer several vocational classes.

Keywords: 999, senate, all

Summary: The Higher Education Appropriations Committee met with a quorum present and announced that the budget rollout would be postponed until the following week. The committee first considered SB 1246, which expands the Linking Industry to Nursing Education Fund to support health science workforce shortages in addition to nursing. The bill, as amended by a strike-all, broadened eligible uses of the fund, allowed matching contributions from non-health-care partners, prioritized health-care partner contributions, and updated reporting requirements. Testimony in support emphasized that the program has already reduced hospital vacancy rates and should be expanded to allied health fields. The committee adopted the amendment, passed the bill favorably, and recorded the chair’s affirmative vote. SB 720 was temporarily postponed at the sponsor’s request after the chair noted it had been incorporated into a larger committee bill. The committee then heard confirmations for numerous trustees of state colleges and universities, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. Appointees generally described their backgrounds and emphasized visions centered on affordability, student success, workforce training, dual enrollment, and alignment with local labor needs. Several highlighted strong nursing outcomes, including high NCLEX pass rates and job placement, while others pointed to expanding programs in welding, plumbing, electrical, cybersecurity, aviation, and other technical fields. Trustees from Tallahassee State and Pensacola State also discussed veterans’ services and health care coverage for college employees, respectively. After hearing from the appointees, the committee took up the confirmations as a block. Senator Calatayud moved to recommend confirmation of all appointees on the listed tabs, Senator Leek seconded, and the motion passed by roll call. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• Per your advice, Madam Chair, I looked up some statistics here on pass rates of the NCLEX, so a diploma
• Diploma versus ADN, talking about the NCLEX, the pass rate on that.
• And so if you're not familiar with the NCLEX, it is the exact same exam.
• You know, honestly, I think, I mean, with the statistics I gave you guys earlier about the NCLEX pass
• It shows by having a higher pass rate on the NCLEX exam. You're recognized for follow-up?

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• Per your advice, Madam Chair, I looked up some statistics here on pass rates of the NCLEX.
• your recommendation, though, I looked up some statistics here: diploma versus ADN, talking about the NCLEX
• your recommendation, though, I looked up some statistics here: diploma versus ADN, talking about the NCLEX
• And so if you're not familiar with the NCLEX, it is the exact same exam.
• You know, honestly, I think, I mean, with the statistics I gave you guys earlier about the NCLEX pass

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.