Transcript Highlights:

• Hospitals, assisted living facilities, nursing homes, adult family homes, and ambulatory surgical facilities
• Second, the bill removes ...requirements that nursing assistants and home care aides complete a specialized
• Second, the bill removes requirements that nursing assistance and home care aids complete a specialized
• This bill also provides that nursing assistants and home care aides are not subject to any liability,
• Additionally, the definition of community settings prevents delegation of nursing to nursing assistants

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• It authorizes nurses to delegate tasks to a credentialed medical assistant.
• It adds registered nursing assistants to those that may administer medication through delegation.
• assistants.
• in the course of the delegation of nursing duties and for nursing assistants and home care aides performing
• Just a simple bill allowing nurse assistants to take advantage of a preexisting program that is not funded

Bills: HB2545, HB2613, HB1496, HB2155, HB2283, HB2340, HB2425, HB2437, HB2577

Keywords: healthcare, patients, cardiovascular procedures, outpatient services, surgical facilities, HB2613, compounded medications, compounded drugs, pharmacy compounding, bulk drug substances, active pharmaceutical ingredients, API, drug safety, patient safety, pharmacy license, Washington pharmacy law, RCW 18.64, Food, Drug, and Cosmetic Act, FDA, pharmaceutical compounding

Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.

Transcript Highlights:

• Christopher Otto, Executive Director of the Delaware Nurses Association and the Delaware Nurses Workforce
• registered nurses.
• and nurse practitioners.
• Nursing clinicals give nursing students the hands-on experience needed to bring their classwork to the
• our nursing workforce.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• I'm a nurse practitioner working currently as a registered nurse in the Interventional Radiology Department
• Board of Nursing to make educational and standards of practice for nurse practitioners, just as physician
• assistants get from their board.
• practitioners, just as physician assistants get from their board.
• assisted living facilities.

Bills: HB2050, HB2082, HB2176, HB2195, HB2202, HB2307, HB2584

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Transcript Highlights:

• He joined the Regulatory Assistance Projects Council of commissioners, which launched in November of
• He joined the regulatory<00:58:32.000><c> assistance</c><00:58:32.880><c> projects</c><00:58:33.359><
• c> council</c> regulatory assistance projects council regulatory assistance projects council of<00:58

Bills: HB403, HB399, HB392

Keywords: criminal enterprise, database, law enforcement, data privacy, criminal justice, Lamar County, property auction, county commission, online auction, public notice, HB392, Lauderdale County, Eleventh Judicial Circuit, district attorney, chief assistant district attorney, assistant district attorney, assistant district attorneys, prosecutor, prosecutorial compensation, salary supplement

Transcript Highlights:

• The nursing homes are in our districts here, so I'll turn it over, if I could, Mr. Chairman, to Mr.
• We are nonprofit nursing homes that were affected by some timing issues with the moratorium exception
• They are certified by our accrediting member, Assistance Dogs International.
• </c><00:29:30.720><c> Dogs</c> Our accrediting member assistance Dogs Our accrediting member assistance
• Currently, what we train are what we consider assistance dogs, or service dogs.

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• We have a situation where three nursing homes have had reduced funding, and like I said, I'll have the
• The nursing homes are in our districts here, so I'll turn it over, if I could, Mr. Chairman, to Mr.
• We have a situation where three nursing homes have had reduced funding, and like I said, I'll have the
• The nursing homes are in our districts here, so I'll turn it over, if I could, Mr. Chairman, to Mr.
• </c><00:04:12.840><c> home</c> there is what we call the nursing home there is what we call the nursing

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• The nomination of John Eisenberg and Brett Shumate to be assistant attorneys general.
• This is the second meeting on the nomination of Patrick Davis to serve as Assistant Attorney General
• officers who kept us safe as members of the Senate and staff during. the January 6th riot and the assistant

Keywords: nomination, Patrick Davis, Assistant Attorney General, Ed Martin, January 6th, public testimony

Summary: This meeting focused primarily on the nomination of Patrick Davis to serve as Assistant Attorney General for the Office of Legislative Affairs. Members discussed Mr. Davis's qualifications and experience, emphasizing his commitment to effectively serving the American public and working collaboratively with Congress. The committee also briefly revisited the nominations of John Eisenberg and Brett Shumate but decided to hold them over until the next meeting. Additionally, concerns regarding the nomination of Ed Martin as U.S. Attorney for the District of Columbia were raised, particularly regarding his past statements and conduct related to the January 6th insurrection and its aftermath. The discussion highlighted the importance of reviewing Mr. Martin's responses to various questions before proceeding with a vote on his nomination.

Transcript Highlights:

• The Solicitor General, Hermit Dillon, to serve as Assistant Attorney General for Civil Rights.
• Aaron Reitz, to serve as Assistant. Attorney General in the Office of Legal Policy.
• After clerking in a stint in private practice, you left D.C. behind to go home and serve as Assistant
• is an honor to introduce Harmeet Dhillon, who's been nominated by President Trump to serve as the Assistant
• Aaron has been nominated... to be the Assistant Attorney General for the Office of Legal Policy at the

Keywords: Department of Justice, nominations, Assistant Attorney General, civil rights, enforcement, committee discussion

Summary: The meeting covered important discussions surrounding key nominations in the Department of Justice, specifically for the roles of Assistant Attorney General for Civil Rights and the Office of Legal Policy. Various committee members took turns to express their views on the nominees, emphasizing the implications of their potential confirmation on civil rights enforcement in the country. Alongside the committee discussion, the nominees provided insights into their professional backgrounds and how their experiences align with the responsibilities of the positions for which they have been nominated.

Transcript Highlights:

• This law excludes the Arizona State Board of Nursing, however, meaning that the Board of Nursing cannot
• This law excludes the Arizona State Board of Nursing, however, meaning that the Board of Nursing cannot
• This law excludes the Arizona State Board of Nursing, however, meaning that the Board of Nursing cannot
• We output four-year degree BSN nurses now. We output four-year degree BSN nurses now.
• So the Board of Nursing doesn't have the authority since it doesn't mention, like nurse practitioners

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• , assisted living, disability group home, or hospital for 24-hour operations, to make sure that nurses
• nurses Union nurses in Target the 15,000 nurses Union nurses in Minnesota<00:21:25.640><c> that</c><
• Our nurses here, and I've worked with nurses around here and I've worked with nurses around the country
• Our nurses here, and I've worked with nurses around here and I've worked with nurses around the country
• so say a nurse graduates um nurses so say a nurse graduates um nursing<00:29:43.440><c> school</c><00

Bills: HF837, HF1903, HF499, HF794

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, newborn safety, anonymity, healthcare provider, safe place, child welfare, HF499, nursing, nurse licensure, temporary permit, temporary nursing permit, Board of Nursing, endorsement licensure, reregistration, refresher course, health occupations

Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• If you have a nurse that is a critical care nurse or an ortho nurse or a cardiac nurse, those people
• I wouldn't have a nurse to take care of that.
• If you have a nurse that is a critical care nurse or an ortho nurse or a cardiac nurse, those people
• I wouldn't have a nurse to take care of that.
• If you have a nurse that is a critical care nurse or an ortho nurse or a cardiac nurse, those people

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Transcript Highlights:

• the nominations of Todd Blanche to serve as Deputy Attorney General and Gail Slater to serve as Assistant
• the experience, intelligence, judgment, and leadership skills necessary to serve as an excellent. assistant
• Members of the Committee, it is an honor to introduce Gayle Slater today for her confirmation as Assistant
• Attorney's offices by assistant u.s.
• You consider the assistant attorney general for antitrust to be one of the president's lawyers?

Keywords: nominations, Deputy Attorney General, Assistant Attorney General, Department of Justice, Todd Blanch, Gail Slater, confirmation hearing

Summary: The meeting focused on the nominations of Todd Blanch and Gail Slater for the positions of Deputy Attorney General and Assistant Attorney General for Antitrust, respectively. The committee considered the qualifications of both nominees, with opening statements provided by the nominees themselves. There was an evident emphasis on the rigorous vetting process that nominees undergo before their selection, highlighting the importance of the roles within the Department of Justice. Members of the committee engaged in a structured question-and-answer session to further evaluate the nominees' capabilities and fit for the positions they were nominated for, with each member allotted seven minutes to pose questions.

Bills: HB59, HB128, HB59, HB128

Keywords: early voting, electoral participation, voting centers, Alabama elections, absentee ballot, HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments

Transcript Highlights:

• Then we have specific wages for certified nursing assistants, or CNAs, trained medical assistants, or
• assistants or CNAs certified nursing assistants or CNAs trained<00:10:42.920><c> medical</c><00:10:43.360
• </c> earlier um so uh certified nursing earlier um so uh certified nursing assistants<00:17:31.360><c
• Bill to bring critical funding to nursing homes in Minnesota and assist living facilities.
• I am a certified nursing assistant in Buiji and president of our local 1851.

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• Bill to bring critical funding to nursing homes in Minnesota and assisted living facilities, and I look
• Bill to bring critical funding to nursing homes in Minnesota and assisted living facilities, and I look
• Bill to bring critical funding to nursing homes in Minnesota and assisted living facilities, and I look
• I am a certified nursing assistant in Buiji and president of our Local 1851, and I'm here today to oppose
• > and</c> certified nursing assistant in bidi and certified nursing assistant in bidi and president<00

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 919, house, all

Summary: The committee took up House File 500, which would require the legislature to fund the Nursing Home Workforce Standards Board’s standards before they could take effect. An author’s DE2 amendment was adopted first; the amendment was described as pausing the board’s standards unless the legislature estimates and fully pays the cost for each nursing home. The bill author argued that mandates without money create serious consequences for seniors and providers, and said the measure would keep budget authority with the legislature rather than an appointed board. Supporters, including nursing home operators and the Long-Term Care Imperative, said the board’s holiday pay and minimum wage standards would create large unfunded costs, citing estimates ranging from hundreds of thousands to millions of dollars for individual facilities and more than $200 million statewide. They argued that some facilities could face debt, reserve depletion, or reduced access to care if the standards are not funded. Opponents, including SEIU workers and union leaders, said the board has improved staffing, recruitment, morale, and worker safety, and that caregivers deserve higher wages and holiday pay. They argued the bill would weaken the board’s ability to address chronic understaffing and would shift focus away from worker protections. Members also debated whether nursing home reimbursement rates have already risen enough to cover wages and whether the problem lies with how funds are used by providers. After public testimony closed, several members spoke in opposition and support. A roll call was requested, and the committee voted 9-7 to re-refer House File 500, as amended, to the Committee on Labor and Workforce and Economic Development Finance and Policy.

Transcript Highlights:

• For 40 years I've been working to support nursing home employees. I was a nursing assistant.
• I'm not sure if you've been a nursing assistant or worked on direct shifts for shift work in nursing
• For 40 years I've been working to support nursing home employees. I was a nursing assistant.
• I'm not sure if you've been a nursing assistant or worked on direct shifts for shift work in nursing
• For 40 years I've been working to support nursing home employees. I was a nursing assistant.

Bills: HF339, HF1272, HF2121, HF2122, HF1216, HF1003, HF2319

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• of you folks to the this hearing to consider the name nominations of John Eisenberg to serve as Assistant
• Bertie Brett Shumate to serve as Assistant Attorney General, Civil Division.
• As Assistant Attorney General for the Office of Legislative Affairs.
• General and Deputy Assistant Attorney General in the Office of Legal Counsel.
• Most recently, Brett served as Acting Assistant Attorney General, Civil Division, and DOJ.

Keywords: John Eisenberg, assistant attorney general, national security, China Initiative, Department of Justice, judicial authority, executive actions, nomination hearing

Summary: The committee meeting primarily involved discussions around key nominations and pressing legal issues pertaining to the Department of Justice. Notable discussions included the nomination of John Eisenberg for assistant attorney general for national security, where concerns over the revival of the China Initiative were raised. Senators expressed significant apprehensions regarding previous actions taken under this initiative and its implications for national security. Additionally, there were critiques of the broader implications of executive actions that challenge judicial authority, aligning with ongoing dialogues about the integrity of the judiciary and executive oversight.

Transcript Highlights:

• Turning to the bill before you, House Bill 2498 requires the Board of Nursing to provide technical assistance
• I'm a tenured nursing faculty member of the Washington State Board of Nursing.
• in nursing practice and nursing education as we speak.
• It's important for the committee to know that we oversee 21 nursing assistant programs, seven practical
• Our nursing programs..."

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.