Transcript Highlights:

• House Bill 2425 relates to nurse delegation.
• of completion of nurse delegation core training and diabetes courses to the delegating nurse before
• of completion of nurse delegation core training and diabetes courses to the delegating nurse before
• Bill 2425 to modernize Washington's nurse delegation statute.
• 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:

• The next bill is House Bill 2425 relating to nurse delegation, and there are two amendments.
• It authorizes nurses to delegate tasks to a credentialed medical assistant.
• It adds registered nursing assistants to those that may administer medication through delegation.
• It moves up the date that the Board of Nursing must adopt rules regarding appropriate nurse delegation
• in the course of the delegation of nursing duties and for nursing assistants and home care aides performing

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:

• We have a situation where three nursing homes have had reduced funding, and like I said, I'll have Chester
• 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
• We are nonprofit nursing homes that were affected by some timing issues with the moratorium exception
• homes um that were affected by nursing homes um that were affected by just<00:01:48.560><c> some</c>

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:

• 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 a lot of time the nurses—say a nurse graduates nursing school, she passes her ENLEX, and then in the
• 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

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

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:

• </c> that provide the backbone of a nursing that provide the backbone of a nursing home<00:10:37.519>
• </c><00:10:46.920><c> or</c> licens practical nurses or licens practical nurses or LPN<00:10:49.079><
• Nursing home worker means any worker who provides services in a nursing home in Minnesota, including
• homes and nursing home functions.
• homes and nursing home functions. nursing home as a teenager and um uh nursing home as a teenager and

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:

• I'm very supportive of nursing homes.
• I'm very supportive of nursing homes.
• I'm very supportive of nursing homes.
• I'm very supportive of nursing homes.
• I'm very supportive of nursing homes.

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:

• </c> to provide training across the nursing to provide training across the nursing home<00:04:27.720>
• For 40 years I've been working to support nursing home employees. I was a nursing assistant.
• For 40 years I've been working to support nursing home employees. I was a nursing assistant.
• For 40 years I've been working to support nursing home employees. I was a nursing assistant.
• </c><00:26:12.919><c> homes</c> nursing homes and boarding nursing homes nursing homes and boarding nursing

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:

• professions, including registered nurses and advanced practice registered nurses.
• I'm a tenured nursing faculty member of the Washington State Board of Nursing.
• in nursing practice and nursing education as we speak.
• I'm a nurse and I serve as executive director of the Washington State Nurses Association.
• 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.

Transcript Highlights:

• Um, this bill ensures that these aides, um, the care provided by these aides is under nursing supervision
• And the Texas Board of Nursing rules allow nurses to delegate nursing tests to unlicensed persons, including
• And a long day, but just to let you know that this program, private duty nursing is something that we
• This is different than adults and so private duty nursing is one of those services.
• So hospitals, nursing homes do have the regulation.

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

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:

• Duty nursing through Medicaid, but as you all know, we have a nursing shortage in this state.
• This bill ensures that the care provided by these aides is under nursing supervision, and they must..
• We ensured that the private duty nursing hours provided by this person are not only prescribed by the
• to delegate nursing tasks to unlicensed persons, including these complex care aides as outlined in the
• And so private duty nursing is one of those services.

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:

• 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

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• </c><01:14:09.520><c> shortage</c> a nursing shortage a nursing shortage that<01:14:11.160><c> matches
• </c> The CNEE is Minnesota's nursing The CNEE is Minnesota's nursing workforce<01:15:32.480><c> center
• Nurses make up half of Minnesota's licensed healthcare workforce, and Minnesota is facing serious nursing
• $1.4 million to launch the pre-licensure nurse apprenticeship program.
• Nurses make up half of Minnesota's licensed healthcare workforce, and Minnesota is facing serious nursing

Bills: HF3843, HF3597, HF4003, HF3167, HF4193

Keywords: workforce development, appropriations, nonprofit organizations, employment services, state funding, paid leave, S corporations, employment law, exemptions, Minnesota Statutes, cancer, healthcare, appropriation, Rural Cancer Institute, Minnesota clinicians, pilot program, nursing, education, University of Minnesota, equity

Transcript Highlights:

• First as an employee health nurse and now as a nurse leader.
• First as an employee health nurse and now as a nurse leader.
• </c> nurse lure compact. nurse lure compact.
• health nurse and now as a nurse employee health nurse and now as a nurse leader.<01:37:51.360><c> The
• c> at the nursing as a nursing practice and at the nursing as a nursing practice and education<01:43:

Bills: HF1925

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation, 1183, house

Bills: SB1041

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, 1182, all

Bills: SB2972, SB1909, SB2815, SB735, SB2233, SB800, SB1069, SB2683, SB2986, SB2058, SB2310, SB2055, SB1032

Keywords: expressive activities, freedom of speech, public forum, higher education, protests, student rights, antisemitism, public institutions, disciplinary policy, student organizations, compliance, institutional policy, disciplinary sanctions, diploma designation, institution merger, academic records, student options, Holocaust education, Holocaust Remembrance Week, genocide education