Transcript Highlights:

• Madam Chair, House File 1419 is a bill that continues to make updates to our Nursing Facility payment
• if<00:48:32.640> they<00:48:32.760> had nursing facilities too that if they had nursing
• The governor’s budget represents a regressive shift in how Minnesota funds nursing facilities.
• home Workforce Standards Board place many nursing facilities in an unsustainable financial position.
• Bill to bring critical funding to nursing homes in Minnesota and assist living facilities.

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
• <00:08:56.760> facilities<00:08:57.760> uh of Minnesota's nursing facilities uh of
• Minnesota's nursing facilities uh coming<00:08:58.040> out<00:08:58.200> of<00:08:58.320

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.

Bills: HB0028, HB0080

Keywords: sexual exploitation, child protection, law amendment, explicit conduct, sex crimes, identification cards, nursing facilities, assisted living, renewal process, resident rights, 916, all

Bills: HB0028, HB0080

Keywords: sexual exploitation, child protection, law amendment, explicit conduct, sex crimes, identification cards, nursing facilities, assisted living, renewal process, resident rights, 916, all

Transcript Highlights:

• So I asked a couple of appropriators that had projects for nursing homes.
• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• But the long-term care facilities were not previously eligible under the medical facility loan fund that's
• And, you know, the long-term care facilities are very important.

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• We have a mid-range program called ACE, a federal program that transports seniors to a facility that
• The facility provides centralized services for seniors with more complex needs who do not require full-time

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

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
• assisted living facilities.
• facilities operating in Arizona.
• Skilled nursing facilities are subject to both federal certification surveys and state licensure surveys

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

Summary: The committee approved the minutes and then heard House Bill 2050, which updates Department of Health Services rules for radiologic technologists and radiologic assistants. The bill changes school accreditation and training requirements, reduces clinical hours, revises supervision and scope-of-practice rules, adjusts fees, and removes radiologic technologists from the telehealth health care provider definition. Testimony from a radiologic technologist supported the bill as an update to outdated standards and a response to workforce shortages, while a nurse practitioner supported the section allowing NPs to use diagnostic x-ray machines under nursing board standards. HB 2050 passed 7-0 with a do-pass recommendation. The committee then considered House Bill 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission and expands the research fund to include appropriations, gifts, donations, and federal grants. An amendment shifted grant-awarding authority to the DHS director, required the commission to set criteria and review applications, and added public meeting requirements; it also tied funding to at least $5 million in available resources and removed the return-on-investment reporting requirement. Supporters said the bill would strengthen pediatric cancer research and leverage an underused funding source, though members raised concerns about oversight. The bill was amended and then passed 7-0. House Bill 2176 and House Bill 2195 both dealt with DHS licensing and complaint-investigation procedures for health care institutions and nursing care institutions. HB 2176 allows DHS to deny licenses or ownership changes based on serious prior licensing problems or safety risks, and it sets notice, investigation, and deficiency-statement rules; speakers from public health and hospital groups supported it as improving transparency and preventing bad actors from cycling through ownership. HB 2195 limits DHS access to certain personnel records, requires deficiency statements within 10 business days, and bars investigations of incidents older than 12 months; an amendment delayed implementation to July 1, 2027 and added corrective-plan and off-site review provisions. Both bills passed 7-0 as amended. The committee also approved House Bill 2202, which appropriates $300,000 annually for a dementia care tele-mentoring program to train providers statewide, especially in rural and underserved areas. The Alzheimer’s Association and a patient with younger-onset Alzheimer’s testified that the program would improve early diagnosis and care, though one senator opposed state funding on the view that medical schools should teach the material. HB 2202 passed 6-1. Finally, House Bill 2307, addressing placement for dangerous, incompetent, non-restorable defendants when secure state hospital beds are unavailable, drew the most debate. An amendment replaced out-of-state placement with a temporary, limited-use solution involving up to three beds at the Arizona State Hospital forensic campus, created a study committee, and shifted some non-psychiatric costs to counties; counties and hospital stakeholders opposed the county-cost language, while sponsors and DHS said the measure was an emergency stopgap. The amended bill passed 4-3. The committee then passed House Bill 2584 4-3, which prohibits public funds from being used for genetic sequencing equipment from foreign adversary countries or entities; supporters framed it as a national security measure, and opponents voted no. The committee then adjourned.

Transcript Highlights:

• The Center for Nursing and Workforce Studies, of course, projects severe nursing workforce shortages.
• to train nurses.
• As she mentioned, we have a nursing shortage.
• Just one more thing that we can do to address the nursing shortage.
• We've heard about. nursing. We have nursing issues in the Texas Panhandle.

Bills: HB3032, HB3434, HB3574, HB5339, HB5646

Keywords: nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation

Transcript Highlights:

• bill we heard previously that relate to the training required or offered by HHSC for long-term care facility

Bills: HB 741, HB 1199, HB 2070, HB 2402, HB 2542, HB 2665, HB 2789, HB 3096, HB 3396, HB 3595, HB 3747, HB 4116, HB 4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• laid down in a public restroom on the floor because there are not adjustable handicap changing facilities
• Many public spaces lack proper facilities to accommodate individuals who cannot safely or comfortably

Bills: SB1, SB83, SB159, SB160, SB1

Keywords: workers' compensation, public education, employee injury, insurance trust fund, on-the-job injury, administrative procedures, adult-size changing table, changing station, accessible restroom, public bathroom, public building, public entity, ADA, Americans with Disabilities Act, accessibility, restroom renovation, new construction, grant program, state grant, local government facilities

Transcript Highlights:

• Finally we would love to see these basic protections also added to apply. to nursing facilities.
• Nursing and assisted living facility residents.
• Hurricane Beryl that was loss of power for 100 nursing homes and 227 assisted living facilities.
• All the residents in Texas deserve to feel safe in their nursing and assisted living facilities.
• But even within the nursing facilities, what is being required for existing facilities that may have

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• The motion carries 11 ayes and no nays. required or offered by HHSC for long-term care facility surveyors

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• The nursing homes are in our districts here, so I'll turn it over, if I could, Mr. Chairman, to Mr.
• There are several facilities that are trying to make improvements. It goes before a committee.
• There are several facilities that are trying to make improvements. It goes before a committee.
• <00:04:38.880> home<00:04:39.080> facility what we call the nursing home facility what
• we call the nursing home facility rate<00:04:39.680> moratorium<00:04:40.440> exception

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.
• There's several facilities that are trying to make improvements. It goes before a committee.
• <00:04:12.840> home there is what we call the nursing home there is what we call the nursing
• c> facility rate moratorium exception facility rate moratorium exception process<00:04:16.560> and

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> that<
• 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> school<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:

• focus on public safety, infrastructure resiliency, and coordination among entities that operate facilities
• <00:49:43.160> like um state only licensed facilities like um state only licensed facilities
• Disposable vapes can ignite when damaged, putting workers at risk and even forcing the facility to shut
• , specifically, Honolulu's waste facility, specifically, Honolulu's waste facility, there<01:00:04.800
• even forcing the facility to shut down. even forcing the facility to shut down.

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

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:

• The idea I had was for instance, everybody, when you come into a healthcare facility, whether it's an
• I was actually in a bathroom recently at one of our healthcare facilities, and they had a red sharpie
• You know, we've got this looming danger of them closing the state-run facilities.
• fiscal impact in the opposite direction when you have someone that's not in crisis and ending up in a facility
• The PCS explains that if they use any kind of prescriptive medication in their facility, they would remain

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• <00:15:54.360> we nursing homes uh and other facilities we nursing homes uh and other facilities
• You have to have a nursing home administrator to run a facility.
• You have to have a nursing home administrator to run a facility.
• You have to have a nursing home administrator to run a facility.
• You have to have a nursing home administrator to run a facility.

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