Transcript Highlights:

• I arrived at the rest home sector in 2005 as a nursing home for elderly persons nurse manager, right
• The alternative is to live within a nursing home community where there is less autonomy, less independence
• Staffing varies from rest home to rest home, where not all homes have licensed nursing staff present
• compared to other types of long-term care services like ALRs or nursing homes, and specifically, do
• Fortunately, my family, we haven't had to deal with nursing homes very much.

Bills: H5243, H5376, S3056, S3057

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Summary: The Joint Committee on Aging and Independence heard testimony on two sets of bills: Senate 3057/House 5376, concerning assisted living residences, and Senate 3056/House 5243, concerning medication administration in rest homes. On the assisted living bills, MassALA supported the proposal but urged amendments to clarify and limit fines and to specifically authorize certified medication aides for limited medication administration in assisted living. AARP and the state long-term care ombudsman supported the bills and the new trust fund, with AARP backing the use of certification fees and fines to fund oversight, and the ombudsman emphasizing the need for more staffing and resources to address complaints, evictions, billing issues, and resident advocacy. MassNAELA also supported the bills but asked for additional provisions on executive director licensure, building code and emergency preparedness standards, and broader task force membership; committee members said they would review draft language and noted that building code changes would require further study. The rest home bills drew testimony from providers and industry groups who opposed the Department of Public Health’s proposed shift away from the long-standing “responsible person” medication model toward a MAP-based framework. Witnesses from rest homes, MARCH, and LeadingAge Massachusetts said the responsible person system has been used for decades, is safe and affordable, and is tailored to rest homes’ resident population and staffing realities. They warned that requiring certified medication aides or nurses would sharply increase costs, worsen workforce shortages, and could force closures or resident displacement. Several witnesses said they were open to strengthening training and oversight, but wanted a task force or collaborative process rather than immediate regulatory replacement of the current model. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates. The chairs indicated interest in moving the rest home bill sooner rather than waiting for additional fire marshal or building-code work on the assisted living side, and asked witnesses to submit proposed language and any supporting data in writing. The hearing concluded with thanks to the chairs and a motion to adjourn, which was approved.

Transcript Highlights:

• The nursing homes are in our districts here, so I'll turn it over, if I could, Mr. Chairman, to Mr.
• c><00:01:47.079><c> affected</c><00:01:47.560><c> by</c> nursing homes um that were affected by nursing
• c><00:03:35.159><c> of</c><00:03:35.360><c> situation</c> nursing homes in this kind of situation nursing
• </c><00:04:38.880><c> home</c><00:04:39.080><c> facility</c> what we call the nursing home facility what
• </c> in the nursing home rate when these in the nursing home rate when these things<00:04:59.800><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
• c><00:01:21.040><c> affected</c><00:01:21.520><c> by</c> nursing homes um that were affected by nursing
• c><00:03:09.159><c> of</c><00:03:09.360><c> situation</c> nursing homes in this kind of situation nursing
• </c><00:04:12.840><c> home</c> there is what we call the nursing home there is what we call the nursing
• </c> in the nursing home rate when these in the nursing home rate when these things<00:04:33.680><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:

• ><c> boards</c> nursing home Workforce standards boards nursing home Workforce standards boards bill<
• a</c> training of nursing home workers by a training of nursing home workers by a certified<00:02:42.480
• </c><00:20:49.760><c> home</c> made at the the turnover nursing home made at the the turnover nursing
• </c><00:25:43.200><c> home</c> the definition of a nursing home the definition of a nursing home references
• </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

Bills: SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Transcript Highlights:

• And, you know, in Texas, finding adoptive homes for sibling groups is difficult anyway.
• And you know, in Texas, finding adoptive homes for sibling groups is difficult anyway.
• CCRCs are adding services like memory care, hospice, and home-based services, but many are reducing nursing
• home or skilled nursing services at each location.
• Members, group home consultants receive referral fees for directing potential residents to group homes

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• God was proud and ready to call him home.
• Right now, group home consultants get referral fees for directing potential residents to group homes
• Group homes, or boarding homes as we call them, are much-needed supports within the community because
• When, in fact, this is a home, and that gets lost. It’s not a medical facility. It’s a home.
• , while many are moving away from providing nursing home care or skilled nursing facilities at each site

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• God was proud and ready to call him home.
• They get result fees for directing potential residents to group homes without checking if the homes are
• Group homes, or boarding homes as we call them, are much-needed supports because they serve as a stopgap
• This is a home, and that gets lost. It's not a medical facility. It's a home.
• , while many are moving away from providing nursing home care or skilled nursing facilities at each site

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• As you know, in Texas, finding adoptive homes for sibling groups is difficult anyway.
• Including independent living, assisted living, and skilled nursing.
• nursing home or skilled nursing services at each location.
• Members, Group Home Consultants receive referral fees for directing potential residents to group homes
• , I mean any type of group home that it is an actual licensed facility.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• I can say that I worked in a nursing home as a new grad.
• I can say that I worked in a nursing home as a new grad.
• I can say that I worked in a nursing home as a new grad.
• I can say that I worked in a nursing home as a new grad.
• I can say that I worked in a nursing home as a new grad.

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:

• Originally, I was born in Birmingham, Alabama, but Mobile is my home.
• The town of Ralph, Alabama has two people on the Board of Nursing, and Congressional District One has
• This is the home builder board and had a very...
• That would be the Board of Nursing Home Administrators, House Bill 129, correct?
• Of the committee, this bill will have the continuance of the Board of Examiners of Nursing Home Administrators

Bills: HB25, HB108, HB109, HB111, HB112, HB113, HB117, HB118, HB119, HB120, HB121, HB122, HB124, HB126, HB127, HB128, HB129, HB130, HB131, HB25

Keywords: emergency services, 911, local districts, joint operations, contracting, HB108, Alabama Sunset Law, sunset reauthorization, board continuation, speech-language pathology, audiology, licensing board, professional regulation, healthcare regulation, occupational licensing, speech therapist, speech pathologist, audiologist, Sunset Committee, Code of Alabama 1975

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:

• homes and nursing home functions.
• homes and nursing home functions. nursing home as a teenager and um uh nursing home as a teenager and
• </c><00:48:09.079><c> homes</c> scenario but for many nursing homes scenario but for many nursing homes
• </c><00:53:20.119><c> home</c> so through an unfunded nursing home so through an unfunded nursing home
• </c><00:53:32.599><c> home</c> been required when the nursing home been required when the nursing home

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.
• </c><00:25:46.480><c> home</c> like I said so the nursing home like I said so the nursing home Workforce

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: HB435

Keywords: manufactured homes, certificate of title, Alabama Department of Revenue, homeowner, vehicle registration, 923, senate, all

Transcript Highlights:

• This bill provides a narrow exception to liquor law for assisted living and nursing homes when alcohol
• </c> law for assisted living and nursing law for assisted living and nursing homes<00:03:23.560><c> when
• </c><00:04:41.840><c> homes</c><00:04:42.960><c> from</c> facilities and nursing homes from facilities
• </c><00:05:13.280><c> homes,</c><00:05:13.680><c> were</c> assisted livings and nursing homes, were assisted
• c> are</c> nursing home dining operations are nursing home dining operations are already<00:06:58.600

Bills: HF4145, HF4009, HF4304, SF2511, HF4090, HF357, HF901

Keywords: alcohol consumption, nursing homes, assisted living, resident activities, Minnesota Statutes, seasonal liquor licenses, resorts, intoxicating liquor, county board, Brainerd, Northern Pacific Center, event center, liquor license, on-sale license, alcohol sales, special law, local option, Minnesota liquor law, chapter 340A, Sunday sales

Transcript Highlights:

• A complex care aide in home health is a trained caregiver who provides specialized in-home support to
• And the Texas Board of Nursing rules allow nurses to delegate nursing tests to unlicensed persons, including
• Um, but with that, I know y'all want to go home, so I close. Thank you.
• homes, and to clarify, you know, when the acuity of care, there's a hospital, rehab, nursing homes,
• 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.
• And so private duty nursing is one of those services.
• homes.
• Homes, then assisted living, and then senior living.
• Hospitals and nursing homes do have regulation, but senior living, independent senior living, and assisted

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:

• Over half the nursing homes in Texas have an overall rating of one or two stars.
• 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
• In our research of the most recent data, 45% of nursing homes. would fall into that exception.
• And with the elimination of this, every nursing home gets an additional $12 a day.

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