Transcript Highlights:

• Today, if a working family relies on purchase of care assistance, their options for care during the summer
• Because purchase of care can only be used at licensed camps, this bill helps ensure hundreds of children
• standard of good repair, which we passed as SB 270 in 2022.
• As it was explained, this came out of a recommendation from our committee because the standard of good
• I believe it would take care of this.

Bills: SB293, SB279, SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The House Education Committee met and first heard Senate Bill 293, the Youth Camp Licensing Act, which would amend child care licensing rules for youth camps. The sponsor said the bill, with amendments, would remove accreditation language, clarify shelter requirements for outdoor camps, and eliminate limits that had restricted the number of children camps could serve, especially for families using purchase-of-care assistance. YMCA and school representatives testified in support, saying the measure would expand access to safe, affordable summer care for low-income working families. The committee voted to release the bill. The committee then approved Senate Bill 328, which would require the Department of Education’s school facility evaluation instrument to be established by regulation and to include lead-based paint hazards in the standard of good repair. The Childhood Lead Poisoning Prevention Advisory Committee supported the bill, explaining that lead had not been included in the original evaluation tool and that the new language would improve transparency and public comment. Senate Bill 318, updating the Delaware State Education Association special license plate program, also passed after DSEA testified that proceeds support scholarships for educators and students pursuing education careers. House Bill 443, dealing with background checks for education volunteers and mentors, passed as well. The sponsor said it would allow DOE to continue receiving wrapback reports for mentors in the state mentoring program and ensure state and federal criminal background checks remain in place. The committee also released Senate Joint Resolution 15, which directs DOE to reevaluate Delaware’s use of the SAT, modernize the accountability framework, and develop additional measures of student achievement and readiness; supporters argued the SAT does not capture career and technical pathways or other indicators of success. House Bill 459, which prohibits the sale of energy drinks on public middle and high school campuses during school hours or events, passed after discussion focused on whether the bill would affect possession versus sale and whether it could lead to student discipline; DOE said the bill only bans sales, and the sponsor said an amendment would clarify intent. Finally, House Concurrent Resolution 137 passed, directing DOE to review math instruction and MTSS supports statewide; testimony emphasized low math proficiency and the need for stronger, more coherent interventions. The committee also began hearing Senate Bill 279 on occupational therapist salary placement, with discussion centered on aligning OT compensation with other specialist roles and broader salary regulation updates, though the transcript cuts off before final action is shown.

Transcript Highlights:

• It's an act to amend Title 14 of the Delaware Code related to child care. House Bill 447.
• It's an act to amend Title 14 of the Delaware Code related to child care.
• For so many parents, the cost of child care directly impacts whether they can remain in the workforce
• It's an act to amend title 14 of the dollar code related to child care.
• So the IRMC has a very large charge of looking at the early care and education offerings of public good

Bills: SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The Senate Education Committee approved the June 10 minutes and then heard House Bill 447, which would create a framework for voluntary child care cost-sharing partnerships among the state, employers, community sponsors, and families. Supporters said the bill is meant to help make child care more affordable and support workforce participation by using the existing Interagency Resource Management Committee to coordinate planning and funding. Committee discussion focused on how the tri-share model would work, who would participate, and whether it would reach lower-income families; no public comment was offered on the bill. The committee then took up House Bill 300, as amended, which would establish a statewide Title IX coordinator within the Department of Education to provide training, technical assistance, data collection, and oversight for interscholastic athletics in grades 6 through 12. The bill’s sponsor and supporters said the position would help schools comply with Title IX, improve consistency, and make athletic participation and spending data more transparent; opponents or skeptics questioned whether a new DOE position was needed and whether districts were already meeting their obligations. The sponsor and witnesses responded that existing federal data are delayed and incomplete, that some Delaware schools have participation gaps, and that a state-level coordinator would provide needed support and accountability. Public comment on HB 300 included testimony from the Delaware State Education Association, the Delaware Association of School Administrators, the Delaware School Sports Network, and the Office of Women’s Advancement and Advocacy, all generally supporting the bill or its goals. DASA noted it remained neutral but appreciated changes made in House Amendment 1 to reduce reporting burden. After public comment, the chair asked members to sign the bill release forms for the two bills heard, and the committee adjourned.

Transcript Highlights:

• House Bill 2548 relates to health care market standards.
• House Bill 2548 relates to health care market standards.
• the Department of Health, the Office of the Insurance Commissioner, and the Health Care Authority to
• us, to take care of our health.
• take care of our health.

Bills: HB2255, HB2320, HB2548

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, firearm regulation, manufacturing, safety standards, background checks, license requirements, health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change

Summary: The committee held public hearings on three bills. HB 2255 would regulate third-party litigation funding by requiring disclosure of funders and financing agreements, limiting certain funder practices, capping funder recovery at 25% of a monetary award, and creating enforcement remedies. The bill sponsor and supporters from insurance and business groups described it as a transparency and consumer-protection measure that could improve case management and reduce costs, while opponents from the plaintiffs’ bar and litigation finance industry argued it would chill access to justice, create satellite litigation, and unfairly expose plaintiffs’ financing arrangements. No vote was taken; the chair asked testifiers to submit written comments and closed the hearing. The committee then heard HB 2548, which would expand state notice and review requirements for health care market transactions, including broader definitions of material changes, pauses for Attorney General information requests, interagency data-sharing, and revocation of nonprofit designation in certain transactions. Supporters, including patient advocates, nurses, the Office of the Insurance Commissioner, and the Attorney General’s office, said the bill would help address consolidation, private equity involvement, and rising health care costs. Hospital and medical association representatives opposed or sought changes, citing drafting problems, undefined terms, concerns about overbreadth, and questions about how nonprofit status would be affected. Staff was asked to follow up on the alleged drafting error and other language concerns. Finally, the committee heard HB 2320, which would tighten restrictions on the manufacture and distribution of 3D-printed and CNC-produced firearms, digital firearm manufacturing code, and devices marketed for firearm production, and would make certain violations per se CPA violations. The sponsor and supporters, including school officials, gun violence survivors, students, researchers, and gun safety advocates, said the bill would close a loophole in existing ghost gun laws and respond to growing use of untraceable firearms. Opponents, including the NRA and a makerspace representative, argued the bill was overbroad, raised First, Second, and Fifth Amendment concerns, and could sweep in lawful 3D printing and CNC activities. The hearing ended with additional testimony in support and opposition; no action or vote was taken.

Transcript Highlights:

• :42.440><c> the</c> care safety or well-being of the care safety or well-being of the children<00:08:
• </c> Care Centers and leading as director of Care Centers and leading as director of a<00:14:21.320><
• ><c> children</c> values of Professional Care for children values of Professional Care for children not
• ><c> needs</c> some of those individualized care needs some of those individualized care needs assert
• ><c> our</c> cares about the well-being of all of our cares about the well-being of all of our children

Bills: HF1247, HF628

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• It creates opportunities for young people aging out of foster care to find jobs and get an education
• It protects churches and faith-based organizations from being pushed out of the foster care system and
• I believe that there are a number of children that are in the foster care system.
• We just want to make sure that they're covered to make sure that they are taken care of. Okay.
• If it gets out of here, it's appropriate standards and not minimum.

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Transcript Highlights:

• don't care where on the continuum of political views you fall on this.
• Is that they're covering to make sure that they are taken care of? Okay.
• House Bill 3131 started off as a statewide continuum of care.
• than having a minimum standard that everybody is aware of so that everybody's... ...minimum standard
• if it gets out of here, it's 'appropriate standards' and not 'minimum.'

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Summary: The committee first considered House Bill 3552, which would let child care providers bridge the gap between subsidy reimbursement rates and tuition rates. An amendment was adopted unanimously to make the bill subject to approval by the Administration for Children and Families, with the author explaining it was intended to protect federal DHS funding. The bill then passed on a 4-1 vote. Members then heard several child welfare and human services measures. House Bill 3380, on foster care reform and DHS transparency, passed 5-0 after questions about how public input and scoring would be documented. House Bill 3502, the parental rights and child welfare bill, passed 4-1 after debate over whether the bill addressed a real problem and whether resources would be better spent recruiting foster parents. House Bill 3849, updating and broadening a mentoring program for children and youth, passed 5-0, and House Bill 3886, requiring Health Department personnel to remain on site after an immediate jeopardy finding at a nursing home until a removal plan is accepted, also passed 5-0. The committee also approved House Bill 3907, which would prohibit certain facilities serving vulnerable juveniles and adults from being staffed through temporary staffing agencies, on a 5-0 vote. House Bill 4201, changing master teacher requirements in licensed child care from license capacity to actual enrollment, passed unanimously after discussion of how staffing ratios would work in practice. House Bill 4302, as amended, passed unanimously after removing subpoena language and instead allowing the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement when needed to protect safety. House Bill 3448, requiring umbrella insurance coverage for certain child care caregivers, and House Bill 3409, streamlining recertification for five-star child care providers, both passed unanimously. House Bill 4095, reauthorizing and clarifying the 211 collaborative as the state lead entity for hotline services, also passed 6-0. The most extensive debate came on House Bill 3131, which would establish statewide baseline standards for transparency, public safety, and health safety in homeless shelters and create an advisory board. Members raised concerns about local control, rural county burdens, agency workload, and whether the bill duplicated existing requirements, while the author said he was open to further changes, including strike title and possible population-based exceptions. Despite objections, the bill advanced to the Oversight Committee on a 4-3 vote. Before adjournment, the chair said the committee would begin a deeper review of OCCY multidisciplinary teams and CAC child advocacy groups in upcoming meetings.

Transcript Highlights:

• enforcement for the crime of just trying to find self-care.
• And how will that be taken care of?
• that caused me some concern because the purpose of an ambulance is to provide immediate care.
• If the health care facility wants to expand it under their policies, they kind of can.
• We don't define what the health care facility is for purposes of this.

Bills: SB40, SB104, SB136, SB164

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• Pledge of allegiance to. Introduction of veteran of the. Week.
• Introduction of doctor and or nurse of the day. Correction of previous day's journal. How. And.
• But Aaron's story of service is not only one of military leadership; it is also one of a deeply personal
• care children in need.
• This is just a few of them. There are more like 120 of them.

Bills: HB3522, HB4300, HB4359, HB4363, HB3467, HB2987, HB3076, HB4427, HB3026, HB3288, HB3315, HB3711, HB3885

Keywords: alcoholic beverages, ABLE Commission, licensing, regulation, annual reporting, child care, criminal history, background checks, child safety, Oklahoma laws, advisory committees, statewide assessments, student testing, testing window, end-of-year testing, Oklahoma Academic Standards, Oklahoma School Testing Program, State Board of Education, grade 3-8, alternate assessment

Transcript Highlights:

• of veteran of the week, introduction of doctor and or nurse of the day, correction of previous day's
• Please recognize Ranson of Miller to present the Veteran of the Week.
• But Aaron's story of service is not only one of military leadership; it is also one of a deeply personal
• Third reading of the bill.
• This is just a few of them. There's more like 120 of them.

Bills: HB3522, HB4300, HB4359, HB4363, HB3467, HB2987, HB3076, HB4427, HB3026, HB3288, HB3315, HB3711, HB3885

Keywords: alcoholic beverages, ABLE Commission, licensing, regulation, annual reporting, child care, criminal history, background checks, child safety, Oklahoma laws, advisory committees, statewide assessments, student testing, testing window, end-of-year testing, Oklahoma Academic Standards, Oklahoma School Testing Program, State Board of Education, grade 3-8, alternate assessment

Summary: The House convened with prayer, the Pledge of Allegiance, and several recognitions, including Veteran of the Week Aaron Hudkins, Psychologist of the Day Dr. Emily Corley, Doctor of the Day Dr. Jason Reagan, and a proclamation recognizing Brain Injury Awareness Month. Members also honored the Edmond Santa Fe Palm Squad and Ava Garrett for assembling and funding 100 overnight bags for children entering foster care in memory of fallen Oklahoma service member Serena Butcher. On legislation, the House considered and passed House Bill 3522, a transparency measure requiring alcoholic beverage licensees to report disciplinary actions annually, and House Bill 4300, a Department of Human Services request bill aligning child-care worker assessment language with federal requirements. Both bills advanced without debate; HB 3522 passed by recorded vote and HB 4300 passed 94-0. The chamber also recognized 17 Pages of the Week and heard multiple announcements, including caucus and birthday notices, a planned Jeans Day request tied to Bob Wills Day, and the introduction of Oklahoma Task Force One members and a search dog. The House then adjourned until Tuesday, March 3, 2026, at 9:30 a.m.

Transcript Highlights:

• We are a field where many of us are providers of gender-affirming care.
• </c> many of us are providers of many of us are providers of gender-affirming<00:24:46.800><c> care.
• HMSA Hawaii in comments. research on uh this kind of care for research on uh this kind of care for children
• ,</c><00:35:34.640><c> not</c> care is based on medical standards, not care is based on medical standards
• </c> spectrum of reproductive health care. spectrum of reproductive health care.

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• And so we will take the first part of the second division is what we are after: the child care center
• Chair West said the purpose of this bill is more to introduce the conversation and to get a child care
• Um, I'm not aware of that happening in communities, but I really want to be careful that during this
• shelves are local organizations, and they want to make sure they're taking care of their neighbors.
• shelves are local organizations, and they want to make sure they're taking care of their neighbors.

Bills: HF2078, HF777, HF841, HF1112, HF1098, HF1926

Keywords: child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment

Transcript Highlights:

• This does a couple of things.
• This does a couple of things.
• It seems that the sponsoring representative of this amendment and I were of the same mind, out of the
• There's a lot of confusion.
• So I think this is a great way to be transparent and put it out there, and it takes care of our residents

Bills: HB1544, HB2099, HB2185, HB2219, HB2253, HB2317, HB2318, HB2319, HB2350

Keywords: child welfare, risk assessment, investigation, child abuse, neglect, military families, early childhood education, access, assistance program, education equity, homelessness, youth programs, advisory committee, prevention, protection, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families

Summary: The House Early Learning and Human Services Committee took up possible executive session on nine bills, first briefing amendments and proposed substitutes before voting. House Bill 2099, expanding eCAP access and prioritization for children of military families, was amended to include NOAA and Public Health Service commissioned corps members and broader deployment criteria, then passed unanimously. House Bill 2185, which strengthens the advisory committee for homeless youth services, also passed unanimously without amendments. House Bill 2219, addressing mixed-ratio time in child care centers and waiving repeat pre-service orientation in limited cases, adopted an amendment adding conditions for the waiver and then passed unanimously. House Bill 2253, a broad licensure and regulatory bill affecting child care and residential programs, saw several amendments considered; one report amendment was rejected, and an amendment restoring state monitoring and health/safety reviews at the Washington School for the Deaf was adopted. The committee then passed the amended bill unanimously. House Bills 2317 and 2318, both expanding flexibility for ECEAP and Head Start providers, passed without amendments and with unanimous support. House Bill 2319, renaming residential habilitation centers in statute, adopted a technical correction amendment and passed unanimously. House Bill 2350, requiring notice when a residential habilitation center is out of compliance with CMS requirements, was amended to emphasize posted notices, email options, preferred-language notices, and plain-language summaries, then passed unanimously. The committee then returned to House Bill 1544, which directs DCYF to study and improve its risk, strengths, and needs assessment tool and certify its validation. Four amendments were considered: one requiring domestic violence to be included in the study was adopted; amendments on defining “safe,” auditing missing data on near-fatalities and safety-plan failures, and prohibiting use of an unvalidated tool to screen out referrals were rejected. The amended second substitute bill passed on a 9-0 vote, with Representatives Burnett and Penner voting “no without recommendation.” The committee adjourned after reporting all nine bills out of committee, most with do pass recommendations and several with adopted amendments.

Transcript Highlights:

• We have the Department of Labor. We had infection control standards.
• We have the Department of Labor. We had infection control standards.
• We have the Department of Labor. We had infection control standards.
• across a variety of industries, a variety of sectors, to ensure that we're taking care of the people
• across a variety of industries, a variety of sectors, to ensure that we're taking care of the people

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:

• Care Authority, as well as our new Secretary of Health.
• The gravity of this moment is also not lost on me in terms of what our health care system is experiencing
• that are under the purview of the Health Care Authority.
• the board to establish rules and enforce standards of care.
• the board to establish rules and enforce standards of care.

Bills: SB5899, SB6292, SB6094, SB6182, SB5947, SJR8206, SB5933, SB6138, SB5823, SB6210, SB5921, SB6226, SB6159, SB5924, SGA9291, SGA9307

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Summary: The Senate Health and Long-Term Care Committee began with confirmation hearings for Ryan Moran, nominated to lead the Washington State Health Care Authority, and Dennis Worsham, nominated as Secretary of Health. Both nominees gave extensive opening statements about their backgrounds, priorities, and commitment to improving access, equity, public health, and agency operations amid federal policy changes. Senators asked about Washington’s health care system, social determinants of health, behavioral health, communication and public trust, and how each nominee would respond to federal disruptions such as HR1 and CDC changes. At the close of the hearings, the committee voted to recommend both appointments for confirmation. The committee then moved through executive session on a series of bills. It advanced measures including a chiropractic animal care endorsement bill, a joint legislative-executive health care financing committee bill, a pediatric transitional care facilities bill, an abortion savings program bill, a Washington Health Care Board bill, a constitutional amendment establishing a right to affordable health care, and an overdose mapping information bill. The abortion savings program bill drew the most debate, with several proposed amendments offered by Senator Christian; most were rejected, one amendment was withdrawn, and one amendment clarifying funding for contracted providers was adopted before the bill was sent forward. The committee also approved the gubernatorial appointments of Moran and Worsham in executive session. In the second group of bills, the committee advanced a patient advocate bill, a health plan certification process bill, a psilocybin bill, an audiologist clinical autonomy bill, and a pharmacist prescriptive authority bill. The pharmacist bill prompted comments about access, affordability, rural workforce shortages, and the role pharmacists already play in care delivery. All measures considered in executive session received do-pass recommendations or confirmation recommendations and were reported out of committee, and the committee then adjourned.

Transcript Highlights:

• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care.
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care in our emergency
• This bill revises the purpose of the Veterans Dental Care Grant Program to ensure that veterans living
• We create a framework for providing access to health care practitioners to patients in each of these
• The bill does not guarantee ACN health care providers get a certificate to practice, as the Board of

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• Representative Brunowski, members of the committee, Chris Blake, staff of the House Health Care and Wellness
• In the U.S., 71% of care is delivered by ARNPs and PAs.
• towards medical care when the vast majority of our health care dollars... ...towards medical care.
• Additionally, providers of community-based care and in-home care,... to evaluate the stability of the
• Additionally, providers of community-based care and in-home care, ...from liability.

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:

• I think what I think your goal is to kind of hopefully depoliticize the standards. My concern is.
• So, if you have candidate A out of the traditional Career path, I mean, education path out of one of
• You're putting in situations which we have in the bill to take care of on a case-by-case basis in which
• to take care of a problem instead of being afraid.
• environment and still take care of these very real issues that you have brought up in our real-life

Bills: HB2987, HB3026, HB3076, HB3288, HB3315, HB3467, HB3711, HB3885, HB4427, HB4359, HB4363

Keywords: education, academic standards, subject matter standards, State Board of Education, legislative review, joint resolution, curriculum, school standards, Oklahoma Administrative Code, education oversight, common education, curriculum standards, state education policy, rulemaking, legislative veto, kindergarten, military families, education policy, school districts, international military dependents

Transcript Highlights:

• I'm just a little worried that we're going to be stuck with out-of-date standards.
• In terms of the second part of your question...
• Again, you're putting in situations which we have in the bill to take care of on a case-by-case basis
• need to take care of a problem instead of being afraid, much like we did with the cell phone ban bill
• address this while keeping kids in a safe and educational environment and still take care of these very

Bills: HB2987, HB3026, HB3076, HB3288, HB3315, HB3467, HB3711, HB3885, HB4427, HB4359, HB4363

Keywords: education, academic standards, subject matter standards, State Board of Education, legislative review, joint resolution, curriculum, school standards, Oklahoma Administrative Code, education oversight, common education, curriculum standards, state education policy, rulemaking, legislative veto, kindergarten, military families, education policy, school districts, international military dependents

Summary: The Education Oversight committee heard and advanced several bills, with most receiving due pass recommendations by voice vote. HB 4359, by Speaker Pro Tem Moore, would move the annual testing window to the last three weeks of the school year; members asked about district scheduling and possible cost impacts, but the bill passed 10-0. HB 4363 updated outdated statutory references tied to OSU’s early development and also passed unanimously. HB 3467 would extend school-teacher maternity leave protections to include adoption of newborn children, and it passed without opposition. HB 2987 would change how academic standards are handled if the legislature takes no action within 30 legislative days, deeming them disapproved rather than approved; supporters said it preserves legislative oversight, while concerns were raised about leaving outdated standards in place, but it passed. HB 376, as amended, would create a new alternative teacher certification pathway through third-party certifiers; debate centered on whether easier pathways would weaken traditional teacher-prep programs or help fill vacancies, and it passed after extended discussion. The committee also advanced HB 4427, which adds guardrails to the adjunct teacher program by limiting adjuncts in core subjects in grades K-4 and requiring them to work toward certification. HB 3026 would let children of U.S. military allies stationed in Oklahoma start kindergarten according to their home-country timelines, and it passed. HB 3288 would restore physical education emphasis in schools, and HB 3315 would direct a feasibility study on 90-hour bachelor’s degree programs; both moved forward. HB 3711 would require schools to post the percentage of spending devoted to instructional expenditures on their websites and bond applications, with the sponsor declining to extend the same requirement to private schools receiving public tax-credit dollars. HB 3885 drew the most debate. It would establish suspension and expulsion standards for students who physically attack teachers or school employees, with supporters arguing it gives administrators clearer authority to protect staff and students and opponents warning it could conflict with existing protections for students with disabilities and create legal risk. The sponsor said the bill is intended to address intentional violence and allow case-by-case judgment, while critics cited prior civil-rights concerns over disproportionate discipline. Despite the objections, the bill passed on a due pass recommendation. The committee adjourned after announcing it would meet again Wednesday at 9 a.m.

Transcript Highlights:

• c> and</c> and take care of this community, and and take care of this community, and younger<00:11:50.960
• </c> the providers want to take care of it. the providers want to take care of it.
• And so what we see are repeated cycles and entries into our systems of care and kind of lack of effectiveness
• And so what we see are repeated cycles and entries into our systems of care and kind of lack of effectiveness
• And so what we see are repeated cycles and entries into our systems of care and kind of lack of effectiveness

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• Well, as you all probably know, for many years, health care mergers have been impacting the quality of
• We are concerned on this side about the burden shift for the standard of proof, presuming the negligence
• We are concerned on this side about the burden shift for the standard of proof, presuming the negligence
• Representative Jacobsen: On this side, we have concerns about the burden shift for the standard of proof
• We did hear some testimony about timelines on the proposal and the issuance of the new, or a new, standard

Bills: HB2548, HB2453, HB2640, HB2095, HB2386, HB2239

Keywords: health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change, nonprofit conversion, for-profit conversion, health care acquisition, asset sale, Washington RCW, health care competition, price transparency, market oversight, premerger notification, antitrust revolving fund

Summary: The Civil Rights and Judiciary Committee heard staff briefings on several bills, including House Bill 2548 on hospital and provider material change transactions, House Bill 2453 on psychiatric pharmacists’ role in certain involuntary treatment petitions, House Bill 2640 on unauthorized UCC filings, House Bill 2095 on vulnerable users of public ways, House Bill 2386 on garnishment forms, and House Bill 2239 on family burial grounds on private land. The committee also discussed proposed substitutes and amendments, especially on HB 2095, where members debated liability standards, attorney fees, emergency vehicle exemptions, and reporting requirements. For HB 2548, members discussed transparency and disclosure in health care transactions, including notice requirements, filing fees, and Attorney General publication of pending and completed transactions. The committee adopted some amendments and rejected others. On HB 2095, it adopted amendments exempting emergency vehicles and clarifying collision report data, but rejected amendments that would have removed attorney fees, restricted liability further, or replaced the rebuttable presumption with a different civil cause of action. On HB 2239, the proposed substitute added setbacks from wells and springs, local remediation procedures, burial reporting to the Department of Archaeology and Historic Preservation, relocation procedures for remains, and disclosure requirements when property is sold. Members also noted that HB 2640 would give the Department of Licensing a process to refuse or terminate unauthorized filings submitted to harass or defraud debtors. At executive session, the committee voted all five bills out with due pass recommendations: Substitute House Bill 2548 passed 7-6, House Bill 2453 passed 8-5, House Bill 2640 passed 8-5, Substitute House Bill 2095 passed 8-5, House Bill 2386 passed 12-1, and Substitute House Bill 2239 passed unanimously 13-0.