Transcript Highlights:

• Uh unfair or deceptive trade practice.
• The consortium has built the practices.
• and I do family I practice family law. and I do family I practice family law.
• of medical practice. of medical practice.
• I'm keeping my eye on the clock only. ...medical practices, uh, for example, dental practices, uh, other

Keywords: 1187, senate, all

Transcript Highlights:

• rearrange how they they practice rearrange how they they practice medicine<00:27:15.559> just
• and pharmaceutical practices are harming the people of New Hampshire.
• <02:05:05.000> and<02:05:05.280> pharmaceutical<02:05:06.239> practices practices
• and pharmaceutical practices practices and pharmaceutical practices are<02:05:07.520> harming
• <02:23:54.240> where upon proper commercial practices where upon proper commercial practices

Keywords: 1189, house, all

Transcript Highlights:

• So is there a very practical difference between a 360-year trust or a 500-year trust?
• So is there a very practical difference between a 360-year trust or a 500-year trust?
• So is there a very practical difference between a 360-year trust or a 500-year trust?
• <00:35:05.200> easily much more of a legal practical easily much more of a legal practical
• I'm a practicing attorney here in the Twin Cities.

Bills: HF747, HF360

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, trusts, Uniform Trust Code, probate, estate planning, trust protector, directed trust, investment trust advisor, distribution trust advisor, excluded fiduciary, decanting, power of appointment, revocable trust, irrevocable trust, uneconomic trust, rule against perpetuities

Transcript Highlights:

• purposes that means groups for practical purposes that means a<00:18:27.080> government<00:18
• items we'd like to see address practical items we'd like to see address this<00:18:55.120> session
• Now, that means in practice that township supervisors, the elected officials themselves, are often the
• Now, that means in practice that township supervisors, the elected officials themselves, are often the
• Customary practice in the industry is employees relying on each other to trade shifts when an illness

Keywords: 1183, house

Summary: The committee’s first official meeting was framed as an informational session, with the chair saying no legislation would be acted on and that testimony would focus on what is working and not working for businesses and workers in Minnesota. The stated topics included earned sick and safe time, paid family and medical leave, labor shortages, and broader business climate concerns. The chair also noted the absence of DFL members and invited questions to be held until the end so testifiers could present fully. Lauren Shodor of the Minnesota Chamber of Commerce argued that Minnesota’s business climate has worsened because of high taxes, rising costs, regulation, and new workplace mandates. She cited chamber survey and research findings saying more businesses are considering leaving the state, that Minnesota companies are investing more in other states than vice versa, and that the state lags national growth rates. She said employers are especially concerned about earned sick and safe time and the upcoming paid family and medical leave program, which the chamber believes add compliance burdens and costs, particularly for small and medium-sized businesses. Matt Hilgart of the Association of Minnesota Counties said the new leave laws affect county budgets and operations because labor is the main county cost and services are often state-mandated. He said the programs were imposed outside the collective bargaining process and can duplicate existing county benefits, increase costs, and create staffing and service challenges. He asked for changes including clearer premium-sharing language, exclusion of elected officials and short-term election workers from paid leave requirements, better exemption and private-plan rules, coordination requirements for intermittent leave, and more clarity for essential employees during weather emergencies. Owen Worth of the League of Minnesota Cities said cities are facing similar implementation problems, with overlapping leave policies and concerns about stacking state and federal leave rules, and he indicated the league would support changes to reduce administrative and budget pressures on cities.

Transcript Highlights:

• a term that says normal farming practices.
• Is there, what would be included under normal farming practices? Mr.
• As a practice, it is a bad practice if we begin to say, okay, we're going to veto line item that initiative
• tried to limit all practices.
• by those practices, Madam Speaker, gentlelady.

Transcript Highlights:

• posting of Interstate Commission bylaws, rules, and minutes, enacting new sections of the Medical Practice
• Requiring award recipients to be health professionals who currently maintain practice in New Mexico or
• agree to relocate to and commence practice in New Mexico. practice in New Mexico or agree to relocate
• to and commence practice in New Mexico.
• coverage carriers shall cover all types of health care providers working within their legal scopes of practice

Transcript Highlights:

• I cut my teeth in the Consumer Fraud Division, and then I learned my craft in criminal appeals, practicing
• At least in my practice, I try to do those remotely so that the human being whose livelihood is on the
• At least in my practice, I try to do those remotely so that the human being whose livelihood is on the
• practice.
• Following my clerkship, I entered private practice here in Dover, representing claimants in workers'

Summary: The Senate Executive Committee met in hybrid format and first considered two gubernatorial judicial appointments. Morgan T. Zurn, nominated to the Delaware Supreme Court, described her background in public service, the Court of Chancery, DOJ, and federal clerkship, and answered extensive questions about judicial philosophy, precedent, statutory interpretation, access to justice, AI and deepfakes, corporate law stability, civility, social media, and public confidence in the courts. Christy N. Vitola, nominated to be Commissioner of Family Court, discussed her Delaware upbringing, legal career in family law and child support, and experience with pro se litigants and high-volume dockets; she was questioned about handling family court cases efficiently, the best interests of the child, and correcting calculation errors. No votes on the nominations were taken during the portion shown. The committee then moved to legislation. House Bill 443, concerning background checks for volunteers and mentors in the Department of Education’s mentoring program, was presented as a technical update to allow DOE to continue receiving wrap-back reports and to ensure mentors undergo state and federal criminal background checks. There was no public comment or committee debate on the bill. House Bill 431 with House Amendment 1, sponsored by Representative Bush and Senator Hoffner, would allow composting of yard waste, food residue, and other organic materials to divert waste from landfills, extend landfill life, reduce disposal costs, support farmers by returning nutrients to the soil, and reduce methane emissions; it also preserves county/local control over siting and inspection. Senator Townsend asked whether composting was currently allowed, and Senator Hoffner explained that the bill would authorize it under the stated controls. No public comment was offered on either bill. At the close of the meeting, the chair noted that the bills and nominee backers had been circulated for signatures. Senator Hocker moved to adjourn, Senator Townsend seconded, and the committee adjourned without objection.

Transcript Highlights:

• Some best practices you’ll see in our guidance that we’re going to be promoting this year for state plans
• And so some best practices you'll see in our teaching, And so some best practices you'll see in our Teagle
• And then on your budget practices, I hit on some of this, but just making sure that the lay people on
• Like their theory doesn't help with the practice.
• Like their theory doesn't help with the practice.

Summary: The committee heard testimony from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, on efforts to better align workforce, education, and human services programs. Moore argued that WIOA, Perkins, and ESSA were designed to function as an integrated talent system, but that federal and state bureaucracy has kept them siloed. He said the Department of Labor and OCTAE are working on more integrated state plan guidance, including a 2026 plan modification timeline, combined Perkins/WIOA plans, and greater use of labor market information to align training with in-demand jobs and Workforce Pell. Moore emphasized reducing overhead, cross-training staff, using common intake and integrated case management, and focusing on the “shadow labor force” of people facing benefit cliffs, child care barriers, or other obstacles to work. He repeatedly urged states to use waivers and flexibility where possible, to consolidate or streamline local workforce structures, and to hold programs accountable through measures such as labor force participation, training-related employment, retention, and cost per successful outcome. Members asked about the balance between flexibility and accountability, the role of employers versus postsecondary institutions, rural “training deserts,” state waivers, and data systems such as Mississippi Spark and Arkansas Launch. Moore said states should use technology and integrated intake to co-enroll eligible participants in multiple programs and better match people to jobs. In response to questions, Moore said some federal rules cannot be waived, but many reporting and administrative requirements can be streamlined, and he encouraged Arkansas to propose ideas for waivers or state-level integration. He also discussed the need for enhanced wage records and state longitudinal data systems to improve workforce planning and economic development. After Moore’s presentation, DHS Secretary Janet Mann and Director Jay Hill gave a brief update on reimbursement rates, saying the department had compiled more than 100 public comments, recommended holding the current rate, and was awaiting executive review; they estimated the process could take 30 to 60 days. The committee then adjourned, noting a later audit presentation scheduled for the afternoon.

Transcript Highlights:

• state, >> that I will faithfully discharge my duties as a legislator, >> that I will, as soon as practical
• >> that I will, as soon as practical >> that I will, as soon as practical hereafter,
• >> that I will, as soon as practical >> that I will, as soon as practical hereafter,
• <00:13:46.880> should<00:13:47.080> be certain health care practices should be certain
• health care practices should be exempt<00:13:47.560> from<00:13:47.720> such<00:13:48.000

Keywords: MS House Floor - 6 January, 2026; 12:00 PM, 925, all

Summary: The House convened to open the 2026 legislative session with a color guard presentation by the Madison County JROTC program from Germantown High School, followed by prayer. The Speaker praised the program’s achievements and urged support for stronger JROTC resources in state education policy. The chamber then swore in new Representative Justin Crosby of House District 22, and the House was declared organized and ready to proceed with business. The House received several gubernatorial veto messages. Governor Reeves vetoed House Bills 50, 569, 1126, and 924, citing constitutional concerns, separation-of-powers issues, and the need for further study or reconsideration. Members responded by moving to return HB 19, HB 50, and HB 1126 to the Appropriations A Committee, HB 569 to the Public Health Committee, and HB 924 to the appropriate committee; those motions were adopted. The House also announced committee assignments to notify the Governor and Senate that the chamber was organized, introduced the session’s head pages, and recognized numerous guests and visitors. Members made several adjournment-in-memory requests for deceased relatives and community figures, and the body observed a moment of remembrance for the wife of Representative Casey Year. The House then adopted a motion to adjourn until 2:00 p.m. the next day.

Transcript Highlights:

• She is such a very active physician, not only in her practice but also in her professional organizations
• But she also makes time in her practice to do volunteer work, working with Catholic Charities, doing.
• of State the ability to provide contact information of new notaries public, as was the standard practice
• House Bill 783 creates a new chapter in the Civil Practice and Remedies Code, allowing individuals to
• And again, you know more about criminal cases than I do, but as a practical matter, of course, once the

Bills: SB801, SB867, SB2717, SB2919, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB111, HB112, HB121, HB126, HB146, HB186, HB223, HB229, HB322, HB367, HB500, HB521, HB640, HB705, HB783, HB1052, HB1056, HB1105, HB1106, HB1178, HB1211, HB1234, HB1306, HB1403, HB1449, HB1506, HB1661, HB1690, HB1871, HB1960, HB2017, HB2078, HB2128, HB2240, HB2243, HB2348, HB2407, HB2512, HB2820, HB2844, HB2853, HB2854, HB2885, HB3000, HB3005, HB3053, HB3057, HB3181, HB3333, HB3372, HB3425, HB3441, HB3516, HB3749, HB3783, HB3812, HB3848, HB3923, HB3963, HB4070, HB4134, HB4157, HB4158, HB4211, HB4449, HB4623, HB4638, HB4687, HB4690, HB4748, HB4749, HB4795, HB4848, HB5093, HB5115, HB5129, HB5138, HB5294, HB5616, HB5629, HB5646, HB5661, HB5672, HB5674, HB5699, HCR40, SJR5, SJR27, SJR59, SB4, SB6, SB8, SB9, SB10, SB12, SB22, SB23, SB25, SB27, SB34, SB36, SB37, SB38, SB40, SB57, SB140, SB261, SB293, SB441, SB447, SB467, SB512, SB650, SB777, SB785, SB924, SB1188, SB1281, SB1318, SB1333, SB1398, SB1448, SB1566, SB1579, SB1621, SB1723, SB1838, SB1862, SB2167, SB2405, SB2406, SB2407, SB2878, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HJR7, HB5115, HB3053, HB1403, HB223, HB748, HB5652, HB3395, HB180, HB1306, HB322, HB126, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB3812, HB3057, HB2035, HB721, HB346, HB2512, HB5695, HB5694, HB5674, HB3185, HB2348, HB1871, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4630, HB1523, HB2078, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB2820, HB1506, HB1234, HB640, HB521, HB229, HB186, HB119, HB4795, HB4466, HB3749, HB1106, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4285, HB4463, HB4995, HB5138, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HB1105, HB121, HB3372, HB367, HB783, HB3336, HB3441, HB4449, HB5616, HB2407, HB2854, HB3425, HB5294, HB1178, HB4623, HB14, HB3963, HB1211, HB5646, HB5629, HB3783, HB4236, HB46, HB4638, HB1052, HB4070, HB5509, HB5435, HB4134, HB3923, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB150, HB1057, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB126, HB150, HB322, HB367, HB500, HB640, HB705, HB783, HB1105, HB1178, HB1211, HB1234, HB1506, HB1690, HB1871, HB2078, HB2128, HB2240, HB2243, HB2407, HB2512, HB2853, HB2854, HB3000, HB3057, HB3181, HB3372, HB3425, HB3441, HB3749, HB3783, HB3812, HB3923, HB3963, HB4070, HB4134, HB4157, HB4211, HB4449, HB4623, HB4638, HB4687, HB4748, HB4795, HB5093, HB5129, HB5616, HB5629, HB5699, HB229, HB521, HB1056, HB1106, HB5138, SR583, SCR52, HB223, HB229, HB521, HB1056, HB1106, HB1403, HB3053, HB5115, HB5138

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• House Bill 4922 would amend the Civil Practice and remedies code to include the freestanding emergency
• Um, as was stated, uh, just a moment ago, House Bill 4922 would amend the Civil Practice and Remedies
• More specifically, House Bill 4922 amends the Civil Practice and Remedies Code to include a freestanding
• Um, when executives engage in ESG practices, they are neglecting their fiduciary responsibilities in
• Uh, so you want to over-regulate out of the state of Texas for the corporate practice of fiduciary duty

Transcript Highlights:

• ONCE AGAIN THESE TEACHERS KNOW COLLECTIVELY AND COLLABORATIVELY HOW TO IMPLEMENT EVIDENCE-BASED PRACTICES
• THE STATE REGIONAL LITERACY DIRECTORS ARE COMMUNICATING ABOUT THE MOST IMPORTANT LITERACY BASED PRACTICES
• I'M GOING TO TELL YOU WHAT THEY ARE AND HOW TO IMPLEMENT THOSE PRACTICES AND PROGRAMS.
• SOFT OF THE WORK THAT OUR STATE REGIONAL LITERACY DIRECTORS ARE DOING TO SUPPORT EVIDENCE-BASED PRACTICES
• ANOTHER WAY WE BRING TOGETHER AND ASSESS IMPACT IS LOOKING AT OUR COMMUNITIES OF PRACTICE, BRINGING THOSE

Keywords: 999, senate, all

Transcript Highlights:

• ,<00:24:36.000> they're pred predatory practices, they're pred predatory practices, they're
• practices practices um<00:35:06.880> yeah<00:35:07.119> here<00:35:07.280> in<00
• practice this um way of pricing. practice this um way of pricing.
• least expensive states to practice least expensive states to practice pharmacy<01:49:13.520>
• <02:31:24.479> experiences kinds of really practical experiences kinds of really practical

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• practice to get those biomearkers practice to get those biomearkers markers,<00:16:07.360> are
• > physical I've been a practicing physical I've been a practicing physical therapist<00:59:33.920
• practice every day. practice every day.
• So that is out into the the practice.
• <02:41:33.439> It's standards of medical practice. It's standards of medical practice.

Keywords: 1191, senate, all

Transcript Highlights:

• So I spoke up one day, and they practically threw me out of the caucus.
• They’re always practicing within the scope of their license.
• They still have to practice in accordance with their license.
• How are they suddenly going to change their practice?
• We agree that there should be a best-practices approach.

Summary: The House convened with Girl State participants presiding for part of the session, including introductions of the student leadership and a unanimous voice vote passing House Concurrent Resolution 152 honoring the young women participating in Delaware Girl State. The chamber also welcomed congressional interns and other guests, accepted the prior day’s minutes, and observed a moment of silence for Nathan Cynix and Kara Feeley before prayer and the Pledge of Allegiance. A major portion of the meeting was devoted to tributes for Representative Ron Gray, who was recognized for his 14 years of service and his work on issues such as bond bills, dredging, bike paths, small business, constituent service, and agriculture-related funding. Multiple members from both parties praised his humor, honesty, mentorship, and dedication to the House and his district. Gray responded with extended remarks reflecting on his family legacy, legislative service, and appreciation for colleagues and staff, and the chamber later sang “Take Me Out to the Ball Game” at his request. The House then received communications, including Senate messages returning several bills and informing the chamber of Senate passage of additional measures. Members were also told that the FY27 bond bill, House Bill 500, had been placed on desks as a gift for review. The House read in Consent Agenda S, which included House Bill 476, House Joint Resolution 13, Senate Substitute 1 for Senate Bill 168, Senate Bill 297, Senate Substitute 1 for Senate Bill 319, and Senate Joint Resolution 21, and began a roll call vote on the consent agenda.

Transcript Highlights:

• insurance mandates are able to practice insurance mandates are able to practice medicine<00:14:33.920
• . practiced. practiced.
• This practice also comes with low success rates.
• > a In practice, surrogacy creates a In practice, surrogacy creates a marketplace<00:17:16.520
• coverage of an extra-statutory practice. coverage of an extra-statutory practice.

Keywords: 919, house, all

Summary: The committee heard House File 4609, the Minnesota Building Families Act, and laid it over for possible inclusion in an omnibus bill. The bill would require insurance coverage for infertility diagnosis and treatment, including IVF-related care, and the author emphasized that it would not change Minnesota’s current surrogacy laws. She also noted the bill already contains a religious exemption and clarified that it had been referred through commerce but came to health first because of reviser delays. Supporters testified that infertility is common and financially devastating, describing personal experiences with miscarriages, cancer-related fertility loss, and large out-of-pocket costs such as second mortgages, retirement withdrawals, and fundraising. A physician testified that infertility is a disease, that delays in care can worsen outcomes, and that insurance coverage can improve health outcomes and reduce multiple births and costs. Supporters also argued that fertility coverage is already offered by some large employers and in other states without major premium increases. Opponents, including representatives of the Minnesota Catholic Conference and Minnesota Family Council, argued the bill would subsidize IVF and potentially surrogacy, which they said raises ethical concerns about embryos, commodification, and exploitation of women. They urged the committee to vote no and instead support restorative reproductive medicine or other approaches that address underlying causes of infertility. In member discussion, some legislators expressed sympathy for families affected by infertility and miscarriage but raised concerns about insurance costs, success rates, and the need for guardrails; others noted adoption as another way families are built. No vote was taken beyond laying the bill over.

Transcript Highlights:

• Um, periodically standards of medical practice change.
• We felt that medical practice change.
• I think he has shown some interest in learning better practices.
• <00:50:48.640> and practice model across the board. and practice model across the board. and
• bupinorphine practices. we stepped in. bupinorphine practices. we stepped in.

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• Like, I know Dartmouth has done a lot of work internally to try to sway people of their practices.
• practices hospitals have internal<01:06:23.279> practices<01:06:23.720> that<01:06:23.880
• It was with a lot of research as to best practice around this issue.
• It was with a lot of research as to best practice around this issue.
• It was with a lot of research as to best practice around this issue.

Keywords: 928, house, all

Summary: The subcommittee met on House Bill 553, which concerns the definitions of child abuse and neglect in RSA 169-C, including psychological maltreatment and the rebuttable presumption of harm. The chair and members emphasized that the bill is intended to clarify definitions rather than create punishments, and they discussed concerns that had arisen after the bill’s earlier drafting. Representative Eimon stated his view that the bill is constitutional, citing case law, and members noted that amendment 114 would restore language refined by the prior study committee and address trauma-informed wording, especially around substance use disorder and newborns. A major portion of the discussion focused on whether the bill could be read to treat ordinary parental discipline or disagreements with a child—such as grounding, taking away car keys or a phone, or refusing gender-affirming care—as abuse or neglect. DCF Deputy Director Jen Ross explained that screeners look at the nature of the allegation and whether the parent’s conduct is likely to cause serious psychological or emotional harm; she said routine discipline or prudent parenting would not be screened in, while persistent ridiculing, terrorizing, bullying, isolating, threats, or similar conduct could qualify. She also said that denial of gender-affirming care, by itself, would not be treated as neglect, but the agency would consider the full context and any resulting harm or need for mental health care. DCF General Counsel Susan Larby added that the legislature’s earlier definition of psychological maltreatment and related policy already focus on pervasive emotionally abusive behavior, and that the bill is meant to make the statute more understandable and transparent, not to change the core neglect standard. She and other speakers said the goal is to identify serious harm and provide services, not to remove children for ordinary parental decisions. Lisa Massio of the Office of the Child Advocate said the bill and related placement language are intended to preserve family unity and fill gaps where courts have interpreted neglect too narrowly or inconsistently. Members also discussed a proposed concise analysis from Representative Maral and asked about CPSW qualifications and training; DCF said staff generally have backgrounds in human services, social work, psychology, or education and receive a 12-week Core Academy on policy, law, investigations, and family engagement. No vote was taken in the portion provided, and members indicated they wanted to continue refining the amendment before sending anything to the Office of Legislative Services.

Transcript Highlights:

• Current practices are inadequate, as you will hear today.
• Another area of need is the clinical practices and services.
• Another area of need is the clinical practices and services.
• Over this time, I've seen myriad changes to state policies and practices.
• Revocation is paper simple, but not practical.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• expenditure and addressing a practice expenditure and addressing a practice called<00:47:26.720>
• campaign practices to protect democracy. campaign practices to protect democracy.
• It addresses the practice of red boxing.
• It addresses the practice of red boxing.
• It addresses the practice of red boxing.

Keywords: 1187, senate, all