Transcript Highlights:

• Generally, family has to have two in the workforce.
• Generally, family has to have two in the workforce.
• many of you don't know, when I ETS'd the Army, um, I was turned down for a first job in the civil service
• for a first job um in the civil service because<00:03:49.120><c> even</c><00:03:49.360><c> though</c
• can stay together because a the families can stay together because a lot<00:04:28.400><c> of</c><00:

Bills: HB292, HB307, SB33, HB292, HB307, SB33

Keywords: economic development, incentives, transparency, compliance, Alabama Jobs Act, speedy trial, visiting judge, court administration, public interest, criminal justice, SB33, marriage, premarital class, conflict resolution, marriage license reform, probate judge, Administrative Office of Courts, AOC, domestic violence, intimate partner violence

Bills: SB 711, SB 746, SB 942, SB 1403, SB 1404, SB 1448, SB 1536, SB 1559

Keywords: property owners' association, condominium, management company, homeowner rights, architectural review, child support, family law, Title IV-D agency, administrative adjustment, enforcement, legal representation, probate, decedents' estates, inheritance, community property, court procedures, electronic filing, guardianship, training, Alzheimer's disease

Bills: SB 711, SB 746, SB 942, SB 1403, SB 1404, SB 1448, SB 1536, SB 1559

Keywords: property owners' association, condominium, management company, homeowner rights, architectural review, child support, family law, Title IV-D agency, administrative adjustment, enforcement, legal representation, probate, decedents' estates, inheritance, community property, court procedures, electronic filing, guardianship, training, Alzheimer's disease

Transcript Highlights:

• Welcome to our executive session today in the House Early Learning & Human Services Committee.
• There are numerous things at play that is needed: services for families that were lacking, training,
• more support for the department, et cetera.
• There are numerous things at play that is needed: services for families that were lacking, training,
• more support for the department, et cetera.

Bills: HB2200, HB2468, HB2660

Keywords: developmental disabilities, residential settings, data access, safety, stability, terminology correction, social services, healthcare, regulatory compliance, department reorganization, child welfare, court authority, shelter care, family law, court conditions, 904, all

Transcript Highlights:

• </c><00:05:49.759><c> providers</c> collected through our service providers collected through our service
• </c><00:09:52.519><c> gatherings</c> interesting that at family gatherings interesting that at family
• All of our addiction clinicians can provide services for problem gambling, but we really support the
• All of our addiction clinicians can provide services for problem gambling, but we really support the
• um support the idea of really um support the idea of specialized<00:15:16.959><c> treatment</c><00:15

Keywords: 00:00 Call to Order and Roll Call 00:37 KY Horse Racing and Gaming Corp. 08:32 Cabinet for Health and Family Services 35:28 Adjournment, 958, all

Summary: The subcommittee heard an update from the Kentucky Horse Racing and Gaming Corporation on sports wagering revenue allocations and problem gaming funding. KHRGC reported that in fiscal year 2024, about $34.4 million was deposited to the pension fund and about $931,000 to the problem gaming assistance fund; fiscal year 2025 to date, the totals were about $18.5 million and $556,000, respectively, bringing all-time problem gaming funding to about $1.48 million. Members also discussed wagering volume, with KHRGC stating Kentucky had about $3.5 billion in wagers from September 2023 through December 2024 and about $1.4 billion in fiscal year 2025 to date. KHRGC explained that it tracks the funds sent to CHFS and the self-exclusion list, but does not track the number of people seeking help or the outcomes of those calls. The Division of Mental Health then described how the problem gambling assistance account is used. Patty Clark and Sarah Cooper said the fund supports education, counseling, public awareness, counselor certification, and treatment-related costs, with $50,000 reserved for administrative expenses. They said the department has spent the last 18 months establishing criteria, funding standards, performance measures, monitoring, and application procedures, and that it issued notices of funding opportunity in October. They reported about 1.49 million in the fund through the end of January, with awards including support for the Kentucky Council on Problem Gambling conference, a public awareness campaign by Project Ricochet, and a youth-focused campaign by Shaunie Transformation Youth Coalition. Testimony also focused on the scope of problem gambling in Kentucky and how the helpline works. The department said fewer than 10 clinicians in Kentucky are specifically certified in problem gambling, though all addiction clinicians can provide services, and estimated about 165,000 adults show problem gambling behaviors, with 47,000 to 64,000 potentially meeting criteria for a gambling disorder. They said helpline calls rose to about 3,240 in 2024, but only about 25% were from people seeking help, with most callers seeking information about online wagering. Members asked about anonymity, follow-up, co-occurring alcohol or drug issues, and whether the fund should reimburse Medicaid or directly cover treatment costs. The presenters said calls are anonymous, outcomes are not tracked unless callers follow up, and the program is currently focused on building provider capacity and targeted outreach rather than direct reimbursement or a statewide campaign.

Transcript Highlights:

• </c> supporting the intent. supporting the intent.
• In<00:39:52.800><c> support.</c> In support. In support. Let's<00:39:54.160><c> see.
• Hawaii Dental Service. Hawaii Dental Association. All of them in support.
• </c> home to their families. home to their families.
• My family knows a great deal about service, sacrifice, and the struggles that accompany them.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• We are here in support of SB 1131.
• We're also looking at doing direct caregiver education and support and evidence-based support for state
• Obviously, support fighting Alzheimer's however we can.
• I support this.
• I support this.

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Transcript Highlights:

• Senate Bill 1983 is directing the Department of Human Services to provide foster care.
• In the bill, the family partners are the private child placing agencies under contract with DHS.
• If they're wanting to continue their education, I would be very supportive.
• That Majority Leader Lawson and I are interested in post-21 services and try to evaluate that.
• So, congratulations and thanks for your service.

Bills: SB1558, SB1983, SB1796, SB1806, SB1426, SB633

Keywords: child care, licensing, definitions, foster care, child welfare, SB1983, resource family partner, resource family partners, Department of Human Services, DHS, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention

Transcript Highlights:

• family partners.
• But it'll be things like where are the shortages of foster care families?
• But it'll be things like where are the shortages of foster care families?
• So congratulations and thanks for your service.
• So congratulations and thanks for your service.

Bills: SB1558, SB1983, SB1796, SB1806, SB1426, SB633

Keywords: child care, licensing, definitions, foster care, child welfare, SB1983, resource family partner, resource family partners, Department of Human Services, DHS, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention

Summary: The committee first announced that Senate Bills 1426 and 633 would not be heard and then took up several foster-care-related measures. Senate Bill 1983, presented by Representative Kane, would require the Department of Human Services to provide aggregated foster care data to private child-placing agencies under contract with DHS so they can better identify shortages, placement needs, and sibling separation issues. Members discussed how the information would be used and emphasized that no private information would be shared. The bill passed 6-0 and was sent to oversight. Majority Leader Lawson then presented Senate Bill 1796, which largely codifies existing foster care administrative rules and adds a 72-hour cap for informal care. Members asked about screening and background checks for temporary caregivers, and Lawson explained that caregivers must be screened and that DHS must verify placements are safe. The bill passed 6-0 and moved on. Lawson also presented Senate Bill 1806, extending foster care eligibility to age 21 for certain youth who are aging out or who achieved permanency after age 16, with education, training, or work requirements. Members discussed the need for post-21 services, possible future review of additional supports, and the bill’s potential to draw federal matching funds. It passed 6-0 and was reported out. Representative Geis presented Senate Bill 1558, which clarifies the definition of a child for licensing level E group homes so a youth can remain in a judge-ordered placement until age 19 to receive rehabilitation services. The committee had no questions or debate, and the bill passed unanimously 6-0. In closing, the chair thanked members for their attendance and work on children and family issues, noted the committee’s accomplishments during the year, and adjourned the meeting.

Transcript Highlights:

• and</c> services agencies for support and services agencies for support and implementing implementing
• </c> I encourage your support. I encourage your support.
• </c> won't support this bill. won't support this bill.
• Uh secondly, I support raising capacity limits for family child care and also making staff-child ratios
• Uh first, I I support the support.

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Transcript Highlights:

• modify or review the services that the people provide.
• I support this, and I want to tell you why I support it. I've got family that lives in...
• I've got family that lives in Kentucky, and they have several grandchildren.
• I sitting here, I support the concept. I support us being able to open...
• Yeah, so let me just... ...supporting that. Yeah, so let me just interject.

Bills: SB175, SB195, SB196, SB199

Keywords: aircraft, tax exemption, sales tax, lease tax, maintenance, Alabama, health insurance, Medicare, retirees, public education, contracts, education, high school, community college, dual enrollment, secondary credit, Move on When Ready, parental leave, state employees, local education agencies

Transcript Highlights:

• Current law requires that the Department of Family and Protective Services to consider several factors
• This is a child-centered policy that supports both the children and foster families by reducing disruption
• We support this bill.
• OK, um, Erica Benuelos, Department of Family and Protective Services neutral on the bill, is that correct
• Can they keep the child safe with or without support?

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• Academically, most of these kids also qualify for special education services.
• This is a child-centered policy that supports both children and foster families by reducing disruption
• So we're happy to be here to support. And I'm happy to answer any questions.
• They get upset when kids are taken away from them when family is found.
• Erica Banuelos, Department of Family and Protective Services, neutral on the bill. Correct?

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• We have local veterans that are trained to provide peer support to other veterans and families in their
• Some peer support.
• So this peer support program.
• So your constituents support it, we support it.
• I'm the Senior Director of Public Affairs at the Texas Alliance of Child and Family Services.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• One of the new hires, matter of fact, that we have brought on in a support role is actually at one of

Keywords: Meeting Start 00:00:00 Status of Hiring Four Project Managers within Facilities & Support Services in HB6 from the 24RS 00:02:01 Attendance Roll Call 00:09:32, 958, all

Summary: The Budget Review Subcommittee on Personnel, Public Retirement, and Finance, and Administrative Cabinet met for an informational update, with the new chair noting the committee does not vote on issues and is mainly reviewing implementation of budgeted items. The main presentation came from Scott Baker of the Finance Cabinet’s Office of Facility Development and Efficiency, who explained how the office has shifted experienced staff to lead Department of Parks projects and hired new staff to be trained into project management roles. He said the office is managing 146 ongoing parks projects and has moved from weekly to biweekly meetings as work has progressed. Baker said the budgeted staffing changes were intended to speed project delivery while maintaining expertise, since state project management also requires knowledge of procurement law and other Commonwealth-specific rules. He described the workload as heavy, with 15 project managers handling 1,149 active projects, including one western Kentucky manager overseeing 127 projects, and said the office is trying to add more staff and create new positions to improve recruiting. Members asked about staffing levels and workload, and Baker said the office is not overstaffed but is competing with a strong construction industry for talent. Committee members praised the office’s work on parks projects, noting campground and infrastructure needs at places like Lake Barkley and emphasizing prudent use of the large capital budgets approved in recent years. No votes were taken because the subcommittee lacked a quorum, as some members were in other committee meetings. The chair said the committee would continue to meet during session and interim periods and adjourned the meeting after the update.

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• and Services Center, Central Louisiana Supports and Services Center, and Villa Feliciana Medical Complex
• The parents that come and support the kids, their kids, their families... ...caregivers in the facilities
• families in the New York metro. by a career spent at the highest levels of private service for families
• And so we support this bill.
• We have 26 green cards and support. For the questions, we have 26 green cards and support.

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• We support this bill.
• We support SB 196.
• I’ve lost eight family members to this, and the ones that survived, survived through education and support
• As addiction takes hold, people often lose the support of family and friends.
• support of Senate Bill 249.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.