Transcript Highlights:

• We do connect with the Internal Revenue Service.
• The Health and Human Services Committee will stand in recess until 9.50.
• . the public has regarding these services.
• Division Chief of Missouri City Fire and Rescue Service.
• Committee on Health and Human Services. My name is Emiliano Romero.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene.
• We have our unique challenges, as was stated this morning, in rural child welfare services.
• , especially mental health services.
• In preparation, I read, and I think it's... ...that our service area covers 40,000 square miles, which
• Thank you all for the continued support of emergency medical services. ...in Texas.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene, come to order, and members don't need
• The bill promotes child welfare services in rural Texas, ensuring the vulnerable children and families
• We have our unique challenges, as was stated this morning in rural child welfare services.
• Especially mental health services.
• Patients too often face confusing disputes with insurance carriers over ambulance services frequently

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• All right, we are opening the hearing for the Committee on Human Services and Homelessness, Tuesday,
• meeting I'm on, the homelessness task force for the mayor, representing our office, and we hear from service
• office and we hear from um service office and we hear from um service providers.<00:10:39.920>
• This allows services during a governor-declared state of emergency.
• You can be selective services.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• Medicaid Services. Medicaid Services.
• program and who are receiving services. program and who are receiving services.
• Service population.
• What's funded is our fee-for-service mandatory and optional services.
• services that they do for our members. services that they do for our members.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• We respect that there are different service delivery and self-determination models across the country
• received through the Indian Health Service.
• Focus on the healing from trauma and building resiliency through culture connections.
• And as you know, there's all kinds of trauma starting today.
• Enhance access to quality health services.

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• Service delivery dresses gaps in the access and builds a platform for better funding and emergency responsiveness
• 169 is to increase the longevity pay awarded to state employees by 50% for all designated years of service

Bills: SB169, SB201, SB1290, SB1377, SB1991, SB2060

Keywords: longevity pay, state employees, Oklahoma government, salary increase, emergency declaration, minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, foster care, duffel bags, personal belongings, children's welfare

Transcript Highlights:

• attest to many conversations I've had with communities around the state who want this composting service
• In the Albuquerque area, we benefit from the services of Ciudad, getting our kids outdoors, learning
• to the Local Government Division of the Department of Finance and Administration to contract for services
• to the Local Government Division of the Department of Finance and Administration to contract for services
• And the intent over the period of time is to ensure that we do provide, if you will, those services in

Bills: SB47, SB195, SB196, SB197, SB198, SB78

Keywords: food recovery, composting, waste management, solid waste surcharge, organic waste reduction, environment, grants, advisory group, soil conservation, water resources, training services, outreach programs, environmental protection, animal care, veterinary services, spay and neuter, Las Vegas, community funding, animal welfare, animal shelter

Transcript Highlights:

• Madam Chair, members, it looks like this bill is dealing with anesthesia services.

Bills: SB1684, SB1443, SB1447, SB378, SB1920

Keywords: SB1684, Oklahoma Highway Remediation and Cleanup Services Act, highway cleanup, roadway remediation, tow truck, wrecker service, liability insurance, DEQ, Department of Environmental Quality, motor vehicles, licensing, public safety, cleanup operators, roadside services, commercial towing, insurance requirement, license fee, revocation, suspension, Turnpike Authority

Transcript Highlights:

• And I think<00:15:29.320> recognizing<00:15:30.360> that<00:15:30.640> trauma<00
• :15:31.480> in<00:15:31.680> this think recognizing that trauma in this think recognizing
• that trauma in this time<00:15:32.760> by<00:15:33.000> honoring<00:15:33.560> our<
• After checking with House IT services, she said this is not a standard House practice.
• In 2025, Northstar government services."

Bills: HF3643, HF4470, HF4462, HF4366, HF4172, HF3629, HF4356, HF3093

Keywords: Melissa Hortman, Mark Hortman, memorial park, state park, working group, Minnesota Historical Society, Capitol Area Architectural and Planning Board, Saint Paul, Department of Natural Resources, Department of Administration, Legislative Coordinating Commission, general fund appropriation, park planning, interpretive services, public engagement, state memorial, land use, natural resources, commemorative legislation, HF4470

Transcript Highlights:

• Cabinet for Health and Family Services, Department for Medicaid Services, 907 K3320 and 907 K2310.
• Medicaid Services. Medicaid Services.
• to prohibit services to clients only to ensure<01:02:03.520> that<01:02:04.079> services
• family services.
• Family Services? Family Services?

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• They simply will not accept services, and even if they did, our services would be insufficient.

Bills: SJR27, SB53, SB311, SB1164, SB2807, SB1574, SB 53

Keywords: judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, mental health, court proceedings, notice requirements, legal filings, electronic documents, Texas Supreme Court, writ power, mandamus, quo warranto, certiorari, procedendo, extraordinary writs, Government Code Section 22.002, separation of powers, judicial authority

Transcript Highlights:

• Cher, welcome to Senate Health and Human Services again to the people in the room.
• So in order to make their services available to women in Oklahoma, particularly I believe in Oklahoma
• So, but for this one thing, they met the requirements of the RFP to provide services.
• So is this only for digital services?
• So, I'm a big proponent of ABA services. So, I just want to leave you with that.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Oh yeah, Texas Engineering Extension Service, through Texas A&M.
• I know TEEX has first responders, Forest Service, and some other agency partners.
• Sets prices for services, even with the most complex accounting systems.
• It's very hard to actually compare the quality and price for shoppable healthcare 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:

• Call the Oversight for Health and Human Services to order.
• state to provide those services, it is the expectation that those services be provided.
• Again, ...to provide those services, it is the expectation that those services be provided.
• childbirth and what other services are provided by this.
• childbirth and what other services are provided by this.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• Correspondingly, the percentage directed to the designated trauma facility and emergency medical services
• Increased funding to the designated trauma facility and emergency services account would lead to improvements
• in emergency medical services and trauma care infrastructure. ...structure in Texas.
• I am the director of the EMS Trauma Systems Section for the Department of State Health Services.
• I can share a little bit with you about the trauma and emergency trauma system.

Bills: HB 104, HB2054, HB3459, HB3745, HB4486, HB4488, HB4601, HB104

Keywords: Texas Future Fund, investment review board, economic stabilization, innovative technology, national defense, HB 2054, Texas volunteer fire department assistance fund, Rural Volunteer Fire Department Assistance Program, volunteer fire departments, wildfire mitigation, wildland fire, rural fire protection, insurer assessment, insurance premium tax, state appropriations, firefighting grants, emergency services, high-risk wildfire areas, Texas Comptroller, Texas Government Code

Transcript Highlights:

• We're going to be renaming some internal educational services to a parent-directed services for students
• And the four service groups represented needed additional services designed for specific needs.
• , but what are those services.
• adequate services.
• for these services.

Bills: SB568, SCR5, SB57, SB1447, SB27, SB24

Keywords: special education, funding, individualized education program, visual impairments, accessibility, support services, state education code, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame

Bills: SB568, SCR5, SB57, SB1447, SB27, SB24

Keywords: special education, funding, individualized education program, visual impairments, accessibility, support services, state education code, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame

Bills: HB59, HB74, HB159, HB167, HB175, HB255, HB330, HB364, HB458, HB525, HB568, HB656, HB1033, HB1034, HB1070

Keywords: public defender, funding, district court, East Baton Rouge, judicial expenses, Autism Spectrum Disorder, missing children, law enforcement, public safety, Spectrum Alert, inmate documentation, post-release employment, special identification card, Louisiana Department of Public Safety, reentry services, veterans, veterans services, lottery proceeds, special fund, grant board

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines