Transcript Highlights:

• This was a third-party independent review of expenses, program outcomes, and all of the program.
• Review of expenses, program outcomes, and all of the various things that these programs were doing.
• is actually going to public education.
• In urban Oklahoma, we're putting a lot of focus on rural Oklahoma, and rural Oklahoma has a lot of needs
• So even in a place like Oklahoma City, a person who has wonderful, So even in a place like Oklahoma City

Keywords: 914, all

Transcript Highlights:

• Members, House Bill 3051 is a bill that I've been working on with the Oklahoma Regents for Higher Education
• So, for example, I have a say in the education budget, just like you have a say in the education budget
• And I'm pretty... ...in the education budget, just like you have a say in the education budget.
• from the state of Oklahoma in one form or another.
• So I'm not as familiar with my Oklahoma geography and Oklahoma history, especially when it comes to our

Keywords: 914, all

Transcript Highlights:

• He said it's the same bill that he had last year, and it is notifying the superintendent of education

Bills: SB24, SB83, SB142, SB140, SB94, SB24, SB83, SB142, SB140, SB94, HB132, HB37, HB51, HB105, HB54, HB7, HB158, HB188, HB189, HB111, HB13, HB192, HB149

Keywords: body-worn camera, public records, law enforcement transparency, recording disclosure, civil rights, adult-size changing table, changing station, accessible restroom, public bathroom, public building, public entity, ADA, Americans with Disabilities Act, accessibility, restroom renovation, new construction, grant program, state grant, local government facilities, historic property

Transcript Highlights:

• Also, I think there could be an educational aspect in our high schools, too—educating the people and
• programs to associate degrees in key fields like education, business, and environmental science.
• We also have our early childhood program, where we educate and train students for that vital function
• Most of those students who get educated in these programs generally stay in the community and work.
• Our career and technical education program, construction, and CDL are consistently full.

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.

Transcript Highlights:

• I normally come to the Capitol to advocate for public education.
• We celebrate— and get their education without sacrificing their safety.
• Two, federal law requires family violence programs to serve all victims.
• Finally, I want to speak as a lifelong educator.
• They had to earn education.

Bills: SB7, SB14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct

Summary: The Committee on State Affairs heard testimony on Senate Bill 7, the Texas Women’s Privacy Act, with the author and committee substitute explaining that the bill would require public facilities to designate multi-use private spaces by biological sex, restrict access to women’s restrooms, locker rooms, showers, sleeping quarters, shelters, and correctional facilities, and create civil penalties and enforcement mechanisms. Members asked about how the bill would apply to family violence shelters, children in mixed-family settings, venue layout, and venue for lawsuits; the author said the bill was similar to prior legislation but with stronger penalties and the 15th Court of Appeals as the exclusive intermediate appellate court for challenges, while clarifying that trial venue should generally be local except for state agencies. The committee also heard that the bill would be amended to better address local venue concerns and shelter-related issues. Invited testimony was largely in support of the bill from witnesses who described personal experiences in women’s sports, prisons, shelters, and public facilities, arguing that single-sex spaces are necessary for privacy and safety. Supporters included parents, former incarcerated women, a Republican county chair, a legal advocate, and a prison educator, who cited incidents involving transgender-identifying individuals in locker rooms, shelters, prisons, and restrooms, and said the bill would restore sex-based boundaries and protect vulnerable women and girls. One witness from Texas Values said the bill was needed despite the recently enacted Women’s Bill of Rights, and another ADF witness said the measure would protect privacy in schools and shelters. Opponents testified that the bill would harm transgender and intersex Texans, create harassment and “gender policing,” and expose cisgender women and children to invasive enforcement. Several witnesses argued there is no evidence that transgender women pose a restroom safety threat, while others said the bill would worsen mental health, employment, and school conditions for trans people and could conflict with prison standards and federal law. Family violence advocates urged changes to protect shelter operations and clarify that children can stay with parents, while other witnesses said the bill would create barriers for victims seeking help. The hearing featured extensive public testimony on both sides, but no final vote or committee action was taken in the portion provided.

Transcript Highlights:

• I'm a programs manager for Developmental Disability Services Division of Oklahoma Human Services.
• I know that program.
• We’re looking at this program expanding into perhaps this could be an entry point to the program.
• We're looking at this program expanding into perhaps this could be an entry point to the program.
• And it's the same when you look at special education, how special education has helped all kids learn

Keywords: 914, all

Summary: The committee/task force met with several disability service providers to discuss integrated employment, transition services, and barriers to community jobs for people with intellectual and developmental disabilities. Robin Arder and Belinda Stevens of ThinkAbility described creating their own businesses when community employers were not hiring their clients, and said rigid service rules, employer readiness, bullying, and reimbursement structures often force the person to fit the service rather than the service fitting the person. They said they have not seen clients lose benefits, but they do closely manage reporting to Social Security and related supports. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial work, city beautification, state-use contracts, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said many employers are hesitant because of productivity and cost concerns, and that businesses are often more open to contracting with her agency than hiring individuals directly. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model with sheltered work, volunteer sites, paid contracts, and a Transition Academy. She said the academy is a two-year program focused first on independent living and then on employment, with internships and an 85% placement rate, but funding is a major barrier because the program is not accredited and students cannot access traditional aid. She also cited dual diagnoses, inconsistent job coaches, and employer uncertainty as major obstacles. Angela Decker and Deborah Copeland of DRTC described DRTC’s long-running enclave contracts, a new Community Skills and Connections program, and a plan to phase out 14(c) subminimum wage use by the end of the year. They said the new program is designed to keep people engaged in community-based skill-building and networking while families still need day supports, and that DRTC has developed more than 100 community partnerships. Senator Kirt, Rep. Hefner, and participants discussed broader system issues, including the need for better school-to-work transition, more social integration, transportation, safety, and employer education. DRS staff said the agency is already required to provide pre-employment transition services in schools starting at age 14 and offers employer accommodations support and job-carving assistance, though they acknowledged federal reporting expectations and service rules can be restrictive. Several participants raised concerns about line-of-sight restrictions, congregate living rules, benefit cliffs, and the difficulty of moving from DDS to DRS services. The group also discussed the need for better data and possible working groups focused on in-school transition, program support and blending services, and community integration. No formal votes were taken.

Transcript Highlights:

• I work remotely from my home office in Norman, Oklahoma.
• education teacher as well as working at the state department of Education and special ed before I got
• Maybe students or educators talk about their experiences.
• We're all here in Oklahoma City a little bit different.
• We still have many Competent and capable educators, but I think we very much have relied on those educators

Keywords: 914, all

Transcript Highlights:

• Basically, Oklahoma law requires this to change every two years.
• They set the rates, sending them back to Oklahoma, and we accept the rates they send.
• Sending them back to Oklahoma and we accept the rates they send. Do I hear a motion? Do pass.
• I'm with the Oklahoma State Election Board. I'm the assistant secretary.
• Are you familiar with Kate Barnard here in the state of Oklahoma? Thank you for the question.

Keywords: 914, all

Transcript Highlights:

• Fraud in federal programs is a real problem.
• For what purpose does the gentleman from Oklahoma seek recognition? >> Mr.
• Your efforts to give a blank check to ICE and to pass an education bill to ICE and to pass an education
• bill that would gut funding for schools and education institutions.
• ... ...the Fort Worth Education Association, and many, many others.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 11, 2026, 1012, house, all

Transcript Highlights:

• I'm a program manager for the Developmental Disability Services Division of Oklahoma Human Services.
• We commissioned a study in Oklahoma to ask lots of different questions about how a study in Oklahoma
• With your programs, if they're graduating from high school, going through these programs, your programs
• We're looking at this program expanding into perhaps this could be an entry point to the program.
• We're looking at this program expanding into perhaps this could be an entry point to the program.

Summary: The meeting focused on integrated employment and related services for people with intellectual and developmental disabilities, with testimony from several provider agencies and state officials. Robin Arder and Belinda Stevens of ThinkAbility described how their organization supports people through residential services and self-created businesses because community employers often are not ready to hire people with disabilities. They said rigid service rules, difficulty fitting individuals into existing job definitions, and reimbursement requirements can prevent person-centered employment supports. They also reported that, in their experience, employees had not lost benefits when work was coordinated carefully with Social Security and benefits management. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial and highway contracts, state-use products, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said the organization uses a temp-service style model to make employers more comfortable and noted barriers such as employer concerns about productivity, lack of awareness of tax credits and accessibility resources, and the need for consistent job coaches. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model, including a Transition Academy for young adults that combines independent living instruction, community college classes, internships, and follow-along support; she said the program has an 85% placement rate but is expensive and not eligible for traditional student aid because it is not accredited. She also cited barriers including dual diagnoses, workforce readiness, and low reimbursement rates. Angela Decker and Deborah Copeland of DRTC described their long-running enclave contracts and a new Community Skills and Connection program that uses interest-based cohorts, community exploration, and volunteer experiences to build skills and networks tied to employment. They said the agency is phasing out its 14(c) subminimum wage certificate by the end of the year and is trying to expand community-based opportunities. DRTC and other providers emphasized the need to blend DDS and DRS services more effectively, reduce restrictive rules such as line-of-sight requirements, and better support people in congregate living settings. DRS representatives said the agency does provide school-based transition services, employer accommodations, and job carving support, and noted federal reporting requirements tied to wage outcomes. Members also discussed safety concerns, employer education, data collection, ABLE accounts, and the role of schools in preparing students for work and community life. The co-chairs proposed organizing the task force into three working groups: in-school/transition services, program support and service blending, and community integration/employer engagement. No votes were taken, and the meeting ended with plans for further working-group discussion and follow-up on data and policy ideas.

Transcript Highlights:

• Our vision is to provide a healthier Oklahoma, supporting healthcare training programs, patient care
• services, and research programs.
• So that these psychiatrists, as they finish the residency programs, stay in Oklahoma.
• to... 90% stay in Oklahoma.
• But we're able to look at a new program, for instance, our ABA program.

Keywords: 914, all

Transcript Highlights:

• and Policymaking, I have the privilege of coordinating that program as well as the Oklahoma Youth Leadership
• I met the executive director of the Developmental Disability Council of Oklahoma through an educational
• We talked to program managers over programs that support 14c or who provides supports for individuals
• It was for programs such as sheltered workshops, so they're in some kind of program within the provider
• They do have technical assistance programs for VR programs that can address some of these issues as well

Keywords: 914, all

Transcript Highlights:

• four hours of educational programs and at least four hours additional every two years.
• Additionally, it adds that the required educational program for mobile home park and RV park...
• Additionally, it adds that the required educational program for mobile home park and RV park operators
• It adds that the required educational program for mobile home park and RV park operators include information
• education.

Bills: HB2010, HB2192, HB2199, HB2279, HB2310, HB2459, HB2501, HB2555, HB2690, HB2693

Keywords: digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, mobile homes, recreational vehicles, landlord tenant laws, tenant rights

Transcript Highlights:

• And so my concern is more focused on a lot of my constituents are in higher education.
• The provision for $10 million of the $15 million to be used for ag infrastructure grants to political
• Additionally, $10 million was appropriated for ag infrastructure grants to political subdivisions for
• service roads, electrical service, natural gas... ...infrastructure grants to political subdivisions
• Kansas, Oklahoma, Iowa, Illinois, and Missouri.

Keywords: 908, all

Summary: The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition. House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1. The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1. The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.

Transcript Highlights:

• The infrastructure we rely on is changing.
• Yeah, there is programs that we work with.
• So there were four programs.
• Chairman, I know we're looking at infrastructure, we're looking at potential attacks on infrastructure
• Is it Oklahoma, Arkansas?

Keywords: 1185, senate, all

Transcript Highlights:

• So, um, I came back, I worked for the Oklahoma State Department of Education for 2 years.
• Um, when I worked for Oklahoma State Department of Education, I had the pleasure of traveling all over
• So, um, the first page I have given you is the 16 components for our alternative education programs.
• You cannot place students for discipline or academic reasons in an alternative education program.
• So it is, um, all of the alternative education students that come to our programs have to have one of

Summary: The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff. Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing. Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.

Transcript Highlights:

• Then we have training programs and educational support, which since I started, we had a capital capacity
• The program background was created by Senate Bill 193 in 2021.
• The current activities include a firewood fuel program that we started.
• There's a current program with career technology education.
• But a lot of the social problems dealing with crime, violence, education... ...education, poverty, etc

Transcript Highlights:

• in Oklahoma.
• Because we need to educate our population, too, not just educators.
• I think we're trying to get the program, the understate program, and the speakers and the participation
• I am from Owasso Public Schools in Owasso, Oklahoma.
• I'm excited to see where this commission will take education in Oklahoma.

Summary: The commission met with a quorum and introduced Brett Farley, who was discussed as a possible partner to help strengthen the nonprofit side of the commission’s work. Members also welcomed a new participant, Naomi Janes of Owasso Public Schools, who described her role in instructional technology and AI integration. The group spent much of the meeting on planning for the upcoming AI symposium, including venue logistics, room and meal costs, audio-visual expenses, fundraising progress, keynote and vendor participation, and ideas for breakout sessions and after-hours demonstrations. Members discussed keeping attendee contact information private unless permission is obtained, and they also considered future regional meetings and year-round follow-up to sustain momentum beyond the symposium. A major portion of the meeting focused on legislation and grant strategy. Michael provided an update on House Bill 1782, saying floor amendments had been filed and that the bill now includes authority for agencies to pursue gifts and donations, an expanded advisory council, broader research purposes, and a fund structure that can support multi-year projects without fiscal-year pressure. He also reviewed Senate Bill 1734, which would require parental disclosure, allow opt-outs, and require reporting on data minimization and privacy compliance for AI tools used in schools. Members discussed how the commission could help schools, families, and the public understand AI policy and how the new law might shape future recommendations. The group also reviewed several grant efforts. Anna reported on the NSF TechABLE/AI HubZone proposal, a three-year, $1 million-per-year opportunity with a June 15 letter-of-intent deadline and July 15 full proposal deadline, and noted plans to include staff positions to support the project. She also updated the group on a rural health care transformation proposal of roughly $700,000 and asked for follow-up on its status. In addition, Anna outlined a broader K-20 pipeline concept centered on a shared learner record and microcredential system that would connect K-12, CareerTech, higher education, libraries, and workforce systems, with tools such as Career Coach and Skill of Eye to link credentials to jobs. Members generally supported the idea, noting benefits for transcript portability, special populations, teacher certification, and workforce alignment. The commission agreed to meet again on June 14 at 1:00 p.m., and the meeting adjourned after a brief announcement of an informal AI book club for the summer.

Transcript Highlights:

• She is the local landowner in Oklahoma County.
• Oklahoma City produces half of the biosolids...
• Oklahoma is one of the nine states that oversees its own biosolids program through the DEQ rather than
• Now how much did we save the state of Oklahoma?
• Some facilities, like Oklahoma City,...

Summary: The committee hearing focused on biosolids, sewage sludge, and PFAS contamination, with the opening remarks and first three presenters arguing that land application of municipal sludge poses serious risks to soil, water, livestock, and human health. Representative Shaw cited EPA and state data on detected pollutants and PFAS in biosolids, while Denise Travick Poyer described her background in chemical engineering and PFAS work and said the EPA’s draft sewage sludge risk assessment shows unacceptable risk at very low PFOS/PFOA levels. She urged source reduction, more testing, and consideration of total organic fluorine, and noted examples from Michigan where industrial pretreatment and source reduction reduced PFAS in biosolids. Johnson County, Texas Commissioner Larry Woolley and Investigator Dana Ames presented a case study of alleged runoff from land-applied biosolids affecting a ranch, with high PFAS readings in soil, water, fish, cattle tissue, and a stillborn calf, and said the county and state had pursued investigations, lawsuits, and legislative responses. Sandra Trawick of Save Oklahoma Farms and Ranches argued that Oklahoma’s biosolids program relies heavily on Class B sludge, that current rules are outdated, and that land application exposes farms and rural communities to pathogens, chemicals, odors, flies, and runoff; she cited examples from Maine, Texas, Georgia, Michigan, and Oklahoma to support calls for stronger regulation or a ban. After the testimony, members asked about sampling methods, lab testing, EPA limits, and whether the cited PFAS blood levels were comparable to the soil and sludge measurements. Witnesses said the Johnson County samples were collected by a Texas A&M PhD contractor and tested at a single lab, and they explained that the EPA’s 4 parts per trillion figure applied to municipal drinking water standards. Questions also addressed whether sludge is incorporated into soil; Trawick said it had often been left on the surface, though she had seen better disking after public scrutiny. Members asked how biosolids compare with manure and feedlot waste, and witnesses responded that municipal sludge is more contaminated because it includes industrial, hospital, and household waste streams, unlike animal manure. The committee then moved to alternative solutions, hearing from Doug McKinney of Advanced Microbial Solutions, who promoted biological sludge removal using bacteria to reduce sludge volumes and avoid land application, citing cost savings for wastewater plants and correctional facilities. Jason Jepsen of Eden Energy followed with a pitch for an eight-stage waste-to-energy system that converts mixed waste into clean energy, biochar, and reusable products, framing waste as an asset and presenting his company’s technology as a no-land-application alternative.

Transcript Highlights:

• We want to be more and more to the community of Oklahoma City as well as Oklahoma, as many of you can
• It's a small hospital in southwest Oklahoma.
• We're located here in Oklahoma City.
• Respite programs have been around for over 3 decades and The adoption of these programs is spreading
• For our state, respite programs rely on...

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.