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.
• 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.
• getting<00:43:12.480> from quality service that you're getting from quality service that you're

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
• Among those federal employees are healthcare professionals within the Indian Health Service. This.
• received through the Indian Health Service.
• Enhance access to quality health services.
• systems. services, and I put this to when I was born in Alaska and went to the Indian 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
• kinds of things, as long as it benefits the natural resources of the state — so, you know, water quality
• And the intent over the period of time is to ensure that we do provide, if you will, those services in
• It has to do with the quality-of-life project.

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

Bills: SB 2031, SB 2386, SB 2476, SB 2801, SB 2843, SB 2844, SB 2846, SB 2885

Keywords: deer breeding, chronic wasting disease, wildlife management, release site, landowner rights, TCEQ, environmental quality, administrative actions, public notice, legislative oversight, water supply, Angelina and Neches River Authority, ownership transfer, public utilities, Certificate of Convenience and Necessity, public health, cervid resistance, research study, wildlife regulation, criminal offenses

Bills: SB 1194, SB 1215, SB 1253, SB 1268, SB 1302, SB 1484, SB 1532

Keywords: water management, bond issuance, eminent domain, regional authority, fee structures, local governance, environmental quality, oyster cultivation, coastal management, natural resources, marine ecosystems, Texas Parks and Wildlife, Texas Water Development Board, guidance principles, flood plan, state water plan, rule review, infrastructure, water discharge, general permit

Transcript Highlights:

• committee, you are probably aware that there is such an act as the Alabama Scrap Tire Environmental Quality
• They pay the revenue commissioner or tax collector's office for the collection services, and it would
• create an additional line item below the Ad Valorem line, and they will be getting paid for that service
• We want to pay them for their services to do it, and frankly, the way it works is that a company like

Bills: HB145, HB311

Keywords: HB145, scrap tires, scrap tire disposal, illegal dumping, ADEM, Alabama Department of Environmental Management, environmental enforcement, Class 2 municipality, municipal court, local enforcement, delegation agreement, primacy, waste management, tire recycling, tire hauling, environmental quality act, misdemeanor penalties, Class A misdemeanor, Class B misdemeanor, Class C misdemeanor

Transcript Highlights:

• I'm from Greenfar Land Services. We run a five-county crew spread out across central Alabama.
• Everything else we have to take a driver out of service, and the owner of the business has to show up

Bills: SB110, SB64, SB42

Keywords: weight limits, trucking regulations, transportation, enforcement authority, portable scales, SB64, Alabama, state waters, public waters, aquatic plants, aquatic vegetation, lake management, waterway maintenance, environmental regulation, Department of Conservation and Natural Resources, DCNR, commercial contractors, vegetation removal, mowing aquatic plants, uprooting plants

Transcript Highlights:

• at the beginning of any request for proposal that the agency issues for procurement of goods and services
• After checking with House IT services, she said this is not a standard House practice.
• finances through, and I quote, "lower program and tax revenues, increased reliance on government services
• revenues, increased reliance on tax revenues, increased reliance on government<01:07:21.960> services
• 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.
• <00:19:52.080> of individuals improving their quality of individuals improving their quality
• 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:

• She noted that this bill proposes to improve funding for essential services that benefit families in
• HR1465 by Dyson, relating to the commendation of Bennett Bush for his service as legislative director
• Chief Taylor has spent over 20 years in the fire service. ...becoming chief in 2013.
• Benavides and his life story in service to our country.
• The Senate has adopted recommendations from the Texas Commission on Environmental Quality.

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Transcript Highlights:

• “It gives LDH the exception for emergency services.
• And so we've serviced members; we've serviced people in each one of your districts.
• And so we've serviced members; we've serviced people in each one of your districts.
• Again, LDH came on with crisis services in 2022.
• Again, LDH came on with crisis services in 2022.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• However, wild rice is extremely sensitive to environmental changes, particularly to water quality and
• <00:09:16.959> and particularly to water quality and particularly to water quality and chemical
• health and an expert in water quality. health and an expert in water quality.
• So having that in law quality or yield.
• Quality by incentivizing retailers to offer a much cleaner fuel option across the state.

Bills: HF3898, HF3957, HF4372, HF4350, HF3692, HF4085

Keywords: pesticides, wild rice, environmental protection, agriculture, water quality, pollinators, training, management plan, fertilizer research, education grants, Minnesota Agricultural Council, technology transfer, agricultural productivity, HF4372, Minnesota agriculture, meat processing, meat processing training, retention incentive grants, grant extension, project deadline extension

Transcript Highlights:

• some I've got a few examples: water or gas line locators, assembly line workers, machine feeders, or quality

Bills: HB2997, HB2021, HB3041, HB1823, HB3372, HB1427, HB3127, HB3128, HCR1020, HB4198, HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, SB392, HB3320

Keywords: motor vehicles, administrative fines, license regulation, state agencies, employment levels, after-school programs, grant funding, community organizations, child care, Oklahoma Department of Human Services, credit card transactions, payment methods, service charge, consumer rights, financial regulation, housing finance, Oklahoma Housing Finance Agency, publication requirements, housing policy, state regulations

Transcript Highlights:

• And FLDS, Florida Digital Service, will be transferred by a type 2 transfer to DIGIT on January 5, 2027
• They're going to be security, data interoperability, one of my favorite things to talk about, quality
• Once conditions allow, calls for service are prioritized.
• Once conditions allow, calls for service are prioritized.
• Thank you for your service. Thank you. Next up, Larry Harvey. Thank you, Madam Chair.

Bills: S0302, S0394, S0480, S0546, S0636, S0774, S0796, S1028, S1050, S1066, S1120, S1230, S1288, S1682

Keywords: cybersecurity, information technology, data management, local government compliance, cloud services, state agency oversight, integrated governance, conservation lands, land exchange, state-owned land, Acquisition and Restoration Council, Florida water management, environmental protection, beach management, beach erosion, beach nourishment, coastal resilience, shoreline protection, critical erosion, critically eroded beach

Summary: The committee heard and advanced several bills, beginning with CS/SB 796, which would create Veterinary Professional Associates as a new supervised veterinary role, expand telehealth prescription timeframes, and set training and scope limits. Supporters said it would improve access to care, lower costs, and create a career path, while opponents argued the proposal lacked a clear regulatory framework, could create liability and federal-law conflicts, and would not address the real shortage in rural large-animal practice. After debate, the committee reported the bill favorably. Members also heard and favorably reported SB 1682 on local authority over derelict and abandoned vessels, CS/SB 1028 on a commercial Citizens clearinghouse for property insurance, SB 394 on exempting certain reinsurance underwriting managers from licensing, SB 636 on beach management and erosion designations, CS/SB 546 on public notice for conservation land sales or exchanges, CS/SB 302 on Biscayne Bay nature-based solutions and related coastal resiliency provisions, SB 1050 on pharmacy choice for pet medications, and SB 774 extending workers’ compensation benefits to 911 public safety telecommunicators for mental and nervous injuries. Testimony on these bills generally focused on access, regulatory clarity, environmental protection, or workforce support, with some concerns raised on insurance consumer protections and beach-management language. Senator Harrell’s bills were also taken up and reported favorably: CS/SB 480, a major overhaul of state IT governance creating DIGIT and new procurement, reporting, and workforce structures; CS/SB 1230, restricting PFAS-containing firefighting foam and adding testing, inventory, and disposal requirements; and CS/SB 1288, a naming bill designating the Andrew Red Harris Shoal and requiring markers. Finally, the committee heard extensive testimony on SB 1066 regarding restoration of the Oklawaha/Rodman system, with supporters emphasizing ecological restoration, flood-risk reduction, and economic benefits, and opponents warning about local impacts, water quality, and the loss of a world-class fishery. The transcript ends during testimony on that bill, before final action is shown.

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement