Transcript Highlights:

• they don't care. It's about retribution. they don't care. It's about retribution.
• Going into the specific changes you all made, the patient-driven payment model, the PDPM model.
• Going into the specific changes you all made, the patient-driven payment model, the PDPM model.
• You all made the patient-driven payment model, the PDPM model.
• >> The CFS and acute care set. >> The CFS and acute care set.

Keywords: 1187, senate, all

Transcript Highlights:

• Including continued salary pressures, rising pension costs, and increased health care premiums.
• We would say that Calbright's model is different than what other community colleges have to offer.
• Lastly, we would note that the career passport recognizes The collaboration among educators, business
• I'll start with the Common Cloud and then shift to Collaborative ERP.
• And over time we shifted to that collaborative approach as well.

Keywords: 988, house, all

Transcript Highlights:

• Now, if LSCW has a collaborative...” “...Now, if LSCW has a collaborative...” “Spencer.
• . ...care planning and care coordination within our team and with other health care providers that will
• Part of clinical care. Routine clinical care.
• We use them in the hospital setting and the acute care setting to help coordinate care.
• behavioral health care—coordinate care to rehab placement, referrals to in-house nursing care, PT, OT

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• CMS managed care plan provides health care services for children under 21 years of age with special health
• care needs.
• The training is based on the care and needs of the individual children and the child's plan of care,
• I also had a home health care agency contact me that was questioning if the parental care would have
• They have strict oversight when they do home health care.

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• care, onto the federal government.
• First, it forces an inefficient, fragmented system of care.
• that's the normal continuum of care.
• I've been in health care for 20 years.
• to set up an Indian managed care entity to provide care for Indian patients and then be recognized by

Keywords: 908, all

Transcript Highlights:

• We have Hua Collaborative in support. Thank you.
• We have H Mua Collaborative in support. Aloha, Chair, Vice Chair, committee members.
• Josh Wish for Hula Collaborative.
• We also have Hawaii Executive Collaborative in support.
• Thank you. really grateful for housing Health Care really grateful for housing Health Care help<05:08

Keywords: 910, house, all

Transcript Highlights:

• care, onto the federal government.
• First, it forces an inefficient, fragmented system of care.
• that's the normal continuum of care.
• I've been in health care for 20 years.
• to set up an Indian managed care entity to provide care for Indian patients and then be recognized by

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:

• What models try to do then is estimate the cost: what is the added cost from these health care needs,
• He spent a month in the neonatal intensive care unit.
• Which means our home visitors model that.
• And so we model those behaviors so the parent can see that and model those to the child, right?
• And so we model those behaviors. So the parent can see that and model those to the child, right?

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• care share...
• That sounds wonderful, and I like the collaboration and holistic approach. Thank you.
• One of the big ones for us as district engineers, it has a deterioration curve model.
• Authority for immediate care.
• So it's really an information processing model that we've built.

Transcript Highlights:

• So collaboratively we worked commission.
• I'm also encouraged by bipartisan collaboration on legislation regulating AI and data privacy.
• Count on my support and count on my collaboration to the extent it's necessary.
• among health care providers and group purchasers and intermediaries known as clearinghouses.
• Vulnerable children need people who can help them, not AI machines pretending to care.

Keywords: 1187, senate, all

Transcript Highlights:

• to create a statewide framework for sexual assault nurse examiners, thereby increasing access and care
• It's really taken a model that we know works across Louisiana and across the nation—children's advocacy
• As a health care person, you know, I'm bound by HIPAA, but as would an RN, if that makes any sense.
• more specifically, can I offer someone who has a little bit more information outside of the health care
• I know that there are other places in law where we are very careful to protect victims, but if we’re

Bills: HR9, HB709, HB1011, HB1057, HB1186, HB1245, HB1247, SB49, SB425, SB479

Keywords: human rights, individual liberties, Magna Carta, constitutionalism, free speech, Uniform Construction Code, building code, construction code, inspector licensing, building inspectors, plans examiners, public inspector, private inspector, private inspector company, building official, code enforcement, Louisiana Uniform Construction Code Commission, state fire marshal, International Building Code, International Residential Code

Transcript Highlights:

• Yeah, but who cares about all that chunk of Constitution?
• So y'all look overseas and the FBI and law enforcement will take care of problems at home.
• So when you think about the Bergeron factors, you look at what's the best interest, health care, religion
• Provides for testimony of medical experts in child custody and child need of care cases.
• they’re not sitting in court all day long and not having their court because it really does delay care

Bills: HR38, HR96, HR160, HCR31, HCR61, HB578, HB668, HB1198, SCR19, SB66, SB68, SB76, SB139, SB336, SB475

Keywords: privacy rights, surveillance, USA Patriot Act, FISA, Fourth Amendment, civil liberties, government oversight, civil bench warrants, judgment debtors, notification process, judgment debtor examination, Louisiana State Law Institute, property transfer, public records doctrine, bad faith, real estate law, HCR 31, House Concurrent Resolution 31, foreign entities, foreign corporation

Summary: The House Civil Law and Procedure Committee met on the 22nd and considered a series of resolutions and bills, many of them requesting Louisiana State Law Institute studies. HCR 31, asking the Institute to study the use of the term “foreign” in state law as it applies to juridical persons, was reported favorably. HCR 38, urging Congress to reform FISA and the FISA Court to restore privacy protections, was also reported favorably. HCR 61, directing a study of expropriation issues related to carbon capture and sequestration, and HCR 96, directing a study of civil bench warrant recall and debtor notification practices, were both reported favorably. Chairman Muscarello’s HCR 160, requesting a study of property transfer provisions and the public records doctrine in light of the SimSport State Bank v. Roy matter, was likewise reported favorably. The committee also advanced several substantive bills. SB 68, a constitutional amendment to give the Louisiana Supreme Court authority to discipline out-of-state attorneys in certain circumstances, was amended and reported with amendments. SB 76, which codifies and revises standards for modifying child custody judgments, including a five-year rule and definitions distinguishing consent judgments from considered decrees, was reported as amended. SCR 19, requesting a study of extended-duration trusts and possible revisions to the Louisiana Trust Code, was reported favorably. SB 336, allowing civil investigative demands in Medicaid fraud False Claims Act investigations, and SB 139, capping interest on certain claims against the state or political subdivisions at 6%, were both reported favorably. Later, the committee approved HB 1198, which prohibits arbitration of child custody and visitation disputes and bars enforcement of foreign custody laws that conflict with Louisiana public policy or constitutional protections. Members questioned whether such arbitration was currently occurring, and the author said the bill was intended to close a potential gap. The committee also reported favorably SB 66, which prioritizes testimony from medical experts and other professionals in child abuse, neglect, and custody-related cases so they are not kept waiting unnecessarily. Testimony in support emphasized the burden on providers and nonprofits when hearings are repeatedly continued. Throughout the meeting, motions to report the measures favorably or with amendments were adopted without objection, and one bill, HB 668, was voluntarily deferred by its author.

Transcript Highlights:

• We take care of the critical care of the patients before these other first responder agencies respond
• We take care of the critical care of the patients before these other first responder agencies respond
• We take care of the critical care of the We take care of the critical care of the patients<00:07
• care in emergency medicine. care in emergency medicine.
• with<00:42:25.360> the forward to collaborating with the forward to collaborating with

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Bills: HB589, HB591, HB609, HB614, SB57, SB280, SB332, HB589, HB591, HB609, HB614, SB57, SB280, SB332, HB627

Keywords: Jefferson County, building regulations, zoning, public health, building commissioner, permits, construction, land use, county tax, lodging tax, Henry County, transient accommodations, hospitality industry, local act, sheriff, sheriff's office, task force, abandoned property, stolen property, unclaimed property

Transcript Highlights:

• care costs? care costs? >> Absolutely. >> Absolutely. >> Absolutely.
• we become the frontline healthc care we become the frontline healthc care provider<00:26:17.840>
• <00:27:00.159> of that we need to serve and take care of that we need to serve and take care
• But for uh to take care of our patients.
• But I type healthc care situations.

Bills: HB185, HB378, SB28, HB400, SB155, HB312, HB185, HB378, SB28, HB400, SB155, HB312

Keywords: appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS

Transcript Highlights:

• This is the proverbial squatter bill, which has had a lot of updates, changes, and collaborative measures
• thank Senator Rogers and her staff, Brooke Kupenthal, and their hard work and the willingness to collaborate
• This is a proven model, so this is not a new idea based on theory.
• This is modeled after the First Step Act, federal legislation.
• This bill creates a careful, court-reviewed pathway to expunge certain misdemeanor records, allowing

Bills: SB1110, SB1140, SB1234, SB1275, SB1426, SB1436, SB1470, SB1489, SB1512, SB1540, SB1556, SB1568, SB1569, SB1573, SB1585, SB1609, SB1627, SB1634, SB1635, SB1648, SB1654, SB1687, SCR1027, SCR1040

Keywords: home confinement, electronic monitoring, community supervision, criminal justice reform, recidivism, expungement, misdemeanor, criminal record, Arizona Revised Statutes, judicial process, record sealing, juvenile court, legal representation, appointed attorney, guardian ad litem, child welfare, veterans, mental health, criminal diversion, military service

Transcript Highlights:

• having them go to the local school board first, we're presenting an opportunity for it to be a collaborative
• by having them go to the local scoreboard doesn't that help to encourage it to be a more of a Collaborative
• fairly to be expected that a new program, when you already have parents who are sacrificing and taking care
• focused on the letters on the outside of a school, we forget about the mission, and that's taking care

Bills: HB3674, HB4326, HB4331, HB3029, HB2963, HB3551, HB2973, HB3019, HB3461, HB2961, HB3261, HB3759, HB3429, HB3069, HB3372, HB3705

Keywords: school resource officer, sexual assault training, law enforcement training, CLEET, school safety, mental health, continuing education, HB4326, Oklahoma Higher Learning Access Program, Oklahoma's Promise, scholarship, tuition assistance, higher education, State Regents for Higher Education, eligibility expansion, adopted students, foster care, DHS custody, child-placing agency, tribal custody

Bills: HB2028, HB1859, HB1851, HB1660, HB1890, HB1892, HB1893, HB2122, HB2012, HB1770, HB2121, HB1979, HB1650, HB1982, HB218

Keywords: Labor Day, construction workers, tax credit, economic development, state law, employer support, workforce development, employment, career counseling, local economy, high-demand jobs, taxation, apprenticeship, income tax credit, qualified apprenticeship program, HB1660, Hawaii, county labor standards, counties, contractors

Transcript Highlights:

• I don't care what you call it a fee, whatever you want to call it.
• We have a very collaborative approach here with this.
• And I meet with them regularly, and we talk about the collaboration.
• We'd be glad to have that collaborative dialogue with them at any time.
• So I really take care of our ag community. Let's see.

Bills: SB1180, SB1215, SB1270, SB1290, SB1292, SB1294, SB1430, SCR1028

Keywords: income tax, conformity, Arizona Revised Statutes, taxpayer, federal regulations, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Transcript Highlights:

• Let's not build a highway when we can fill in potholes and take care of those issues.
• to patients in care.
• to patients in care.
• receive proper follow-up care. receive proper follow-up care.
• It could be acceptable. >> I didn't think anyone would care, really, but there are... >> I don't care

Bills: HB161, HB146, HB289, HB290, HB31, HB146, HB289, HB290, HB31

Keywords: consumer protection, app store, age verification, parental consent, data protection, minors, HB146, ivermectin, pharmacist, standing order, prescription drug, non-patient-specific order, dispensing, physician assistant, nurse practitioner, licensed health care provider, pharmacy board, medical licensure, disciplinary action, drug access