Transcript Highlights:

• <00:16:05.199> uh Department of Human Services uh Department of Human Services uh represent
• Services Services um<00:21:29.919> we<00:21:30.039> would<00:21:30.240> generally
• than maybe an unlicensed service.
• than maybe an unlicensed service.
• than maybe an unlicensed service.

Bills: HF1, HF98

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• Welcome back to the second-to-last episode of the Senate Health and Social Services Committee.
• I mean, will the General Assembly get a report of this or the Division of Legislative Services?
• and if you submit your comments in writing, you can submit them to the Senate Health and Social Services
• organization has supported Delaware's children and families, including providing foster care adoption services
• by 2037, dropping from 107% to 97% of demand, and that is according to the Health Resources and Services

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• So, the fiscal note is really about the impact of making the services online.
• Obtain a permit or pay a permitting fee to operate a food service establishment, temporary food service
• In the United States Postal Service, we call it snail mail.
• I am a former investigator for Child Protective Services.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• I appreciate these ladies' service.
• Of the telehealth services that we contract with providing third-party services?
• Telehealth services? Yes, ma'am. Who does the physical exam?
• The service that you contract with that makes contact with a patient.
• , the Department of State Health Services, Health and Human Services Commission, and the Texas Workforce

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Currently, about 20 states allow dentists to administer neuromodulators. allow dentists to provide these services
• providers who already have the trust of their patients and the clinical expertise to deliver these services
• But I'm concerned with people who, I would say, shop for services, but I don't mean shop like medical

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• must provide eight hours of in-service training on a daily basis.
• The city has actually robustly funded homeless services.
• Well, personally, I feel like these services need to be voluntary.
• other services.
• We know many of these individuals will need to access treatment services.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Bills: SB1369, SB1570

Keywords: mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, revolving fund, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, 914, all

Bills: HB1663, HB2335, HB2597

Keywords: reimbursement, public employees, travel costs, Hawaii statutes, government funding, workforce development, internship, internal recruitment, employment, qualifications, civil service, artificial intelligence, data governance, open data portal, Hawaii, chief data officer, chatbot, public services, data transparency, 910

Transcript Highlights:

• <00:32:22.320> Very of administrative services. Very of administrative services.
• When we're services that you see there.
• And if in temporary manpower services.
• <00:52:23.359> not over $51 million spent in services not over $51 million spent in services
• We're still for IT related services.

Keywords: Meeting Start 00:00:00 Cabinet for Health and Family Services 00:00:30 Kentucky Department of Education 00:27:10 Education and Labor Cabinet 00:31:35 Auditor of Public Accounts 00:36:55, 958, all

Summary: The committee met for a budget-only discussion with no bills scheduled for a vote. Members first welcomed a group of high school guests, then heard from the Cabinet for Health and Family Services on funding issues for child advocacy centers, domestic violence centers, rape crisis centers, and SNAP. DCBS Commissioner Lisa Dennis and budget director Misty Sammons said the victim-services programs were included in the current baseline budget, but it was too early in the budget process to know final funding levels. They said earlier reports of major cuts were based on a misunderstanding, that conversations with the agencies were ongoing, and that they would provide the committee with the agency’s base-budget information. A member also asked about domestic violence shelter funding, and the cabinet explained that prior one-time money had been used to replace lost federal Victims of Crime Act funds. On SNAP, the cabinet said Kentucky does not expect to need additional money for benefit costs because the payment error rate is about 4%, below the threshold that would trigger added state costs. However, they said the federal HR1 change shifting SNAP administrative costs from a 50/50 state-federal split to 75% state and 25% federal will require additional funding to operate the program. Members praised the eligibility and family support staff for keeping error rates low and asked to be notified quickly if more implementation support is needed. Representative Bojanowski asked whether a specific SNAP administrative cost figure was already in House Bill 500; the cabinet said it was not, and that such an item would be an additional budget request not included in the bill. The committee then heard from the Department for Medicaid Services. Commissioner Lisa Lee and Senior Deputy Commissioner Veronica Judy Cecil described Medicaid fraud-and-abuse monitoring, including a new CMS file and guidance on concurrent enrollment across states. They said DMS refers suspected fraud or abuse to the Attorney General’s office and that the relationship is working well. When asked about using AI, they said the department is not yet using AI but does use internal algorithms to flag potential fraud, waste, and abuse. Finally, Eric Lowry of the Cabinet for Health and Family Services discussed fiscal note processing, saying House Bill 2 is a complex Medicaid bill and that the cabinet is working to set up a meeting with the sponsor; he said the cabinet is responding and hopes to meet on Monday. The committee also briefly heard from the Kentucky Department of Education, where Matt Ross said the existing $7.4 million for school-based mental health services is already in the base budget and that no additional language is needed in House Bill 500 to distribute it, though KDE has requested additional funding to raise the overall appropriation to $18 million.

Transcript Highlights:

• Next, we're going to move to tab 3, SB 778 on forensic services for certain defendants by Senator Simon
• This bill will allow APD to consolidate those services, reducing duplicative staffing needs and producing
• , it changes part of the Road to Independence Program, specifically the post-secondary education services
• and support, not all aftercare services.
• Thank you. ...aftercare services, and that is the amendment to the amendment.

Bills: S0560, S0590, S0778, S1010

Keywords: child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344, SB1839, SB1280, SB1832, SB2001, SB1405, SB2143, SB1989, SB1393, SB1392, SB1395, SB1400, SB1220, SB1516, SB1239, SB1531, SB1349, SB1221, SB1538, SB1309, SB1434, SB2108, SB2121, SB2171, SB2061, SB2112, SB2138

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• . services. services.
• We provide outdoor recreation for military service members, veterans, and first responders.
• I now serve as the result of my service.
• service members, veterans, and<00:21:23.120> first<00:21:23.440> responders.
• , provision of emergency medical services, provision of emergency medical services, hazardous<00:

Bills: HF1667, HF2526, HF68

Keywords: correctional fees, supervision fees, probation, Department of Corrections, criminal justice funding, electronic home monitoring, drug testing, restitution collection, community service work, postprison supervision, court-ordered services, fee sunset, fee phaseout, offender fees, community corrections, supervised individuals, 1183, house

Transcript Highlights:

• offices with experts who can properly certify deaths are overburdened because they extend their services
• They lend out their services. Travis County likewise faces similar challenges.
• The recommended workload caseloads highlight a pressing need to expand these services.
• The way we pay for some of that is we, you know, most counties will provide services to Kaufman and Hunt
• see those situations, but the counties do contract out with surrounding counties. provide their services

Bills: SB1370

Keywords: medical examiner, forensic services, county coroner, autopsy, death investigation, forensic pathology, county government, commissioners court, medical examiners district, regional district, public health, criminal justice, Texas Code of Criminal Procedure, Article 49.25, county population threshold, interlocal agreement, 1184, house, all

Bills: SB 243, SB 1586, SB 1891, SB 1959, SB 2159, SB 2568

Keywords: wastewater treatment, environmental permits, Texas Commission on Environmental Quality, package plant, environmental protection, water utilities, sewer services, ratemaking, regulatory authority, Class A B C D utilities, rate proceedings, financial integrity, aquifer, Edwards Aquifer, water injection, environmental regulation, groundwater management

Transcript Highlights:

• You often hear, where are the gaps in services?
• on market or what they think that that service is worth.
• Department of Health and Human Services.
• Health and Human Services is already collecting that data.
• And our hospitals currently offer these services.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Now the bill got added two other service lines, ENT and one other service line.
• because there's a backlog in this service line.
• So if it goes, if the author is here to just look at one service line, how do you look at that one service
• So the one service line, and LDH, we have LDH here.
• for the services described in the bill.

Bills: HB198, HB325, HB488, HB719, HB749, HB755, HB797, HB823, HB1028, HB1194, HB1222

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Bills: HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49

Keywords: administrative rules, rule approval, joint resolution, Oklahoma Register, Department of Agriculture, Food, and Forestry, Corporation Commission, Department of Environmental Quality, Liquified Petroleum Gas Board, water resources, wildlife conservation, tourism, zoning commission, energy regulation, agricultural regulation, agency rules, permanent rules, state agencies, Oklahoma Legislature, business and commerce, professional licensing

Transcript Highlights:

• So this allows for alternate terms of service so that we have a continuity within that board.
• that could fall under their directors and not under this bill, just for those certain emergency services
• done, whether the job is complete or ongoing, whether the job was to augment staffing or provide a service
• Contract is service-based or for staff augmentation.
• purchasing, and we understand that there are instances where there is only one provider of a product or service

Bills: HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130

Keywords: 2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census

Transcript Highlights:

• Long-Term Services and Supports. Long-Term Services and Supports.
• , those additional services.
• , those additional services.
• , those additional services.
• , those additional services.

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.