Transcript Highlights:

• Equipment purchased from certain companies refer to the Committee on state affairs, HB 3569 by Barry,
• HB 3581 by Dutton relating to the period of redeeming the residents' homestead of an elderly person sold
• Contributors providing a civil penalty for the Committee on State Affairs.
• State affairs.
• Affairs HB 3641 by Bell of Montgomery relating to the authorities of county to regulate noise levels

Transcript Highlights:

• </c><00:59:49.280><c> is</c> Home care for our elderly is Home care for our elderly is significantly
• </c> our elderly citizens. our elderly citizens. Thank<01:02:15.920><c> you.
• Um, and like I said, it's not really a mandate because... elderly, but you're making a twofold elderly
• The elderly mandated exemption.
• </c> &gt;&gt; and that was elderly exemption. &gt;&gt; and that was elderly exemption.

Committee: Senate Election Law and Municipal Affairs

Transcript Highlights:

• With me today to provide testimony is Nick Sackett, Director of Legislative Affairs for Social Compassion
• representing the Hardscale Eats restaurant group, and Matthew Sutton, senior vice president of government affairs
• While this committee has some reservations about the Department of Consumer Affairs being the best agency
• My patients are primarily elderly and suffering from pain, chronic mental health disorders, Alzheimer's
• We are talking about unicorn patients in California, pediatric patients, elderly patients, folks at the

Committee: House Business and Professions

Transcript Highlights:

• employment for law enforcement agencies in certain counties for the Committee on Intergovernmental Affairs
• SEC's authorization, a civil penalty and private civil right of action for the Committee on State Affairs
• SEC's authorization, a civil penalty and a private civil right of action for the Committee on State Affairs
• prosecute criminal offenses prescribed by the election laws of the state for the Committee on State Affairs
• use by political subdivisions of public funds for lobbying activities for the Committee on State Affairs

Bills: HB4 , HB4

Transcript Highlights:

• things we're doing for Oklahomans, the things we're doing for children, the things we're doing for the elderly
• present the nomination of Sharon Shell Millington of Edmond to the Director of the Office of Juvenile Affairs
• She currently serves as Deputy Executive Director with the Oklahoma Office of Juvenile Affairs and Most
• Chair Stanley for your support since stepping into this Role, this committee, the Office of Juvenile Affairs
• It's been a true honor to serve at the Office of Juvenile Affairs every day.

Committee: Senate Health and Human Services

Transcript Highlights:

• , how we continue to build, if you will, the network that definitely takes care of our young, our elderly
• , how we continue to build, if you will, the network that definitely takes care of our young, our elderly
• , how we continue to build, if you will, the network that definitely takes care of our young, our elderly
• Thank you very young, our elderly, the people that are in the middle that are working hard that continue
• I am now on academic and student affairs, compliance and risk management, and the Higher Education Regents

Committee: Senate House Rules & Order Of Business

Summary: The committee held confirmation hearings for Don Walters as New Mexico’s first State Child Advocate and for two New Mexico Highlands University regents, Elaine Luna and Grace Margaret Herrera. For Walters, the sponsor and selection committee chair described her extensive child welfare background, including work as a guardian ad litem, CYFD attorney, and director of CYFD’s Office of Advocacy. Multiple supporters testified, including former colleagues, a foster parent, and CYFD Acting Secretary Valerie Sandoval, all praising her integrity, child advocacy experience, and commitment to collaboration and transparency. Committee members focused heavily on the new Office of the Child Advocate’s startup needs, especially staffing, access to CYFD records, and funding. Walters said she expected the office to need roughly $4.5 million to $5 million to launch and envisioned about 26 to 27 staff, with regional presence across the state. Members urged the legislature to fund the office through House Bill 2 and discussed possible legislation to ensure timely access to records. The committee then voted unanimously to advance Walters to the full Senate. For New Mexico Highlands University, Senator Campos introduced Elaine Luna for reappointment, highlighting her background in social work, hospital administration, and community service. Luna said she would focus on student support, basic needs, and mental health, and the university president testified in support. The committee asked about campus safety and student issues, including how the board would respond if students were affected by ICE actions. The committee voted to advance Luna unanimously. The final confirmation was Grace Margaret Herrera, presented as a student regent candidate for Highlands. Supporters described her as a former foster youth, small business owner, and current student success center employee who mentors students and brings lived experience to the role. Members praised her resilience and connection to students, and the committee unanimously advanced her to the full Senate as well.

Transcript Highlights:

• I have been Collaborating with the Department of Public Safety, the Bureau of Criminal Affairs, and looking
• than we have in our other adult categories, which include caretaker, pregnant, parent, disabled, or elderly
• how we can make these programs affordable so that the people who really need it—the disabled, the elderly
• These are not elderly. They are a new expansion group of 318,000 new people.
• They are not aged; they are not elderly.

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• They provide housing for disabled, mentally ill, and elderly patients.
• We’re only as good as the least among us, and those that would violate our elderly or those that are
• Blake Hudson, Director of Public Affairs for the Texas Association of Health Plans, here testifying in
• I’m hoping as Chair of State Affairs, with many of my bills in it, I hope you’re not offended at all.
• “State Affairs, and I might have a few bills. I’m kidding you.

Bills: SB331 , SB883 , SB926 , SB1137 , SB1138 , SB1144 , SB1151 , SB1236 , SB1270 , SB1522 , SB1869 , SB2207 , SB2422

Committee: Senate Health & Human Services

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• Seeing none, members, we do have written testimony and support from the Policy Advisory Board for Elderly
• Affairs, Executive Office on Aging, Hawaii Island Chamber of Commerce, Hawaii Primary Care Association
• Written testimony and support were noted from the Policy Advisory Board for Elderly Affairs, the Executive

Committee: House Labor

Transcript Highlights:

• split between parole and department administration and other centralized functions like internal affairs
• And High Desert, for example, is a concerning medically disabled elderly facility.
• Delaying release for a single elderly person by just three years can cost $1.5 million.
• the prisons, all of the people... ...you have to get all of those elderly people out of the prisons,
• clients undergoing elderly parole hearings.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on the California Department of Corrections and Rehabilitation (CDCR) budget, with a focus on prison population trends, spending, facility closures, and efforts to find savings. The Legislative Analyst’s Office (LAO) presented data showing the prison and parole populations have fallen sharply over the past 20 years while CDCR spending has remained high, driven largely by security, health care, litigation-related requirements, and aging infrastructure. The LAO also said the state is likely to have several thousand empty beds by 2030 and recommended closing another prison, identifying the Correctional Training Facility in Soledad as the strongest candidate, while also urging more transparency around facility deactivations and the Boston Consulting Group (BCG) efficiency contract. CDCR Secretary Jeff McCumber said the department faces structural budget pressures from retirement payouts, workers’ compensation, overtime, medical transport, aging facilities, and violence in prisons, but emphasized declining recidivism, expanding reentry beds, and the need for more single-celling and rehabilitation. Department of Finance representative Anthony Franzoa said the administration is not proposing another prison closure at this time, opposed new reporting requirements on deactivations, and said the BCG contract is intended to produce long-term savings even if near-term estimates are being revised downward. Amber Rose Howard of California United for Responsible Budget argued the state should close more prisons, redirect funds to community services, and stop spending on excess prison capacity. Members questioned why CDCR still relies on vacancy savings, why rehabilitation is only a small share of the budget, and whether the department should be more transparent about capacity reductions and legal liabilities. Several members criticized the $20 million BCG contract and the lack of competitive bidding, while others pressed CDCR on staffing levels, single-celling, suicide prevention, and health care costs for older incarcerated people. The hearing did not take a formal vote, but it ended with clear committee concern about CDCR’s budget transparency, the pace of prison closures, and the need to align spending more closely with the declining prison population and the department’s stated rehabilitation mission.

Transcript Highlights:

• For the edification of the members, Consolidated Amendment F, Energy and Environmental Affairs, is available
• Consolidated Amendment F, Energy and Environmental Affairs, is located to the right of the rostrum.
• General to New England, David Clay, and Alec Schittitino, and heads of politics, press, and public affairs
• In communities like mine, families and elderly are being forced out, unable to keep up with rising home
• The categories are energy, environmental affairs, and housing. The fiscal note is $8,295,000. Mr.

Summary: The House first adopted several ceremonial resolutions congratulating three Eagle Scouts, then concurred in Senate amendments to House bills affecting the town of Milford’s alcohol licensing law and the town of Middleton’s charter. It also passed to enact a Senate bill on maintenance of private roads in Gloucester and engrossed a House bill allowing Plymouth to create a special revenue account for land acquisition. The chamber later observed moments of silence for former Lynn City Councilor Richard “Rick” Ford, Portuguese American community leader Louis Pedroso, and Quincy veteran Mildred “Millie” Cox, and welcomed several guest groups and dignitaries, including students from Fall River, D.A.R. Good Citizen award recipients, and a British minister visiting the State House. Most of the floor session centered on FY27 budget amendments, especially housing and shelter policy. Members debated and rejected multiple Republican amendments that would have tightened eligibility for the HomeBASE and emergency shelter programs by requiring citizenship or limiting access to U.S. citizens with Massachusetts residency, with supporters arguing the changes would reduce costs and opponents saying the programs already have strict eligibility rules and that the proposals would exclude lawful residents and vulnerable families. The House also rejected an amendment to block Housing and Livable Communities grants from being conditioned on MBTA Communities Act compliance, with supporters calling it a reprieve for noncompliant towns and opponents saying the law is helping address the housing shortage. A consolidated housing/environment amendment was then adopted 154-0, funding major housing, shelter, clean water, climate, and food assistance accounts. The chamber also defeated amendments to create a data center commission and to eliminate the vocational-technical school admissions lottery, though the latter was withdrawn after debate. Another rejected amendment would have suspended public policy and public benefit charges on electric and gas bills; opponents said that would eliminate low-income and senior bill relief. The House then turned to education-related amendments, rejecting proposals to change special education reimbursement formulas and to raise the reimbursement rate from 75% to 80%, with opponents arguing the ideas needed committee review and cost analysis. Finally, the House began debating an amendment to fully fund regional school transportation by removing “subject to appropriation,” but the transcript ends before any final vote on that item.

Transcript Highlights:

• House and Governmental Affairs reports House Bill 177 with amendments, 238 favorably, 258 favorably,
• House and Governmental Affairs.
• House and Governmental Affairs.
• House and Governmental Affairs.
• House and Governmental Affairs.

Bills: HR58 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HCR32 , HB43 , HB447 , HB573 , HB1000 , HB1001 , HB1002 , HB1003 , HB1004 , HB1005 , HR46 , HR48 , HR50 , HR51 , HR52 , HR53 , HR54 , HR55 , HR56 , HR57 , HCR31 , HB20 , HB21 , HB166 , HB494 , HB710 , HB795 , HB985 , HB986 , HB987 , HB988 , HB989 , HB990 , HB991 , HB992 , HB993 , HB994 , HB995 , HB996 , HB997 , HB998 , SB128 , SB149 , SB174 , SB191 , SB205 , SB213 , SB218 , SB220 , SB229 , SB238 , SB243 , SB375 , SB379 , HB8 , HB9 , HB10 , HB15 , HB16 , HB17 , HB18 , HB19 , HB22 , HB33 , HB34 , HB35 , HB44 , HB46 , HB47 , HB48 , HB61 , HB101 , HB126 , HB135 , HB142 , HB164 , HB185 , HB215 , HB226 , HB232 , HB233 , HB242 , HB284 , HB292 , HB297 , HB301 , HB334 , HB436 , HB468 , HB548 , HB571 , HB582 , HB593 , HB594 , HB609 , HB613 , HB712 , HB722 , HB732 , HB746 , HB781 , HB827 , HB845 , HB848 , HB921 , HB923 , HB951 , HB953 , HB999 , HB129 , HB130 , HB287 , HB489 , HB545 , HB553 , HB555 , HB570 , HB854 , HB952 , HB28 , HB36 , HB50 , HB52 , HB56 , HB62 , HB68 , HB92 , HB110 , HB117 , HB119 , HB124 , HB140 , HB147 , HB171 , HB182 , HB193 , HB196 , HB203 , HB228 , HB234 , HB260 , HB268 , HB271 , HB285 , HB289 , HB351 , HB400 , HB413 , HB469 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB842 , HB850 , HB919 , HB149 , HB733 , HB875 , HB868 , HB901

Summary: The House convened with a quorum, opened in prayer, and received official notice from the Secretary of State certifying Dana Henry and Paul Sawyer to fill vacancies in the chamber. Both members were sworn in. The House also received Senate messages on several concurrent resolutions and a large slate of Senate bills, and it adopted a number of House resolutions recognizing groups and individuals, including agriculture, athletic trainers, GoFar Louisiana, homeschooling families, veterans, and several community honorees. Committee reports and bill referrals were also announced throughout the morning hour. A substantial portion of the meeting was devoted to floor action on House bills, many of them memorial highway designations and policy measures. The House gave final passage to bills naming roadways and bridges for Officer Trevor Abney, Dr. Harry Blake Sr., Virginia Green Evans, and American Legion Post No. 14, and it also passed bills extending Tax Commission assessment fees, creating a transfer-on-death securities registration act, increasing lender origination fees, expanding assessor certification committee membership, and strengthening protections for eligible adults against financial exploitation. Other bills passed included measures on teacher certification appeals, removing Evangeline Parish from a juvenile justice district, re-creating the Department of Education, and repealing a $25 impaired-driving fine. Most of these bills passed overwhelmingly or unanimously. The most extensive debate centered on House Bill 68, which would create a new offense for disturbing worship services and impose a mandatory 30-day jail term for certain misdemeanor conduct, with higher penalties for related offenses. Supporters argued the bill was intended to deter disruptions and reduce the risk of escalation in houses of worship, citing heightened security concerns and incidents in churches nationwide. Opponents questioned the bill’s vagueness, the mandatory minimum sentence, the distinction between misdemeanor and felony treatment, and whether existing law already covered the conduct. The bill remained under discussion as members continued to raise constitutional, enforcement, and policy concerns.

Transcript Highlights:

• About a third of those are elderly or disabled.
• About a third of those are elderly or disabled.
• restricts our ability to provide the highest level of utility deduction for many families, all except for elderly
• Department of Agriculture, the legislative branch, military construction, and the Department of Veterans Affairs
• Department of Agriculture, the legislative branch, military construction, and the Department of Veterans Affairs

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• We ask that your tangible presence be here in these halls as these men and women wrestle with the affairs
• By the State Affairs Committee and Representative Persons-Mulicka, CS for House Bill 1205, a bill to
• By the State Affairs Committee and Representative Persons-Mulicka, CS for House Bill 1205, a bill to
• But what about when the perpetrator is also elderly?
• Right now, an elderly nursing home resident or a hospitalized patient could be subjected to immediate

Summary: The House convened with prayer, a moment of silence for Walton County Deputy Will May, the Pledge of Allegiance, and a quorum present. The Rules and Ethics Committee’s special order report for April 3, 2025 was adopted, and CS/HB 947 was recommitted to the Judiciary Committee. The chamber then moved through a series of bills, mostly reviser and technical measures, with several companion Senate bills substituted and passed: SB 36 (Florida statutes adoption act), SB 42 (general reviser’s bill), SB 40 (deleting inoperative statutory provisions), and SB 38 (renaming references from the Division of Investigative and Forensic Services to the Division of Criminal Investigations). All of those passed unanimously or near-unanimously. The House also passed HB 513 on electronic transmittal of court orders, requiring clerks to electronically send certain petitions, notices, summonses, and orders within six hours, including Baker Act, Marchman Act, and risk protection order documents. Members discussed whether judges needed to direct transmission and whether there were fail-safes if clerks did not comply. HB 615, on electronic delivery of notices between landlords and tenants, was amended to strengthen tenant protections and passed 108-0. HB 655 establishing a regulatory framework for pet insurance, HB 299 on elevator accessibility requirements, and HB 1145 on workforce education also passed, with HB 1145 receiving 100 yeas and 4 nays. HB 649, removing the paper supervised protocol for certified registered nurse anesthetists, passed 77-30 after structured debate. A major portion of the meeting focused on CS/HB 1205, which would significantly revise Florida’s citizen initiative process. The bill adds a $1 million bond requirement after 25% of required signatures are collected, requires petition handlers to be Florida residents and U.S. citizens, imposes background checks and training for paid circulators, shortens petition turn-in deadlines to 10 days, increases penalties, adds signature revocation notices, and creates additional criminal penalties and enforcement provisions. Supporters argued the changes were needed to address fraud and protect petition integrity; opponents said the bill would burden First Amendment activity and make citizen-led amendments much harder to qualify. Numerous amendments were offered, including proposals to remove sensitive personal information from petition forms, soften deadlines and penalties, change validation thresholds, and alter the estimating conference process; most failed, though one amendment clarifying who pays for background checks was adopted. The transcript ends during continued debate on an amendment to strike most of the bill and prohibit public funds from being used to advocate for or against constitutional amendments.

Transcript Highlights:

• I move that the House grant permission for the Committee on State Affairs to meet with the House in session
• The Committee on State Affairs will meet today at 4 p.m. in room 1W.14, the Agricultural Museum, in a
• Representative Lalani, Michelle Cardenas, and Governor Greg Abbott's Legislative Affairs Office; and
• Elderly homeowners in the state that will benefit from this. Thank you for this.
• To attend a meeting of the Committee on State Affairs on the motion of Mr.

Bills: SB4 , SB23 , SB3 , SJR2 , SJR85 , SB34 , SB60 , SB75 , SB706 , SB1814 , SB1220 , SB523 , SB565 , SB1253 , SB840 , SB764 , SB2383 , SB2155 , SB1535 , SB1405 , SB1423 , SB1566 , SB1804 , SB1728 , SB1816 , SB1952 , SB1948 , SB2037 , SB2068 , SB1455 , SB213 , SB243 , SB627 , SB646 , SB670 , SB896 , SB917 , SB1184 , SB971 , SB1255 , SB1261 , SB1283 , SB1358 , SB991 , SB1733 , SB21 , SB231 , SB739 , SB1252 , SB1371 , SB664 , SB40 , SB9 , SJR1 , SB687 , SB1332 , SB458 , SB482 , SB927 , SB984 , SB651 , SB1620 , SB2124 , SB2448 , SB841 , SB843 , SB402 , SB2662 , SB2053 , SB2332 , SB2112 , SB745 , SB1247 , SB1789 , SB27 , SB207 , SB2938 , SB1901 , SB1227 , SB1248 , SB912 , SB1321 , SB2143 , SB2145 , SB1497 , SB1239 , SB2180 , SB1388 , SB1662 , SB1951 , SB1537 , SB493 , SB378 , SB1020 , SB1018 , SB992 , SB958 , SB920 , SB1350 , SB1762 , SB552 , HCR109 , SB2185 , SB4 , SB23 , SB3 , SJR2 , SJR85 , SB34 , SB60 , SB75 , SB706 , SB1814 , SB1220 , SB523 , SB565 , SB1253 , SB840 , SB764 , SB2383 , SB2155 , SB1535 , SB1405 , SB1423 , SB1566 , SB1804 , SB1728 , SB1816 , SB1952 , SB1948 , SB2037 , SB2068 , SB1455 , SB213 , SB243 , SB627 , SB646 , SB670 , SB896 , SB917 , SB1184 , SB971 , SB1255 , SB1261 , SB1283 , SB1358 , SB991 , SB1733 , SB21 , SB231 , SB739 , SB1252 , SB1371 , HB2970 , HB 109 , SB2308

Transcript Highlights:

• e e Good morning, everyone, and welcome to the House Committee on Health, Human Services and Elderly
• Affairs.
• Chair and members of Health and Human Services and Elderly Affairs.
• It's still morning, and welcome back to Health, Human Services and Elderly Affairs.
• Affairs.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• Yá'át'ééh, Madam Chair, members of the Indian Affairs Committee.
• I get to go before the Bureau of Indian Education and the Bureau of Indian Affairs.
• The Indian Affairs Department to help advocate for you across the board.
• And so, I just want to commend the Office of Indian Elder Affairs.
• To my understanding, this was an Indian Affairs Department legislation.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• House Bill 672, 673, 674, and 686 were referred to the State Affairs Committee.
• House Bill 672, 673, 674, and 686 were referred to the State Affairs Committee.
• House Bill 501, by the State Affairs Committee, relating to ballot measures.
• House Bill 501 by State Affairs Committee relating to ballot measures.
• House Bill 598 by State Affairs Committee relating to campaign finance.

Transcript Highlights:

• But in those situations, yeah, sometimes there are situations, obviously, where it could be an elderly
• parent or elderly grandparent that just has no control over a, you know, 300-pound 17-year-old.
• I have a case in my area where it's just, I mean, it is an elderly grandmother that's the guardian.
• I have a case in my area where it's just, I mean, it is an elderly grandmother that's the guardian.
• I'm the Chief Public Affairs Officer for the Missouri Coalition Against Domestic and Sexual Violence.

Committee: House Children and Families

Transcript Highlights:

• Alzheimer's Disease Initiative Program, $4 million to serve 617 seniors in the Community Care for the Elderly
• program, and $3.5 million to serve 910 seniors in the Home Care for the Elderly program.
• It provides additional funding of $20 million for the Department of Veterans Affairs for various supplies

Summary: The Health Care Budget Subcommittee began with a roll call confirming a quorum, then heard a presentation of the proposed health care budget. The chair said the overall health care budget would total $46.7 billion, a 2.1% decrease in total spending and a 3% increase in general revenue, while reducing 3,585 state FTE. He highlighted funding for Medicaid, KidCare, developmental disabilities services, opioid settlement spending, mental health facilities, senior services, school health nurses, veterans’ dental care, and veterans nursing home improvements. The chair also presented PCB HCB 25-01, a conforming bill that eliminates the Health Care Innovation Program, the Health Care Innovation Council, and the revolving loan program; makes changes to cancer research and graduate medical education provisions; and adjusts Medicaid rebate-related language. The conforming bill passed favorably after no questions, public testimony, or debate. The committee then considered CS/HB 47 on child care. The bill, as explained by Rep. McFarland, would reduce regulation for child care providers in good standing, speed background screening for child care workers, allow provisional hiring status in some cases, create license-exempt status for certain employer-provided child care facilities and DOD child care facilities, and remove outdated paperwork requirements such as the flu brochure. An amendment restored language protecting large family child care homes from being dropped by residential insurers and cleaned up statutory language; it was adopted. Members debated the bill at length, with supporters emphasizing common-sense deregulation and helping working parents, while some members raised concerns about safety, early learning quality, and the loss of informational reminders to parents. The bill was reported favorably. The subcommittee also heard HB 1553 on a uterine fibroid research database. Rep. Dunkley explained that the bill would require health care providers to submit identified fibroid data to DOH so it can be de-identified for a research database, after the department had been unable to use prior de-identified submissions reliably. An amendment removed the current appropriation and was adopted. Members spoke in strong support, noting the prevalence of fibroids and the value of better diagnosis and treatment data. The bill passed favorably. Finally, the committee heard HB 1529, which addresses the home health aide program for medically fragile children. Rep. Tremont said the bill would direct AHCA to seek a federal waiver so parents’ earnings from caring for their children would not count against Medicaid eligibility, and would revise training requirements and remove mandated annual program assessments. The bill drew supportive public testimony from home care stakeholders, had no debate, and was reported favorably. The meeting then adjourned.