Transcript Highlights:

• With that, Legislative Management Chair Hogue, Senator Hogue, established the Rural Health Care Transformation
• health care provider, school, Would like every health care, rural health care provider, school, public
• And that would apply to eye care as well as dental care, as well as primary care simulation.
• We want to make sure, as we interviewed health care to health care facilities.
• We have principal care management. We have all of those services. Now, what do we do with them?

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• We offer prenatal care. We offer prenatal care. Um. We offer prenatal care.
• for reproductive health care.
• We must care for those who are caring for others. I respectfully ask for your support for HB 2403.
• We must care for those who are caring for others. I respectfully ask for your support for HB 2403.
• daily living: hygiene, personal care, oral care, all of these very intimate things that you cannot do

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• , and on health care.
• , and on health care.
• It was created decades ago to help people with child care and dependent care expenses, but it kind of
• It was created decades ago to help people with child care and dependent care expenses, but it kind of
• families already get child care subsidy. families already get child care subsidy.

Bills: HB2410, HB2235, HB1904, HB2201, HB2349, HB1972, HB2007, HB2385, HB2444, HB2391, HB2575

Keywords: Hawaii Technology Development Corporation, economic diversification, small business, innovation, manufacturing assistance, grants, technology programs, advanced manufacturing, military, community relations, economic development, defense-related programs, workforce development, local business readiness, in-state manufacturing, federal investment, space operations, orbital sustainability, aerospace, space traffic management

Summary: The committee heard testimony on several measures, beginning with HB 2410 relating to the Hawaii Technology Development Corporation. Testifiers from HTDC and the Hawaii Food Industry Association stood on written testimony, and members discussed the funding request, which was described as $1 million each for three programs, for a total of $3 million. The measure appeared to have broad support, with no opposition noted. The committee then took up HB 2235 HD1 on the military and community relations office, where Lori Moore of MACC asked for additional funding to support local businesses and education-to-career initiatives statewide. Members asked about the amount, and the request was identified as $1.3 million total. HB 904 on space operations followed, with three supporters and one opponent, though no substantive testimony was captured beyond the vote counts. HB 2201 on state enterprise zones drew testimony from Georgia Skinner of DBEDT’s Creative Industries division, who said the measure would build on a well-run enterprise zone program and help make Hawaii’s film industry more competitive. Tom Yamashita of the Tax Foundation also provided comments. The committee then considered HB 2349 relating to DCCA and DBEDT coordination; DCCA explained it already provides links and information to DBEDT programs, while DBEDT argued that direct data sharing would allow more proactive outreach. Members raised privacy and cost concerns, and DBEDT said it would consider opt-in collection and acknowledged system changes and possible funding needs. The committee also heard two tax credit bills. HB 1972 HD1, on a caregiver tax credit, received strong support from AARP, the Hawaii Public Health Institute, the Hawaii Children’s Action Network, and others, who described caregivers as an “invisible workforce” and argued the credit would help families keep loved ones at home and reduce financial strain. The Tax Foundation suggested a grant or subsidy program might be more efficient than a tax credit and raised concerns about debarment provisions. HB 20007 HD1, on the household and dependent care services tax credit, also drew strong support from public health and family advocacy groups, who said Hawaii families face some of the nation’s highest child care costs and that the bill would better reflect current expenses; the Tax Foundation again raised technical concerns about complexity and debarment. Members asked about fiscal impacts, and testimony indicated the current credit costs about $6 million, with the bill expected to increase that amount. The committee then moved on to HB 2385 HD1 on housing, where the Deputy Attorney General began presenting written comments on whether the bill limits county authority.

Transcript Highlights:

• Who is a recipient of the waiver and Whoever was caring for the infant or designated to care for the
• Uh, we are, um, a home care agency out of the Rio Grande Valley.
• We're just careful. I'm a lawyer. I like to be careful about these things as well.
• HHSC currently prepares a wide range of reports covering Medicaid managed care, quality outcomes, intellectual
• Yes, um, as they exit foster care. These are extremely important.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Confidential child care facilities. The chair offers a committee substitute.
• care plans. and Medicaid managed care organizations.
• . caring for People LLC, but what they discovered was far from caring.
• In the fall of 2022, it was becoming too much for me to care for him at home.
• . care.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• And whoever was caring for the infant or was designated to care for the infant, if they were on staff
• We're just careful. I'm a lawyer; I like to be careful about that. These things as well.
• The next millionaire, but they care about it.
• child care in Texas repeatedly.
• Currently, it prepares a wide range of reports covering Medicaid managed care quality outcomes.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• care, their own<00:20:47.360> ability<00:20:48.000> to<00:20:48.720> manage<00:
• <00:20:50.320> and own ability to manage their lives. and own ability to manage their lives
• Well, that's really into your care.
• Are actively involved in seeking care, but care is not currently available.
• Fosters cannot foster care system.

Bills: HF2362, HF2136, HF1316, HF2009, HF1918, HF1614

Keywords: youth intervention, funding, mental health, education, community programs, HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers

Transcript Highlights:

• It was brought to us by the Bexar County. manage the sign council program.
• We're here with Animal Care Services.
• difficult. to have specialist health care providers available.
• . care.
• The kids are not getting as much care as they would. that we see on a county level.

Bills: HB166, HB2000, HB3248, HB3513, SB155, SB1659, SB1730, SB1778, SB1790, SB1848, SB2017, SB2105, SB2794, SB2917, HB2756, HB353, HB166

Keywords: child endangerment, controlled substances, penalty group, elderly protection, disabled individual rights, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, defense, peace officers, local government, security, juvenile board, Moore County, appointments, juvenile justice, county legislation, dangerous dogs

Transcript Highlights:

• Health, University of South Alabama received $1 million for the training of primary care providers in
• $2.6 million for opioid prevention programs, including in inmate opioid treatment costs and the management
• When I look at the senior services for kinship care, we find the number of our young people, young children
• who have been cared for by their grandparents or individuals because of family members. ...individuals

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• Senator Hamilton, you care to vote.
• Senator Wingingard Stuart Petersonalahar. oods Senator Murdock, you care to vote.

Bills: SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454

Keywords: minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission, special agency account, private partnerships

Transcript Highlights:

• Adds another respiratory therapist to the board, and the new wellness program to manage impaired practitioners
• next bill on the agenda is HB 533 by Margie Wilcox, which Vice Chairman Mark Shirey will be taken care
• <00:08:39.360> will<00:08:39.519> be<00:08:39.760> taken<00:08:40.000> care

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Transcript Highlights:

• I'm with the Minnesota Department of Health, and I'm a manager with the assisted living and home care
• I don't care. care. care.
• It's over three times as long, many more elements to it, speaking to things like managed care oversight
• It's over three times as long, many more elements to it, speaking to things like managed care oversight
• . care. care.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• , For young people in state care, For young people in state care, opportunities<00:07:57.360>
• school care cost me over $26,000. school care cost me over $26,000.
• >> Um, this bill deals with afterchool care >> Um, this bill deals with afterchool care
• Um, the bill and before school care.
• Um, and when licensed foster care mom.

Bills: HF3714, HF4399, HF4176, HF2544, HF60, HF4231, HF4232

Keywords: foster care, child welfare, enrollment priority, education programs, child care assistance, education, school board, elections, local governance, school district, site-governed schools, education reform, local control, autonomy, interchange, bond issuance, transportation, infrastructure funding, Sherburne County, student eligibility

Transcript Highlights:

• She cares about people very deeply and wants to make sure that we improve access to medical care.
• House District 53 is filled with caring and tenacious health care providers.
• our health care system.
• And I know our laws have placed you in... ...of health care in our health care system.
• hours for care.

Bills: HM3, HM11, HM14, HM15, HM18, HM21, HB10, HB11, HB12, HB13, HB14, HB31, HB50

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Transcript Highlights:

• I've been a community association manager for over 21 years, and I currently serve as the HOA manager
• Child care regulation through their child care minimum standards looks at all of the health and safety
• Their number one HR issue is child care.
• It costs about $10,000 a year for child care.
• But without access to high-quality child care, care, too many are forced to put those dreams on hold.

Bills: HB 1087, HB2504, HB4113, HB5144, HB5146, HB5377, HB5543, SB140, SB264, SB1244, SB1343, SB2121, HR868

Keywords: property owners, board vacancy, special election, association governance, community management, property owners' association, resale certificate, fees, real estate regulation, homeowners, HB 4113, Texas Rising Star Program, child care, child-care providers, Texas Workforce Commission, TWC, safety barriers, crash-rated bollards, bollards, playground safety

Transcript Highlights:

• care.
• The program for children in foster care.
• avoid placement in the foster care system.
• Managed stores, 5.5% non-profit managed stores, and 5.5% local retailers. A lot of different ways.
• entered care for that very reason.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• I'm a policy coordinator with the Texas Women's Health Care Coalition. health care coalition, and we're
• Mental health care, friends, in the real world, you know, out in the managed care space and adult care
• For adults and for folks in managed care and out there in the insurance world, there are several steps
• There is no in-between, and that is not the standard of care in mental health care.
• The fact that managed care is capitated means we are paying the same amount regardless.

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• Despite rising care costs as an added benefit, we are keeping the employee contribution for health care
• care program.
• I want to take care of my family. I’m going home to die.
• We need to take care of our firefighters.
• We need to take care of our firefighters.

Bills: S2500, S2502, S2504, S7028, S2506, S2508, S2510, S2512, S2514, S2516, S2518, S0482, S0678, S0984, S1016, S1074, S1706, S7030

Keywords: budget, appropriation, education funding, healthcare, environmental protection, infrastructure, local government, Appropriations Act, funding, education, rural development, economic assistance, collective bargaining, state employees, labor relations, impasse resolution, negotiations, retirement, elected officials, Deferred Retirement Option Program

Summary: The committee heard presentations on the Senate’s proposed 2026-2027 budget, SPB 2500, with chairs outlining major spending in K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and agriculture/environment/general government. Highlights included a $115 billion overall budget, pay raises for state employees and public safety workers, major K-12 funding increases and enrollment supplements, higher education workforce and nursing investments, expanded Medicaid/KidCare and behavioral health funding, corrections and law enforcement operational funding, transportation and housing investments, and significant environmental and water quality spending. Members asked about civic education funding, declining enrollment, professor retention, APD waiver waitlists, cultural grant allocations, and other line items. Public testimony also addressed HIV/AIDS drug assistance funding and prison air conditioning. SPB 2500 was adopted as a committee bill after amendment consideration and a roll call vote. The committee then took up implementing and related budget bills, including SPB 2502 (implementing the General Appropriations Act), SPB 2504 (state employee bargaining placeholder), SB 7028 (Florida Retirement System contribution rates and related retirement changes), SPB 2506 (fuel tax distributions), SPB 2508 (state agency law enforcement radio system surcharge), SPB 2510 (termination of an unused court trust fund), SPB 2512 (new judgeships), SPB 2514 (K-12 conforming changes), SPB 2516 (higher education conforming changes), and SPB 2518 (health conforming changes). Most were explained as technical or conforming measures tied to the budget, and all were reported favorably as committee bills, with SB 7028 amended to direct a portion of increased contributions to disability and line-of-duty death benefits in the FRS investment plan. The committee also heard and passed several member bills, including CS for SB 1074 on rounding rules for cash transactions in a world without pennies, CS for SB 678 restoring the alcohol loss deduction framework for distributors, and SB 964 on firefighter cancer benefits and prevention. SB 964 drew the most discussion, with questions about the one-year death-benefit window, the separate $25,000 cancer diagnosis payment, and whether the bill could create gaps in coverage for firefighters diagnosed or dying just outside the new time limits. Firefighter representatives testified in support, saying the bill would provide clearer protections for members and families. All of these measures were reported favorably.

Transcript Highlights:

• , CBC, model of foster care.
• Who is caring for the child?
• has genuine access to care.
• : emergency care, intervention necessary care, outpatient mental health care, outpatient substance use
• State long-term care ombudsman. Hello, I'm Patty Duquay, state long-term care ombudsman.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• care organizations, the managed care organizations contracted to provide Medicaid managed care services
• With more than 95% of Texas Medicaid members enrolled. in managed care, big expenditures are at risk
• This bill seeks to clarify the current law by including Medicaid managed care claims in it.
• Thank you. on Senate Bill 2458 as you represent the Medicaid Managed Care Organization.
• The state pays the Medicaid managed care companies a premium, so they're totally at risk.

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction