Transcript Highlights:

• My name is Rebecca May Ricks, and I am the director of the Mental Health Advocacy Service.
• We also go to rural parishes in northeast Louisiana to provide services.
• Ambulatory surgery centers Early treatment, treat at the right site of service.
• We've created a victim service advocate who is there full time.
• We should be able to incorporate our existing SANE, quality SANE services today.

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

Transcript Highlights:

• Blue bar is the member service, so how much of the money is actually going to member services compared
• Blue bar is the member service, so how much of the money is actually going to member services compared
• There's been a huge explosion of ABA costs.
• And that's what I was mentioning on ABA.
• You know, you showed a couple examples where the money will be used for providing services, in-home services

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• People with disabilities die without services.
• Commit is not another service provider; it's not another bureaucracy.
• Commit is not another service provider; it's not another bureaucracy.
• I appreciate that full funding for DDD services is so important.
• It says the debt service, 80%, whatever's left, so your debt service could be less than 20%.

Bills: HB4154, HB4155, HB4156, HB4157, HB4158, HB4159, HB4160, HB4161, HB4162, HB4163, HB4164, HB4165, HB4166, HB4167, HB4168, HB4169, SB1847, SB1848, SB1849, SB1850, SB1851, SB1852, SB1853, SB1854, SB1855, SB1856, SB1857, SB1858, SB1859, SB1860, SB1861, SB1862

Keywords: general appropriations act, budget, biennial budget, state spending, state finances, fiscal year 2026, fiscal year 2027, appropriations, operating budget, agency funding, public services, state agencies, capital budget, budget bill, must-pass legislation, HB4155, amusements, amusement industry, entertainment, recreation

Transcript Highlights:

• Are we talking about ABA services, or are we talking about something else?
• Because ABA services are, in fact, moving into managed care.
• ABA has a very interesting history for the coverage of ABA services in the Medicaid program, actually
• dramatically, where upwards of $1 billion, $2 billion a year were being spent on ABA services.
• Upwards of one, two billion dollars a year being spent on ABA services.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

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><c> first</c><00:21:23.440><c> responders.
• ,</c> 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:

• Senate Bill 1983 will direct the Department of Human Services to provide foster care data to resource
• with the department to recruit, retain, and support foster homes to meet the child's needs through service
• It's just to give them more data to provide a better service to these poor kids that are in this situation
• I'd like to see a way that we take those services and tie them in some way to where we're giving them
• My concern is when you brought up about getting services in the state.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Transcript Highlights:

• States of America, a cornerstone of education, service, and progress in our state.
• I want to thank them for their dedicated service.
• Their dedicated service to our system, the largest university system in this state.
• He has joined in service by his wife, who has served many times as our nurse of the day.
• Members of the Health and Human Services... We will be meeting in room 206 in five minutes.

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Transcript Highlights:

• Founded in 1890. ...of education, service, and progress in our state.
• , while shaping graduates who lead... ...respect, accountability, and service, while shaping graduates
• So they are joined by their chief secretary of services... ...process here.
• He is joined in service by his wife, who has served many times as our Nurse of the Day.
• He is joined in service by his wife, who has served many times as our Nurse of the Day.

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Summary: The House opened with prayer, the Pledge of Allegiance, and a series of special presentations and introductions celebrating Oklahoma State University, the Cowgirl Wrestling Club, the OSU livestock judging team, military children, poster contest winners, and several visiting groups and honorees. The chamber also recognized the Doctor of the Day, Dr. Kurt Emerson, and the Nurse of the Day, Beverly Felton. Much of the floor time was devoted to OSU Day remarks, including a citation honoring the university and comments from Speaker Hilbert, Coach Eric Morris, and President Jim Hess. The House then took up Senate Bill 2074, a pharmacy benefit manager measure intended to regulate PBMs and support pharmacists. An amendment by Representative Jenkins to remove a section of the bill was tabled, and members questioned the bill extensively about reimbursement rates, consumer costs, employer options, transparency, and the impact on independent pharmacies. After debate, the bill advanced and passed the House by a vote of 87-7. Members also considered Senate Joint Resolution 39, which would place a constitutional amendment on the ballot to cap property tax growth. The measure, as amended, would set a 1.75% annual cap on homestead property tax growth and a 4% cap on other properties, with a stair-step senior freeze. The resolution drew debate over effects on local government revenue, schools, roads, jails, and inflation, but supporters argued it would provide strong taxpayer protections. The House passed the resolution 85-9 and then took the additional vote required to refer the constitutional amendment to a special election.

Transcript Highlights:

• Senate Bill 1983 will direct the Department of Human Services to provide foster care data to resource
• with the department to recruit, retain, and support foster homes to meet the child's needs through service
• It's just to give them more data to provide a better service to these poor kids that are in this situation
• So are these services Thank you for the question.
• I'd like to see a way that we take those services and tie them in some way to where we're giving them

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Summary: The committee opened with prayer and then heard a long series of Senate bills, many of them agency request or cleanup measures. Early bills included SB 1983, directing DHS to provide foster care data to resource family partners to better identify foster family needs; SB 444, allowing hospice personnel to control or destroy controlled substances after a patient’s death; and SB 1503, a PCS related to pregnancy resource center outreach and in-state referrals, which drew discussion about virtual versus face-to-face support and was reported out after members agreed to continue working on the language. Other measures advanced included SB 1561 on progressive discipline for certain M.T.M.S. personnel, SB 592 and SB 1946 on alcohol-related licensing/sales issues, SB 1501 and SB 1567 as cleanup or implementation bills, and SB 1833 codifying a SNAP waiver barring candy and soft drinks purchases. The committee also considered several health and human services bills. SB 2026 expanded access to military discharge papers to grandchildren; SB 904 addressed public funds and state facilities, with members raising concerns about legislative interference in medical decision-making and liability; SB 2178 modified alcohol licensing insurance requirements; SB 1651 updated Oklahoma Medical Board license language; SB 1558 clarified the definition of a child for level E group homes; SB 1565 promoted Food is Medicine efforts to improve maternal and infant outcomes; and SB 1553 required psychologist review of appealed adverse determinations involving mental health claims. SB 1257, with a policy recommendation, expanded THC/controlled substance language to align with federal guidelines, and SB 1749 made a cleanup change related to food trailers and LP gas inspections. Later in the meeting, the committee advanced SB 65 with a policy amendment adding fentanyl and xylazine test strips; SB 1242, which included OMMA education and abandoned grow cleanup provisions; SB 1642, allowing shorter acute prescriptions to help reduce addiction risk; SB 640, treating abandoned grow facilities as public nuisances so local governments can abate them; SB 667, clarifying accreditation language for chiropractic programs; SB 1436, requiring hospitals to provide information on obtaining records after stillbirth or miscarriage; SB 1484, codifying medical examiner practices in infant or child deaths; SB 1562, addressing hospice patient solicitation; SB 1794, creating a mental health bed-availability database; SB 1644, seeking data on alpha-gal syndrome to support federal research funding; SB 1533, ensuring burial assistance for Oklahoma veterans who die out of state; SB 933, creating a right-to-try pathway for individualized treatments; and SB 1555, aligning the definition of intellectual disability with federal law. Most bills were reported out do pass, with recorded votes ranging from unanimous to a few nays on some measures. SB 1304 was laid over, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• Their services are happening all day.
• providing home-based services while also contracting with public school districts.
• When ABA, an evidence-based, medically necessary service, is delivered consistently across environments
• ABA is no different. It's not a luxury; it's access.
• He also needs ABA support just to make it through a school day.

Summary: The Joint Committee on Education held a hearing on two late-file bills. H. 4867, relative to school choice, drew testimony from leaders, parents, and educators in Hancock, Warwick, Richmond, and Worthington, who said DESE’s interpretation of Chapter 76, Section 12B(k) requires small districts without high schools to pay secondary tuition for nonresident school choice students after they leave the elementary grades. Witnesses said the resulting gap between the $5,000 school choice payment and high school tuition of roughly $13,000 to $18,000 per student has forced some districts to stop accepting school choice students, hurting class sizes, budgets, and rural families’ access to local schools. Committee members questioned how the current rule works, whether students have home high schools to return to, and whether a broader statutory fix could address all districts without secondary programs; testimony indicated the affected districts are a small number of rural communities, with some others having found alternative arrangements. Representative Barrett described the bill as a general solution to an issue that had gone unenforced for years, and the hearing ended with testimony closed on the bill. The committee also heard H. 4927, relative to protecting access to applied behavior analysis (ABA). Educators and ABA providers testified that the bill would clarify that qualified ABA providers, including BCBAs and RBTs, may deliver services in schools while preserving school safety and operational rules. They argued that better access to ABA would help students with autism make progress on IEP goals, remain in the least restrictive environment, and reduce conflicts between families and districts. A parent described repeated delays in getting promised supports for her young son and said the bill would help ensure follow-through and accountability. The committee then closed testimony on H. 4927 and adjourned after a motion and second.

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:

• And this Autism Support Program provides intensive support services from academics to services related
• But integrating housing, services, employment opportunities, clinical services, and then community options
• Services, employment opportunities, clinical services, and then community options within the context
• You know, lots of services and plans for children, but we call that the services cliff after they leave
• for ABA, the ABA therapist was providing consultation.

Summary: The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning. Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council. The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.

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:

• So this allows for alternate terms of service so that we have 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
• add a reporting function to the state's accounting system to identify whether or not a contract is service-based
• We understand that there are instances where there is only one provider of a product or service, especially

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

Summary: The committee first handled housekeeping, announcing that House Bill 4276 would be laid over until the third week and moving Representative Lawson’s bill to the top of the agenda. HB 3620, creating a 2030 census complete count committee, was presented and passed by due pass. HB 3942, which updates the state’s tax incentive evaluation process by directing reports to LOFT and requiring comparisons to other incentives and strategic economic goals, also passed due pass after brief discussion about whether all tax incentives, including the parental choice tax credit, would be reviewed. Representative Pfeiffer presented HB 3279, a follow-up public corruption measure that clarifies conflict-of-interest disclosure requirements and sets a $25,000 threshold for certain purchase orders; it passed due pass. After Vice Chair Woolley took over, HB 3378 passed 7-0 to stagger OCAST board terms after all members had expired at once. HB 3383, setting a 14-hour limit on required work in a 24-hour period for state employees with emergency carve-outs, passed 6-1 after questions about law enforcement and emergency-service exceptions. Several transparency and procurement bills from Representative Strom also passed unanimously: HB 3413 requires agencies to report outsourced jobs and consulting outcomes, HB 3414 adds accounting-system reporting for contract type and invoice location for intangible assets, HB 3415 requires subcontractor reporting and post-contract assessments, and HB 3420 requires justification for sole-source purchases and limits pilot or proof-of-concept contracting to 12 months. The most contentious measure was HB 313 by Representative Kevin West, which restricts state agencies, employees, contractors, and public institutions from using state funds to perform, facilitate, refer, or encourage gender transition procedures. Opponents argued it intrudes into private medical decisions, could affect adults as well as minors, and may worsen health outcomes or create vague enforcement problems; supporters said it protects minors from harmful, life-altering procedures and prevents state dollars from supporting them. After extended debate, the committee passed HB 313 by a 7-2 vote. The meeting then adjourned, with one more committee meeting announced for the following week.

Transcript Highlights:

• In Washington State, emergency medical services use the Washington Emergency Medical Services Information
• I often compare health centers to the Postal Service.
• Just as the Postal Service delivers that last mile, Just as the Postal Service delivers that last mile
• The 340B program helps keep these services open and available.
• long-term care services.

Bills: SB5904, SB5915, SB6025, SB5933, SB5990, SB5981

Keywords: nursing titles, licensure, healthcare professionals, patient safety, professional standards, SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines

Transcript Highlights:

• We work to preserve programs and services for our children sitting in our own classrooms.
• providing home-based services while also contracting with public school districts.
• When ABA, an evidence-based medically necessary service, is delivered consistently across environments
• ABA is no different. It's not a luxury; it's access.
• He also needs ABA support just to make it through a school day.

Keywords: 995, all

Summary: The Joint Committee on Education held a hearing on two late-file bills: H. 4867, concerning school choice, and H. 4927, concerning access to applied behavior analysis (ABA). For H. 4867, testimony focused on a DESE interpretation of M.G.L. c. 76, §12B(k) that would require small elementary-only districts with school choice students to pay secondary tuition when those students continue into high school. Superintendents, school committee members, parents, teachers, and a representative argued this creates large fiscal shortfalls for rural districts such as Hancock, Warwick, Richmond, and Worthington, which do not operate high schools and already rely on tuition agreements for their own resident students. Witnesses said the current interpretation has led some districts to stop accepting school choice students, reducing class sizes and limiting educational opportunities; they urged an exemption or amendment so these districts could continue school choice without assuming high school tuition obligations for nonresident students. Committee members asked about the number of affected districts, how the arrangement worked before 2023, and whether alternative statutory language might solve the issue more broadly. Representative Barrett described the bill as a simple fix to an unenforced provision that had only recently been raised by DESE, and the hearing later included testimony from both district officials and families supporting the bill. The committee closed testimony on H. 4867 and H. 4927 and then adjourned. H. 4927 drew testimony from educators, an ABA provider, and a parent of a child with autism in support of protecting in-school ABA access. Witnesses said the bill would clarify that qualified ABA providers, including BCBAs and RBTs under supervision, may deliver services in schools while allowing districts to maintain neutral safety and operational rules. They argued that inconsistent access to ABA can undermine districts’ obligations under IDEA, including free appropriate public education and placement in the least restrictive environment, and that school-based ABA can reduce removals from class, improve student progress, and support families. A parent testified that her young son needs ABA to function in school and that promised supports had been delayed or not delivered, while another witness said the bill would help ensure accountability and consistent services for students with autism.