Transcript Highlights:

• Health, University of South Alabama received $1 million for the training of primary care providers in
• 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:

• those conditions are necessary to maintain that safety when the child is released or maintained in the care
• of a parent following a shelter care hearing.
• So the underlying bill authorizes the court to order these conditions at a shelter care hearing, which
• in this committee before, that everybody in this committee is committed to children and we really care

Bills: HB2200, HB2468, HB2660

Keywords: developmental disabilities, residential settings, data access, safety, stability, terminology correction, social services, healthcare, regulatory compliance, department reorganization, child welfare, court authority, shelter care, family law, court conditions, 904, all

Summary: The House Early Learning & Human Services Committee met in executive session on three bills. HB 2200, dealing with JLARC review of safety and stability outcomes for DSHS developmental disabilities clients and replacing a public dashboard with annual reporting, was amended with a technical fix and then reported out with a do pass recommendation on a 9-2 vote. Supporters said the substitute would reduce fiscal impact while still producing useful, comparable data; opponents raised concerns about how the data might affect providers and whether it could stigmatize difficult placements. HB 2468, which updates statutory references to DSHS divisions after agency restructuring and makes related technical changes, was advanced without amendment. The substitute restored two current-law provisions: the expiration date for the Dementia Action Collaborative and the requirement that DSHS employ two permanent full-time staff to review and maintain the no-paid-services caseload. The committee reported the bill out unanimously. HB 2660, authorizing courts to order parents to comply with safety conditions for children under age five after shelter care hearings, was amended with a tribal-requested change requiring the conditions to be the least restrictive necessary, reviewed every 30 days, and consistent with state and federal Indian Child Welfare Act requirements. Members said the bill responds to rising critical incidents and aims to improve child safety, while acknowledging broader system challenges. The committee then reported the substitute bill out on a 9-2 vote and adjourned after noting it had reached the end of its first half of work.

Transcript Highlights:

• At 13 years old, I was adopted out of foster care.
• , which spans education, disability, health care.
• , which spans education, disability, health care.
• The children's behavioral health system of care, which spans education, disability, health care, child
• I'm a pediatric critical care physician in Spokane, Washington.

Bills: SB5979, SB6308, SB6319

Keywords: opioids, substance abuse, dependent children, child welfare, caregiver substance use, court orders, shelter care, judicial discretion, family law, early childhood, family services, diversion programs, court-ordered assessments, 904, all

Summary: The Senate Human Services Committee held an evening hearing on January 28th and took testimony on several bills. Senate Bill 6249 would require all people convicted of stalking to be supervised by the Department of Corrections after release. Staff explained current sentencing and community custody rules, and Senator Torres said the bill is intended to increase accountability and survivor safety. Victims and advocates testified in support, describing stalking as dangerous and arguing that mandatory supervision would help prevent reoffending; one sponsor noted possible amendment language had been emailed to the committee. No vote was taken. The committee also heard Senate Bill 6255, which renames and expands the Legislative Executive Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force. Staff said the bill updates membership, duties, and reporting requirements tied to the 10-year plan to dismantle poverty, with a partial fiscal note showing a $4,000 OSPI cost. Senator Lovelett and agency and public witnesses supported the measure as a cleanup and coordination bill that strengthens poverty-reduction work and better incorporates lived experience and ethnic commissions. No vote was taken. Senate Bill 6286 would authorize the Department of Health to fine private detention facilities that deny entry for inspections, with escalating daily penalties and a new account to fund assistance for wrongfully detained people and others harmed by ICE agents. Senator Orwall and Senator Trudeau framed the bill as a human-rights and accountability measure, and testimony from a Tacoma councilmember and others supported stronger enforcement. The committee then heard Senate Bill 6224, which creates a Children and Youth Behavioral Health Leadership Council and formalizes implementation of the Washington Thriving strategic plan. The bill drew broad support from parents, providers, advocates, and state officials who emphasized early intervention, coordination, and system accountability, though a few witnesses raised concerns about psychiatric framing and urged amendments. The chair adjourned the meeting after testimony concluded; no votes were recorded.

Transcript Highlights:

• What about how many children are entering foster care, or entering out-of-home care?
• What about how many children are placed in a group care, a congregate care setting?
• degree to have a revolving door back into foster care or group care out of child welfare.
• child out of care.
• Care Hearings.

Bills: SB5979, SB6308, SB6319

Keywords: opioids, substance abuse, dependent children, child welfare, caregiver substance use, court orders, shelter care, judicial discretion, family law, early childhood, family services, diversion programs, court-ordered assessments, 904, all

Summary: The committee focused on child welfare, with three bills and a work session on national and state child safety trends. Senator Torres briefly introduced SB 5979 on in-home dependencies and dependency filing standards, and committee staff explained it would direct DCYF to develop guidelines and training with courts and child welfare stakeholders, give greater weight to high-potency synthetic opioids and prior referrals, and require clearer petitions when removal is not sought. Senator Torres and several supporters said the bill is intended to prevent avoidable harm and improve coordinated, earlier intervention; DCYF said it already has a case-by-case process and raised concerns about duplicative work. Public testimony on SB 5979 was generally supportive, though some witnesses asked for amendments to protect access to justice and clarify the bill’s scope. The committee then heard a lengthy informational presentation from Casey Family Programs on Washington’s child welfare performance compared with national data. The presenters said Washington is doing as well as or better than the national average on several measures, including lower foster care entry rates, higher kinship care use, and lower re-entry rates, but noted continuing concerns about maltreatment recurrence, permanency timelines, and child fatalities, especially among infants. They emphasized the need for stronger safety planning, better data, more kinship and family-finding supports, and integrated services for substance use, behavioral health, and domestic violence. Senators raised concerns that fewer foster care entries may not be a success if child deaths are rising, and asked about housing and court decision-making. DCYF then provided an update on child welfare operations and critical incidents, describing intake pathways, shelter care and dependency timelines, and recent data showing 2025 as a record year for fatalities and near-fatalities, many involving fentanyl and children ages birth to three. DCYF said it has made practice changes, safe child consults, hotspot mapping, and other responses, and pointed to budget proposals for additional prevention supports. The committee also heard from providers and parents about prevention and post-reunification services, including home visiting, infant mental health, family preservation, and substance-exposed infant care. Maddie’s Place described its non-pharmacological model for substance-exposed newborns and said it is not fully Medicaid reimbursed. The committee then took testimony on SB 6319, which would allow some high-risk CPS cases involving children under four and high-potency opioids to remain open longer; supporters said it could improve engagement and follow-through, while opponents warned about constitutionality, surveillance without counsel, and the risk of leaving older children unprotected. Finally, the committee heard SB 6308, which would let courts order certain safety-related conditions at shelter care hearings when a child is returned home; DCYF supported it, while public defense raised due process and constitutional concerns about moving dispositional requirements earlier in the case.

Transcript Highlights:

• establishes parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care
• My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• next bill on the agenda is HB 533 by Margie Wilcox, which Vice Chairman Mark Shirey will be taken care
• </c><00:08:39.360><c> will</c><00:08:39.519><c> be</c><00:08:39.760><c> taken</c><00:08:40.000><c> 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:

• care in other settings.
• </c> hospitals and other congregate care hospitals and other congregate care facilities.<00:05:04.360
• </c> care in other settings. care in other settings.
• I don't care. care. care.
• . 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:

• As recommended by the Committee on Health Care and Wellness. Hearing no objection, so ordered.
• So nursing home, hospital, hospice care center.
• So the first hospital utilized standard care that was fentanyl as a sedation medication.
• I think that this is a great help, especially for our primary care providers.
• I think that this is a great help, especially for our primary care providers.

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House considered and passed a series of bills on topics including public employee bargaining communication, condominium and middle-housing development, building code changes for scissor stairs, substance use disorder monitoring for nursing assistants, pet insurance continuity, liquor licensing flexibility, voter registration challenges, concealed pistol license records exemptions, social housing public development authorities, services for people with developmental disabilities, rent increase notices, and unlawful detainer notices. Members repeatedly described the housing bills as efforts to increase supply, improve affordability, and fix prior statutory problems, while the health-related bills were framed as improving patient comfort, provider flexibility, or workforce consistency. Several measures were advanced without amendment, while others were substituted with committee recommendations before final passage. The most debated item was Engrossed Substitute House Bill 1916 on voter registration challenges. Supporters said it would curb mass or frivolous challenges, protect voters, and give election officials clearer standards and more accountability. Opponents argued it would make legitimate voter challenges harder, reduce citizen oversight of voter rolls, and weaken election integrity. Multiple amendments were offered to reduce penalties from felony to gross misdemeanor, allow electronic challenges, remove county-residency limits, and strike sections of the bill; most were rejected, though one amendment removing the same-county requirement was adopted. The bill ultimately passed after a divided vote. Other notable debate included House Bill 2152, which would allow terminally ill patients in hospitals and similar facilities to use medical cannabis; supporters emphasized dignity and comfort at end of life, while one opponent worried about added burdens on rural hospitals. House Bill 2235, concerning Public Records Act exemptions tied to concealed pistol license records and a permit-to-purchase framework, passed with strong support. House Bill 1687 on social housing public development authorities passed after an amendment restored city council involvement in housing cooperation decisions, while House Bill 2249, relating to Washington Technical employees and civil service treatment, passed with a larger number of nays. The House then placed additional bills on second reading and adjourned until the next legislative day.

Transcript Highlights:

• An act relating to personnel for ambulance service inter-facility specialty care transports.
• of millions of dollars in ensuring that every single Washingtonian, from our schools to our child care
• From our farmers to our food banks, to our child care centers and our public schools, we want everyone
• I also know that we have a health care workforce shortage across our state, rural, urban, and suburban
• Ensuring that we're providing access to health care in the dietitian area and making sure that these

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House convened, established a quorum, approved the previous day’s minutes, and heard a prayer and the Pledge of Allegiance. Members also announced caucus breaks and a reminder that Seahawks apparel would be permitted on the floor the next day. The chamber then moved through second- and third-reading business on a series of bills, with several committee substitutes and amendments adopted by voice vote before final passage votes were taken by roll call. House Bill 1155, dealing with non-compete agreements, drew the most debate. Supporters said it would ban non-competes, improve worker mobility, and promote entrepreneurship; opponents raised concerns about contract freedom and, in one failed amendment, sought to exempt high earners and senior executives. Other adopted amendments clarified tribal worker relationships, defined patients in place of customers, and required notice that existing non-competes would be void. The bill ultimately passed 65-29. House Bill 1002, concerning PTSD eligibility for coroners and medical examiners, failed an amendment that would have limited costs to the relevant risk class, then passed 70-24 after supporters argued the measure would help a small group of workers exposed to traumatic scenes. House Bill 2264, on unemployment benefits for workers who voluntarily participate in layoffs, passed unanimously 94-0. The House also passed House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without EMT licensure, after an amendment requiring training on ambulance equipment; House Bill 2272, a technical update to ski equipment terminology; House Bill 2238, creating a statewide food security strategy and narrowing agency scope through amendment; House Bill 2445, aimed at stopping profiteering in probate cases involving unclaimed estates; House Bill 2109, allowing covered transport of certain vehicle loads to reduce roadway debris; House Bill 2492, requiring behavioral and mental health training for construction and trades workers despite objections about added costs; House Bill 2472, strengthening licensing enforcement for fire sprinkler work; House Bill 288, joining the dietician licensure compact; and House Bill 2229, updating the Professional Engineers Registration Act and requiring board members to have practiced in Washington for at least five years. Final votes on these bills ranged from near-unanimous to more divided, with each receiving the constitutional majority needed to pass.

Transcript Highlights:

• An act relating to personnel for ambulance service inter-facility specialty care transports.
• of millions of dollars in ensuring that every single Washingtonian, from our schools to our child care
• From our farmers to our food banks, to our child care centers and our public schools, we want everyone
• I also know that we have a health care workforce shortage across our state, rural, urban, and suburban
• Ensuring that we're providing access to health care in the dietitian area and making sure that these

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House convened, established a quorum, recited the Pledge of Allegiance, and heard a prayer. Members approved the prior day’s minutes, referred introduction-sheet bills, and later took up several second- and third-reading bills. Early in the day, the chamber also announced that members could wear Seahawks apparel during floor action the next day. The House passed House Bill 1155, which bans non-compete agreements, after adopting amendments clarifying tribal worker relationships, replacing references to “customer” with “patient” in certain contexts, and requiring notice to current and some former employees that non-competes are void. An amendment to exempt senior executives earning over $350,000 was rejected. The bill passed 65-29. The House also passed House Bill 1002, allowing certain coroners and medical examiners to seek workers’ compensation for PTSD; an amendment to isolate costs to their own risk class was rejected, and the bill passed 70-24. House Bill 2264, clarifying unemployment insurance eligibility for workers who voluntarily participate in layoffs, passed unanimously 94-0. Later measures included House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without also holding EMT licenses, which passed 94-0 after an amendment clarifying training; House Bill 2272, a technical update to ski equipment terminology, which passed 94-0; House Bill 2238, creating a statewide food security strategy, which passed 83-12 after a technical amendment narrowing agency scope; and House Bill 2445, aimed at preventing profiteering in probate estates, which passed 67-28 after a technical amendment. The House also passed House Bill 2109 on securing vehicle loads (95-0), House Bill 2492 requiring behavioral and mental health training for construction workers and apprentices (79-16), House Bill 2472 on licensed contractors for fire sprinkler work (92-3), House Bill 288 joining the dietician licensure compact (93-1), and House Bill 2229 updating the Professional Engineers Registration Act and requiring five years of Washington practice for board members after an amendment (68-26).

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• Senate Bill 1983 will direct the Department of Human Services to provide foster care data to resource
• You cared about. Presenting Williams. 14 0 nay, 14 aye, zero nays. Reports.
• They represented Culver care to vote.
• Culver, I William's eye and Newton, do you care to vote, Allie?
• Hefner, he cared about. Reley Smith Culver, two yes, zero nay, 12 yes. Here's report.

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:

• whereas Oklahoma State University promotes a culture of compassion and connection through cowboy's care
• at home to take care of the kids and the household duties.
• So, after taking classes during the evening, so that her husband could take care of the Kids and save
• They said, 'We don't care if you raise it to $50. We don't deal with any of that.
• Leader Elect Provenzano III, Representative Heffner, do you care the vote?

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:

• at home to take care of the kids and the household duties.
• at home to take care of the kids and the household duties.
• Health care is registered nurse.
• But we do need to be careful. We do need to be careful.
• Health care issue is not on this H.J.R. or S.J.R.

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:

• Representative Culver, you care to vote? Representative Culver votes aye.
• Representative Newton, do you care to vote? Declare the vote: 11 yea, 2 nay.
• Sometimes this happens in other insurance, not just health care.
• Is it kept inside OHCA, the Oklahoma Health Care Authority?
• Is it kept inside OHCA, the Oklahoma Health Care Authority?

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:

• to make sure that my patients are well-care for. ...care because I want to make sure that my patients
• are well cared for.
• We provide primary care and, ultimately, for a lot of our patients, that is the only care that they're
• We provide primary care and, ultimately, for a lot of our patients, that is the only care that they're
• It's no care at all versus some care. And we need those to be reimbursed properly.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• </c> physicians across the health care field. physicians across the health care field.
• </c> relating to home health care licensing. relating to home health care licensing.
• </c> lack of psychiatric care. lack of psychiatric care.
• Thank you. wrap-around care. Two days of medicine wrap-around care.
• </c><01:19:55.680><c> So</c> care for the past 10 years or so. So care for the past 10 years or so.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Yes, this would be a requirement on an annual basis for all primary care providers. Thank you.
• They go to a residential care facility. At these residential care facilities, they are staffed.
• for therapeutic visits, conditional release, or Potential discharge, they leave our campus with a care
• So, they will go into the care and therapy environment of one of our RCFs, our residential care facilities
• this bill are medical doctors, athletic trainers, therapeutic recreation specialists, and respiratory care

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Transcript Highlights:

• Yes, this would be a requirement on an annual basis for all primary care providers. Follow-up.
• We revisited some of the assumptions being made by the Health Care Authority.
• They go to a residential care facility, and those facilities are staffed.
• At these residential care facilities, they are staffed, and it would be up to that staff.
• They go into the care and therapy environment of one of our RCFs, our residential care facilities, and

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

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