Transcript Highlights:

• <00:36:51.680> And<00:36:51.920> so has a lot of control over them.
• And so has a lot of control over them.
• this report is really the lack of anything, I guess to put it bluntly, around guardians and what controls
• It bluntly, around guardians and what controls or oversight or what controls or oversight or expectations
• They have the inherent sovereign right to control how their data is collected, used, and shared.

Bills: HF3901, HF962, HF4428, HF4478, HF1775

Keywords: foster care, ombudsperson, investigative powers, children's rights, complaint process, HF4428, Medical Assistance, Medicaid, community engagement, work requirement, work mandate, employment requirement, community service, 80 hours, half-time student, income threshold, federal minimum wage, eligibility verification, benefit suspension, benefit termination

Transcript Highlights:

• Displacement's happened naturally or unnaturally, and some within control of a business and some without
• <00:11:24.520> of<00:11:24.600> a unnaturally and some within control of a unnaturally
• and some within control of a business<00:11:25.080> and<00:11:25.200> some<00:11:25.360
• control what the Judiciary Chair does. control what the Judiciary Chair does.
• <01:20:42.520> unit, within the Medicaid fraud control unit, within the Medicaid fraud control

Keywords: 1187, senate, all

Transcript Highlights:

• You were seeing orthodontia inappropriate utilization going out of control.
• You were seeing orthodontia inappropriate utilization going out of control.
• I've gone through Kaufman and the whole thing there, which was completely out of control.
• I am the division chief for the Medicaid Fraud Control Unit here in Texas.
• HHS sets the rules, but the local authorities control the day-to-day decisions.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• MCOs cannot control the yourself.
• It is important to note that MCOs have no control over who is enrolled.
• It's important that states have strong controls to prevent missing documentation or unqualified staff
• It's important that states have strong controls to prevent missing documentation or unqualified staff
• <01:17:46.320> over any sort of CON or any any control over any sort of CON or any any control

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• and I know behavior is so out of control and I know that<00:32:24.440> we've<00:32:24.600>
• So, that's what we can control.
• So, this is sort of out of our control.
• That's the assessment time, you control.
• this sort of out of our control. this sort of out of our control.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• . people before it gets out of control.
• We use those for pest control for individuals who need new furniture at their homes, they're moving,
• Um we use those<00:50:31.520> for<00:50:32.319> pest<00:50:32.800> control<00:50
• :33.920> um<00:50:34.000> for those for pest control um for those for pest control um for
• services, it is amazing how much control services, it is amazing how much of<00:51:30.880> a<

Keywords: 1. Call to Order and Roll Call – 00:00:24 2. Discussion of The Center for Courageous Kids – 00:02:46 3. Discussion of Adult Protective Services and State Guardianship Programs – 00:25:22 4. Discussion of Annual Report of the External Child Fatality and Near Fatality Review Panel – 01:00:34 5. Consideration of Referred Administrative Regulations – 01:33:41 6. Adjournment – 01:42:07, 958, all

Summary: The committee’s first interim meeting opened with roll call and a reminder that Kentucky had 8,641 children in out-of-home care with active placements as of June 1, 2025. The first presentation was from the Center for Courageous Kids (CCK), a donor-funded camp in Scottsville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s history, its year-round family retreats and summer sessions, its medical and accessibility supports, and its impact on campers’ confidence and independence. They said CCK has served more than 43,000 campers from 46 states and 13 countries, including 22,000 from Kentucky, and noted plans to reach all 120 Kentucky counties. CCK also outlined future capital needs: a new art barn and a medical lodge. The organization said the art barn project would cost $2.5 million, with a legislative request of $1.5 million, and the medical lodge would cost $2.875 million, with a legislative request of $1.75 million. Members responded very positively, with several praising the camp’s work and one member asking about operational challenges. CCK said its main challenges are awareness, staff and volunteer recruitment, and expanding medical and housing capacity; it also said it is accredited by the American Camp Association and receives health and safety visits and audits. The committee then moved to a presentation on adult protective services and state guardianship programs from Jessica Wayne and Cliff Bryant of DCBS. They explained the legal framework for guardianship, the difference between full and limited guardianship/conservatorship, emergency appointments, and the state’s role as a last-resort guardian when no family member or private entity is available. They reported 4,464 individuals under state guardianship as of June 1, with most cases involving dementia, developmental disability, intellectual disability, nursing home or long-term care placement, severe mental illness, or brain injury. They also said the division has 89 field workers across 14 regional offices, with an average caseload of 52 and a goal of reducing that into the mid-40s through additional hiring.

Transcript Highlights:

• That gives working families more housing options without dismantling local control.
• I don't understand why we're worried about Republican bills dying in a Republican-controlled chamber.
• and more control over whether something like this happens within their area by doing this amendment?
• Local control should be respected.
• The request for the protectiveness review will not apply to the standard permit with enhanced controls

Bills: SB15, SB35, SB290, SB1365, SB2568, SB18, SB427, SB1860, SB1864, SB2675, SB596, SB2858, SB3058, SB816, SB1163, SB1484, SB1898, SB1777, SB1802, SB2692, SB315, SB1585, SB1626, SB2058, SB2050, SB2105, SB2245, SB2764, SB2611, SB2497, SB2452, SB2243, SB1705, SB1244, SB1361, SB438, SB578, SB584, SB2690, SB2521, SB2487, SB2342, SB2063, SB125, SB2041, SB1962, SB1413, SB6, SB2878, SB13, SB30, SJR87, SB7, SB127, SB293, SB441, SB3059, SB57, SB512, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB1346, SB2753, SB2221, SB1719, SB2177, SB552, SB646, SJR1, SB15, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SB2501, SB66, SB268, SB331, SB618, SB414, SB1394, SB2425, SB898, SB993, SB442, SB735, SB784, SB2538, SB1919, SB1013, SB2215, SB2322, SB626, SB570, SB747, SB2183, SB673, SB1015, SB1447, SB1370, SB1784, SB1897, SB2873, SB2891, SB2933, SB2540, SB2681, SB2695, SB1965, SB2203, SB872, SB875, SB1030, SB1277, SB1730, SB1681, SB1152, SB2969, SB2747, SB2705, SB2541, SB1708, SB2080, SB2721, SB1986, SB2392, SB2539, SB2857, SB2799, SB2785, SB2782, SB1531, SB1927, SB1263, SB1098, SB35, SB290, SB1365, SB2568, SB18, SB427, SB1860, SB1864, SB2675, SB596, SB2858, SB3058, SB816, SB1163, SB1484, SB1898, SB1777, SB1802, SB2692, SB315, SB1585, SB1626, SB2058, SB2050, SB2105, SB2245, SB2764, SB2611, SB2497, SB2452, SB2243, SB1705, SB1244, SB1361, SB438, SB578, SB584, SB2690, SB2521, SB2487, SB2342, SB2063, SB125, SB2041, SB1962, SB1413, SCR9, SB21, SB1198, SB1405, SB2601, SB2778, HB5560, HB762, HB1584, HB 107, HB 114, HB138, HB4386, HB2495, HB581, HB3348, HB5323, HB4341, HB6, HB171, HB143, HB449, HB3486, HB4263, HB5246, HB2, HB2011, SB17

Keywords: SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks, infill development, missing middle housing, lot width, lot depth, homebuilders, housing supply

Transcript Highlights:

• And in C business entities that are part of a controlled group of corporations also is defined in the
• And in C business entities that are part of a controlled group of corporations also is defined in the
• group of corporations also is controlled group of corporations also is defined<00:16:38.079> uh
• We are in control of what we choose to put out there.
• We are in control of what we realize.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, the other one, not to get too technical, but requires a governor to actually control the flows just
• Uh, the other one, not to get too technical, but requires a governor to actually control the flows just
• Uh, the other one, not to get too technical, but requires a governor to actually control the flows just
• going to control, but anything else<00:46:25.520> we'll<00:46:25.680> just<00:46:25.839
• because they control roads, you can<01:18:04.719> have<01:18:04.800> a<01:18:05.040>

Keywords: 1183, house

Transcript Highlights:

• So you'd have fires, but they'd only go so far and then they'd be controlled.
• Or there was a they'd be controlled.
• Or there was a controlled<00:37:15.680> they<00:37:15.920> had<00:37:16.240> controlled
• <00:37:16.960> uh<00:37:17.359> fires controlled they had controlled uh fires controlled
• they had controlled uh fires also<00:37:18.320> out<00:37:18.640> there.

Keywords: 1187, senate, all

Transcript Highlights:

• Weather is a situation that no one can control, and again we're going to jump around just a little bit
• from the Minnesota um Pollution Control from the Minnesota um Pollution Control agency<00:28:17.320
• <00:28:43.200> agency<00:28:44.200> thank Minnesota Pollution Control agency thank
• Minnesota Pollution Control agency thank you<00:28:44.399> for<00:28:44.559> the<00:28:
• agency I would need to Pollution Control agency I would need to get<01:04:26.720> back<01:04:

Bills: HF737, HF247, HF325, HF1330

Keywords: lead, cadmium, consumer products, safety regulation, retail restrictions, motor sports, nonoxygenated gasoline, fuel regulations, storage requirements, racing events, HF325, flavored nitrous oxide, nitrous oxide, whippets, laughing gas, retail sales, consumer protection, misdemeanor, commerce, Minnesota Statutes chapter 325F

Transcript Highlights:

• /c><00:19:17.039> know<00:19:17.320> the<00:19:17.600> the<00:19:18.240> controls
• <00:19:18.880> that<00:19:19.000> are about you know the the controls that are about
• you know the the controls that are uh<00:19:19.640> applied<00:19:20.200> to<00:19:20.400
• and impacted by a global dynamic of this shift to working from home that is beyond any of our local control
• and impacted by a global dynamic of this shift to working from home that is beyond any of our local control

Bills: HF1277, HF812, HF457, HF633

Keywords: data centers, tax exemption, Minnesota statutes, economic development, employment growth, income tax, tax brackets, tax adjustments, Minnesota, tax policy, underutilized buildings, adaptive reuse, building conversion, historic preservation, downtown revitalization, vacant property, vacancy reduction, refundable tax credit, income tax credit, grant in lieu of credit

Transcript Highlights:

• if I'm wrong, but when you say that a trust can go on for 500 years, you're essentially locking up control
• piece do you do that within the control piece do you do that within the commission<01:33:06.800>
• So, Minnesota Management and Budget really does the fiscal control for us.
• So, Minnesota Management and Budget really does the fiscal control for us. Thank you.
• <01:34:37.480> for the fiscal control for the fiscal control for us<01:34:39.320> represent

Bills: HF747, HF360

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, trusts, Uniform Trust Code, probate, estate planning, trust protector, directed trust, investment trust advisor, distribution trust advisor, excluded fiduciary, decanting, power of appointment, revocable trust, irrevocable trust, uneconomic trust, rule against perpetuities

Transcript Highlights:

• Cost controls are already built economy.
• Use control by taking your time. Use a tiny tester amount first.
• Use control by taking your your time.
• So, um, that's what we're trying to control.
• And in plain terms, trying to control.

Keywords: 1191, senate, all

Transcript Highlights:

• So, you would one controlled substance.
• Poison Control Center increased by over 317% in the last five years.
• ><01:48:43.600> Center<01:48:43.920> increased<01:48:44.320> by to US Poison Control
• Center increased by to US Poison Control Center increased by over<01:48:44.880> 317% over 317%
• studies under um very defined controlled studies under um very defined [clears throat] [clears throat

Keywords: 1191, senate, all

Transcript Highlights:

• While some argue that smartphone policy should remain a matter of local control, the data suggests this
• We recognize that some may argue for this issue to be left to local control.
• this issue to be left to local control. this issue to be left to local control.
• to choose which PSEO courses control to choose which PSEO courses count<01:21:02.200> towards
• how schools want local control. So, I how schools want local control.

Keywords: 1187, senate, all

Transcript Highlights:

• And what is teleoperation, the remote control of a vehicle.
• So this lays the groundwork to ensure that the public safety personnel remain in control of a particular
• , the remote control of a vehicle. vehicle. vehicle.
• <00:10:06.080> It<00:10:06.160> aligns control of a particular scene.
• It aligns control of a particular scene.

Keywords: 1187, senate, all

Transcript Highlights:

• Then later, it was flood control.
• There's over 5,000 acres of WMA that will have improved water control to be able to reduce the bounce
• <01:04:13.039> um<01:04:13.280> water will have improved control um water will have
• improved control um water control<01:04:14.000> to<01:04:14.240> be<01:04:14.400> able
• to be able to uh reduce uh the control to be able to uh reduce uh the bounce<01:04:17.920> in

Keywords: 1187, senate, all

Transcript Highlights:

• So, it's a local control argument that NHSBA has had on our books for 17 or 18 years now.
• take the test that is out of the control take the test that is out of the control of<00:21:16.960
• So, you know, we can't control what the South Berwick School District calendar would look like.
• The matter of local control.
• Too often, systems respond with control instead of connection.

Keywords: 1191, senate, all

Transcript Highlights:

• , unfortunately, in the way SB 2175 is located in chapter 339 in our statutes, it is under litter control
• ><00:02:12.080> um<00:02:12.239> under<00:02:12.800> litter<00:02:13.200> control
• , statutes, it is um under litter control, statutes, it is um under litter control, which<00:02:14.319
• testimony that earlier this year the White House administration gutted the FDA's tobacco prevention control
• <00:08:50.240> division, tobacco prevention control division, tobacco prevention control division

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.