Transcript Highlights:

• Think Sooner Care is one aspect of it.
• , all without direct voter approval.
• that care.
• And I know how important it is to make sure that we're able to take care of people that can't take care
• It would just have flexibility to work with how to provide those services and other services or reduce

Bills: HB4440 , HJR1067 , HJR1087 , HJR1089

Committee: Senate Rules

Keywords: Medicaid, low-income adults, healthcare, eligibility restrictions, constitutional amendment, Medicaid expansion, SoonerCare, health coverage, federal matching funds, FMAP, Article XXV-A, state question, special election, Title 63, public assistance, healthcare funding, federal-state match, Medicaid eligibility, Oklahoma Constitution, ad valorem

Transcript Highlights:

• worker providing service, an immigrant service provider making sure that they are endeavoring to...
• ...service, an immigrant service provider making sure that they are endeavoring to contribute to our
• They're in direct contradiction to the standards of care for providing treatment to anyone, regardless
• They're in direct contradiction to the standards of care for providing treatment to anyone, regardless
• They're in direct contradiction to the standards of care for providing treatment to anyone, regardless

Keywords: 988, house, all

Transcript Highlights:

• So we've put in a directive to the department to work with the Department of Health and Human Services
• So we've put in a directive to the department to work with the Department of Health and Human Services
• So we've put in a directive to the department to work with the Department of Health and Human Services
• for their home care nursing services.
• services and home care nursing.

Keywords: 1183, house

Transcript Highlights:

• This is the transfer of foster care services and case management from the state to entities known as
• That would probably be more directed to the Health and Human Services Commission.
• Commission to build services that both we can. access to serve children in our care but that parents
• So our items related to behavioral health are less direct service delivery.
• But those are services that when we are able to access them, they're helpful for youth in our care.

Committee: House Appropriations - S/C on Article II

Keywords: 1184, house, all

Transcript Highlights:

• I emphasize society because this is not individual health care.
• I think it's just a, you know, they do consumer services through FDACS, and this is a consumer service
• It talks about direct support organizations and the department creating those direct support organizations
• She requires 24-hour nursing care and supervision.
• And mobility issues requiring lifelong 24-hour care.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, doctor and gallery introductions, and several recognitions, including USF Day at the Capitol and visitors from Miami Gardens, Teach For America Florida, and Pathways to Prosperity. The chamber then moved to the special order calendar and considered a series of bills, with several measures temporarily postponed and others passed after debate and roll call votes. The Senate unanimously passed several Open Government Sunset Review bills, including SB 7010 and SB 7008, which preserve public records exemptions related to insolvent insurance company receiverships and financial technology sandbox applications. It also passed SB 1430 on post-judgment execution proceedings for terrorism victims, SB 910 on veterans benefits assistance, SB 796 on general permits for distributed wastewater treatment systems, SB 28 and SB 22 as claims bills involving South Broward Hospital District, SB 8 for relief related to a Pasco County School Board accident, SB 1718 preserving a public records exemption for minors seeking abortions without parental consent, and SB 994 on driver’s license education requirements. SB 832 on former phosphate mining lands also passed, but with two amendments and some opposition. A major portion of the meeting focused on SB 700, the Department of Agriculture and Consumer Services bill, which included technical updates, restrictions on certain additives in public water systems, limits on ESG practices in farm lending, drone-related penalties, truth-in-labeling provisions for meat, milk, poultry, and eggs, charity registration requirements, agricultural worker housing, and support for FFA and 4-H. The most contentious debate centered on fluoride provisions in the bill: multiple amendments by Senators Berman and Polsky to remove the fluoride language, require targeted fluoride assistance, or order an OPAGA study were all defeated, while a technical amendment by Senator Truenow was adopted. The bill remained on the calendar for third reading after extensive debate and questioning. At the end of the session, the Senate adopted motions to certify passed bills to the House, retain postponed bills on the special order calendar, and return CS for SB 7016 to second reading, then adjourned until April 16.

Transcript Highlights:

• Health care is declining in those rural areas.
• How does that change the health care of Idaho?
• How many of these findings are a direct correlation?
• When we move to managed care, again, there's no incentive for managed care to look for people that are
• The analyst with the Legislative Services Office.

Summary: The committee first heard a presentation on Idaho’s medical education workforce plan, developed from House Bill 368. The presenter said the working group unanimously supported a long-term plan to address Idaho’s physician shortage, noting Idaho ranks 50th per capita in physicians and would need roughly 1,400 more doctors to reach the national average. Recommendations included maintaining existing WAMI and other state-supported seats, adding 10 non-WAMI seats this year, expanding graduate medical education by 15 seats, creating a dedicated health education coordinator/director to manage undergraduate and graduate placements and clinical sites, and using one-time Rural Health Transformation funds for larger investments. Members discussed the value of WAMI, the need for more clinical training sites, rural recruitment incentives, the role of nurse practitioners and other providers, and how to measure results. No formal vote was taken in the transcript. The committee then received April Renfro’s update on the statewide single audit and related accountability work. She reported $5.4 billion in federal assistance audited for fiscal year 2024, 45 findings, seven repeat findings, $2.4 million in known questioned costs, and $2 million in projected questioned costs. Major issues were concentrated at the Department of Health and Welfare, especially Medicaid managed care eligibility and provider oversight, delayed health and safety surveys, and reporting problems tied in part to the Luma transition. Other notable findings involved the Child Care and Development Fund, Vocational Rehabilitation, Low-Income Home Energy Assistance, and DEQ. Members pressed her on accountability, fraud detection, managed care oversight, Luma-related errors, staffing, and which findings should be prioritized for follow-up. She said her office would provide a top-10 list of priorities to the co-chairs. No vote was taken. After a break, the committee heard a budget presentation from Brooke Dupree on how to read the front-end reports in the legislative budget book. She explained the state’s constitutional structure, the 20 executive departments, and the decision-unit budget model, including the sequence from the current-year appropriation to maintenance, enhancements, and the final fiscal year 2027 original appropriation. She also walked through request-versus-recommendation reports and fund-source comparisons. Members asked a few clarifying questions, including what falls under public school support. The final item began a short presentation from the Impact Review Team on a base budget dashboard tool, described as a different way to view existing budget data.

Transcript Highlights:

• It's expanded health care services with 25 clinical care sites throughout the Rio Grande Valley and is
• Thank you for your service to a great state. And thank you for taking care of us. Thank you.
• provide child care services, to Health and Human Services.
• requiring specialized care from inpatient mental health and human services.
• services, to Local Government. ...health care services to Local Government.

Summary: The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day. The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection. On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.

Transcript Highlights:

• It is legally mandated that the Department of Health and Human Services allow the managed care organization
• Our health care system is...
• It's a step in the right direction.
• , police services, medical services, warning systems, radiological preparedness, hazardous response,
• Yep, I can take care of that.

Bills: LR509 , LR510 , LR511

Keywords: congratulations, Nebraska Sandhills Cowboy Hall of Fame, Deloris Marshall Adamson, recognition, achievement, service, retirement, Nebraska Legislature, public service, legislature, Nebraska, 956, all

Transcript Highlights:

• That spirit of service has not only grown, but has continued.
• Correa: I believe this is a step in the right direction.
• James Minn for 25 years of service.
• This guts health care programs that Virginians.
• THIS GUTS HEALTH CARE PROGRAMS THAT VIRGINIANS.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 10, 2025, 1012, house, all

Transcript Highlights:

• </c><00:02:41.400><c> referral</c> table this bill was a direct referral table this bill was a direct
• </c> disabilities because of their service disabilities because of their service veterans<00:42:05.280
• Moreover, retreats help reduce the reliance on health care services, decrease emergency room visits,
• Moreover, retreats help reduce the reliance on health care services, decrease emergency room visits,
• </c> your testimony uh and for your service your testimony uh and for your service to<00:58:39.440><c

Committee: House Veterans and Military Affairs Division

Keywords: 1183, house

Transcript Highlights:

• </c> management services. management services.
• So our personal choices program allows Medicaid waiver participants to self-direct their own care.
• </c><00:28:16.320><c> They</c><00:28:16.480><c> can</c> self-direct their own care.
• They can self-direct their own care.
• </c> legal services. legal services.

Keywords: 924, joint, all

Transcript Highlights:

• and their clinical health care services team in the prison, as well as the Department of Corrections
• So we were asked by the Legislative Audit Subcommittee to look at behavioral health care services in
• Committee to look at behavioral health care services in the state prison.
• of Correctional Health Care Services.
• Social workers provide a much broader range of services, and all of that is directed at supporting clients

Committee: Joint Health and Human Services Interim Committee

Keywords: 985, all

Transcript Highlights:

• </c> limit the directed payments after our limit the directed payments after our grandfathering<00:15
• That's all I care about.
• ><c> services,</c><01:09:04.440><c> but</c> the availability of services, but the availability of services
• </c> the availability of the service as well. the availability of the service as well.
• </c> hospice care. hospice care.

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.

Transcript Highlights:

• There are a lot of provisions in this bill related to providing respiratory care services in specified
• There are a lot of provisions in this bill related to providing respiratory care services in specified
• Licensed vocational nurses may perform limited respiratory care tasks and services and clarifies...
• care, social service, and educational settings.
• It says LVNs may perform certain respiratory care services.

Committee: Senate Business, Professions and Economic Development

Keywords: 987, senate, all

Transcript Highlights:

• By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Program
• By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Program
• service, or care rendered in a pre-hospital setting by paramedics, emergency medical technicians, and
• in our rural communities, like a community health care center, or a college health service, or even at
• By Health Care Budget Subcommittee, Human Services Subcommittee, Representative Hunschofsky and...

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The chamber approved the journal and adopted the special order report, and the Speaker announced a schedule change canceling the floor on Monday and starting Tuesday at 10:30 a.m. The main business was CS for HB 7033, the House tax package, presented by Rep. Duggan. He described a broad set of tax changes, including the previously passed sales tax rate reduction from 6% to 5.25%, exemptions for certain bullion sales, changes to tourist development tax (TDT) use, property tax administration updates, affordable housing-related exemptions, repeal of the aviation fuel tax, delayed natural gas fuel tax implementation, corporate income tax changes, and other provisions. Debate focused heavily on the TDT section and the bill’s property tax relief structure. Amendments to preserve local flexibility or remove the TDT restrictions were offered and debated; one Duggan amendment was adopted to allow local governments to keep 25% of TDT revenues for general use while directing 75% to property tax relief, and another amendment requiring audit certification of compliance was also adopted. A combined reporting amendment offered by Rep. Eskamani to close corporate tax loopholes was debated at length but failed. On final passage, supporters argued the bill provides immediate, permanent tax relief and affordability help, while opponents said it diverts tourism dollars away from local needs and could harm tourism-dependent counties and services. CS for HB 7033 passed the House 78-29. The chamber then took up CS for CS for HB 1221 on local option taxes, which would give local governments more control over certain local taxes and, as presented, redirect TDT revenues toward property tax relief with some local flexibility. After questions and amendments, including a Miller amendment allowing 25% of TDT revenue for general purposes and another accountability amendment, the bill moved to final debate. Members split sharply: supporters framed it as immediate tax relief and local accountability, while opponents warned it would undermine tourism marketing, infrastructure, and county budgets. The transcript ends during closing debate on HB 1221, before final passage is recorded.

Transcript Highlights:

• </c> systems in place uh to care for folks. systems in place uh to care for folks.
• </c> that uh requires the kind of service that uh requires the kind of service they're<00:03:38.000><
• </c> ensure that those uh continuum of care ensure that those uh continuum of care uh<00:05:11.120><c
• Because it's important when we're talking about continuum of care and continuum of services, because
• </c><00:17:07.600><c> um</c> stability, housing with service um stability, housing with service um services

Keywords: 1183, house

Transcript Highlights:

• We service millions of customers.
• It doesn't have to appoint an agent for service of process.
• streamline our virtual care and strategic licensing efforts, which aim to enhance patient care across
• The compact helps us close care gaps.
• care.

Bills: HB111

Committee: Senate Business & Commerce

Summary: The committee heard a long series of House bills, with most measures laid out by Senate sponsors and then left pending after brief public testimony. Early bills focused on construction and licensing issues, including HB 305 on prompt payment for public construction audits, HB 5093 on restoring public access to notary contact information, HB 2037 on updating landlord-tenant repair and security deposit rules, HB 4214 on a centralized public information request contact database, and HB 5435 exempting higher education institutions from a 90-day notice requirement for certain public-private partnership projects. Testimony was generally supportive on these bills, and no votes were taken; each was left pending. The committee also considered several transparency and regulatory bills. HB 111 would expand the Public Information Act to certain nonprofit state associations and narrow some attorney-client and working-paper exceptions, with supporters arguing it would improve oversight of public funds and critics questioning the scope and thresholds. HB 5129 would protect occupational license holders’ personal identifying information from disclosure without consent, HB 4350 would allow peace officers to redact personal information from online real property records, HB 4748 would authorize multiple-award state purchasing contracts, and HB 4765 would clean up code enforcement officer licensing rules. HB 4134 would allow motor vehicle creditors to charge limited fees for electronic payment options while requiring a free alternative, and HB 1043 would direct a study of blockchain-based property title records; both drew testimony, with some concern about the practical effects and vendor implications of the blockchain study. Several bills addressed insurance, workforce, and digital-asset regulation. HB 3520 would reduce the insurance coverage required for transportation network companies during the period when a driver is en route to pick up a passenger, drawing support from Texans for Lawsuit Reform and opposition from trial lawyers who argued the higher coverage better protects the public. HB 3320 would create a self-insurance pool for religious institutions, with TDI explaining it would still be regulated but operate under a special statutory framework. HB 4233 would modernize rules for digital asset service providers by removing certain auditor-access requirements and updating reporting and licensing provisions. HB 3923 would reduce bachelor’s-degree requirements for some state jobs, though Every Texan argued low pay, not degree requirements, is the main driver of turnover. HB 4518 would create a legal structure for decentralized unincorporated nonprofit associations tied to blockchain governance; business law experts opposed it as unnecessary and potentially risky, while crypto advocates supported it. Finally, HB 1803 would join an interstate compact for dentists and dental hygienists, with supporters citing workforce shortages and opponents saying Texas already licenses quickly and that the compact could weaken state oversight. Throughout the hearing, the committee repeatedly closed testimony and left bills pending, and a quorum was eventually established before later items were heard.

Transcript Highlights:

• Scientific and technical services.
• It's changed directions.
• So when we talk about when we get into child care, we want to see who is getting the child care vouchers
• care Options.
• So they're already paying, now they can go and get free care.

Committee: Senate Senate Finance

Keywords: 996, all

Transcript Highlights:

• service.
• A less expensive service, like a transition service.
• as a service program.
• We need continuity of care protocols when a fraudulent provider is shut down, so housing and services
• case management services?

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• between the Department of Health and Human Services and licensed child care providers.
• They're deeply connected to impatient specialty care services, behavioral health, and post-acute care
• They're deeply connected to impatient specialty care services, behavioral health, and post-acute care
• They're deeply connected to inpatient specialty care services, behavioral health, and post-acute care
• Or let me state it another way: long-term care and support services, which would be home health care,

Committee: House Health, Human Services and Elderly Affairs

Keywords: 1189, house, all