Transcript Highlights:

• our office and we also have a referral our office and we also have a referral line.<00:02:55.280
• process for two years, five years, eight process for two years, five years, eight years,<00:18:51.120
• or referrals from from from?
• Just a thought process. Just a thought process. >> Thank<00:58:42.720> you.
• something around process there. something around process there.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• I think as the legislature moves through this process...
• I ain't heard anything about the appropriations process.
• I ain't heard anything about the appropriations process.
• We received a significant number of referrals.
• “All 687 referrals that we had received, we responded to.

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• DSH and CDC have recently implemented new trial processes with the goal of increasing referrals and utilization
• processes and budget year and ongoing.
• So we're in the process of whittling it down.
• Yes, there are many processes in place for accountability, not only through the construction process,
• Us in delays in the process.

Keywords: 988, house, all

Transcript Highlights:

• visibility uh after this budget process visibility uh after this budget process into<00:13:43.839
• It's not a cold referral.
• We’ve got a huge process.
• <02:17:46.880> to<02:17:47.120> other that referral to other that referral to other
• That’s the capital budget process.

Keywords: 928, house, all

Summary: Finance Division 3 met for a work session on House Bill 519, which concerns funding for Waypoint. The chair noted general support for the organization but said the bill would likely need to be suspended and folded into the budget process because the committee did not yet know available revenues or what amount, if any, could be committed. Kya Fox, director of the Division for Behavioral Health, testified that the department supports the bill and the program, explaining that it had been funded with other available funds, including $100,000 for 2024 and $400,000 for 2025, under a contract running through June 30 of this year. She said the shelter serves a unique population of young adults and is part of the department’s children’s system of care and Mission Zero efforts to reduce barriers to psychiatric discharge and emergency department use. Members questioned Fox and Waypoint representatives about the budget placement of the request, the difference between the efficiency budget and prioritized needs, and whether state budget documents would show any internal Waypoint revenues. Fox said the request appears as a general fund item and that the state would not see Waypoint’s internal financial operations in the budget. A legislative member explained that prioritized needs are critical services already in place but not necessarily included in the efficiency budget, and another member said the distinction is not strictly applied. The committee also raised a separate question about how DHHS would handle any future state or federal restrictions on DEI practices; Fox said that was a question for department leadership and legal staff, but that the department follows state law and contract requirements. Waypoint CEO Bor Alvare and Director Mandy Lancaster then described the shelter and related services. They said the shelter serves ages 18 to 24, is a 14-bed open-room facility with half walls, and is staffed overnight by two full-time workers. They said admission is first come, first served, with some vulnerability factors considered, and that they do not discriminate by race, gender, or sexual orientation. They reported no known incidents of sexual violence, though some youth are turned away each night because the shelter is full. They also explained that Waypoint provides broader services beyond the shelter, including outreach, drop-in centers, housing support, rental assistance, and family mediation, and said they serve about 400 youth and young adults in Manchester alone. The discussion ended with questions about whether lowering the upper age limit would affect the program; Waypoint said most residents are already in the 18-to-23 range, but that housing shortages make the current age span important for helping young adults avoid chronic homelessness.

Transcript Highlights:

• And so we often call that the referral process.
• And what's important to know, I think, when we think about that referral process, number one is all the
• Missy Ellison, as far as the referral process, could you walk us through, let's say, a referral from
• Another question: Who can make referrals? Anybody can make a referral. You could make a referral.
• So we have some of those ways, more formalized referral processes, especially for our hospitals and those

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Referrals and re-referrals are made in accordance with any supplemental orders of the day that may be
• <00:16:05.000> Referrals<00:16:05.560> and<00:16:05.720> re-referrals.
• Referrals and re-referrals. Madam Clerk. Referrals and re-referrals.
• >> Referrals<00:16:07.079> and<00:16:07.240> re-referrals<00:16:08.000> are
• ><00:16:08.120> made<00:16:08.440> in >> Referrals and re-referrals are made in &

Bills: SB1432, SB2024, SB2043, SB2060, SB2069, SB2153, SB2259, SB2319, SB2321, SB2338, SB2360, SB2396, SB2405, SB2407, SB2544, SB2550, SB2552, SB2578, SB2580, SB2607, SB2614, SB2671, SB2800, SB2805, SB2816, SB2835, SB2877, SB2892, SB2928, SB2934, SB3063, SB3199, SB3233, SB3325, HCR8, HCR10, HCR11, HCR13, HCR14, HCR18, HCR19, HCR22, HCR24, HCR31, HCR32, HCR33, HCR35, HCR54, HCR62, HCR63, HCR66, HCR67, HCR82, HCR83, HCR85, HCR91, HCR93, HCR94, HCR96, HCR98, HCR102, HCR104, HCR105, HCR106, HCR110, HCR111, HCR116, HCR117, HCR118, HCR121, HCR122, HCR123, HCR124, HCR125, HCR127, HCR128, HCR137, HCR139, HCR140, HCR141, HCR144, HCR146, HCR162, HCR165, HCR166, HCR173, HCR178, HCR179, HCR180, HCR181, HCR182, HCR185, HCR189, HCR191, HCR192, HCR193, HCR194, HCR200, HCR202, HCR6, HCR36, HCR42, HCR43, HCR44, HCR53, HCR57, HCR61, HCR64, HCR69, HCR84, HCR101, HCR103, HCR107, HCR112, HCR126, HCR136, HCR154, HCR161, HCR175, HCR186, HCR187, HCR188, HCR197, HCR203, HCR204, HCR206, HB1870, HB1588, HB2429, HB2386, HB2583, HB2361, HB2270, HB2137, HB1643, HB1682, HB1692, HB2078, HB1553, HB1667, HB1700, HB1728, HB2293, HB2096, HB1959, HB1511, HB1961, HB1858, HB1897, HB2088, HB2093, HB2279, HB2314, HB2505, HB2433, HB963, HB1705, HB1550, HB469, HB1334, HB1710, HB1737, HB1753, HB1881, HB2309, HB1713, HB1741, HB2062, HB463, HB1839, HB1664, HB2455, HB2417, HB1898, HB1573, HB1768, HB1962, HB2101, HB1782, HB2033, HB1518, HB1642, HB1752, HB2097, HB2282, HB1696, HB1823, HB1886, HB2152, HB2413, HB2503, HB1875, HB1519, HB1509, HB1628, HB1810, HB1990, HB2023, HB2540, HB1679, HB1888, HB2576, HB2592

Keywords: Kalaupapa, Kalawao, Molokai, Maui County, county consolidation, Hansen's disease, leprosy, Department of Health, DOH, patient residents, former patients, public health, transition planning, jurisdiction transfer, county governance, historical preservation, cultural preservation, environmental remediation, community input, Kalaupapa Settlement

Transcript Highlights:

• Similarly, with Residential Treatment Services, making referrals for treatment, referrals for placement
• Similarly, with Residential Treatment Services, making referrals for treatment, referrals for placement
• Similarly, with Residential Treatment Services, making referrals for treatment, referrals for placement
• can because we know that when referrals can because we know that when referrals screen<00:25:21.960
• to those families and prevent referrals to those families and prevent referrals coming<00:25:29.480

Keywords: Meeting Concurrently w/ (H) Families & Children, 958, all

Summary: The committee met to hear the 2025 Social Services Block Grant preliminary plan from the Department for Community Based Services. Commissioner Lisa Dennis and Executive Adviser Mary Carpenter described DCBS’s mission and explained that the federal block grant, about $21 million annually, supports Adult Protective Services, Child Protective Services, Home Safety Services, Juvenile Services, Residential Treatment Services, and staff training. They said most of the funding goes to staff and training, and that the department uses surveys, focus groups, program monitoring, funding availability, and historical data to set annual goals. They also noted that Kentucky uses the grant to fund direct services and that eligibility is generally limited to Kentucky residents or runaway juveniles based on need and available resources. Much of the discussion focused on child welfare data and the distinction between poverty and neglect. DCBS officials said Adult Protective Services investigates abuse, neglect, and exploitation of vulnerable adults, and that self-neglect cases have trended down in recent years, which they attributed in part to access to federal resources. For Child Protective Services, they reviewed intake and investigation numbers, noting that many calls screen out before meeting statutory criteria, while about 48,000 cases were assessed or investigated and about 8,000 were substantiated. Members raised concerns about how poverty can be mistaken for neglect, especially in rural areas, and DCBS said it has been working with the legislature, staff, and community partners to better define the difference and connect families to community supports when cases do not meet abuse or neglect criteria. Members also asked about the risk to federal funding and the impact on juvenile services. DCBS said it had not received notice that the $21 million block grant would be cut, but it is monitoring federal developments closely and would need to return to the General Assembly for a budget request if funding were lost. The department said about 30% of the federal share goes to juvenile services. Questions also covered the transition in staff training from Eastern Kentucky University to a broader statewide model, and the agency said it is expanding training opportunities and modernizing delivery. Officials discussed the MST pilot for youth, saying it is a successful evidence-based practice operating in three regions—Jefferson, Northern Bluegrass, and Central Kentucky—with positive outcomes and possible expansion. No votes were taken; the meeting was informational only.

Transcript Highlights:

• processes associated with doing so. processes associated with doing so.
• beginning of the investigative process beginning of the investigative process or<00:19:00.440>
• process. Thank you, Inspector General. process. Thank you, Inspector General.
• licensing process. licensing process. Thank<01:16:23.520> you.
• the background check process. the background check process.

Keywords: 1183, house

Transcript Highlights:

• Referrals and re-referrals are made in accordance with the supplemental orders of the day that may be
• Referrals and passes third reading.
• Referrals and re-referrals.<00:15:14.959> Referrals<00:15:15.440> and<00:15:15.680>
• re-referrals re-referrals.
• Referrals and re-referrals re-referrals.

Keywords: 912, senate, all

Transcript Highlights:

• process.
• and make changes to the referral and make changes to the referral process. process. process.
• I respect the process, and I think the process matters.
• I respect the process, and I think the process matters.
• I respect the process, and I think the process matters.

Keywords: 918, senate, all

Summary: The Rules and Administration Committee met on March 19, 2026, to consider the referral path for Senate File 4139, the sports betting bill, rather than the substance of the proposal. Senator Franzen, the bill’s chief author, asked that the bill be referred first to the Commerce Committee, saying he had discussed the matter with the relevant committee chairs and that Commerce was the best place to address the bill’s consumer protection provisions. He emphasized that any final path to passage would still require the bill to go through State and Local Government as well. Senator Rasmusson objected and argued the bill should go first to State and Local Government, citing Senate jurisdiction rules, which he said assign gambling bills to that committee. He noted that prior sports betting bills had been referred there first and said a predictable referral process is important. Senator Maye Quade, Senator Dibble, Senator Bar, and Senator Jasinski also supported sending the bill to State and Local Government first, arguing that the committee has primary jurisdiction over gambling and that the bill’s consumer protection language does not change that basic referral. Senator Champion and Senator Miller supported the Commerce referral, saying authors may request an initial committee and that the bill’s consumer protection sections fit Commerce jurisdiction. Senator Marty moved to re-refer Senate File 4139 to the Committee on State and Local Government. Before the vote, members continued debating whether the bill’s structure and prior referral history justified Commerce or whether committee jurisdiction rules required State and Local Government first. The transcript ends with the motion pending and no final vote or disposition shown.

Transcript Highlights:

• Referrals and re-referrals are made in accordance with the supplemental orders of the day and may be
• Referrals and re-referrals are made in accordance with the supplemental orders of the day and may be
• <00:08:38.800> and motion is carried referrals and motion is carried referrals and re-referrals
• <00:08:41.159> referrals<00:08:41.680> and<00:08:41.800> re-referrals re-referrals
• referrals and re-referrals re-referrals referrals and re-referrals are<00:08:42.800> made<00:

Keywords: 912, senate, all

Transcript Highlights:

• processes related to referral, tiering, and outcomes in the Arkansas PASS program that align with the
• So they were very excited about the new process.
• processes related to referral, tiering, and outcomes in the Arkansas Pass program that align with the
• , we’re utilizing the same process.
• and the PA process?

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• And that's a continual process that happens.
• And that's a kind of continual process that happens.
• Between the time of referral and the time of diagnosis.
• But we have to expedite the diagnostic process.
• But we have to expedite the diagnostic process.

Summary: The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process. The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data. The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.

Transcript Highlights:

• Um, but that covers our referral process, our day-to-day activities, and our accounting provisions.
• Um, but that covers our referral process, our day-to-day activities, and our accounting provisions.
• Um, but that covers our referral process, our day-to-day activities, and our accounting provisions.
• And then we're promoting consistency on the referral process and who's appropriate for the state to be
• the changes in the number of referrals the changes in the number of referrals that<00:43:24.560>

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:

• Most importantly, Wakota gave me a safe space to breathe and process.
• on something, they give you the referral.
• They don't tell you, no, we can't make that referral to you.
• <01:20:48.800> we to receive and understand and process we to receive and understand and process
• questions and to thoughtfully process questions and to thoughtfully process how<01:21:03.159>

Keywords: 1183, house

Transcript Highlights:

• We educate our reporting process and work closely with the ER, which is Dr.
• We educate our reporting process, work closely with the ER, which is Dr.
• And that's where you have to approach this process.
• A lot of people know our work for our Engage Together process.
• A lot of people know our work for our Engage Together process.

Keywords: 965, house, all

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.

Transcript Highlights:

• . >> That was my only concern was it's not going to trigger re-referral, but perhaps maybe this could
• through that grant application process. through that grant application process.
• <00:38:53.280> If<00:38:53.440> if >> do do you have a referral system?
• If if >> do do you have a referral system?
• <01:14:22.080> kind really taking a methodical process kind really taking a methodical process

Bills: SB2045, SB2354

Keywords: combat sports, boxing, mixed martial arts, health regulations, safety standards, licensing, event regulation, 912, senate, all

Summary: The committees first took up SB 2071 on rent-to-own housing. Testimony was generally supportive from HHFDC and Hawaii Realtors, but Sierra Club of Hawaii and others opposed the bill unless it was amended to exclude ceded lands from the 99-year lease provision. Members discussed the scope of ceded versus non-ceded lands and whether an inventory exists. The committees ultimately recommended passage with amendments, including HHFDC’s proposal to make the fixed-price period flexible by tying it to an option period and Sierra Club’s language limiting the program to non-ceded state or county land. They then heard SB 2191 on limited profit housing associations. HHFDC supported the measure, while the Tax Foundation of Hawaii and the Office of the Auditor urged caution about tax exclusions and asked for clearer, more targeted limits and measurable outcomes. The committees adopted amendments to add a statement of purpose, include measurable metrics, apply the tax provisions to taxable years beginning after December 31, 2025, and delay the effective date to allow for administrative changes. SB 2191 was recommended for passage with amendments. The committees also considered SB 2197, which would have replaced the five-year fixed-price period in rent-to-own housing with an option period set by HHFDC, but deferred it indefinitely because its issues were addressed in SB 2071. SB 2180 on deposits of public funds drew comments from the Hawaii Bankers Association questioning definitions and noting banks are already subject to Community Reinvestment Act requirements; decision-making was deferred to the next day in the CPN committee and to a later date for the housing committee. Finally, SB 2210 on housing discrimination received support from disability advocates and the Hawaii Civil Rights Commission, which asked for one additional investigator; the committees passed it with amendments adding a blank appropriation for one full-time position and planned to notify Ways and Means for possible re-referral.

Transcript Highlights:

• The referral process, and we'll talk about that here in a little bit as well, you know, we're trying
• He said they still have work to do on the referral process.
• process.
• But I think at the end of the day, you know, our referral process needs to be strengthened across those
• finish out the process.

Keywords: 1204, all

Transcript Highlights:

• It shows the process that we're engaging in with the state of New Mexico and the other states in this
• Weapons offenses were the most serious charge for 4% of referrals in 2025. I know the color...
• YFD referral to divert those young people away from the juvenile justice system.
• OSI has spearheaded a new audit process to ensure.
• process for enforcement.

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health