Transcript Highlights:

• And when a long train of...” “...by abolishing the forms to which they are accustomed, and when a long
• train of abuses and usurpations, pursuing invariably the same object, evinces a design to reduce them
• Members, House Bill 3262 increases the sheriff fee for service of process from $50 to $100.
• So in addition to being able to receiving less training, also we're watering down the test score that
• But does it assess the same knowledge or the same training? Thank you for the question.

Bills: SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454

Keywords: alpha-gal syndrome, alpha gal, tick-borne illness, tick bite allergy, red meat allergy, meat allergy, dairy allergy, anaphylaxis, Lyme disease, public health, tick prevention, vector-borne disease, allergy awareness, May awareness month, Oklahoma Department of Health, outdoor safety, health education, research funding, minimum salary, education funding

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a special family recitation of the Declaration of Independence by Senator Hamilton’s children. The chamber then adopted SR 28, recognizing May as Alpha-Gal Awareness and Prevention Month in Oklahoma and encouraging awareness, prevention, and research on alpha-gal syndrome, a tick-borne allergic condition. Senator Seifried also introduced constituents affected by alpha-gal. Later, the Senate heard a gallery introduction from advocates for victims of impaired driving, highlighting the toll of DUI-related crashes in Oklahoma. The Senate then took up several House amendments and final-passage votes on bills. SB 201, clarifying that a teacher pay raise applies to certified classroom teachers, passed 47-0 and was advanced as an emergency. SB 1379, SB 1525, SB 1966, SB 2112, and SB 2170 also passed after adoption of House amendments, with SB 1525 and SB 1379 advanced as emergency measures. SB 1525 raised the threshold for contracting to host a conference from $25,000 to $75,000, and SB 1966 served as the annual omnibus highway, memorial highway, and bridge designation bill. Among the House bills considered, HB 3262 increased the sheriff fee for service of process from $50 to $100 and passed 37-8. HB 3265 allowed a psychologist to make PTSD determinations for the Oklahoma Police Pension and Retirement System and passed 47-0. HB 3781, a major insurance modernization bill changing rate-filing procedures for homeowners insurance and expanding the insurance commissioner’s review authority, passed 39-6 after extended debate over transparency, regulation, and market impact. HB 3040 expanded sex-offender loitering restrictions around businesses serving minors and passed 40-4, while HB 3076 authorized alternative teacher certification providers under OEQA oversight and passed 38-6 as an emergency measure. The chamber also passed HB 3369, a deregulation and efficiency bill affecting fire suppression and LP gas inspections, HB 2749, which shifted an intergenerational education program toward a Medicaid state plan amendment, HB 3982 on fleet vehicle titling, HB 3462 creating a shorter residential-only plumbing licensure pathway, HB 3465 extending the Oklahoma Emission Reduction Technology Rebate Program to 2029, HB 3521 modernizing money transmission law, HB 3796 as an Oklahoma Insurance Department omnibus bill, HB 3800 as a roofing-industry cleanup bill, and HB 4095 modernizing the 211 hotline advisory council. Several of these measures drew debate over regulation, workforce needs, public safety, or fiscal and policy impacts, but all of the listed bills ultimately passed by recorded vote.

Transcript Highlights:

• While incarcerated, inmates have the potential to access health care services, partially through what
• It's a more costly way to deliver services.
• The reentry process is an opportunity to provide people with essential health care services.
• we train them in.
• He continued to do the work he was trained to do and was trusted by the TDCJ staff, which was sufficient

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility

Transcript Highlights:

• Thank you all for your service. We appreciate y'all supporting this. Have a great day. Thank you.
• This new model is designed to deliver short and industry-aligned workforce training programs.
• Once you do 10 years of service, that option's open.
• I've got seven years in as a public service attorney; am I going to lose that opportunity?
• Obviously, clinical training is an important part of nursing education.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• And whenever we do these policies, we do services to help those individuals that want to quit. the tools
• And the other thing that I think is important is trying to get them into tobacco cessation services.
• they do, but they have many more issues around issues. detailed but yeah I mean but even counseling services
• Faculty use their expertise to help students develop critical thinking and knowledge training and professional

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• <00:08:35.200> and So directly we provide training and So directly we provide training and
• operate a resilience training center. operate a resilience training center.
• and an annual training conference. and an annual training conference.
• Honolulu and so do community training. Honolulu and so do community training.
• So we've been training people every year, and we have a lot more training going on.

Bills: HB2437, HB1815, HB1614, HB1613, HB1612, HB2411, HB2597, HB2583, HB2474, HB1863, HB2590, HB1813, HB1838, HB2138, HB1967, HB1576, HB2139, HB1605, HB2113, HB812, HB1831, HB1707, HB2561, HB1805, HB2469, HB2472, HB2387, HB1658, HB1661, HB1664, HB1859, HB2276, HB2335, HB1656, HB2116, HB2272, HB2273, HB2340, HB2158, HB2339, HB2489, HB2159, HB2171, HB2338, HB2005, HB1952, HB1872, HB1676, HB2384, HB2614, HB20, HB1776, HB1565, HB2310, HB1975, HB1801, HB1668, HB2114, HB1972, HB1546, HB1518, HB1131, HB2208, HB2156, HB2268, HB2622, HB2581, HB2498, HB2443, HB1577, HB2033, HB2031, HB2023, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB816, HB1562, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1537, HB1541, HB276, HB2606, HB2270, HB1920, HB1756, HB1727, HB1718, HB1715, HB1713, HB1711

Keywords: arts education, student engagement, cultural literacy, public schools, funding, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund, one percent for art, public art, art in public places, relocatable works of art, DBEDT, Department of Business, Economic Development, and Tourism, DAGS

Bills: HF3806, HF2687, HF497

Keywords: housing, infrastructure bonds, funding, appropriation, Minnesota Statutes, HF2687, single-family homes, corporate landlords, corporate ownership, real estate investment trust, REIT, landlord registry, landlord database, tenant transparency, housing affordability, homeownership, deed tax, transfer tax, property tax, affordable housing

Transcript Highlights:

• Upon retiring after 20 years of service, he was awarded the Distinguished Service Medal.
• Craig, born July 1st, 1940, in Tulsa, Oklahoma, has lived a life defined by service, leadership, and
• Medal and whereas following his military service, Doctor Craig continued his dedication to others by
• nightly care to first responders and recovery personnel, exemplifying extraordinary compassion and service
• Thank you for your service, sir. Madam leader, thank you, Mr. President.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• ombudsman, to provide for the duties and responsibilities of the Department of Children and Family Services
• to provide for forensic interviews, to provide for definitions, to provide for mandatory reporter training
• to provide for forensic interviews, to provide for definitions, to provide for mandatory reporter training
• So we included that language that was part of the training that she wanted.
• It recreates the Department of Children and Family Services and provides for the necessary technical

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The House Committee on Health and Welfare met on April 20 and took up Senate Bill 237 by Senator Barrow, a child welfare measure addressing the duties of the state child ombudsman, DCFS, public reporting, confidentiality, critical incident reviews, multidisciplinary investigative teams, forensic interviews, mandatory reporter training, and related child abuse and neglect procedures. Before discussion, the committee reconsidered and withdrew a previously adopted amendment set, then heard the bill re-read and reviewed a new amendment package developed through meetings among Senator Barrow, Representatives Spell and Berault, DCFS, and the ombudsman’s office. Members described the revised bill as narrowing and clarifying several provisions: reducing the number of law enforcement liaisons, limiting death/near-fatality notifications to legislative leadership and committee chairs with later notice to affected district members if substantiated, adjusting medical review language, and adding quality-improvement and training components. Other changes included keeping school-related reports routed to law enforcement, changing some mandatory language to discretionary language for certain child-on-child sexual abuse situations, aligning multidisciplinary team procedures with existing interagency protocols, and making technical revisions to reduce burden and likely lower the fiscal note. The committee also adopted a separate amendment to include recreation language for the Department of Children and Family Services. Senator Barrow and several representatives emphasized that the goal was to improve child protection and review processes while making the bill workable for DCFS and other agencies. They noted the importance of outside review, ombudsman access to records, and using review findings to drive implementation changes. After no objections, the committee adopted the amendment sets and reported Senate Bill 237 favorably with amendments. The meeting then adjourned.

Transcript Highlights:

• Thank you for all you do in servicing and treating our constituents around the state.
• Mary's training facility in the area where we live.
• I also want you to consider that this is not limited to services from state funds.
• We actually are one of the few COCs that provide all of the services ourselves.
• , we all know the issues we're having with behavioral health services and access to services.

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• Some of those would be joint purchasing and contract shared clinical and administrative and support services
• But on page two, rural healthcare facilities are closing and losing important specialty services due
• losing facilities are closing and losing important<00:17:43.280> specialty<00:17:43.919> services
• <00:17:44.960> due<00:17:45.200> to important specialty services due to important specialty
• services due to declining<00:17:46.240> populations,<00:17:47.600> diminishing declining

Bills: SB367, SB368, SB350, SB351

Keywords: rural health, healthcare access, state funding, health transformation, appropriations, fiscal policy, healthcare funding, economic development, mental health, maternal health, antitrust, competition, market regulation, business practices, consumer protection, anaphylaxis, epinephrine, auto-injector, public health, school safety

Transcript Highlights:

• It's important for us to speak with this particular group because they are under training.
• We um our investigative our services.
• reached<00:52:32.319> out<00:52:32.480> to training material and reached out to training
• <00:53:47.280> them training material that helped them training material that helped them
• We have trained a total of 30 state law.

Bills: HF3707, HF3732, HF2581, HF3731

Keywords: unemployment insurance, judicial officials, paid leave, economic development, worker protections, workforce development, unemployment benefits, youth training, grants, job creation, grant funding, revolving loan, underserved communities, disadvantaged groups, electrical licensing, installation, Class A installer, regulations, labor and industry, 1183

Summary: The committee first adopted the minutes from February 26 and then heard House File 2581, authored by Representative Frazier, which sought $1 million for Fortis Capital, a nonprofit economic development lender. Frazier and Fortis CEO Brian Smith described Fortis as a gap-financing lender that helps underserved entrepreneurs who cannot meet traditional bank underwriting standards. They said the organization has made 37 loans totaling more than $4 million since 2021, leveraged another $29.5 million, and created 314 jobs. Smith said Fortis typically charges around 6.5% interest, has had two defaults, and uses a revolving loan fund model that recycles repayments; members discussed how the proposal fits with other state economic development programs and whether Fortis should instead be part of a competitive grant process. The chair laid HF 2581 over for possible inclusion in a budget bill. The committee then heard House File 3707, brought by Representative Berg, which would extend confidentiality protections to unemployment insurance and paid leave judges and related staff by adding them to the definition of judges for purposes of protecting personal information. Berg and testifiers from the Department of Economic Development and MAPE said the bill responds to harassment and safety concerns, including threats, doxxing, and an attack near an office, and is intended to protect people making sensitive determinations. MAPE supported the bill as an update to existing protections for similar workers. Members raised concerns that the bill’s language was too broad, especially the reference to the paid leave division, and questioned whether it should cover only judges or also call-center and other staff. Department and committee members agreed the language likely needed narrowing and discussed possible amendments and whether to move the bill to Judiciary and then revisit it. No final vote was taken on HF 3707 during the discussion, and the bill remained under consideration for further language work.

Bills: HB2240, SB896, SB2060, SB2152, SB2315, SB2544, SB2577, SB2580, SB99, SB2110, SB2115, SB2259, SB2382, SB2442, SB2485, SB895, SB2112, SB3019

Keywords: appropriations, legislative expenses, auditor, legislative reference bureau, state ethics commission, ombudsman, government transparency, education, capital improvement, reporting, transparency, technical expertise, rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance

Transcript Highlights:

• But do you learn diagnostic techniques or training? Are you trained in diagnostics?
• Family medicine training is three years of training in a hospital along with some didactics.
• What I'm trained to do, right?
• Life to just... and also, another thing you say you train, you train... I have practitioners.
• In the medical training model, it's a much more robust preparation and training.

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• We do have nurse practitioners that are highly trained, highly qualified, actually providing those services
• I happen to think that they are qualified to do the services that they have been trained to do.
• We can talk about a service requirement where these folks have to stay and train for so many years before
• ...been trained to perform services?
• services.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• as and in lieu of service, just as certain mental health and substance abuse services are currently
• For a service to be offered as an in lieu of service, of service, it must be medically appropriate, cost-effective
• We have seen 14 of 16 MCOs provide some form of mental health service in lieu of other services like
• . services.
• So it is in lieu of other services.

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• We do connect with the Internal Revenue Service.
• The Health and Human Services Committee will stand in recess until 9.50.
• . the public has regarding these services.
• Division Chief of Missouri City Fire and Rescue Service.
• Committee on Health and Human Services. My name is Emiliano Romero.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene.
• We have our unique challenges, as was stated this morning, in rural child welfare services.
• , especially mental health services.
• In preparation, I read, and I think it's... ...that our service area covers 40,000 square miles, which
• Thank you all for the continued support of emergency medical services. ...in Texas.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene, come to order, and members don't need
• The bill promotes child welfare services in rural Texas, ensuring the vulnerable children and families
• We have our unique challenges, as was stated this morning in rural child welfare services.
• Especially mental health services.
• Patients too often face confusing disputes with insurance carriers over ambulance services frequently

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• All right, we are opening the hearing for the Committee on Human Services and Homelessness, Tuesday,
• meeting I'm on, the homelessness task force for the mayor, representing our office, and we hear from service
• office and we hear from um service office and we hear from um service providers.<00:10:39.920>
• This allows services during a governor-declared state of emergency.
• You can be selective services.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• Medicaid Services. Medicaid Services.
• Service population.
• was home care training.
• What's funded is our fee-for-service mandatory and optional services.
• services that they do for our members. services that they do for our members.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.