Transcript Highlights:

• So our model is a shared services model.
• information exchange health data utility information exchange health data utility infrastructure
• Um we take all of these utility.
• <00:09:22.480> but without any loss of um of service but without any loss of um of service
• for Health and Family Services. for Health and Family Services.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• We are re-engineering our business models to integrate shared services, ensuring we emerge as a leaner
• And it will allow for maintaining service.
• shared services, ensuring we emerge<00:27:03.120> as<00:27:03.280> a<00:27:03.320>
• Our children's education and service.
• These claims arose after Meta claimed publicly and in congressional testimony that their services were

Bills: HF3455, HF3936, HF3860, HF3656, HF4060

Keywords: public television, funding, Minnesota, operations, appropriation, cybersecurity, state government, legislative commission, extension, technology, civil law enforcement, attorney general, record custody, government transparency, legal services, 1183, house

Transcript Highlights:

• <01:51:45.599> uh change the way it provided services uh change the way it provided services
• provide free services provide free services uh<01:55:53.199> voice<01:55:53.520> services
• And hopefully we'll have a quorum from our sister committee, Health and Human Services or Human Services
• <02:15:38.480> This relating to disaster services. This relating to disaster services.
• fund some of these services. Thank you. fund some of these services. Thank you.

Bills: HB676

Keywords: HB676, Hawaii correctional facilities, youth correctional facilities, adult correctional facilities, Department of Corrections and Rehabilitation, Office of Youth Services, inmate phone calls, prison phone calls, jail phone calls, free prison calls, free communication services, incarcerated persons, prison reform, reentry, family visitation, recidivism, video visitation, electronic messaging, commissions, ancillary fees

Summary: The committee heard three public safety bills. HB 2235 would appropriate $1.3 million for the Military Affairs and Community Relations Office to strengthen coordination on military and defense issues. Supporters, including the Hawaii National Guard and DBEDT’s military relations office, said the office helps Hawaiʻi understand federal contracting, USA Jobs, and military-related economic impacts. One member questioned why the state should fund a DoD-related office while Hawaiʻi remains under-reimbursed on impact aid; supporters responded that the office serves Hawaiʻi communities and helps prepare residents for federal jobs. The chair said she intended to recommend the bill pass with a HD1, a blank appropriation to be filled in the committee report, technical amendments, a defective effective date, and updated office title language. HB 2263 would expand Hawaiʻi family leave law to cover qualifying military exigencies. The Department of Labor and Industrial Relations, DBEDT’s military relations office, and the Hawaii National Guard supported the measure, saying military families often face short-notice deployments, relocations, briefings, and urgent family arrangements that require time away from work, and that aligning state law with federal standards would provide clarity and consistency. The chair said she would recommend passage with a HD1, a defective effective date, and technical amendments. HB 2291 would clarify that certain National Guard Youth and Educational Programs employees are excluded from collective bargaining, rename the program, and codify its Hawaiian name. The Hawaii National Guard said it was a housekeeping bill with no appropriation, but requested an amendment to align the bill with updated authorities and program references; the chair asked for proposed language before the later decision-making. She said she would recommend passage with a defective date and the requested amendment if provided, and then recessed the hearing until 11:30 a.m. for decision-making on all three bills.

Bills: HB462, HB8, HB8

Keywords: emergency medical services, military training, licensure, public health, veterans, tobacco regulation, vaping, sales restrictions, youth protection, tobacco compliance, education programs, electronic nicotine delivery systems, campus chaplain, chaplain, school chaplain, volunteer, public K-12 schools, public schools, public charter schools, education policy

Transcript Highlights:

• To be eligible to receive services, so basically it saves lives.
• What a child is seeking services… ...what a child is seeking services for and what they disclose with
• their service provider are part of confidentiality laws that this bill is in direct conflict with.
• There is a risk that children living with grandparents or other kin would not be able to access services
• If the… ...services as mentioned if the appropriate guardianship documents are not completed or filed

Bills: SB58, SB101, SB102

Keywords: parental rights, minor consent, medical consent, mental health services, school counseling, student counseling, parental notification, opt-in, health records, HIPAA, vaccine consent, adolescent health, youth privacy, confidential counseling, school mental health, reproductive health, pregnancy services, sexually transmitted infections, STI treatment, substance abuse treatment

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: minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission, special agency account, private partnerships

Bills: HB145, HB279, HB292, SB35, HJM1, HM7, HM4, HM22, HM23, HM24, HM26, HM32, HM51, HM1, HM39, HM29, HM43, HM30, HM52, HM64, HM65, HM66, HM11, HM14, HM21, HM34, HM50, HM17, HM46, HM13, HM20, HM54, HM31, HM35, HM36, HM59, HM2, HM16, HM47, HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Transcript Highlights:

• The Public Service Commission would basically utilize, I believe there are The Public Service Commission
• The Public Service Commission would basically utilize, I believe there are The Public Service Commission
• What kind of service?"
• It allows the Public Service Commission to regulate certain common carriers and public utilities, to
• Service Commission.

Bills: HB744, HR197, SB54, SB79, SB163, SB287, SB375, SB386, SB398, SB469, SCR5

Keywords: public utility, common carrier, regulation, Public Service Commission, New Orleans, constitutional amendment, distributed energy, energy storage, electricity demand, virtual power plants, reliability, hurricane resilience, esthetics, cosmetology, hair services, beauty industry, Louisiana regulation, Louisiana Economic Development, sunset law, legislative authority

Summary: The House Committee on Commerce met on May 11, 2026, and first advanced several Senate measures with little or no opposition. It reported favorably Senate Bill 79 recreating Louisiana Economic Development, Senate Concurrent Resolution 5 establishing the Louisiana-Ireland Trade Commission, and Senate Bill 375 on Class B firefighting foam, after adopting a technical amendment clarifying use in declared emergency firefighting operations. The committee also advanced Senate Bill 398, which moves manufactured and modular housing regulation under the Louisiana Contractors Licensing Board and expands inspection and enforcement provisions, after adopting two sets of mostly technical amendments and hearing testimony that the change would improve consumer safety and increase inspection coverage without adding net cost to locals. It then reported favorably Senate Bill 163 on virtual currency business licensing, after adopting an amendment providing that any future federal licensing law would preempt the state act, and Senate Bill 287 on virtual currency kiosks, which adds refund timelines, disclosure requirements, customer support, and reporting duties; witnesses from the banking and law enforcement community said the bill responds to common fraud complaints and improves consumer protection. The committee also reported favorably Senate Bill 54, which allows estheticians to blow-dry hair after certain services, despite strong opposition from cosmetology board representatives and industry witnesses who argued the service is outside esthetics training, could create scope-of-practice and facility issues, and should instead be addressed by lowering or revising separate blow-dry licensing requirements. The committee then considered House Resolution 197, which urges the Louisiana Public Service Commission to study the feasibility and value of distributed energy generation and storage resources. After adopting technical amendments and a second amendment changing mandatory language to requests and urging the PSC to coordinate with the LSU Energy Institute, the resolution was reported favorably. Testimony from solar and energy industry representatives, the PSC, and LSU focused on how distributed resources, batteries, rooftop solar, and virtual power plants could improve reliability, reduce costs, and help meet rising demand; members also discussed how the study would evaluate market value, avoided costs, and capacity benefits. Questions centered on methodology, grid impacts, and comparisons to Texas’s ERCOT system and Winter Storm Uri, with PSC officials emphasizing that the study would help determine whether such resources benefit ratepayers. Representative Wright presented House Bill 744, a proposed constitutional amendment to transfer regulation of certain New Orleans utilities from the city council to the Public Service Commission. He argued the change could reduce rates through consolidation and eliminate duplicative regulatory costs, while PSC officials explained the city’s authority is a constitutional exception dating back to 1921 and that Entergy New Orleans and Entergy Louisiana operate as separate companies with different regulatory environments. After discussion of rate impacts, utility structure, and whether the proposal should instead become a study, the bill was deferred. The committee then began Senate Bill 386, the Louisiana Data Privacy Act, which would give consumers rights to access, correct, delete, and opt out of certain uses of personal data; the sponsor introduced the bill and the committee started considering technical and substantive amendments, but the transcript ends before final action on that measure.

Transcript Highlights:

• Environmental Health Services Division. Environmental Health Services Division.
• <01:12:03.720> Commission requires the Public Utilities Commission requires the Public Utilities
• :39.840> with Public Utilities Commission with Public Utilities Commission with comments. comments
• Andrew Kawano from the Public Utilities Andrew Kawano from the Public Utilities Commission<01:12
• The regulatory compact, at a very high level, says the utility provides service and that the utility

Bills: SB3302, SB2061, SB2050, SB2102, SB2694, SB2089, SB847

Keywords: SB3302, homemade food products, farm kitchens, home kitchens, Department of Health, DOH, food safety, food labeling, value-added agriculture, small farms, agricultural land, commercial food establishment permit, cottage food, direct-to-consumer sales, local food systems, Hawaii Revised Statutes, chapter 91, farm-to-table, food processing, public health regulation

Summary: The committee on Consumer Protection and Commerce met on April 9, 2026, and heard testimony on several measures. SB 3302 SD1 HD1, dealing with homemade food products, would require the Department of Health to adopt rules for farm kitchens producing homemade food products that are no more stringent than rules for home kitchens. The Department of Health said it supported the bill with technical amendments, and the Hawaii Food Industry Association and Grassroot Institute of Hawaii also supported it. No opposition was heard. A lengthy discussion focused on SB 2061 SD2 HD1, which concerns a 99-year leasehold residential condominium project and HCDA’s rules for sales, income restrictions, and buyback pricing. HCDA supported the bill and said the House draft clarified unclear provisions and would help move the project to pre-sales. Testimony and committee questions centered on whether the project should remain owner-occupied in perpetuity or allow investor purchases after an initial sales period. HCDA explained that the bill was revised to make the project feasible in the market, that 60% of units would be income-restricted for buyers at or below 140% of area median income, and that the remaining units could be sold without owner-occupancy restrictions. Some members and testifiers expressed concern that the bill had shifted away from the original owner-occupancy vision and could become an investment property model, while others argued the changes were necessary for the project to pencil out and compete with fee-simple developments. No vote was taken during the discussion shown. The committee also heard SB 2050 SD1 HD1, which would allow chiropractic students in accredited programs to engage in clinical practice beginning July 1, 2028. The Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association supported the measure, and one testifier described personal experience with student chiropractic care in California. Members questioned why the board requested delaying implementation until 2030, and the board said it needed more time to develop rules because it meets only a few times a year and rulemaking is lengthy. Finally, SB 2102 SD2 HD1, on industrial hemp in commercial feed, was introduced; the Department of Agriculture and Biosecurity offered comments, the Department of Health raised concerns about regulating pet food and possible jurisdictional conflict, and a farmer testifying in support suggested narrowing the bill to federally approved livestock feed rather than pet food.

Transcript Highlights:

• with local government, property owners' associations, or owners of land to provide law enforcement services
• and got this bipartisan bill out to make sure that they can continue because the public wants that service
• HOAs that are, you know, or other associations that can form together as a group to be able to buy services

Bills: HB8, HB26, HB192

Keywords: HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround

Transcript Highlights:

• Keep our priorities on our services within the state. With that, I would yield for questions.
• They can still render services to any person that walks in their doors.
• It's a redirection Of our state agencies to redirect directly into services, not getting caught up in
• There again, when we're talking about autism, we're not in that session or rendering that service as
• They want us to spend it on services, but they're not.

Bills: HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219

Keywords: state government, vendor contracts, subcontracting, public database, contract assessment, transparency, retirement, law enforcement, Oklahoma Law Enforcement Retirement System, school resource officers, public safety, public finance, contract management, service-driven contracts, state accounting, intangible assets, Oklahoma Police Pension, disability benefits, mental health, retirement system

Transcript Highlights:

• um Training Services Services I guess um Training Services Services I guess um which<00:23:38.360
• the growth in these case Services the growth in these case Services expenditures<00:26:25.120>
• unit costs have grown for case Services unit costs have grown for case Services as as as well<00
• <00:56:22.119> which of individual placement Services which of individual placement Services
• good thing it is a proactive service good thing it is a proactive service that<01:12:26.400>

Bills: HF1538, HF1965, HF2251, HF2838

Keywords: teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district, cooperative unit, teacher pipeline, alternative licensure, apprenticeship program, labor and industry, union representation

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=k8DT1ckEVrg, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:17 Attendance Roll Call: 00:00:41 Approval of Minutes: 00:01:13 Use of AI in the Healthcare System: 00:01:38 Cody Bumgardner, Director, Center for Applied AI Use of AI by Elevance Health DBA Anthem, Inc.: 00:37:30 Hope McLaughlin, Senior Director of Government Relations, Elevance Health Anthony Rodriguez, Director, AI Strategy & Planning, Elevance Health Use of AI by the Cabinet for Health & Family Services: 01:10:06 Jennifer Harp, Executive Director, Office of Application Technology Services, Cabinet for Health & Family Services Ruth Day, Chief Information Officer, Commonwealth Office of Technology: 01:01:41 Adjournment: 01:28:23, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• Not Indian Health Services facilities as well.
• I'm with the Arizona Mad Moms, Mad Moms Services and Educational Fund.
• Centers for Medicare and Medicaid Services.
• Centers for Medicare and Medicaid Services.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Summary: The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.

Transcript Highlights:

• Lastly, the amendment establishes a statewide voter services portal hosted by the Secretary of State.
• Jonathan Norman, Nevada Coalition of Legal Service Providers, in support. Thank you.
• If anyone wanted to provide this service to customers of the DMV, it would have to be capped... ...to
• Jonathan Norman with the Nevada Coalition of Legal Service Providers in opposition, primarily to the
• Chair, Jonathan Norman, Nevada Coalition of Legal Service Providers.

Bills: AB49, AB169, AB188, AB284, AB296, AB306, AB356, AB366, AB467, AB499, AB515, AB540, AB542, AB595

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, health insurance, speech-language pathology, stuttering, rehabilitative services, habilitative services, coverage requirements, health plans, retired public employees, subsidy, Medicare, health reimbursement arrangement, Public Employees' Benefits Program

Transcript Highlights:

• is it's throwing this net up in the world of online that helps identify people who might Need some service
• of work but I just Wonder if there is a better way for us to provide resources within our state utilizing
• Would the entity that you're working with be willing to locate or relocate to Oklahoma and provide services
• had that you followed up with me on was on the bill page one talking about the director of human services
• least two specific individuals who are adults who will be impacted by this legislation because they utilize

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• So, a new member comes in with credited service, then they become a liability on the system, but you're
• It's purely based on years of service.
• The checks are given out on their anniversary date, so it's based purely on years of service.
• We're seeking to raise that to $10 per month per year of service.
• They have to pay into the system when you're trying to buy back your years of Service.

Bills: SB134, SB1356, SB1407, SB1611, SB1639, SB169, SB1722, SB182, SB1870, SB2039, SB432, SB609, SB715, SB716

Keywords: retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, state government, OMES, Office of Management and Enterprise Services, Department of Labor, Department of Veterans Affairs, Department of Rehabilitation Services, civil service, human capital management, state employee disputes, whistleblower, veterans employment, veterans placement, fleet management, state fleet, motor vehicles

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=OCTiV0kVUN0, 2026-06-21T07:17:05+00:00, 2.2.24, Data collected via generic collector engine, Roll Call 00:00:59 Approval of Minutes 00:02:32 Special Recognition 00:03:00 Road Fund Report 00:04:10 Contracting Review for FY 23 and FY 24 00:22:38 Utility Work Zone Safety 00:36:26 Proposed Steel Wheel Legislation 01:10:25, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• bill we previously heard from Representative Slawson relating to the dissolution of a public, public utility
• When those developments go in, we utilize the UTEGCD which Mr.
• number of its sponsored structures in cooperation with the National, uh, Resource Conservation, uh, Service

Bills: SB 612, SB 1855, SB 2568, SB 3058

Keywords: SB 612, Texas Water Code, Section 49.2127, conservation and reclamation district, water district, reclamation district, developer fees, pipeline construction, water pipeline, sewer pipeline, associated infrastructure, subdivision infrastructure, cost recovery, fee cap, actual reasonable documented costs, engineering fees, legal fees, inspection fees, infrastructure relocation, utility connections

Bills: SB216, SB225, SB248

Keywords: Native American, language certification, cultural education, appropriation, education funding, tribal liaison, voter education, electoral access, translation services, Indian Affairs, communication, consultation, New Mexico, tribes, federal government, 996, all