Transcript Highlights:

• I simply want to emphasize that our wetlands provide invaluable ecosystem services.
• If we had to build, maintain, and improve infrastructure to provide these services, it would cost millions
• of the Delaware Code and Chapter 237, Volume 83 of the Laws of Delaware, relating to primary care services
• However, we need to be appropriately reimbursed for our services so that we can keep our practices open
• We believe that the fire service is the best bang for the state's buck. Thank you. Thank you.

Bills: SB219, SB9

Keywords: military pension, military retirement pay, veterans, retiree tax relief, income tax exemption, pension exclusion, Delaware income tax, retirement income, state tax subtraction, armed forces retirement, National Guard, Space Force, Coast Guard, NOAA, Public Health Service, taxable income, Title 30, Section 1106, wetlands protection, nontidal wetlands

Summary: The House Appropriations Committee met to hear several bills, with members repeatedly reminded to focus on fiscal impacts rather than policy merits. The committee first considered SB 9 on freshwater wetlands, which would combine tidal and non-tidal wetlands programs into one permitting framework; supporters said the bill resulted from a two-year consensus process and that the governor’s office and DENREC would absorb a significant share of the cost. Public testimony was largely supportive, emphasizing flood control and ecosystem services, though one speaker opposed the spending. The committee voted to release SB 9. The committee then heard SB 278 on child care assistance, which would preauthorize summer camp for eligible school-age children and create a separate lower co-payment for half-day care. The sponsor and the YMCA of Delaware said the change would better align family co-pays with provider reimbursement and make before- and after-school care more affordable for working families. The committee also released SB 278, SB 168 on alcohol delivery for package stores, SB 120 on health insurance coverage for certain testing and treatment, and HB 4, a pilot program for artificial intelligence and extended reality in schools; HB 4 was described as having a near-$3 million fiscal note and a one-year implementation delay because it was not funded in the budget. Later, the committee approved SB 219, which gradually increases the military pension income tax exclusion from $12,500 to $25,000 over three years and includes related joint-filing and residency changes. Supporters argued it would help attract and retain military retirees and bring federal dollars into the state. The committee also released SB 1, a major primary care reform bill that would increase primary care spending and implement hospital payment reforms, with projected long-term savings to the state employee health plan, and SB 325, which expands background checks and wrap-back monitoring for fire service personnel and adds an investigator position for the Fire Prevention Commission. In each case, public commenters and committee members generally supported the bills, and all were released from committee by recorded vote.

Transcript Highlights:

• . >> Even on human service administration, people over medicine, taking away science, vaccines, things
• Even<00:20:24.960> even<00:20:25.440> on<00:20:26.720> human<00:20:27.440> service
• >> Even even on human service >> Even even on human service administration<00:20:29.440

Bills: SB71, SB71

Keywords: environmental regulation, federal standards, scientific evidence, water quality, administrative law, income tax, tax exemption, Alabama tax code, Section 40-18-3, civilian employees, Department of Defense, DoD, Armed Forces, military pay, combat zone, deployment, National Guard, Reserve components, emergency response, federal employees

Transcript Highlights:

• service providers.
• service.
• of an essential service. of an essential service.
• intensive service. intensive service.
• the 14 services. the 14 services.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• public service agencies.
• support services. support services. uh<00:07:58.000> through<00:07:58.160> a<00:07
• service response. service response.
• <00:19:06.240> Um, service. It's it's a safety element. Um, service.
• those services. those services.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• services is terrible.
• These are services that are meant off.
• So, I I really services is terrible.
• This unnecessary services to motans.
• And I'm provision of dental services.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Transcript Highlights:

• people who are getting services are getting services.
• traditional services.
• traditional services.
• services, um terminating their service services, um terminating their service agreements,<00:57:
• of services. of services.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• in any service. in any service.
• . service. service.
• to deliver those services. to deliver those services.
• >> uh services in a setting. >> uh services in a setting.
• That's the enforcement arm. That's the enforcement arm.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• We are on the verge of creating a senior services waiting list.
• There are three areas of services for seniors.
• We have home and community-based services, which is at the Department of Human Services.
• The cost varies between these three categories of services.
• Home and community-based services cost about $22,000 per individual.

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

Transcript Highlights:

• Department of Human Services' excuses. Department of Human Services' excuses.
• for services that are done. Thank you. for services that are done. Thank you.
• Across all services.
• better be given 12 hours of services. better be given 12 hours of services.
• for the family residential services. for the family residential services.

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• health facilities, health care services health facilities, health care services uh<00:21:04.240>
• Department of Human Services on Zoom? Department of Human Services on Zoom? Yes. Yes. Yes.
• Department of Human Services on Zoom? Department of Human Services on Zoom?
• services statewide.
• Support Services. Support Services.

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• to continue delivering critical services to continue delivering critical services to<00:02:49.680
• services otherwise provided. services otherwise provided.
• their services. Representative Curran. their services. Representative Curran.
• <01:37:13.360> And deliver these services. All right. And deliver these services.
• accountability in government services. accountability in government services.

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• Services, 702 KAR 5130. Services, 702 KAR 5130.
• services in the child waiver. services in the child waiver.
• PDS services at this time. PDS services at this time.
• participant directed services. participant directed services.
• not a service delivery option. not a service delivery option.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• uniform service standards. uniform service standards.
• . services. services.
• support services. support services.
• services, services and other services, and<00:59:12.640> disrupt<00:59:13.040> care<00
• <01:03:27.160> servicing Western Prairie Human Services servicing Western Prairie Human Services

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• As you know, we have a One-armed security, one armed person working security in our sergeants, as does
• So each side would have two armed Sanford questions. Representative Heffner has a question. Mr.

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Bills: HB2115, HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• And veterans tied to military service.
• These are men and women whose service These are men and women whose service connected<00:09:16.640
• they probably qualified by their service they probably qualified by their service dates<00:14:56.079
• 100% disabled at one time on a service 100% disabled at one time on a service record.<00:15:02.480
• Um as you'll hear later, it's services.

Bills: HB0068, HB0062, HB0127, HB0109

Keywords: veterans, property tax exemption, disabled, service-connected disability, Wyoming, governmental claims, liability limits, inflation adjustment, public safety, local government insurance, HB0127, recreation mill levy, recreational facilities, public recreation, mill levy, property tax, local tax, county commissioners, school district levy, voter approval

Transcript Highlights:

• <00:03:29.440> agency the responsible social services agency the responsible social services
• <00:09:33.640> agencies, recognize that social service agencies, recognize that social service
• Western Prairie Human Services Western Prairie Human Services consisting<01:03:34.000> of
• that the legislature invest in services that the legislature invest in services and<01:09:17.359
• <01:43:10.600> We protection services, all of that. We protection services, all of that.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Human Services will come to order. The clerk will call the roll. Chair hole here.
• I worked at San Antonio Independent Living Services.
• so we have no one doing this for these children's services.
• And improve services for children.
• But so they, those people then get their service there.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• One is called prevocational services, and then we have three employment services.
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And since we do the ARMs, the housing, the employment, all of the services, luckily that communication

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services