Transcript Highlights:

• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• As far as the long-term care facilities, in Section 1, that's the new program.
• And, you know, the long-term care facilities are very important.
• You know, the long-term care facilities are a very important part of our medical care for our citizens

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• the reasonable costs associated with participating in a rehabilitation program as a condition of community
• non-operating identification license for individuals to indicate that the licensee has an advanced health care
• directive, including a living will, health care or mental health care power of attorney, or a pre-hospital
• medical care directive.
• and encourage all Arizonans to support their county sheriffs and appreciate their service to our communities

Bills: HB2170, HB2417, HB2418, HB2771, HB2772, HB4018, HCR2059

Keywords: procurement, foreign adversary, China, state contracts, information technology, security, speeding, speed limit, traffic enforcement, driver safety, speed inhibiting device, appropriation, law enforcement, task forces, funding, criminal justice, community supervision, rehabilitation, supervision fee, victim compensation

Transcript Highlights:

• Continuing care retirement communities modernization.
• Continuing care retirement communities modernization.
• SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections
• CCRCs are including new lines of service such as memory care, hospice, and home and community-based services
• communities that do not actually deliver the continuum of care from marketing themselves as a CCRC.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• , the entire community, and HHSC.
• ,</c> including our governor Kona community, including our governor Kona community, the<00:39:43.280>
• </c><00:39:45.200><c> Thank</c> the entire community and HHSC. Thank the entire community and HHSC.
• Access to health care is directly tied to workforce stability, business retention, and overall community
• 00:41:47.359><c> depend</c> community, workforce, and economy depend community, workforce, and economy

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• </c> last is community engagement. last is community engagement.
• They still need care.
• </c> going to impact our uncompensated care. going to impact our uncompensated care.
• </c> haven't communicated directly with CMS. haven't communicated directly with CMS.
• Thank you. systems, and to communities. Now, as systems, and to communities.

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Transcript Highlights:

• care.
• services during declared emergencies or lead agency failures, preventing gaps in community care for
• With regard to community care for the elderly modernization, it removes outdated requirements for multiple
• community.
• community.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• care for the elderly, home care for the elderly, and Alzheimer's disease initiative services.
• With regard to community care for the elderly modernization, it eliminates client co-payments and provider
• in my community.
• I'm a community activist. I'm a nursing student. So the health care arena for me is just the same.
• I take care.

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• It was operated by a champion home and community-based services.
• . community in Texas.
• Involved in the community activities at this point.
• The amount is 50% of the daily foster care. of the basic daily foster care rate.
• and medical. care, things like that.

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

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:

• This bill is for the DeafBlind community.
• medical school. appointments, not being able to go grocery shopping, co-navigators help our DeafBlind community
• And we have witnesses who will describe how co-navigating- or support our DeafBlind community.
• At that time, they sent me to the Texas School for the Deaf, which uses sign language for communication
• This was my first interaction with the DeafBlind community.

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

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:

• -</c><00:16:06.279><c> based</c><00:16:06.560><c> day</c> those community- based day those community-
• </c> I believe written into the child care I believe written into the child care portion<00:34:53.599
• We offer integrated community supports, community residential services, and customized living services
• </c><00:36:17.000><c> supports</c><00:36:17.599><c> Community</c> integrated community supports Community
• All of that communication, coordination of care, follow-up, um, that's required for us to be able to

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

Transcript Highlights:

• I will move the amendment to the House budget resolution, which changes access to the health care access
• One of the changes is a target change in the general fund, and then one is the health care access fund
• And then the other line that Chair Stevenson referenced, the budget resolution change to the health care
• So, we helped out with those programs, and that was able to be done with our uncompensated care pool.
• So, we helped out with those programs, and that was able to be done with our uncompensated care pool.

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• </c> program what it does it provides care program what it does it provides care for<00:02:46.599><c>
• if they don't have access to Home care if they don't have access to Home Care Care Care Services<00:
• ><c> three</c> home care care evaluation visits three home care care evaluation visits three specific
• care.
• in home care services.

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Transcript Highlights:

• Continuing care retirement communities, or CCRCs, offer older Texans a promise of aging in place through
• Ensuring communities can deliver on the promises and adapt to the future of their care.
• SB 1522 modernizes the Continuing Care Retirement Community statute and strengthens consumer protections
• . ...independent living communities that make no promise to provide future care and therefore do not
• We are a continuing care retirement community in San Antonio, Texas.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

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

Transcript Highlights:

• Health care sector.
• </c><00:05:31.040><c> Impact,</c> Associate Director of Community Impact, Associate Director of Community
• </c> system for the broader community. system for the broader community.
• </c> was a critical service to the community was a critical service to the community that<00:10:02.600
• </c> aina, and taking care of each other. aina, and taking care of each other.

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

Transcript Highlights:

• , necessary intervention care, and primary care. provided by a physician, outpatient mental health care
• Care, allowing doctors to take the best care possible of these patients.
• The biggest one, of course, is just medical care in general, both primary care and emergency care.
• We had horrible access to emergency care, as well as primary care.
• If you make it so that freestanding facilities can go up. ...there and take care of the community after

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Necessary to safely care for a child until the dental care is deferred long enough to create an acute
• This bill is needed so we can provide timely care to patients.
• TALA appreciates that this bill directs senior living communities to have a proactive communications
• We appreciate this careful approach adopted by the committee.
• So I'm trying to be as communicative as possible. Yeah, super.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Purely relating to deferred care.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• TALA appreciates that this bill directs senior living communities to have a proactive communications
• We appreciate this careful approach adopted by the committee set for 1283.
• So we're, I'm trying to be as communicative as possible. Yeah, super.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• TMA on this list: emergency care, interventional necessary care, and primary care provided by a physician
• care.
• That means smaller and rural communities, which may offer lower-cost care, can remain competitive in
• If you make it so that freestandings can go out there and take care of the community after hours and
• If you make it so that freestandings can go out there and take care of the community after hours and

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• </c> communication, and water. communication, and water.
• . communities. communities.
• </c> information out to the community. information out to the community.
• </c> communities in time of need. communities in time of need.
• &gt;&gt; community &gt;&gt; community &gt;&gt; community reports<02:07:29.360><c> are</c><02:07:29.480

Bills: SCR21, SCR75, SCR50, SCR149, SCR47, SCR163, SCR169, SCR170

Keywords: healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Fetal Alcohol Spectrum Disorders, health care, interdepartmental collaboration, public awareness, support services, education, health insurance, affordable healthcare, working group, Hawaii Health Plan, Medicaid expansion