Transcript Highlights:

• The Senate Health and Human Services Committee will come to order.
• need that I personally have in my life and the good that my younger sister has done, knowing the amount
• And so...
• We will probably have another Health and Human Services Committee because we have exec noms.
• We will probably have another Health and Human Services Committee because we have exec noms.

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Summary: The Senate Health and Human Services Committee first considered the nomination of Christy D. Fisher to the Board of Examiners for Speech-Language Pathology and Audiology. Senator Stanridge presented her as a lay member with legal and paralegal experience, and Fisher spoke about her family’s experience with speech therapy and autism-related speech needs. After brief questions, the committee advanced the nomination on an 8-2 vote. The committee then heard several bills, including measures creating an Early Childhood Task Force (HB 1979), clarifying that Oklahoma has always prohibited sex-to-gender-identity amendments on birth certificates (HB 1225), and establishing a process for correcting death certificates after one year (HB 3931). Members also advanced a bill restricting edible medical marijuana products from being attractive to children (HB 4454), updating the mentoring program for children of incarcerated parents (HB 3849), and allowing juvenile safety plans to take effect if not acted on within 24 hours (HB 1746). Other bills addressed local food sales thresholds (HB 3720), allowing case managers and peer support specialists to work for cities and counties (HB 4275), DHS background-check and email-notice updates for child care centers (HB 4300), and a clarification that raising a child consistent with biological sex is not child abuse and that adoption cannot be denied solely over refusal to support a gender transition (HB 3586). The committee also advanced bills on Medicaid reimbursement for dementia cognitive assessments and care planning (HB 2268), juvenile detention medication funding (HB 3755), family resource centers including faith-based and workforce organizations (HB 4117), epilepsy insurance coverage protections (HB 4294), extending the managed care rate floor to July 1, 2028 with a carve-out for multi-state contracts (HB 3650), and child care reforms raising subsidy co-pays and directing DHS to set more flexible master-teacher ratios for certain facilities (HB 4298). Several bills were amended or worked from committee substitutes, and most passed on unanimous or near-unanimous votes, with HB 1225, HB 3586, and HB 4294 drawing some opposition. The committee adjourned after noting it would likely meet again later for additional executive nominations.

Transcript Highlights:

• Good morning, Chair Hall and members of the committee.
• the Department of Family and Protective Services.
• preventing fraud, waste, and abuse in our state's health and human services programs.
• instruction services as and in lieu of service, just as certain mental health and substance abuse services
• And so in order to provide these services to adults, um, and, and to be a broader available um service

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

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:

• federal services and programs.
• </c><00:04:21.000><c> and</c> federal services and federal services and programs<00:04:23.600><c> and
• and community-based services.
• </c><00:36:59.040><c> and</c> presidential support services and presidential support services and prohibits
• </c><00:59:35.880><c> and</c> continue to coordinate services and continue to coordinate services and

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:

• Good afternoon, Chair and members of the committee.
• to accept cash as a form of payment for goods and services with an aggregate value of $100,000.
• Cash as a form of payment for goods and services with an aggregate value of $100 or less.
• The service is now for sale and has faced several lawsuits, and this same billing service is being used
• definitely a good start and so I will be voting aye.

Bills: HB2010, HB2192, HB2199, HB2279, HB2310, HB2459, HB2501, HB2555, HB2690, HB2693

Keywords: digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, mobile homes, recreational vehicles, landlord tenant laws, tenant rights

Transcript Highlights:

• Good afternoon, Chairs Katiza and Wathuta and West, members of the Children and Families Committee.
• and human service delivery redesign.
• doing, and sounds good.
• /c> Our team is strong and is doing a good Our team is strong and is doing a good job<00:31:22.040><c
• 00:58:14.280><c> the</c> it's good to see and we'll see what the it's good to see and we'll see what

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• But so good afternoon, and thank you for the opportunity to update you on the problem gaming education
• </c> and so um as as was noted earlier 2 and and so um as as was noted earlier 2 and a<00:10:28.519><
• and between 47,000 and problem behaviors and between 47,000 and 64,000<00:14:25.240><c> um</c><00:14
• </c> providing services in this space and providing services in this space and their<00:19:52.159><c>
• and drinking gambling and with gambling and drinking gambling and drug<00:26:47.440><c> use</c><00:26

Keywords: 00:00 Call to Order and Roll Call 00:37 KY Horse Racing and Gaming Corp. 08:32 Cabinet for Health and Family Services 35:28 Adjournment, 958, all

Summary: The subcommittee heard an update from the Kentucky Horse Racing and Gaming Corporation on sports wagering revenue allocations and problem gaming funding. KHRGC reported that in fiscal year 2024, about $34.4 million was deposited to the pension fund and about $931,000 to the problem gaming assistance fund; fiscal year 2025 to date, the totals were about $18.5 million and $556,000, respectively, bringing all-time problem gaming funding to about $1.48 million. Members also discussed wagering volume, with KHRGC stating Kentucky had about $3.5 billion in wagers from September 2023 through December 2024 and about $1.4 billion in fiscal year 2025 to date. KHRGC explained that it tracks the funds sent to CHFS and the self-exclusion list, but does not track the number of people seeking help or the outcomes of those calls. The Division of Mental Health then described how the problem gambling assistance account is used. Patty Clark and Sarah Cooper said the fund supports education, counseling, public awareness, counselor certification, and treatment-related costs, with $50,000 reserved for administrative expenses. They said the department has spent the last 18 months establishing criteria, funding standards, performance measures, monitoring, and application procedures, and that it issued notices of funding opportunity in October. They reported about 1.49 million in the fund through the end of January, with awards including support for the Kentucky Council on Problem Gambling conference, a public awareness campaign by Project Ricochet, and a youth-focused campaign by Shaunie Transformation Youth Coalition. Testimony also focused on the scope of problem gambling in Kentucky and how the helpline works. The department said fewer than 10 clinicians in Kentucky are specifically certified in problem gambling, though all addiction clinicians can provide services, and estimated about 165,000 adults show problem gambling behaviors, with 47,000 to 64,000 potentially meeting criteria for a gambling disorder. They said helpline calls rose to about 3,240 in 2024, but only about 25% were from people seeking help, with most callers seeking information about online wagering. Members asked about anonymity, follow-up, co-occurring alcohol or drug issues, and whether the fund should reimburse Medicaid or directly cover treatment costs. The presenters said calls are anonymous, outcomes are not tracked unless callers follow up, and the program is currently focused on building provider capacity and targeted outreach rather than direct reimbursement or a statewide campaign.

Transcript Highlights:

• </c> Services we know that hospitals and Services we know that hospitals and long-term<00:04:46.400><
• care services on individuals and their families.
• care services on individuals and their families.
• </c> Services on individuals and their Services on individuals and their families<00:09:32.399><c> one
• </c><00:10:43.000><c> and</c> various home care services and various home care services and activities

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:

• SNAP and TANFF for such as SNAP and TANFF.
• We can call them up and ask.
• And also, and I'm just, I'm, I'm going to ask this question and I'll be quiet.
• School Health and Related Services, better known as SHARRS, is a federally funded program that provides
• It mandated that the Texas Health and Human Services Commission worked to ensure compliance with federal

Bills: SB 596, SB 961, SB 1398, SB 1183, SB 1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• of Family and Protective Services.
• , family resource centers, navigation services, and we also do foster care adoption and residential services
• Our services for prevention and our reunification services have really made an impact.
• Good morning, chair and members.
• Thank you for your time and good luck and success.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• Thank you, and let the record reflect Representatives Swanson, Rose, and Manuel.
• Attendants go out and shop for the individuals, and so you do see this as a hindrance.
• And also, and I'm just going to ask this question, and I'll be quiet.
• Members, School Health and Related Services, better known as SHARS, is a federally funded... program
• Texas Health and Human Services Commission work to ensure compliance with federal guidelines.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• When I first started my business 20 years ago, we had to take good care of residents and build a name
• In Texas, the Patient Solicitation Act or anti-kickback statute is good and is meant to protect these
• and in that case, we're also paying the contractor for those services, so that might be an instance
• OK, and The high quality service, I mean, it, it states that facilities we contract with will provide
• methods to ensure minimal service interruptions for children, families, and caregivers in the SSCC's

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• When I first started my business 20 years ago, we had to take good care of our residents and build a
• In Texas, the patient solicitation act and anti-kickback statute are good and meant to protect these
• Our services are free to find. ...and our advisors provide personal guidance based on individual care
• for delivering quality services as they agreed to do for our kids and families.
• Oh, and I'm sorry, I'm on. No, okay, that's good. Okay, let's go with that one. Yeah.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• support services. service agency license but does not cover hospice and personal assistance services
• Good morning, Chair Hull and members of... committee.
• and Human Services Commission, not the Department of Family and Protective Services, that oversees these
• This resulted in 140 calls for service and 56 incidents.
• Good morning, Chair. and members of the committee.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Oversight TWC is not authorized to procure goods and services necessary to operate. its vocational rehabilitation
• and services using any method that delivers best value.
• Well, good morning, good morning, Chair, Vice Chair, and committee members.
• and employment services.
• So, yeah, it's intended to coordinate and optimize services, information, and other resources for clients

Bills: HB1397, HB1893, HB1950, HB2027, HB2791, HB3698, HB3699, HB3700, SB2603, SB2607, SB2565

Keywords: Texas Constitution, Declaration of Independence, victory or death letter, display, historic preservation, HB 1893, Texas public information law, Public Information Act, Government Code 552.130, Transportation Code Chapter 730, license plate number, vehicle registration, law enforcement video, police body camera, dashcam, redaction, public records request, open records, government transparency, privacy

Transcript Highlights:

• We want to make more progress on inflation, and we think our policy rate is in a good place.
• ' wallets and pocketbooks from scams, hammers, and predatory companies in financial services.
• I do think, you know, we're always going to be in favor of good data at the Fed, and actually, we do
• down just because of volatility in the results, and it seemed like a good idea to smooth that out by
• We provide that service between two banks, and others want to provide it too.

Bills: SB257

Keywords: supply chain resilience, critical supply chains, critical goods, manufacturing, domestic manufacturing, reshoring, nearshoring, supply chain security, supply chain shock, supply chain disruption, critical infrastructure, emerging technologies, semiconductors, microelectronics, artificial intelligence, quantum computing, robotics, advanced manufacturing, blockchain, cybersecurity

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• And if you'll come up to the table to a microphone and state your name and who you're.
• There are 9 brick and mortar accredited programs in the state of Oklahoma and two online brick and mortar
• and licensing.
• The shock of course, but I think the the program and developing it and and having conversations especially
• So you figure out those that they will review, and in five years, especially with our numbers, good lord

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• Good morning. I call the Human Services Finance and Policy Committee to order.
• </c> on Aging and the Senior Meals and on Aging and the Senior Meals and Services<00:03:29.280><c> Coalition
• And uh we're very Services Coalition.
• </c><00:53:26.240><c> and</c> live can understand the services and live can understand the services and
• make</c> need for services, and capacity to make need for services, and capacity to make sure<00:54:

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• costs and health care services services services &gt;&gt; [clears throat] &gt;&gt; [clears throat] &
• ><c> Chair,</c><00:32:00.000><c> and</c> Good morning, Chair, Vice Chair, and Good morning, Chair, Vice
• on</c><00:33:45.160><c> our</c> Human Services and we'll stand on our Human Services and we'll stand
• /c><00:39:46.560><c> the</c> services and the director of the services and the director of the exceptional
• the word service between student and coordinators.

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:

• Cabinet for Health and Family Services, Department for Medicaid Services, 907 K3320 and 907 K2310.
• Um and she brought up a very good point Um and she brought up a very good point that<00:17:21.839><c>
• And good afternoon and &gt;&gt; Thank you.
• gt; Uh, and good afternoon and thank you for &gt;&gt; Uh, and good afternoon and thank you for the<00
• /c><01:27:39.840><c> market</c> cost of services and it's a free market cost of services and it's a free

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.