Transcript Highlights:

• and related housing provisions.
• [garbled text continues] ... the city's current residence ... multiple-family housing and multiple-housing
• and middle housing deed.
• , multi-family housing, middle housing, either in estimate of the per unit cost of the housing, which
• Jefferson, city, which transit members of the housing, classified housing types, price range, ally, the

Bills: LB764 , LB815A , LB839 , LB888 , LB955 , LB972A , LB1029 , LB1087 , LB1091 , LB1126A , LB1181A , LB1237A , LB1261A , LB304A , LB762 , LB889 , LB929 , LB966 , LB1022 , LB1187 , LR508

Transcript Highlights:

• So go ahead, House Bill 120.
• House Bill 120 does several important things.
• procedures. It's late and I am tired.
• performed over 50,000 procedures in Oklahoma alone.
• Over 146,000 procedures... ...procedures in Oklahoma alone.

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.

Transcript Highlights:

• I move that House Bill 2666... We will now move into executive session.
• We're talking about the procedure and adapting it.
• We're talking about the procedure and adapting it.
• But my intent is for the procedural legal questions.
• “Do we have any witnesses in favor of House Bill 3054?

Committee: House Judiciary and Civil and Criminal Jurisprudence

Summary: The committee first met in executive session and approved House Bill 2666, Representative Keithley’s anti-SLAPP bill, on an 8-4 vote after a brief clarification that it was the anti-SLAPP measure being considered. The committee then held a public hearing on House Bill 3054, also by Representative Keithley, which would shift Cole County appellate venue to the Eastern District for workload balancing and require certain challenges to the enactment or validity of statutes and regulations to be filed originally in Cole County to reduce forum shopping. Representative Keithley said the bill was intended to centralize procedural and constitutional challenges tied to lawmaking or rulemaking in Jefferson City, not to move ordinary fact-based civil cases. Committee members pressed him on whether the language would also sweep in personal injury, medical malpractice, or criminal cases, and several expressed concern that the bill was broader than intended and could create venue fights or burden litigants. Keithley acknowledged the language might need clarification, especially regarding whether it could affect cases with constitutional counts in otherwise ordinary civil actions. Opposition testimony came from the Missouri Association of Trial Attorneys and the Missouri Circuit Judges Association. Both groups said the bill, as drafted, was too broad and could unintentionally move many cases to Cole County, including cases where constitutional challenges are commonly pleaded, and possibly criminal matters because of the “notwithstanding” clause. They also warned it could encourage new venue disputes and undermine expected local venue. The Judicial Conference of Missouri offered to provide data on case types if the committee wanted more information. No further action was taken on HB 3054, and the hearing adjourned.

Transcript Highlights:

• I move that House Bill 2666... We will now move into executive session.
• We're talking about the procedure in enacting it.
• We're talking about the procedure and adapting it.
• But my intent is for the procedural legal questions.
• And I see that language starting in line 27, procedural defect.

Committees: House Judiciary , House Judiciary and Civil and Criminal Jurisprudence

Transcript Highlights:

• procedural...
• Because in certain areas, like procedure, if it’s declared unconstitutional in procedural areas, we don
• Because in certain areas, like procedure, if it's declared unconstitutional and procedural areas, we
• Anyone in opposition to House Bill 3465? Seeing none, anyone else in favor of House Bill 3465?
• Anyone in opposition to House Bill 3465? Seeing none, anyone else in favor of House Bill 3465?

Committee: House Legislative Review

Summary: The Committee on Legislative Review met with five members present and took up two public hearings: House Bill 369 and House Bill 3465. On HB 369, Representative Simmons said the bill would let school employees join or leave teachers’ unions at any time and would prohibit school districts from automatically deducting union dues from paychecks, citing the Janus decision and arguing members should pay directly rather than through payroll deduction. Committee members questioned why the bill was needed, whether unions and school districts had been consulted, whether current law already allows opt-in/opt-out at any time, and whether the bill would affect other payroll deductions. Opposition testimony from Missouri NEA, Missouri State Teachers Association, and the Missouri AFL-CIO said the bill was unnecessary, targeted unions, could create administrative burdens, and might raise constitutional concerns; they emphasized that payroll deduction is already voluntary and that members can cancel membership at any time. No vote was taken on HB 369 during the hearing. The committee then heard HB 3465, a severability bill sponsored by Representative Keithley. He explained that it would create a broader severability standard so that if part of a legislative act is found unconstitutional, the rest could remain in effect unless there is clear and convincing evidence the legislature would not have passed the act without the invalid provision. He said the bill is intended to give courts clearer guidance and preserve the remainder of legislation when possible. Questions from members focused on how this differs from existing severability law and whether it would improperly direct the courts; Keithley responded that it clarifies legislative intent and applies to procedural as well as substantive constitutional issues. Supporters, including Campaign Life Missouri, said the bill would apply to bills, joint resolutions, and concurrent resolutions and would give courts a clearer standard. There was no opposition testimony on HB 3465, and the hearing concluded with no further business and adjournment.

Transcript Highlights:

• House Bill 99.
• And a do pass for the House Judiciary Committee substitute for House Bill 99.
• Okay, next we will go to Representative Chavez with House Bill 206. House Bill 206.
• to House Bill 213.
• House Health and Human Services Committee substitute for House Bill 213 as amended.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, a medical malpractice reform measure. Sponsor Chair Chandler and Minority Leader Armstrong described months of stakeholder negotiations aimed at balancing patient compensation with concerns from physicians, hospitals, and insurers about litigation costs, punitive damages, and access to care. The committee substitute kept the existing monetary damage caps but changed several provisions, including definitions of “occurrence” and “value of medical care,” treatment of future medical expenses, a higher clear-and-convincing standard for punitive damages, a two-step process before punitive damages can be pled, and a lower punitive-damages cap for smaller providers versus a higher cap for large hospital systems. Supporters said the bill would help recruit and retain doctors and stabilize the malpractice market; opponents argued it weakens accountability, especially for corporate and out-of-state hospital systems, and several speakers urged a stronger amendment to preserve patient rights. After debate, the committee voted 10-0 to give the House Judiciary Committee substitute for HB 99 a do-pass recommendation. The committee then heard House Joint Resolution 5, which would amend the state constitution to allow legislative compensation. Sponsors and supporters said paying legislators would make service more accessible to working people, parents, rural residents, and others without independent wealth, and would broaden representation. Several advocacy groups and individual commenters backed the proposal, while members raised questions about the pay formula, with the resolution tying compensation to the state median income. Some members supported the idea but preferred a salary commission or a different mechanism. The committee approved HJR 5 on a 7-3 vote. Finally, the committee began hearing House Memorial 39, which calls for a task force to study the current state of sexual assault examination kits and report on backlog progress. Sponsor Rep. Ferrari and the New Mexico Coalition of Sexual Assault Programs explained that a prior task force a decade ago found more than 5,000 untested kits and led to policy changes, including the Sexual Assault Survivors Bill of Rights and a statewide tracking system. The memorial is intended to reassess whether backlogs remain and recommend further fixes.

Transcript Highlights:

• for House Bill 2300.
• You voted do pass House Committee substitute for House Bill 2300.
• In a nutshell, House Bill 2897 allows optometrists to perform in-office procedures that we are already
• procedure.
• No—House Bill 2481 and House Bill 1974.

Committee: House Professional Registration and Licensing

Transcript Highlights:

• House Bill 99.
• Do not pass on House Bill 99. Do pass on House Bill 99.
• And do pass for the House Judiciary Committee substitute for House Bill 99. Hey. Good Lord.
• Okay, next we will go to Representative Chavez with House Bill 206. House Bill 206.
• to House Bill 213.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Bonner moves to amend house amendment.
• Bonner moves to amend house file<00:06:20.000><c> number</c> House File 2464, the first engrossment as
• House File 2464, as amended.
• </c> perform a variety of procedures perform a variety of procedures clinically.<00:10:43.279><c> In<
• </c><00:10:56.560><c> At</c> procedures in a clinical setting. At procedures in a clinical setting.

Transcript Highlights:

• these procedures and for safety.
• So let's proceed with House Bill 2015, followed by House Bill 2072.
• Next in line is House Bill 2178. Jaden, please explain House Bill 2178.
• Ajene, please explain House Bill 272.
• Madam Chair, members, House Bill 272 establishes an optional state certification for Members, House Bill

Bills: HB2049 , HB2050 , HB2051 , HB2072 , HB2082 , HB2085 , HB2177 , HB2178 , HB2179 , HB2183 , HB2195

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• So go ahead, House Bill 120.
• The Public Education Department supports House Bill 120.
• House Bill 120 does several important things.
• At its core, House Bill 120 is about safety, dignity, and prevention.
• performed over 50,000 procedures in Oklahoma alone.

Committee: Senate Senate Judiciary

Transcript Highlights:

• all of these procedures and for safety.
• I see Representative Fink is here, so let's proceed with House Bill 2015, followed by House Bill 2072
• Next in line is House Bill 2178. Jaden, please explain House Bill 2178.
• Vice Chair please move House Bill 2195 Madam Chair I've moved that House Bill 2195 be returned with a
• Madam Chair, members, House Bill 2085, 2085. the day House Bill 2085.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.

Transcript Highlights:

• </c> present House Bill 117. present House Bill 117.
• any procedure.
• any procedure.
• any procedure.
• c><01:52:06.639><c> procedure</c> &gt;&gt; perform a procedure &gt;&gt; perform a procedure &gt;&gt;

Bills: HB0003 , HB0117 , HB0041

Committee: Senate Labor, Health & Social Services

Transcript Highlights:

• Did this lady follow that procedure?
• Did they follow that procedure?
• Or is the house supervisor always in charge?
• , memo, operating procedures... ...but to mandate it by policy, procedure, memo, operating procedures
• We have people working out of house trailers.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• In a nutshell, House Bill 2897 allows optometrists to perform in-office procedures that will...”
• “House Bill 2897 allows optometrists to perform in-office procedures that we are already educated, trained
• procedure.
• Hearing on House Bill 2481, House Bill 2468, and House Bill 1974.
• 248 or House Bill 2481 and House Bill 1974. ...to go on record in opposition to House Bill 248 or House

Committee: House Professional Registration and Licensing

Summary: The committee first met in executive session and adopted a House Committee Substitute for House Bill 2300 by a unanimous roll call vote of 18-0. The substitute combined a number of previously approved professional registration items, including emergency suspension authority, chiropractic and massage therapy provisions, accountant regulations, the athletic trainer compact, social worker regulations, a speech-language pathologist fix, telehealth, nonprofit pharmacies, and the physician assistant compact. Members noted that work was still ongoing on bell bondsman language before the committee moved into public hearing. The main public hearing was on House Bill 2897, which would expand optometrists’ authority to perform certain laser and in-office procedures. Representative Farnan and optometry supporters argued the bill is about patient access, especially in rural areas, and said it would allow three laser procedures—YAG capsulotomy, laser trabeculoplasty, and laser iridotomy—plus clarify other already-performed office procedures, while still excluding major surgeries such as cataract surgery, LASIK, and corneal transplants. Supporters said optometrists already receive relevant training, that a 32-hour certification course would serve as a safeguard, and that patients often face long waits or long travel times for care. Opponents, including ophthalmologists, argued the bill would blur the line between optometry and surgery, create safety risks, and rely on insufficient training and ambiguous language. They cited complications from laser procedures, questioned emergency care claims, and said optometrists should not be regulated as surgeons unless placed under the State Board of Healing Arts. No vote was taken on HB 2897, and the chair recessed the hearing for later continuation. The Committee on Elementary and Secondary Education then took up House Bill 3239 and adopted Amendment 0.01H, which capped the program at $4 million to keep it from becoming an open-ended cost. The committee then adopted the House Committee Substitute and voted the bill do pass by 11-7. The committee also combined House Bills 2913 and 3228 into one substitute and voted that combined measure do pass by 19-0. Finally, the committee heard House Bill 2195, which would create the Missouri Integrated Safe Driving Program and encourage school districts to incorporate driver-safety content into existing courses without adding a fiscal note or mandating a standalone driver’s ed class. Sponsor Representative Reedy and supporters from AAA Missouri and the Missouri Driver Education Coalition said the bill would address teen crash rates, improve access to driver education, and help schools use existing curriculum time more flexibly. The hearing remained in discussion with testimony continuing.

Transcript Highlights:

• So we've got Representative Branson with House Bill 3378.
• All right, we've got House Bill 3383 with Representative Branson.
• All right, we've got House Bill 3413 by Representative Strom.
• House Bill 3420 pertains to sole-source purchasing.
• gender procedures.

Bills: HB3620 , HB3942 , HB3279 , HB3378 , HB3383 , HB3413 , HB3414 , HB3415 , HB3420 , HB3130

Committee: House General Government

Summary: The committee first handled housekeeping, announcing that House Bill 4276 would be laid over until the third week and moving Representative Lawson’s bill to the top of the agenda. HB 3620, creating a 2030 census complete count committee, was presented and passed by due pass. HB 3942, which updates the state’s tax incentive evaluation process by directing reports to LOFT and requiring comparisons to other incentives and strategic economic goals, also passed due pass after brief discussion about whether all tax incentives, including the parental choice tax credit, would be reviewed. Representative Pfeiffer presented HB 3279, a follow-up public corruption measure that clarifies conflict-of-interest disclosure requirements and sets a $25,000 threshold for certain purchase orders; it passed due pass. After Vice Chair Woolley took over, HB 3378 passed 7-0 to stagger OCAST board terms after all members had expired at once. HB 3383, setting a 14-hour limit on required work in a 24-hour period for state employees with emergency carve-outs, passed 6-1 after questions about law enforcement and emergency-service exceptions. Several transparency and procurement bills from Representative Strom also passed unanimously: HB 3413 requires agencies to report outsourced jobs and consulting outcomes, HB 3414 adds accounting-system reporting for contract type and invoice location for intangible assets, HB 3415 requires subcontractor reporting and post-contract assessments, and HB 3420 requires justification for sole-source purchases and limits pilot or proof-of-concept contracting to 12 months. The most contentious measure was HB 313 by Representative Kevin West, which restricts state agencies, employees, contractors, and public institutions from using state funds to perform, facilitate, refer, or encourage gender transition procedures. Opponents argued it intrudes into private medical decisions, could affect adults as well as minors, and may worsen health outcomes or create vague enforcement problems; supporters said it protects minors from harmful, life-altering procedures and prevents state dollars from supporting them. After extended debate, the committee passed HB 313 by a 7-2 vote. The meeting then adjourned, with one more committee meeting announced for the following week.

Transcript Highlights:

• </c> don't even, uh, teach this procedure don't even, uh, teach this procedure anymore. anymore. anymore
• </c> outcomes associated with the procedure. outcomes associated with the procedure.
• . procedure. procedure.
• about this procedure.
• </c> very negatively about this procedure. very negatively about this procedure.

Transcript Highlights:

• </c> their health care and find procedures their health care and find procedures that<00:10:40.720><c
• </c><00:19:49.120><c> on</c> not want to um uh perform a procedure on not want to um uh perform a procedure
• </c><00:26:47.440><c> could</c> involved in the medical procedure could involved in the medical procedure
• We'll move on to House Bill 219 and House Concurrent Resolution 20, and Senator Adams is going to be
• </c><00:50:24.799><c> Bill</c> kind of a companion bill to House Bill kind of a companion bill to House

Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.

Transcript Highlights:

• It's going to be a motion before the House, and the House can determine for itself what the discipline
• The only thing that would override Mason's would be a House rule. Tradition, but a House rule.
• The only thing that would override Masons would be a House rule. Tradition, but a House rule.
• It's not a House right. We are the last arbiters of what we can do with our procedure.
• This is the House.

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• Additionally, we have procedures and processes in place.
• Can we look and see what those procedures are?
• Did they follow that procedure?
• , memo, operating procedures... ...but to mandate it by policy, procedure, memo, operating procedures
• We have people working out of house trailers.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.