Transcript Highlights:

• intellectual and developmental disabilities that... ...to individuals with intellectual and developmental
• Waiver services.
• Talking about have developmental disabilities.
• Program, is an array of services designed for people who, one, have been determined to have a developmental
• services.

Bills: SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2340 , HB2464 , HB2619 , HB1376 , HB1796 , HB2091 , HB2249 , HB2254 , HB2353 , HB2431 , HB2441 , SB5808 , SB5949 , HB2124 , HB1069 , HB2104 , HB2624

Summary: The Senate received messages from the House transmitting several signed bills, then moved through a series of second- and third-reading actions on multiple measures. Engrossed Substitute House Bill 2508, clarifying the scope and authority of the Office of Independent Investigations, was advanced to final passage without objection and passed 44-4. Senators supporting it described it as a technical housekeeping bill aligning statute with current practice, while noting it had broad support from law enforcement groups and the ACLU; opponents raised concerns about overlapping investigations and authority. Engrossed Substitute House Bill 1408, which dedicates a share of sales tax revenue from the stadium area to the South Downtown/Pioneer Square community preservation and development authority, was amended by a Ways and Means striking amendment declaring an emergency and then passed 47-1. Supporters said it would fund earthquake reinforcement, preservation, and community development in a historic district, with reporting and sunset provisions. Engrossed Substitute House Bill 1500, dealing with resale certificates for common interest communities and homeowners associations, was amended to clarify disclosure and litigation provisions and passed 39-9. Substitute House Bill 1570, allowing collective bargaining for certain employees enrolled in academic programs at public institutions, failed an amendment to remove the emergency clause and then passed 29-19; supporters framed it as recognition of student workers’ organizing rights, while opponents warned it blurred student and employee roles. The Senate also passed Substitute House Bill 1390, repealing the Community Protection Program and directing participants into other developmental disability services, after rejecting a series of amendments that sought to preserve sex-offender-related restrictions, add assessments, damages, or prosecutorial review. The bill passed 29-20 amid sharp debate over whether the program was coercive and outdated or necessary to protect vulnerable people and communities. Other bills passed included Substitute House Bill 2114 on defective license plates, Engrossed Substitute House Bill 2471 on collective bargaining if the NLRB is unavailable, House Bill 1069 on bargaining over supplemental retirement contributions for Department of Corrections employees, House Bill 2441 expanding medical premium reimbursements for surviving spouses of line-of-duty deaths, and Engrossed Third Substitute House Bill 1710 adding preclearance requirements under the Washington Voting Rights Act; the voting rights bill drew opposition over local control and litigation concerns. The transcript ends during the roll call on final passage of Engrossed Third Substitute House Bill 1710.

Transcript Highlights:

• Laying down their roots in downtown Austin with services conducted entirely in Swedish, they have formed
• promoted our community and brought so many businesses to the South Belt area during her years of service
• Her service to this great state is really too extensive to list here today, and it's too profound.
• Receiving service.
• Have you ever heard of a mosaic developmental sexual difference?

Bills: SJR85 , SCR29 , SCR38 , SCR42 , SB23 , SB39 , SB209 , SB227 , SB240 , SB330 , SB527 , SB584 , SB618 , SB619 , SB636 , SB663 , SB715 , SB732 , SB758 , SB801 , SB825 , SB826 , SB843 , SB844 , SB847 , SB870 , SB884 , SB912 , SB957 , SB1013 , SB1020 , SB1065 , SB1143 , SB1152 , SB1164 , SB1183 , SB1257 , SB1299 , SB1325 , SB1349 , SB1413 , SB1455 , SB1539 , SB1558 , SB1574 , SB1583 , SB1624 , SB1642 , SB1643 , SB1667 , SB1717 , SB1718 , SB1727 , SB1734 , SB1756 , SB1757 , SB1784 , SB1789 , SB1832 , SB1868 , SB1870 , SB1883 , SB1896 , SB1920 , SB1924 , SB1963 , SB2010 , SB2018 , SB2024 , SB2037 , SB2052 , SB2073 , SB2111 , SB2161 , SB2196 , SB2207 , SB2253 , SB2268 , SB2322 , SB2323 , SB2332 , SB2349 , SB2371 , SB2533 , SB2570 , SB2601 , SB2626 , SB2692 , SB2705 , SB2717 , SB2774 , SB2788 , SB2877 , SB2920 , SB2 , SB260 , SB1786 , SB1 , HJR4 , SJR36 , SJR50 , SJR63 , SJR85 , SJR84 , SCR12 , SCR39 , SCR38 , SCR42 , SCR29 , SCR4 , SCR18 , SCR43 , SCR46 , SB2023 , SB825 , SB2010 , SB1870 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB618 , SB393 , SB1791 , SB826 , SB1257 , SB870 , SB529 , SB209 , SB1883 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1860 , SB2037 , SB1924 , SB2253 , SB2018 , SB2206 , SB1963 , SB1643 , SB1299 , SB841 , SB668 , SB584 , SB1085 , SB2431 , SB1490 , SB1868 , SB2314 , SB434 , SB2046 , SB1667 , SB1727 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB1832 , SB1745 , SB1746 , SB2207 , SB1784 , SB1524 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB1940 , SB2052 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1558 , SB1236 , SB1044 , SB884 , SB463 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2141 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1757 , SB2050 , SB1138 , SB2626 , SB2458 , SB1864 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB1183 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB39 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB23 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , HB135 , HB 1109 , SCR48 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Summary: The Senate opened with a quorum, an invocation by Rabbi Kelly Levy, a gubernatorial message naming appointees to the Red River and Nueces River Authority boards, and several ceremonial recognitions, including Texas Woman’s University athletes, the Doctor of the Day, Balch Springs Day, St. Mary’s University, Austin Oaks Church’s centennial, and a memorial resolution for Marie Flickinger, which was adopted after remarks from members and a moment of silence. The chamber then moved to the calendar and took up a series of bills and resolutions. Several measures dealing with water and taxes were passed: Committee Substitute for SB 1413 on procedures for amending or revoking certificates of public convenience and necessity for certain water utilities; SB 1583 on groundwater conservation district management plans, amended by Blanco; SB 23 and SJR 85 to increase the school district homestead exemption for elderly and disabled homeowners, both passing with one nay; SB 2774 to classify industrial uniform and linen rental businesses as retail trade for franchise tax purposes; and SCR 29 designating El Paso as the official boot capital of Texas for 10 years. Members also adopted SCR 49 recognizing Austin Oaks Church’s 100th anniversary and SR 424 recognizing Balch Springs Day. The Senate also advanced a package of insurance and regulatory bills. Committee Substitute for SB 1643 would require prior approval from the Texas Department of Insurance for certain property and casualty rate changes over 10%, and Committee Substitute for SB 1642 would restructure TDI from a single commissioner to a three-commissioner model; both passed after debate about rising insurance costs, inflation, labor, reinsurance, and litigation. Committee Substitute for SB 1883, on land use assumptions, capital improvement plans, and impact fees, passed after discussion of transparency and local development costs. SB 826, enhancing penalties for DWI in an active school zone, passed with strong support. Two other controversial measures were also advanced: Committee Substitute for SB 1257, requiring health plan coverage for complications, reversals, and related care tied to gender transition procedures, passed to engrossment but was held there after a 20-11 vote; and Committee Substitute for SB 2024, banning disguised vape pens and, by amendment, hemp vape pens and other intoxicating-substance vape pens, passed. The final item shown was Committee Substitute for SB 240, the Texas Women’s Privacy Act, which was laid out by Senator Middleton and described as restricting access to sex-specific private spaces in public facilities based on biological sex, with civil penalties for violations; the transcript cuts off during the presentation of that bill.

Transcript Highlights:

• Why was the fund's previously going to Service Oklahoma? How was it used there?
• It happened when Service Oklahoma was created.
• The $550,000 that's currently going to Service Oklahoma.
• Are you suggesting that these are the two different services?
• And only these two services should be used, or is there an additional service that can be used?

Bills: SB1966 , SB175 , SB1475 , SB1950 , SB2049 , SB2052

Committee: Senate Aeronautics and Transportation

Keywords: memorial highways, bridge designations, Oklahoma Statutes, commemorative markers, transportation, uninsured vehicles, reimbursement fund, towing services, commercial vehicles, public safety, memorial, infrastructure, dedication, Toby Keith, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes

Transcript Highlights:

• This provides one-time funding for the Department of Commerce Community Services Division to provide
• a grant to the North Mason Regional Fire Protection Service Authority to increase the services provided
• Well, we've heard from the pick in Kent that... value of the services they provide.
• Beyond that, Fish and Wildlife does a lot of other services like search and rescue.
• of services to keep our hunting legal and protect our wildlife.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• So we looked at growth in our primary service area, growth outside of our primary service area, and projected
• </c><00:19:01.360><c> area,</c> growth in our primary service area, growth in our primary service area
• </c> growth outside of our primary service growth outside of our primary service area<00:19:04.000><c
• Christy Grom with the Department of Human Services.
• Um in terms of the cost, I Services.

Bills: HF3521 , HF1807 , HF1270 , HF2070 , HF3136

Committee: House Health Finance and Policy

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

Transcript Highlights:

• through developmental disabilities community services.
• We ask that, in your final budget, you ensure services for people with intellectual and developmental
• These services are not just short-term recovery-based services.
• services.
• through developmental disabilities community services.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• generated $9 billion in wages, and produced more than $4 billion in tax revenues, funding essential services
• generated $9 billion in wages, and produced more than $4 billion in tax revenues, funding essential services
• development fees, which are used to offset the costs associated with providing necessary public services
• we've had for many years for development, ensuring that growth is paying for the necessary public services
• we've had for many years for development, ensuring that growth is paying for the necessary public services

Bills: HB2107 , HB2588 , HB2946 , HB2950

Committees: House Rural Economic Development , House House Rural Economic Development Committee of Reference

Keywords: SNAP, nutrition assistance, fast food, vitamins, waiver, food policy, municipal planning, homeowner association, building permits, single-family home, property rights, design standards, development fees, municipalities, infrastructure, public services, annual reporting, property development, tourism improvement area, TIA

Bills: HB454 , HB429 , HB454 , HB429

Committee: House Public Safety and Homeland Security

Keywords: HB454, Alabama, local law, local legislation, legal notice, public notice, legislative notice, publication requirements, Section 106, constitutional notice, tampering with legislative record, criminal offense, Class A misdemeanor, House Judiciary, bill advertising, sponsoring legislator, unauthorized alteration, legislative process, new crime, publisher liability

Transcript Highlights:

• I think we ought to take a look at everything because juvenile services has been neglected for years.
• But they do have those services now in police departments. And I...
• But they do have those services now in police departments.
• Now, there is no argument that Arizona Rangers have been a venerable public service organization.
• , and military service.

Bills: SB1048 , SB1071 , SB1092 , SB1314 , SB1391 , SB1400 , SB1401 , SB1452

Committees: Senate Public Safety , Senate Senate Public Safety Committee of Reference

Keywords: juvenile services, Coconino county, rehabilitation, detox center, financial appropriation, Arizona Rangers, statutory repeal, security, state law, regulatory changes, probation, dangerous crimes, children, Arizona Revised Statutes, criminal justice, juvenile offenses, appropriations, salary increase, corrections, public safety

Transcript Highlights:

• of things are exactly what we're hearing is happening now from our own members, whose home health service
• Services are diminishing.
• We're hearing clinics are closing, services are diminishing, specialized care is moving from one place
• This bill is not limited to just entities that are funded through Medicaid and Medicare services.
• Materialise is a global leader in 3D printing software and services, and we've been in the industry for

Bills: HB2255 , HB2320 , HB2548

Committee: House Civil Rights & Judiciary

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, firearm regulation, manufacturing, safety standards, background checks, license requirements, health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change

Transcript Highlights:

• Foundational public health services are services that everyone needs and uses like disease investigation
• Foundational public health services are services that everyone needs and uses, like disease investigation
• In human services, we’re seeing significant funding pressures and high demand for homelessness services
• I am also concerned about the changes to services eligibility for DDCS services due to the significant
• Without these services, it has... Without these services, it has...

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• Services through long-term care or our disability, our developmental disabilities administration, retaining
• services for all of those individuals.
• We've concentrated services in just a few counties.
• We don't want to see any cuts to DD services.
• Thank you so much for your service. Thank you. Rashi.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• So we'd be providing services at multiple sites. Members, any questions? All right. Thank you.
• House Bill 1646 addresses emergency service districts in Texas or local government emergency services
• such as fire, medical, and rescue services.
• Also here to represent the Bexar County Emergency Service Districts Association.
• I've been in the emergency services world for about 25 years.

Bills: HB334 , HB583 , HB605 , HB1327 , HB1646 , HB2115 , HB2379

Committee: House S/C on County & Regional Government

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, fencing, reservoirs, local government, regulation, land use, conservation capacity, property regulation, fence regulation, reservoir safety, county authority, fencing regulations, counties

Transcript Highlights:

• </c><00:22:24.240><c> officer</c> starting as a community service officer starting as a community service
• </c><00:46:06.480><c> have</c> and continued Devotion to service have and continued Devotion to service
• </c> mandich for her career in public service mandich for her career in public service I<00:46:34.920
• They get worse services.
• They get worse services.

Bills: HJR35 , HR695 , HR469 , HR250

Keywords: environment, EPA, waste emissions, petroleum, natural gas, environmental protection, methane, regulatory disapproval, Charlie Kirk, political assassination, free speech, First Amendment, public safety, official photography, House of Representatives, session, government transparency, public engagement, payment system, Bureau of the Fiscal Service

Transcript Highlights:

• So what do you see as successful services?
• Detention is a population-based service.
• Detention is a population-based service.
• and services in children's home languages.
• It may be developmental pre-K or nothing.

Committee: House Early Learning & Human Services

Summary: The committee held a work session on juvenile rehabilitation capacity, services, staffing, and related county and early learning issues. DCYF Assistant Secretary Jennifer Redmond described Green Hill School, Echo Glen, Harbor Heights, community facilities, and community transition services, emphasizing that JR is operating above safe capacity, that long adult sentences and limited placement options are driving overcrowding, and that staffing, programming space, contraband control, and safety are all affected. She said Harbor Heights has opened as a short-term step-down facility, a new behavior management system has reduced law-enforcement referrals and use-of-force incidents, and staffing and injuries have improved somewhat, though Green Hill remains well above its safe operating capacity. Members asked about success metrics, developmental disabilities, mental health needs, college access at Echo Glen, future capacity planning, and a proposed mental health facility; Redmond said JR is seeking additional resources and is reviewing broader capacity options, including Mission Creek. The committee then heard from Team Child and youth advocate Gisela Gonzalez about the youth perspective. They argued that success should be measured by access to education, mental health care, family connection, safety, and community reintegration, not just confinement. They said community transition services and community facilities are underused, criticized sentence extensions and new criminal referrals from JR to Lewis County, and raised concerns about limited phone and visitation access, delayed or inadequate mental health treatment, lack of college opportunities for young women at Echo Glen, and the treatment of youth with disabilities. Gonzalez described her own experiences in county and state facilities, saying she felt mistreated, undereducated, and unable to access therapy without first reporting suicidal ideation. Members asked follow-up questions about telehealth, county-versus-state services, and educational access. The final major presentation came from juvenile court administrators Christine Simon Smeyer and Judge Rachel Anderson on county-level juvenile court services. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention, and community supervision, stressing that courts aim to keep youth out of detention whenever possible and use evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court with restorative justice programming, school partnerships, behavioral health probation, detention alternatives, and specialized supports such as a psychologist, educational advocates, and family-centered services. They also discussed funding, saying county juvenile court services are heavily dependent on local dollars, with state support averaging about 21 percent across courts, and warned that recent cuts to early intervention funding reduced staffing and services even though the need remained. Members asked about detention for status offenses, supports for youth with developmental disabilities, and restorative justice practices. The meeting concluded with DCYF Assistant Secretary Nicole Rose and Head Start/ECAP representative Katie Warren discussing early learning and child care. Rose said Fair Start for Kids Act investments increased child care access, provider participation, and kindergarten readiness, but recent budget reductions will raise co-pays for many families, delay eligibility expansions, reduce ECAP slots, eliminate some provider supports, and cut infant and early childhood mental health consultation capacity. Warren said ECAP remains an important two-generation anti-poverty and workforce-support program, but providers are seeing children and families with greater needs and more complex challenges.

Transcript Highlights:

• </c><00:05:18.360><c> in</c><00:05:18.520><c> developmental</c> enroll in developmental in developmental
• enroll in developmental in developmental education<00:05:20.400><c> complete</c><00:05:21.040><c> their
• </c> who do enroll in developmental who do enroll in developmental education. ...education.
• ><00:08:10.480><c> needs</c> put, the developmental education needs put, the developmental education
• /c> specific developmental developmental specific developmental developmental needs<00:08:52.400><c>

Transcript Highlights:

• Jennifer Brisee, Director of the Division of Developmental Disability Services. Hey, good morning.
• by the Department of Human Services Division of Developmental Disability Services.
• This is the sole responsibility of the Division of Developmental Disability Services.
• This is the office... ...of the Division of Developmental Disability Services.
• disability services this is the office of the division of developmental disability services this is

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.

Transcript Highlights:

• </c><00:39:24.240><c> service</c> on supporting developmental service on supporting developmental service
• with</c> of Developmental Services and DHS with of Developmental Services and DHS with the<00:41:27.839
• Also um of note developmental services.
• They can expect developmental services.
• service</c> services in the developmental service services in the developmental service system<00:55

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• We provide free legal and advocacy services for people with disabilities when their rights have been
• I'm the executive director of the Idaho Council on Developmental Disabilities.
• and their families through the Federal Developmental Disabilities and Bill of Rights Act.
• disabilities merely because they have a diagnosis of intellectual or developmental disability, which
• , adult protective services potentially might be created.

Committee: Senate Judiciary and Rules

Transcript Highlights:

• Yeah, this is a community-based service.
• So it's less restrictive for the board so people can provide these services.
• to get those services into the rural areas.
• , and Donald Olivier with McNeilia Family Services.
• These services, so let's say I go in and get a procedure that's not one of the 300 listed services, and

Bills: HB946 , HB1093 , SB26 , SB29 , SB30 , SB195 , SB219 , SB222 , SB255 , SB314 , SCR2 , SCR22

Committee: House Health and Welfare

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death