Transcript Highlights:

• Most ambulances, by the way, are type twos.
• So you’re saying that someone who isn’t on the ambulance, who dispatches the ambulance, would make the
• I can see we’re going to go on an ambulance.
• That ambulance ride felt endless.”
• And the same with the service provider tax thing.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• States of America, a cornerstone of education, service, and progress in our state.
• I want to thank them for their dedicated service.
• Their dedicated service to our system, the largest university system in this state.
• He has joined in service by his wife, who has served many times as our nurse of the day.
• Members of the Health and Human Services... We will be meeting in room 206 in five minutes.

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Transcript Highlights:

• House Bill 4329 changes the definition of covered services from reimbursable to reimbursed without a

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• The Indian Health Service has been doing this for decades. The U.S.
• The Indian Health Service has been doing this for decades. The U.S.
• There's still a great shortage of service needs.
• Health, Environmental Health Services Health, Environmental Health Services Division.
• , ensuring access to health care services, ensuring access to health care services, as<01:29:28.800

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Her essay was 'Service and Sacrifice to Life and Legacy of CL Daniel.'
• The service announced roll call on the hall. Roll call is now in progress.
• Service announced, roll call is now in progress.
• Not much, but I would like to see this just makes our ambulance service could be considered essential
• This is an act relating to emergency medical services.

Bills: SB1543, HB1933, HJR1088, HJR1090, HJR1091, HJR1092, HJR1093, HJR1095, SB1859, HB2988, HB3016, SB237, SB2065, HB3418, HCR1027, SB1641, SB1589, SB44, SB563, SB1403, HB1979, HB3075, SB2045, SB1653, SB1655, SB2030, HB2951, SB2028, SB2071, SB206, SB1849, HB3755, SB1509, SB1314, SB1561, SB1217, SB1618, HJR1096, HJR1099, HJR1100

Keywords: driving under the influence, felony offense, ignition interlock device, community service, criminal assessment, nitrous oxide, Maddix Bias Act, intoxication, underage sale, misdemeanor, drug paraphernalia, enforcement, education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools

Transcript Highlights:

• crematory capacities and rising rates across the state, when they're delayed, these people can't get the services
• c><00:15:12.480> can't<00:15:12.720> get<00:15:12.880> the<00:15:13.120> services
• these people can't get the services these people can't get the services andor<00:15:14.000> benefits

Bills: SB63, HB156, HB289, SB80, SB84, SB63, HB156, HB289, SB80, SB84

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, out-of-state warrants, criminal procedure, extradition, Alabama Code, arrest authority, interstate cooperation, Marshall County, TVA, Tennessee Valley Authority, in-lieu-of-taxes, payments distribution, local legislation, school funding, education finance

Transcript Highlights:

• know sometimes we make it more difficult, but that's not our intention, and we thank you for your service
• reimbursement program pays tuition on behalf of students who are studying to qualify for emergency medical services
• exchange for tuition, the students contract with the program to work for at least two years for an ambulance
• service, a volunteer rescue squad, or a volunteer fire department.
• Alabama Department of Public Health through its regional agencies of the Office of Emergency Medical Services

Bills: HB226, HB24, HB309, HB315, HB272, HB24, HB226, HB309, HB315, HB272

Keywords: HB226, homestead exemption, ad valorem tax, property tax, property tax relief, widow, widower, unremarried spouse, surviving spouse, senior exemption, elderly, disabled, permanently and totally disabled, blind taxpayer, deed ownership, principal residence, school tax, county tax, municipal tax, Alabama Department of Revenue

Transcript Highlights:

• service.
• of an essential service. of an essential service.
• intensive service. intensive service.
• providers in those 13 services. providers in those 13 services.
• the 14 services. the 14 services.

Bills: HF3526, HF3375, HF3469

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

Transcript Highlights:

• This is for the EMT services. We have a motion and a second. Any questions?
• And then there's $750,000 for the Youth Services Reimbursement Fund for the Department... $150,000 for
• the Youth Services Reimbursement Fund for the Department of Youth Services for diversion programs for
• youth services.
• Senior Services, on that page 17, we've got a $100,000 increase, and that's reflected in the RSVP program

Bills: SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146

Keywords: SB143, solid waste, garbage collection, trash fees, refuse collection, municipal fees, county fees, fee exemption, veterans benefits, veteran household, disabled veteran, VA benefits, Social Security exemption, low-income households, poverty level, county commission, municipal governing body, Alabama solid waste law, certificate of exception, public health

Transcript Highlights:

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

Bills: HF3738, HF2295, HF3520, HF3666

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

Transcript Highlights:

• The Senate Health and Human Services Committee will come to order again.
• One was the service Oklahoma rules, which we've repealed now, and the second thing that that litigation
• We will probably have another health and human services committee because we have exact norms, we do

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

Transcript Highlights:

• <00:48:16.280> Our<00:48:16.560> ambulance this kind of service.
• Our ambulance this kind of service.
• Our<01:07:43.680> ambulance<01:07:44.080> service<01:07:44.359> area<01:07:44.520
• > includes Our ambulance service area includes Our ambulance service area includes portions<01
• > like your ambulance service or something like your ambulance service or something like that.

Bills: HF4094, HF3390, HF3813, HF3583, HF3751, HF4324, HF4789, HF3596, HF4033, HF4424, HF4053

Keywords: Crosby, local sales tax, bonding authority, community projects, voter approval, Owatonna, use tax, special law, community center, municipal finance, capital project, sales and use tax, local option tax, city tax, public facility, general election, bond referendum, debt limit, levy limit, Minnesota local government

Transcript Highlights:

• Many rural counties in Texas struggle to provide reliable ambulance services.
• Ambulance service and private contractors come into these rural counties and provide those services in
• Well, they can purchase the equipment; they can purchase the ambulance services.
• Using the ambulance services, it's all of us, and yet they are providing it.
• Helicopter services that are used for ambulance. I have several counties that use that service too.

Bills: HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Transcript Highlights:

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

Bills: HF3797, HF3780, HF4068, HF3935

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

Transcript Highlights:

• , manufacturing, small business, and public service.
• This bill is a request from the Department of Human Services.
• But because we've made this emphasis to go provide internet service broadband service to all of Oklahoma
• We're still gonna have businesses and our service provided where There's no service before, so that's
• It was only for these areas that were 10% or less in service coverage.

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• in any service. in any service.
• . service. service.
• to deliver those services. to deliver those services.
• >> uh services in a setting. >> uh services in a setting.
• which type of service you're getting. which type of service you're getting.

Bills: HF4338

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

Transcript Highlights:

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

Bills: HB3390, HB4199, HB4407, HB4412

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

Transcript Highlights:

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

Bills: HF4491, HF4338, HF4288, HF4566

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

Transcript Highlights:

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

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

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

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

Transcript Highlights:

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

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

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