Transcript Highlights:

• to provide the community-based care model of foster care.
• I signed a non-compete with HCA Care Now Urgent Care locally.
• Critical services like medication, medical care, food, and safe temperature ranges are specified, so
• Ashworth Mazzarelli, Associate Commissioner for Child Care Regulation within the Health and Human Services
• Texas has long recognized the need for emergency infant care services, but current law limits safe relinquishment

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• services must not state that they provide unsupported palliative care services.
• Services and provide foster care services such as Depelchin, Buckner, and Catholic Charities.
• for out-of-network medical care. ...including behavioral health services.
• teen home for boys, and aftercare services for young adults who have aged out of foster care.
• In medical services, it is counterintuitive to delivering health care.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

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:

• MCOs began to carve out eye care services in Medicaid, allowing them to be administered by vision plan
• MCOs began to carve out eye care services in Medicaid, allowing them to be administered by vision plan
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• basis for a limited time period as an in lieu of services under Medicaid-managed care.
• basis for a limited time period as an in lieu of services under Medicaid-managed care.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• That becomes just a problem, not for the type of care that's provided, but for the types of services
• The next background studies proposal relates to moving child and adult foster care and adult day services
• and adult foster care and adult day<01:08:48.080> services<01:08:48.719> into<01:08:49.839
• <01:28:57.520> psychiatric<01:28:58.159> care health services psychiatric care health
• services psychiatric care providers.<01:28:59.760> Um,<01:29:00.159> I<01:29:00.400>

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement

Transcript Highlights:

• Care.
• Plans that help to maintain competitive markets for vision care services.
• The majority of Texans rely on a vision plan to access vision care services.
• Older Texans rely on Medicaid for essential health care services like long-term care, prescription drug
• Level redundancy delays a provider's ability to provide child care services, resulting in financial hardships

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• care.
• Soon after the conclusion of last session, the two large to markets for vision care services.
• The majority of Texans rely on a vision plan to access vision care services.
• Older Texans rely on Medicaid for essential health care services like long-term care, prescription drug
• The redundancy delays a provider's ability to provide child care services, resulting in financial hardships

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• Chair and members, this is the human service focus adjustment.
• > adjustment committees Minnesota care adjustment committees Minnesota care adjustment medical
• And I'm Department of Human Services.
• disability and and require um services disability and and require um services under<00:04:34.160
• Um however, the provide MAT services.

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• I was going to say a two-tier service, but we already have like a 40 tier service of health care access
• I was going to say a two-tier service, but we already have like a 40 tier service of health care access
• I was going to say a two-tier service, but we already have like a 40 tier service of health care access
• I was going to say a two-tier service, but we already have like a 40 tier service of health care access
• and long-term care long-term care and long-term care services<00:42:23.040> and<00:42:23.520>

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• Department of Customer Services. Department of Customer Services.
• services? services?
• , dental care.
• Prison dental care is horrible. Mental health care is important.
• sure that these services are available. sure that these services are available.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• Or reducing Medicaid reimbursements well below the state-determined rate for eye care services.
• It just makes sure that the dollars allocated for eye care services actually flow to the doctors. to
• Medicaid MCOs are subcontracting eye care services to vision plans, and in the process, of doing so,
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• period as in-lieu of services under mandatory Medicaid managed care.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• SB 1630 modernizes Florida's aging and long-term care statutes, streamlines service delivery, and strengthens
• services during declared emergencies or lead agency failures, preventing gaps in community care for
• the elderly, home care for the elderly, and Alzheimer's Disease Initiative services.
• With regard... ...elderly, home care for the elderly, and Alzheimer's Disease Initiative services.
• is seeking to add levels of care at an existing location or at one or more new locations if that service

Bills: S1002, S1016, S1030, S1594, S1630

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

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

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Transcript Highlights:

• One is called prevocational services, and then we have three employment services.
• , along with staff from Direct Care and Treatment and the Department of Human Services, to identify and
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And also housing stabilization services, while not a framework service, allow up to 49% of the service

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:

• , skilled nursing, memory care, rehab services, and hospice.
• CCRCs are adding services like memory care, hospice, and home-based services, but many are reducing nursing
• home or skilled nursing services at each location.
• Is an independent living unit combined with a life alert system or housekeeping services continuing care
• Is an independent living unit combined with a life alert system or housekeeping services continuing care

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• We also provide home care services in the consumer-directed community support program.
• Working in home care with our members, I know firsthand that shared care services are a vital program
• We also provide home care services in the consumer-directed community support program.
• Working in home care with our members, I know firsthand that shared care services are a vital program
• It replaced Consumer Support Grant and personal care assistant, PCA, 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:

• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• These teachers, child care providers, health care workers, law enforcement, and social services professionals

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services

Transcript Highlights:

• These teachers, child care providers, health care workers, law enforcement, and social services professionals
• services.
• The Northstar Care for Children is a financial benefit for children who are placed in foster care and
• to a permanent family from Foster Care to a permanent family Northstar<00:52:27.440> care<00:
• Costs add up for things like child care and services to help children heal from the adversity they've

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services