Transcript Highlights:

• licensed-exempt child care providers, including substitutes and unsupervised volunteers, must receive
• <00:25:12.720> funding significant rural healthc care funding significant rural healthc care
• together to demand better health care together to demand better health care for<01:01:14.480>
• <01:03:37.119> of generally people are taking care of generally people are taking care of
• And um you know in some of child care.

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• is devastating to continuity of care. is devastating to continuity of care.
• fragmenting care. fragmenting care.
• when she originally entered foster care. when she originally entered foster care.
• college students to serve as direct care college students to serve as direct care uh<01:15:01.640
• more people into the direct care more people into the direct care workforce<01:15:25.560> and

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• I think many of us in this room, until there are robots to take care of us.
• We are going to need some kind of care like this at some point.
• We have almost 8,000 seniors approved for long-term care in 2025.
• The cost for long-term care was $51,000 per individual last year.
• Most do not want to go to long-term care, but no one knows the options.

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:

• practitioners or associations of health care practitioners.
• practitioners or associations of health care practitioners.
• They don't care about their gold, silver, millennium, whatever they've got... Bring it in.
• They don't care about their gold, silver, millennium, whatever they've got.
• She'll take care of you. Madam Chair, senators, we did in the last committee...

Bills: SB12, SB36, SB92, SB120, SB133, SB151, SB18, SB96

Keywords: tax credit, physician, healthcare, income tax, rural health, quantum technology, infrastructure, economic development, New Mexico, corporate tax, research and development, innovation, affordable housing, gross receipts tax, tax deduction, construction materials, multifamily housing, low income, journalism, local news

Transcript Highlights:

• I see. that is that to give that foster care that is that to give that foster care placement<00:10:31.760
• prohibition in both uh childc care prohibition in both uh childc care assistance<00:28:36.559>
• opening up their family to kinship care opening up their family to kinship care or<00:31:26.640>
• care providers.
• The National Family Child Care Association. It's family child care providers.

Bills: HF1918, HF2305, HF897, HF2191, HF2617, HF2551, HF2137

Keywords: HF1918, Department of Children Youth and Families, DCYF, child welfare, foster care, out-of-home placement, permanency planning, relative search, noncustodial parent, kinship care, family preservation, African American Child and Family Well-Being, racial disproportionality, maltreatment reporting, educational neglect, truancy, school attendance, Great Start compensation, child care provider payments, TEACH early childhood program

Transcript Highlights:

• um and and re needs to receive uh care um and and re needs to receive uh care if<00:42:28.240>
• connections with housing and health care connections with housing and health care and<00:56:17.599
• housing, health care, you know. housing, health care, you know. >> Yeah. >> Yeah.
• , dental care.
• Prison dental care is horrible. Mental health care is important.

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:

• Primary care is the gatekeeper to health care services.
• Primary care is the gatekeeper to health care services.
• It’s been a long time that they’ve needed more primary care, especially care that accepts all people
• But primary care, again, is the gatekeeper and where all care has to start.
• The primary care, again, is the gatekeeper and where all care has to start. We don't have enough.

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Transcript Highlights:

• It allows child care operators and at-home child care facilities to provide assistance or to provide
• For every dollar invested in child care, states realize about $2 in local spending because child care
• Okay, on the substitute, I don't know that I've ever said a substitute part.
• Okay, on the substitute, I don't know that I've ever seen a substitute for a memorial, but do we have
• We have to do the substitute first.

Bills: HB303, SB96, HM6

Keywords: public utility, certificate of public convenience and necessity, certificate of need, Public Regulation Commission, PRC, utility regulation, ratemaking, energy storage, battery storage, grid reliability, renewable energy, transmission, distribution, generation plant, utility expansion, service territory, mutual domestic water consumer association, economic development department, clean energy, fossil fuel reduction

Transcript Highlights:

• New Mexico needs more child care centers.
• So, when child care operators who are offering care in a home go from serving six to seven children suddenly
• Programs and child care centers.
• they provide care in that home that they live in A child's care center would only be permitted in commercial
• And there are places that offer 24-hour care or care from midnight to 6 a.m. for infants.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• I don't care who's supposed to request it. It's law and you have to request it.
• I don't care who's supposed to request it. It's law and you have to request it.
• , skilled nursing, memory care, rehab services, and hospice.
• SB 1522 addresses this issue by updating what constitutes continuing care.
• What a continuing care contract is and what it is not.

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:

• transferability of child foster care transferability of child foster care background<01:02:57.560
• change for child foster care studies. change for child foster care studies.
• uh related to supervision for child care uh related to supervision for child care background<01:
• You can't care for seniors or care for disabled people until you've passed the background study.
• can't care for seniors or care can't you can't care for seniors or care for<01:04:24.359> disabled

Bills: HF4525, HF3002, HF3665, HF4420

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

Transcript Highlights:

• For those of you that may or may not know, this foster care is a passion for me.
• I've sent it to my judges that make the decisions on foster care and that kind of thing.
• You guys are because I know you care, and I know you're involved. And so your opinions are great.
• Situation, and we do have to have a community of support, particularly in terms of foster care folks
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We want to keep it strong so that we can reach every person in this state with dementia care and resources

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Summary: The Committee on Appropriations heard two bills. Senate Bill 1131 would require school districts and charter schools to report AED counts, CPR/AED training levels, and cardiac emergency response plans to ADE, and would appropriate $1 million for AED purchases and maintenance. The committee adopted an amendment shifting the funding source from the general fund to the industry-recognized certification and licensure reimbursement fund, after staff said the fund had an estimated $2 million balance and continued to receive $1 million annually. The American Heart Association testified in support, emphasizing the need for AEDs, CPR training, and emergency planning in schools. The bill was returned with a due pass recommendation by a 15-1 vote, with two members voting present and several members noting concerns about using the special fund rather than general funds. Senate Bill 1249 would create or continue a dementia services program and Alzheimer’s state plan at the Department of Health Services and appropriate $600,000 from the Health Services Lottery Moneys Fund. The Alzheimer’s Association testified in strong support, saying the prior three-year appropriation helped establish the plan and workgroups and that the new funding would support implementation, caregiver support, data collection, training, and grant applications. Several members raised concerns about taking money from a fund that supports maternal and child health programs such as Health Start and WIC, describing it as “robbing Peter to pay Paul,” while others said they supported the policy but wanted a sustainable funding source. The bill received a due pass recommendation on a 9-3 vote, with three members voting present.

Transcript Highlights:

• referral agencies that help families find senior living communities like assisted living or memory care
• Or a fixed fee based on the cost of rent or care.
• We provide assisted living in Alzheimer's certified care.
• Our mission is to provide high quality care in a home-like setting at an affordable price.
• So because they care. OK.

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

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

Transcript Highlights:

• from agencies that help families find senior living communities, such as assisted living or memory care
• Per referral or a fixed fee based on the cost of rent or care.
• The bill also plans to add language in a substitute that requires agencies to clearly disclose how they
• We provide assisted living and Alzheimer's certified care.
• When I first started my business 20 years ago, we had to take good care of our residents and build a

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

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

Transcript Highlights:

• A committee substitute? Is there objection to the adoption of the committee substitute?
• Responsibility for certain out-of-network medical care provided to children in foster care.
• And the substitute is adopted.
• Committee substitute, is there objection to the adoption of the committee substitute?
• Texans rely on highly trained and skilled health care workers to deliver essential medical care.

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

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

Transcript Highlights:

• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• their CCRC certificate because of an outdated definition of continuing care.
• Continuing care is not clear in the statute.

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

Transcript Highlights:

• past we have seen Managed Care past we have seen Managed Care organizations<00:35:39.760> not
• I see them relying on medical assistance for their health care coverage to access primary care.
• care system money.
• primary care provider.
• <01:23:48.000> care assertive assertive community care care assertive assertive community

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• House File 1916 introduces essential safeguards to Minnesota's child care system.
• despite those Child Care Centers visited despite those Child Care Centers receiving<00:20:13.679>
• > or<00:21:27.360> early in child care assistance funds or early in child care assistance
• It is to provide help for child care facilities, right?
• It is to provide help for child care facilities, right?

Bills: HF1169, HF1916

Keywords: 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, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• , hours of care, to people who qualify for those treatments. ...provide units of care, hours of care,
• Health Care Workforce Resources Center.
• I have repeal sections of the Health Care Workers and Educators' Assistance Program and the Health Care
• So this is a physician who did not take care of the patient in any way—no direct patient care—but is
• So this is not direct patient care.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause