Transcript Highlights:

• They include the Pregnancy Risk Assessment Monitoring System, the Maternal Mortality Review Committee
• PRAMS is the short name, the acronym for the Pregnancy Risk Assessment Monitoring System.
• </c><00:32:29.480><c> monitoring</c> the pregnancy risk assessment monitoring the pregnancy risk assessment
• tests and other screens that are not done universally for everyone in care.
• </c> and health systems for example screening and health systems for example screening tests<00:41:30.440

Keywords: 1187, senate, all

Transcript Highlights:

• , including both new applicants and existing licensees who were not previously screened.
• Alphonse and Kathleen Sinati Healthcare Screening and Grant Program and its implementation.
• The department's newborn hearing screening program updated its screening guidelines and the data system
• They get background screens. So over 700 folks were deemed ineligible.
• They get back around screens. So over 700 folks were deemed ineligible.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• </c><01:53:25.280><c> for</c> New Hampshire are routinely screened for New Hampshire are routinely screened
• </c><01:53:57.679><c> and</c> countries rely on prenatal screening and countries rely on prenatal screening
• So the only women are already screened.
• </c><02:13:07.440><c> for</c> pregnant woman gets screened for pregnant woman gets screened for hepatitis
• </c><02:15:28.079><c> tests</c> but generally there are screening tests but generally there are screening

Keywords: 1189, house, all

Transcript Highlights:

• Yeah, it's not on the screen. Okay, everybody's checked in. We'll go ahead and close the key.
• We'll give it a second here and get our screens working. Thank you. Is the video working?
• They can either do the NDA Plus assessment, and if they score something equivalent or better than what
• And it specifically does say in that section of code, the ACT assessment used for accountability.
• option was not available for any student whose school chose to use the regular North Dakota State assessment

Bills: HB1404

Keywords: HB 1404, North Dakota scholarship, scholarship eligibility, student aid, high school graduation, college readiness, career readiness, career and technical education, CTE, dual credit, advanced placement, AP exam, International Baccalaureate, IB exam, ACT, SAT, WorkKeys, ASVAB, JROTC, Civil Air Patrol

Summary: The Senate Education Committee met with six members present and first took up House Bill 1404, which would update North Dakota scholarship eligibility language by allowing the NDA Plus assessment to be used in place of ACT scores in certain pathways. The Department of Public Instruction explained that the bill does not eliminate the ACT entirely, but removes outdated references tied to ACT accountability testing that will no longer apply after this year’s seniors graduate. Members discussed how the change affects public and nonpublic schools, then voted 6-0 to give HB 1404 a do pass recommendation. The committee then returned to House Bill 1363, a bill dealing with school emergency response planning and automatic external defibrillators. Members adopted an amendment clarifying that the requirements apply to school-owned facilities and grounds, replacing language about school events and venues, and revising the planning language for school-based events not held on school-owned property. The committee also debated whether the bill should be mandatory or permissive; a motion to change “shall” to “may” failed, with members noting the bill’s liability protections. The committee then voted 5-1 to pass HB 1363 as amended, with Senator Gerhardt carrying the bill. Before recessing, the chair noted that House Bill 1533 would be taken up later in the day after additional information from DPI was received.

Transcript Highlights:

• screens.
• Because we're doing these screens?
• Who pays for the drug screens?
• </c><00:14:15.680><c> and</c> services pays for the drug screens and services pays for the drug screens
• </c> collected and they need that assessment collected and they need that assessment completed,<01:14

Keywords: 958, all

Summary: The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review. The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest. The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.

Transcript Highlights:

• Implementing weapon screening this session has allowed us to ensure that individuals are not bringing
• Weapon screening was one of the highest Weapon screening was one of the highest priority<01:01:03.400
• Implementing weapon screening forward.
• Implementing weapon screening this<01:01:15.480><c> session</c><01:01:15.880><c> has</c><01:01:16.040
• , including the most the past assessments, including the most recent<01:04:04.720><c> Axtell</c><01:04

Bills: HF4810, HF4597, HF1082, HF3230

Keywords: public safety, radio communications, infrastructure funding, county funding, interoperability, ARMER network, local jurisdictions, HF4597, Minnesota public safety, 911, emergency dispatch, emergency communications, public safety appropriation, Metropolitan Emergency Services Board, PSAP, dispatch interoperability, real-time coordination, emergency response coordination, cross-jurisdictional response, 911 center awareness platform

Transcript Highlights:

• And then we're also focusing on what's called a Case 360 summary screen.
• their case, and they're going to have several pertinent pieces of information on their case in one screen
• The green screen kind of gives a pretty clear depiction of the technology on which the workforce is using
• So some of the modules that we are focusing on now are our overall case management module, our assessment
• So the first two, the assessments and safety planning module and the majority of the case administration

Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.

Transcript Highlights:

• individuals who do still require screening.
• tools that lead to more accurate and uniform assessments.
• It claims to incentivize better assessments.
• tool designed by the state when assessing these hours.
• What is your assessment?

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• , insurance premium assessments.
• It requires that public schools administer food insecurity screenings.
• It's a screening that's already done, and that particular screening is going to add two sentences that
• screenings to students, require the Department of Health to provide screening tools, House Bill 1150.
• of covered equipment, and report on technical assessments, becomes House Bill 1212.

Bills: HR84, HR85, HR86, HR87, HR88, HR89, HR90, HCR42, HCR43, HB1087, HB1088, HB1089, HB1090, HB1091, HB1092, HB1093, HB1094, HB1095, HB1096, HB1097, HB1098, HB1099, HB1100, HB1101, HB1102, HB1103, HB1104, HB1105, HB1106, HB1107, HB1108, HB1109, HB1110, HB1111, HB1112, HB1113, HB1114, HB1115, HB1116, HB1117, HB1118, HB1119, HB1120, HB1121, HB1122, HB1123, HB1124, HB1125, HB1126, HB1127, HB1128, HB1129, HB1130, HB1131, HB1132, HB1133, HB1134, HB1135, HB1136, HB1137, HB1138, HB1139, HB1140, HB1141, HB1142, HB1143, HB1144, HB1145, HB1146, HB1147, HB1148, HB1149, HB1150, HB1151, HB1153, HB1154, HB1155, HB1156, HB1157, HB1158, HB1159, HB1160, HB1161, HB1162, HB1163, HB1164, HB1165, HB1166, HB1167, HB1169, HB1170, HB1171, HB1172, HB1173, HB1174, HB1175, HB1176, HB1177, HB1178, HB1179, HB1180, HB1181, HB1182, HB1183, HB1184, HB1185, HB1186, HB1187, HB1188, HB1189, HB1190, HB1192, HB1193, HB1194, HB1195, HB1196, HB1197, HB1198, HB1199, HB1200, HB1201, HB1202, HB1203, HB1204, HB1205, HB1206, HB1207, HB1208, HB1209, HB1210, HB1211, HB1212, HB1213, HB1214, HB1215, HB1216, HB1217, HB1218, HB1219, HB1220, HB1221, HB1222, HB1223, HB1224, HB1225, HB1226, HB1227, HB1228, HB1229, HB1230, HB1231, HR73, HR74, HR75, HR77, HR78, HR79, HR80, HR81, HR83, HCR36, HCR37, HCR38, HCR39, HCR40, HCR41, HB368, HB433, HB1017, HB1018, HB1019, HB1020, HB1021, HB1022, HB1023, HB1024, HB1025, HB1026, HB1027, HB1028, HB1029, HB1030, HB1031, HB1032, HB1033, HB1034, HB1035, HB1036, HB1037, HB1038, HB1039, HB1040, HB1041, HB1042, HB1043, HB1044, HB1045, HB1046, HB1047, HB1048, HB1049, HB1050, HB1051, HB1052, HB1053, HB1054, HB1055, HB1056, HB1057, HB1058, HB1059, HB1060, HB1061, HB1062, HB1063, HB1064, HB1065, HB1066, HB1067, HB1068, HB1069, HB1070, HB1071, HB1072, HB1073, HB1074, HB1075, HB1076, HB1077, HB1078, HB1079, HB1080, HB1081, HB1082, HB1083, HB1084, SB111, SB122, SB195, SB221, SB404, HR1, HCR6, HCR19, HB27, HB81, HB134, HB154, HB163, HB170, HB194, HB214, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB514, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB830, HB838, HB844, HB882, HB885, HB888, HB950, HB961, HB966, HB980, HR15, HR20, HCR14, HB58, HB69, HB93, HB166, HB199, HB201, HB202, HB218, HB223, HB224, HB231, HB235, HB246, HB338, HB349, HB352, HB379, HB405, HB429, HB535, HB547, HB577, HB588, HB626, HB636, HB652, HB653, HB669, HB688, HB691, HB721, HB738, HB806, HB851, HB857, HB861, HB889, HB904, HB907, HB908, HB929, HB1009, HB13, HB23, HB25, HB32, HB41, HB90, HB120, HB121, HB122, HB127, HB138, HB139, HB141, HB179, HB187, HB213, HB247, HB286, HB332, HB344, HB357

Keywords: physical therapy, healthcare, prevention, wellness, education, Louisiana, landscape architecture, environment, public health, economic development, infrastructure, condolences, memorial resolution, tribute, Roger D. Boudreaux, Church Point, mayor, Louisiana House of Representatives, community service, local government

Transcript Highlights:

• Under the Oklahoma State Department of Education that you see on the screen.
• We do everything on my team, from doing trainings for bomb threat to threat assessments to...
• Risk and vulnerability assessments.
• The monitoring people, that pops up on their screen.
• It highlights the weapon in the screen and the screen picture, and the schools can react accordingly.

Summary: The meeting focused on school safety funding and security practices in Oklahoma schools, especially how districts have used school resource officer (SRO) allocation money and related security grants. Kevin Rey of the Oklahoma State Department of Education’s Office of School Safety and Security explained that the program, created under HB 2903, allows districts to use funds for SROs and physical security improvements such as cameras, access control, fencing, window film, bollards, metal detectors, and vape detectors. He said more than 170 districts used the money to hire SROs in 2024-25, and that the 2024 change allowing retired officers and armed security guards to qualify was a major help. Members questioned whether the money should also support prevention and mental health services, and Rey said the current program is mainly for security hardware and related measures. Mark Stout, chief of police for Putnam City Schools, described the district’s layered security approach, including weapon detection at middle and high schools and the ZeroEyes AI camera system, which monitors existing cameras for visible guns and sends alerts to trained monitoring staff and then to district police. He said the system is used as one layer among others, alongside officers, weapon detection, and school procedures, and noted the district is expanding coverage at athletic facilities. He also explained that the system is more economical than full weapon-detection setups, with annual costs based on the number of cameras. Tecumseh Superintendent Kinsey, Chief Kennedy, and Pottawatomie County law enforcement described the October threat investigation involving a student who posted a photo with a handgun and knife and discussed violence online. They said the FBI tip, rapid coordination among agencies, and an SRO already embedded in the district helped lead to a search warrant and arrest within hours, preventing a possible attack. Kinsey also described the district’s safety measures, including secure entrances, cameras, ALICE training, crisis communication planning, mental health support, clear backpacks, and a new staff alert system. He said community feedback after the incident favored more law enforcement partnership, limited entry points, handheld metal detectors, more SROs, stronger training, and more mental health support. Matt Riggs, former superintendent of McComb, said smaller districts face different security challenges because of limited local law enforcement and long response times. He explained that McComb used its funding for facility upgrades rather than hiring a full-time SRO because the district wanted improvements that would last beyond the three-year funding window. Throughout the discussion, several members emphasized the tension between visible security measures and prevention, with repeated calls for more counselors, mental health supports, and threat-assessment efforts alongside hardening measures. No formal votes or actions were taken in the transcript.

Transcript Highlights:

• Are you able to see my screen? Yes, okay.
• screen screen yes<00:31:12.799><c> okay</c><00:31:13.799><c> so</c><00:31:14.200><c> just</c><00:31:
• , when you make assessments, what do you do with that assessment?
• <01:30:39.280><c> and</c> assessment and assessment and characterization<01:30:41.480><c> um</c><01:30
• what do you do with that assessments what do you do with that assessment<01:30:46.639><c> sure</c><01

Keywords: 1187, senate, all

Transcript Highlights:

• We will follow the order of the agenda, which is displayed here on the screen.
• And we'll turn to the screen and Dolores Prescott, who's testifying virtually.
• assessments on their website.
• We'll turn our attention to the screen for our remote testifiers.
• And seeing no questions, we'll turn our attention to the screen for our virtual testifiers.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• California recognized the importance of providing coverage for biomarker testing, which helps many assess
• California recognized the importance of providing coverage for biomarker testing, which helps many assess
• You know, more people get a colon screening as a result. So health care costs actually go up.
• to keep the Care Court case open while that assessment occurs.
• When Care Court... ...allows the court to keep the Care Court case open while that assessment occurs.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• And screens, I thought they were joking.
• As a county commissioner, I screen.
• before. ...up on the screen before.
• These uh DOSsbased greenbased uh screen.
• I see that blue blue screen changed.

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

Transcript Highlights:

• Let's get them screened. If they have a positive screen, then we can get them into treatment early.
• </c><00:43:00.720><c> program</c> tobacco prevention assessation program tobacco prevention assessation
• </c> &gt;&gt; Well, and our lung cancer screening &gt;&gt; Well, and our lung cancer screening program
• </c> demographic or certain screening demographic or certain screening questions<00:54:15.760><c> um<
• </c> identify people to screen? identify people to screen?

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:09 Approval of Minutes 00:00:48 KOAP Report 00:01:09 Update from CHFS 00:20:27, 958, all

Summary: The meeting opened with a quorum, approval of the September 18, 2025 minutes, and a staff update on recent tobacco settlement-funded agriculture activities. The agriculture side highlighted Commissioner Shell’s outreach, including school visits, farm visits, and speaking engagements in Kentucky and a trip to Tennessee to discuss program models. A representative also described a national conference in Iowa, where Kentucky’s agriculture finance program was praised as a $180 million loan program built with tobacco settlement funds. The board noted September approvals totaling $950,000 for the agriculture development board and $3.3 million for the finance corporation, along with staff activity such as site visits, program closures, and project reports. The board also announced that the KKMP report covering 2015-2022 would be distributed and that the annual report, marking the program’s 25th anniversary, was being prepared. The board then reviewed two featured projects. The Organic Association of Kentucky requested $425,000 for organic producer support, but the board approved only one year of funding at $29,000, with members noting concern about recurring applicants and the need to evaluate long-term funding. The second project, by Joseph Dale Bentley in Lewis County, sought $51,300 to expand a small ruminant facility for goat production and export. Members were particularly interested because the project was already operating and creating market opportunities for Kentucky goat producers; the board approved half the project cost to help expand infrastructure and potentially allow quarantining on site. The cabinet then presented its annual update on tobacco settlement fund use in public health. Julie Brooks, Sarah Johnson, and Andrea Day reported on the HANS home visitation program, tobacco prevention and cessation efforts, lung cancer screening, and early childhood oral health. HANS served more families in FY25, rising from 6,293 to 6,715, and increased services from 139,943 to over 143,000. Tobacco prevention and cessation programs continued to support Quit Now Kentucky and My Life, My Quit, though officials noted federal uncertainty and the loss of federal tobacco control infrastructure. They also reported a slight decline in student outreach and cessation requests, but continued demand from schools and communities for vaping and nicotine prevention support. Lung cancer screening expanded to 55 screens, with Kentucky cited as a model for other states due to improved incidence, survival, and early detection rates. Early oral health efforts continued through local health departments, with more trainings for public health nurses, continued varnish kits, and expanded support for dental graduates and hygiene teams.

Transcript Highlights:

• And conditions of local detention facilities, and can you actually make an assessment about whether that's
• size fits all in different conditions that exist in different places, like making sure you can truly assess
• In some cases there's been some flexibility allowed, where maybe in terms of an intake screening you
• size fits all in different conditions that exist in different places, like making sure you can truly assess
• know in some cases there's been some flexibility allowed where maybe in terms of like an intake screening

Summary: The Senate Committee on Rules met with quorum and first approved several governor’s appointments not required to appear, including Deborah Garns, Davis Rabbit, Cindy Silva, Vincent Wells, and Lee Herrick as California Poet Laureate, all by 5-0 votes. The committee also approved reference of bills to committees and floor acknowledgments, each by 5-0 vote, before moving to appointments required to appear. Trista Gonzalez, nominated to lead the Department of Tax and Fee Administration, testified about her 33-year career in tax administration and emphasized taxpayer service, efficiency, and team culture. Members asked about responsiveness to legislators, the lithium extraction tax, online sales tax compliance after Wayfair, and enforcement against illicit cigarette, tobacco, and cannabis activity. Gonzalez said the department is ready for the lithium tax, works to register businesses meeting the $500,000 threshold, and coordinates with law enforcement on inspections and seizures. Public commenters from Ryan LLC and the California Society of Enrolled Agents supported her confirmation. The committee voted 5-0 to send her nomination to the full Senate. Aaron McGuire, nominated as executive director of the Board of State and Community Corrections, described his experience at the agency and its expanded responsibilities, including annual detention facility inspections, major grant administration, and the new in-custody death review division. Senators questioned him about grant oversight, fraud prevention, public access to audits, implementation of SB 519, and conditions in local detention facilities, especially in Los Angeles County juvenile facilities. McGuire said the board uses screening, reporting, site visits, audits, and recovery actions to monitor grants, and that trailer bill language has clarified access to records for in-custody death reviews. He also said staffing shortages remain a major issue in Los Angeles juvenile facilities and that the board continues to work with the courts and local officials. Supporters from Amity Foundation, Health Right 360, Westcare, and Giffords testified in favor, and the committee approved his nomination 5-0 to advance to the full Senate.

Transcript Highlights:

• it in or screen it out.
• And no, they are assessing fines, like Ms.
• But this would assess them a cost of operation, and they're about making a profit.
• Ready on the screen, everything's geared up for you?
• I don't know if I can get them up on the screen.

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• Is that a safe assessment of what we have on the agenda today?
• Is that a safe assessment of what we have on the agenda today?
• </c><00:23:32.360><c> and</c> informed organizational assessments and informed organizational assessments
• The trauma-informed care organizational assessment is a robust assessment of the Department of Child
• </c> come into a family's life to assess come into a family's life to assess whether<00:45:55.440><c>

Keywords: 910, house, all

Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.

Transcript Highlights:

• </c><00:32:10.720><c> the</c> to convene a working group to assess the to convene a working group to
• assess the feasibility<00:32:11.600><c> of</c><00:32:11.919><c> allowing</c><00:32:12.399><c> business
• using a validated cognitive assessment using a validated cognitive<00:44:53.760><c> tool.
• </c> cognitive screening cognitive screening per<00:52:54.480><c> executive</c><00:52:55.040><c> office
• So I have my DM notes on your screen. Thank you very much.

Keywords: 912, senate, all

Summary: The committee first considered a series of Governor’s Message nominations, largely to the State Council on Developmental Disabilities and one to the Hawaii Advisory Commission on Drug Abuse and Controlled Substances. Testifiers and agencies spoke in strong support of the nominees, emphasizing their advocacy, community involvement, and lived experience. The committee heard from nominees and supporters for John Paul Moses III, Cynthia Fowler, Joshua Eay, Alicia Kim, Raymond Mamea, Maria Christina Valenzuela, Eden Watabayashi, Sierra Whiteside, and Brandy Lynn Macallani Hayen. After hearing testimony, the committee voted to advise and consent on each nomination, with the votes adopted by the members present. The committee then took up SR 53 / SCR 69, which asks the Department of Health to convene a pharmacy benefit manager working group to improve transparency, fairness, and drug affordability. Supporters included the Hawaii Pharmacist Association, the University of Hawaii system, and several individuals, while the Department of Health said the issue is complex and may require additional support or a different structure. Members discussed whether the Department of Health should lead the effort or whether another entity, such as SHIPA with an appropriation, might be more workable; the Department of Health suggested a $100,000 appropriation could be sufficient. Next, SR 56 / SCR 73 proposed a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience supported the measure and asked for an extended deadline to the end of 2026, and several youth, mental health, and community organizations testified in support. The committee also heard SR 69 / STR 86 on creating an aeromedical services working group, with support from Air Methods, the Department of Health, and the Hawaii Medical Association, and SR 99 / STR 118 on studying the use of filtered catchment water for business activity, which drew support from the Plumbing and Mechanical Contractors Association and comments from the Department of Health that the issue is complicated and should include the Department of Agriculture. No final votes on the resolutions were taken in the portion of the meeting provided.

Transcript Highlights:

• We now have a list of DHCS-approved youth trauma screening tools that can help practitioners determine
• , and those were to allow practitioners to intervene or override the screening tool direction based on
• At the same time, we are assessing training and technical assistance strategies and certainly welcome
• During the same time frame, our mobile crisis teams conducted 1,723 in-person crisis assessments.
• They provide in-the-moment de-escalation, suicide risk assessment, safety planning, and direct links

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.