Transcript Highlights:

• thank you Mr chair uh and members yeah thank you Mr chair uh and members yeah the<01:15:27.639> HCBS
• c> Home<01:15:28.560> and<01:15:28.679> Community<01:15:29.080> Based the HCBS
• or Home and Community Based the HCBS or Home and Community Based person<01:15:30.040> portal<
• Director Baile said that all of the HCB, or all of the DWS services, do have an absence factor within
• Director Baile said that all of the HCB, or all of the DWS services, do have an absence factor within

Keywords: 1183, house

Transcript Highlights:

• Medicaid transportation, outpatient therapy reimbursements, jail-based medical assistance treatment, and HCBS
• jail-based medical assistance treatment, jail-based medical assistance treatment, and<01:27:26.080> HCBS
• and HCBS and HCBS reporting<01:27:28.840> while<01:27:29.040> directing<01:27:29.560

Keywords: 981, all

Summary: The House convened with a quorum, approved the corrected journal, and spent much of the opening period on recognitions and announcements. Members welcomed students and staff from the San Luis Valley BOCES Transition Program, recognized Purple Up Day and military children at the Capitol, noted committee meetings later in the day, and observed a moment honoring former Senator Ben Nighthorse Campbell. Several members also shared personal remarks about being military children and invited colleagues to a Bible study. The chamber then took up Senate Joint Resolution 16, concerning retirement readiness and financial well-being. The sponsor said the resolution affirms Colorado’s commitment to strengthening retirement security through tools such as financial education, automatic enrollment, employer matches, and lifetime income options. The resolution was adopted by a vote of 59 ayes, 1 no, and 5 excused, with Representatives Rutnel and Lindsay listed as co-sponsors. The House next moved into special orders and considered House Bill 1233 on property tax procedures for non-residential properties. An amendment clarifying petty offense liability and appeal timelines was adopted, while another amendment on notice to property owners was defeated. Supporters said the bill adds penalties for false information, allows counties to request district court review, and improves fairness and accountability in non-residential property tax appeals; opponents argued it would impose costly new burdens on businesses. The committee report, as amended, and the bill were both adopted. The chamber also adopted Senate Bill 128, which exempts certain destination management company fees from sales and use tax. Supporters said the bill codifies current practice, clarifies the definition of destination management company, and avoids taxing services twice; the Finance Committee report was adopted first, then the bill passed. Consideration then began on House Bill 1195, which restricts the use of artificial intelligence in psychotherapy services. Sponsors described a multi-page amendment adding definitions, allowing certain FDA-approved AI uses, moving some provisions to the Consumer Protection Act, and clarifying liability and consent; members broadly supported the need for guardrails and patient protections, and discussion continued on additional consent language.

Transcript Highlights:

• has massively grown, causing funding issues, which have been mixed together with lawfully required HCBS
• mixed up in, I don't know, misinformation with various advocacy groups that are confusing things where HCBS

Bills: HB2014, HB2156, HB2180, HB2554, HCR2047, HR2002

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, livestock, compensation, funding, ranching, agriculture, appropriation, University of Arizona, education, state budget, biennial budget, state funding, appropriations, budget procedures, fiscal years, Judea

Summary: The committee first took up HCR 2047 and the identical HCR 2002, both sponsored by the chair. The resolutions recognize the historical, biblical, and legal legitimacy of Judea and Samaria, encourage those terms in official state communications, and reject the term West Bank as a modern political construct. Staff and several proponents, including representatives of an Israel-Arizona business coalition, a rabbi, and a StandWithUs representative, argued the language is historically accurate and important for truth, legal clarity, and Arizona’s relationship with Israel. No one testified against either measure. HCR 2047 passed 10-6 with 2 not voting, and HCR 2002 passed 11-6 with 1 not voting, both with due pass recommendations. The committee then considered HB 2554, which would move Arizona to a biennial state budget process and biennial capital planning. The sponsor argued the change would make government smaller, more disciplined, and less prone to long budget fights and spending growth. JLBC staff provided historical context, explaining Arizona’s past use of annual, bifurcated, and biennial budgeting and noting that second-year budgets are often adjusted for revenue and caseload changes. Members raised concerns about legislative leverage, executive flexibility, and whether the state already effectively budgets on a multi-year basis. Testimony was mixed: one supporter said the change could improve budget clarity, while others voted present or no, citing uncertainty and the need for more study. HB 2554 received a due pass recommendation on a 9-7 vote with 2 present. Next, HB 2014 was amended and passed. The bill directs ADEQ and the Department of Agriculture to study gasoline blend emissions and feasibility for seasonal fuel use in certain areas, with appropriations for the studies. The sponsor said Arizona’s fuel supply is vulnerable because of federal EPA rules and reliance on out-of-state refineries, especially California. Some members supported the study as a way to address possible fuel shortages, while others said prior stakeholder work had shown little could be done and questioned the cost. After adopting the Livingston amendment, the committee gave HB 2014 a due pass recommendation on a 12-2 vote with 4 present. The committee also advanced HB 2180, which funds the University of Arizona’s AZ Reach program, after adopting an amendment reducing the appropriation from $2.5 million to $500,000. The sponsor and a rural physician testified that AZ Reach helps small hospitals coordinate patient transfers, freeing clinicians to focus on care and improving access for rural communities. A program director explained that AZ Reach handles the administrative logistics of transfers for sending hospitals. Some members supported the program but noted concerns about the amount and ongoing budget negotiations, while others said the receiving hospitals needed to be part of the discussion. The bill passed with a due pass recommendation. Finally, HB 2156, as amended, appropriates $250,000 for the livestock compensation fund to help ranchers with wolf depredation losses and conflict-avoidance measures. A Game and Fish representative said the current federal grant funding is insufficient and unstable, while members debated the use of general funds and the program’s priorities. The bill received a due pass recommendation on a 10-7 vote with 1 not voting.

Transcript Highlights:

• <00:49:04.480> changes Okay, moving on to um other HCBS changes Okay, moving on to um other
• HCBS changes that<00:49:05.359> you<00:49:05.680> had.
• <00:49:10.480> Um Okay, moving on to other HCBS changes that you had.
• Uh the next slide goes over some of the savings items that you had for HCBS.
• The next slide goes over some of the savings items that you had for HCBS.

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• disproportionately support institutional care, violating federal laws that require states to prioritize HCBS
• federal laws that require states to federal laws that require states to prioritize<00:43:32.000> HCBS
• /c><00:43:32.800> expansion<00:43:33.359> and<00:43:33.559> ensure prioritize HCBS
• expansion and ensure prioritize HCBS expansion and ensure patient<00:43:34.400> Choice<00:43:

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Labor and Technology committee heard testimony on SB 447, a Department of Health pilot program related to recruitment, and SB 1043, a tax measure. On SB 447, the Department of Health said the pilot had streamlined hiring by delaying minimum-qualification review until later in the process, while the Department of Human Resources Development objected that parts of the bill could conflict with civil service rules, due process rights, and equal pay requirements. Several labor and employee groups testified, with some supporting the pilot as a way to address vacancies and others warning about merit-system concerns. The committee later voted to pass SB 447 as is. On SB 1043, testimony was mixed but largely focused on the bill’s tax changes, especially the proposed increase to the general excise tax and exemptions or credits for lower-income households. Supporters, including labor groups and housing/worker advocates, argued the bill would reduce burdens on working families, help with food insecurity, and keep residents in Hawaiʻi. Opponents, including the Tax Foundation of Hawaiʻi and some community witnesses, said the general excise tax is regressive and would raise costs across the state. The committee voted to advance SB 1043 with substantial amendments, deleting most of the bill except section two and setting a far-future effective date, while noting the fiscal impact had not been provided. The committee also deferred SB 633 and later deferred SB 1633 for further decision-making, scheduling continued consideration for February 12, 2025, in Room 225. The hearing included standard instructions on one-minute testimony, written testimony, and Zoom procedures, and the committee adjourned after taking the above actions.

Transcript Highlights:

• “That would be the personal care through HCBS or, excuse me, yeah, HCBS, our 1915(i) waiver.

Keywords: 907, all

Transcript Highlights:

• of care or any malfeasance, but because the funding structure does not allow us to meet the federal HCBS
• to<00:30:06.720> meet<00:30:06.960> the<00:30:07.080> federal<00:30:07.680> HCBS
• <00:30:08.400> requirements<00:30:09.640> of to meet the federal HCBS requirements
• of to meet the federal HCBS requirements of the<00:30:09.960> individuals<00:30:10.600> that

Bills: HF4491, HF4338, HF4288, HF4566

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

Transcript Highlights:

• Sherry Manor, the Chamber stands on its written testimony from HCB, HTC. >> Okay, thank you.
• Thank you. from HCB, HTC. from HCB, HTC.

Bills: HB1629, HB1630, HB1631

Keywords: economic development, business, state statutes, Hawaii Revised Statutes, legislation, development strategy, state funding, infrastructure, employment opportunities, legislative intent, state legislation, development initiatives, 910, house, all

Summary: The committee heard testimony on several bills, beginning with HB 1829 on marine affairs. Most testimony was in strong support, with speakers from state agencies, ocean-tech companies, startups, nonprofits, and community groups backing the creation of an Office of Marine Affairs and a marine affairs coordinator under HTDC. Supporters said the measure would better coordinate ocean policy, strengthen the blue economy, and help Hawaii capture jobs, investment, and innovation in marine-related industries. No vote or final action was taken in the portion provided. The committee then took up HTDC-related measures, including HB 1615 and HB 1613, which also drew broad support from business, technology, and economic development interests. Testifiers said the bills would strengthen Hawaii’s technology and innovation ecosystem, support advanced manufacturing and cybersecurity, and help build a more diversified economy with higher-wage jobs. The committee also heard HB 1607 on public procurement and HB 1772 on small business procurement; state procurement staff and several business groups supported efforts to expand opportunities for local firms, while one speaker from the city’s economic revitalization commission argued that a flat 5% preference could help keep more revenue and jobs in-state. On HB 1636 relating to shopping carts, the Hawaii Food Industry Association and Retail Merchants of Hawaii testified in opposition, saying the bill would penalize businesses for carts that are stolen rather than abandoned and would add costs that could especially burden small and local retailers. HB 1810 on charitable solicitation drew support from Goodwill Hawaii and other nonprofits, who said the bill would improve transparency around donation bins and protect donors from misleading for-profit collection practices; the Attorney General’s office asked for a delayed effective date to allow system changes and staffing. HB 1782 on AI and the protection of minors received broad support from state agencies, educators, and advocacy groups, but some business and retail representatives urged narrowing the definition of covered AI services so ordinary customer-service chatbots would not be swept in. Finally, HB 1759 on theft drew opposition from the Public Defender’s Office, which said the bill could create overly harsh penalties and should include defense representation on any task force; the office also noted existing laws already address conspiracy and related conduct.

Transcript Highlights:

• One would be a daily rate, and the other is the HCBS model now is they're paid.

Keywords: 908, all

Summary: The committee met to consider three measures, beginning with Senate Bill 2016 for Job Service. Testimony described Job Service’s workforce, unemployment insurance, and labor market functions, its long-term reduction in FTEs and budget, and its reliance on federal funding that does not keep pace with inflation. The bill included funding for an additional FTE for the H-2A housing inspection program, continued support for the JP3 offender placement pilot, and one-time funding for IT and mainframe costs tied to a system modernization effort. The committee approved the bill 20-0, with Representative Swiontek named as carrier. The committee then discussed Senate Bill 2305, which would allow family members to be paid as caregivers for certain young people with disabilities instead of only licensed outside providers. Members noted the specialized, 24-hour nature of the care, workforce shortages, waiting lists, and the potential to avoid more expensive institutional care. Questions focused on how the program would be structured, including certification requirements and whether it would remain a pilot or become part of the broader human services budget. The committee passed the bill 20-0, with Representative Roar as carrier and Representative Nelson available as backup. Finally, the committee took up Senate Bill 2024 for the Department of Environmental Quality. The House change was limited to increased special-fund support for water and wastewater operator certification testing to expand availability, while the Senate version already included added FTEs for emerging contaminants and fuel inspection work. Members discussed federal funding uncertainty, including IIJA and ARPA-related concerns, but the department said its major projects, including the new laboratory, were not currently in jeopardy. The committee adopted the amendment and then passed the bill as amended 22-0, with Representative Berg as carrier.

Transcript Highlights:

• Some of the major ones that have helped people in our state include the HCBS waiver, the CFI program,
• :14:45.240> Advantage<00:14:46.079> Program<00:14:47.079> um<00:14:47.279> HCBS
• <00:14:48.120> or the granite Advantage Program um HCBS or the granite Advantage Program um
• HCBS or home<00:14:48.519> and<00:14:48.680> commity<00:14:48.959> based<00:14:
• waiver the CFI program the the HCBS waiver the CFI program waiver<00:17:12.480> opportunity<00

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• Community Based which is the ACB<00:05:04.840> uh<00:05:04.960> the<00:05:05.080> HCB
• c> the<00:05:06.400> model<00:05:06.759> waiver<00:05:07.160> 2 ACB uh the HCB
• the M the model waiver 2 ACB uh the HCB the M the model waiver 2 which<00:05:07.680> is<00:05

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• So, one is a daily cap of 8 hours for IHS with training services under the HCBS waivers, and then it
• I think the specified purpose was to offset premiums for, I believe, it was for HH HCBS providers.
• <02:07:56.239> So<02:07:56.400> that was for HH HCBS uh providers.
• So that was for HH HCBS uh providers.
• /c><02:17:34.000> um<02:17:34.160> to So this is a governor's proposal to reduce the HCBS

Keywords: 1187, senate, all

Transcript Highlights:

• In the definition section, there's a reference twice in FNG to HCBS regulations, and I believe that those
• FNG um there's a reference twice in FNG um there's a reference twice in FNG to<00:18:44.680> HCBS
• <00:18:45.880> regulations to HCBS regulations to HCBS regulations and<00:18:47.920> I<

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• and instead leverage a current policy used by DHS with respect to authorizing services or licensing HCBS
• 05.480> licensing uh authorizing services or licensing uh authorizing services or licensing HCBS
• <00:33:07.280> providers<00:33:08.160> who HCBS providers who HCBS providers who have<00
• Chair, I think we passed protections for HCBS last year.
• Chair, I think we passed protections for HCBS last year.

Keywords: 1187, senate, all

Transcript Highlights:

• It also funds 175 new HCBS waiver slots, funded with $1.53 million in general fund dollars in FY 27 and
• It also funds 175 new HCBS waiver slots, funded with $1.53 million in general fund dollars in FY 27 and
• House Floor Amendment 9 also proposes adding 75 additional new HCB waivers for a total of 250 new home
• <01:13:41.520> waivers<01:13:42.000> for adding 75 additional new HCB waivers for adding
• 75 additional new HCB waivers for a<01:13:42.320> total<01:13:42.560> of<01:13:42.880>

Keywords: 958, all

Summary: The meeting opened with prayer and the Pledge of Allegiance, then moved into committee and floor reports. Several measures received favorable committee reports and were ordered to first reading and placed on the calendar, including Current Resolution 9, Senate Joint Resolution 23, House Bill 145, House Bill 567, and House Bill 506 with House Committee Substitute 1. The chamber also noted that House Bills 500 and 504 had already received two readings and were sent to the Rules Committee before House Bill 500 was brought up for final consideration. Most of the discussion focused on House Bill 500, the executive branch budget bill. Members described it as a “good first draft” and emphasized a budget process they said was more transparent than in prior years. The bill was presented as a restrained two-year operating budget with spending growth kept at a little under 2% annually, while setting aside about 2% of projected revenues, or roughly $614 million, in the Budget Reserve Trust Fund for future needs. The budget also used base reductions in some areas while exempting others such as Medicaid benefits, SEEK, corrections, behavioral health, and veterans programs. Subcommittee chairs then outlined major spending areas. Education provisions included a 2% annual increase in base SEEK funding, transportation funding held flat, equalization for recallable nickel funding, continued retirement contributions, and major support for postsecondary access, dual credit, asset preservation, and workforce training. Health and family services provisions held Medicaid steady while adding waiver slots, behavioral health and substance use support, public health investments, and funding for rural health and laboratory capacity. Other sections covered personnel and pensions, veterans services, infrastructure, public safety, economic development, tourism, and environmental projects. The only recorded action on the floor was adoption of House Committee Substitute 1 to House Bill 500, followed by a motion for final passage of the bill as amended. The transcript ends as discussion on final passage begins, before any final vote is shown.

Transcript Highlights:

• services not just for housing stabilization services, but they're interwoven through a whole number of HCBS
• services not just for housing stabilization services, but they're interwoven through a whole number of HCBS
• services not just for housing stabilization services, but they're interwoven through a whole number of HCBS
• Just looking at Hennepin County, they found the HS HCBS licenses and they identified 22 at one single
• Just looking at Hennepin County, they found the HS HCBS licenses and they identified 22 at one single

Keywords: 1183, house

Transcript Highlights:

• Currently, Delaware uses multiple assessment processes across different HCBS populations.

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• <00:31:59.919> funds<00:32:01.120> 175<00:32:01.760> new<00:32:02.799> HCBS
• <00:32:04.159> waiver<00:32:04.480> slots It also funds 175 new HCBS waiver slots funded
• House Floor Amendment 9 also proposes adding 75 additional new HCB waivers, for a total of 250 new home
• <01:20:42.239> waivers<01:20:42.719> for adding 75 additional new HCB waivers for adding
• 75 additional new HCB waivers for a<01:20:43.040> total<01:20:43.280> of<01:20:43.600>

Keywords: Several minutes after the convene vote and before the introduction failed to properly steam. This version was pulled from a local back up., 958, all

Summary: The House convened with 97 members present, declared a quorum, approved excusing absent members, and suspended the rules to allow co-sponsorships and vote modifications. The journal for February 25, 2026 was approved. The clerk also reported that the Senate had passed Senate Bills 98 and 122 and requested concurrence. The House then received second-reading reports on a range of bills, including measures on prison educational programs, respiratory care, dietitians, wildlife depredation, temporary structures, military families, civil rights, local boards of education, light pollution, controlled-substance prescribing licenses, youth health services, class sizes for exceptional children, the athletic trainer compact, limited commercial driver’s licenses, and Senate Bill 145 relating to the Department of Agriculture and Alcohol Beverage Control. Committee reports moved several bills forward, including the main budget bills House Bill 500 and House Bill 504, along with measures on workforce investment, data centers, domestic violence, guardians ad litem, domestic relations, health delivery and “food is medicine” initiatives, state personnel, open records, and fish and wildlife resources. House Bill 500 and House Bill 504 were taken from the Rules Committee and placed on the orders of the day. House Bill 500, the executive branch budget bill, was then taken up for third reading and explanation. Members presented extensive floor explanations of House Bill 500 and House Committee Substitute 1, describing it as a “good first draft” of the executive budget. Supporters said the proposal emphasizes restrained spending growth, base reductions with exemptions for key areas, employee salary increments, and deposits to the Budget Reserve Trust Fund for future one-time investments. They highlighted funding for K-12 education, postsecondary aid and workforce training, Medicaid and behavioral health, public health infrastructure, pensions, veterans, public safety, economic development, tourism, and state technology and facility maintenance. The budget substitute was adopted by voice vote, and the discussion continued with detailed descriptions of the bill’s provisions; no final passage vote was shown in the excerpt.

Transcript Highlights:

• Medicaid home and community-based waivers, HCBS waivers.
• qualify for Medicaid through the home and community-based waiver services, and those are called the HCBS
• To qualify, children must also meet waiver-specific criteria. services, and those are called the HCBS
• services, and those are called the HCBS services.<01:07:27.360> We<01:07:27.480> have<

Keywords: 958, all