Transcript Highlights:

• There are a number of changes needed to the child care assistance program, or CCAP, in order to achieve
• There are a number of changes needed to the child care assistance program, or CCAP, in order to achieve
• <00:30:04.519> care start a child care uh family child care start a child care uh family child
• child care without Child safe affordable child care without Child Care<00:57:36.359> financial
• care system, with more children that are being left on the wait list and destabilizing child care programs

Bills: HF2436, HF470, HF2643, HF2456, HF102, HF1367

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension

Transcript Highlights:

• This is not a grant program. Child care assistance is a public assistance program. It's forecasted.
• This is not a grant program. Child care assistance is a public assistance program. It's forecasted.
• child care assistance program within the child care assistance program we<01:24:13.800> really
• or the child care assistance program or some of the other programs that our nation-leading child tax
• ><01:36:10.480> assistance program or the child care assistance program or the child care assistance

Bills: HF1, HF1384

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• Requesting to work in a child care setting, then you do not have the ability to go to a review.
• Then you would not be allowed to work in a child care setting, and you at that point could request a
• Like, I've been investigated, and I don't want to work in a child care setting; there is not a mechanism
• As our child welfare system continues its transition to community-based care, it becomes all the more
• Research shows that for every one child being cared for by kin in state custody, we have... for children

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

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

Transcript Highlights:

• Care for families through this program is essential pro-life policy.
• , housing, food, child care, therapy, and more.
• The Life Center offers free pregnancy tests, ultrasounds, and child care classes.
• I am with the Long-Term Care Ombudsman Program, advocating for assisted living facility residents.
• Received that care was not enrolled in the program at the time they received it.

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

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

Transcript Highlights:

• We're just careful. I'm a lawyer. I like to be careful about these things as well.
• Assistance Account Program.
• care for, taught by qualified professionals with proven experience in child development or early education
• HHTC can redirect its time and workforce towards program improvement, care, coordination, and expanding
• They always call child protection when there is a drug exposed child.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Confidential child care facilities. The chair offers a committee substitute.
• plans. and Medicaid managed care organizations.
• . caring for People LLC, but what they discovered was far from caring.
• In the fall of 2022, it was becoming too much for me to care for him at home.
• . care.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• We really appreciate it. and commitment to reviewing child care licensing and provision, and how we operate
• child care in Texas repeatedly.
• Ron, who is our camp director, made me comfortable serving. from child care providers that say, "I feel
• HETC can redirect its time and workforce towards program improvement and care coordination. ...nation
• That child then goes into foster care? Is it with that family that was picked?

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• They have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and I'm happy to
• Colorado and Iowa have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and
• and procedures relating to the placement and care of a child in its custody.
• I don't like step programs for people that are sick and needing medication or care. But... Aye.
• I don't like step programs for people that are sick and needing medication or care. But...

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• Kate Murphy, we have you as Director of Child Protection Policy, Texans Care for Children.
• I'm Kate Murphy, Director of Child Protection Policy at Texans Care for Children, testifying in support
• They were taking care of their child, and they had family support. Then CPS was called.
• Maybe they had no access to child care.
• Department, so that this five-year program gives child insurance and child benefit, not only to the

Bills: HB809, HB 1193, HB1916, HB2558, HB1973, HB2350, HB2399, HB2340, HB 116, HB330, HB2496, HB116

Keywords: digitized signature, waiver of citation, marriage dissolution, electronic notarization, family law, HB 1193, informal marriage, common-law marriage, declaration of informal marriage, confidentiality, privacy, county clerk, vital statistics unit, Family Code, Health and Safety Code, marriage records, public records, personally identifying information, PII, legal representative

Transcript Highlights:

• <00:03:09.920> care within 1,000 ft of a child care within 1,000 ft of a child care facility
• DFS<00:04:15.519> statutory child care facility under DFS statutory child care facility under
• <00:12:46.079> at child care facility was established at child care facility was established
• child care facility is established child care facility is established within<00:12:58.320> 1,000
• <00:13:14.079> care thousand feet of a um child care thousand feet of a um child care facility

Bills: SF0071, SF0088, SF0056

Keywords: homeland security, search and rescue, grants, emergency response, Wyoming, sex offender, child care facility, residency restrictions, public safety, criminal law, sex offenders, child care facilities, legislation, kratom, regulation, healthcare, age restrictions, manufacturing standards, 916, all

Bills: SF0071, SF0088, SF0056

Keywords: homeland security, search and rescue, grants, emergency response, Wyoming, sex offender, child care facility, residency restrictions, public safety, criminal law, sex offenders, child care facilities, legislation, kratom, regulation, healthcare, age restrictions, manufacturing standards, 916, all

Transcript Highlights:

• Yes, those very small child care programs are exempt from licensure. >> And so, because they are exempt
• Yes, those um very small child<00:15:45.839> care<00:15:46.160> programs<00:15:46.639><
• c> are<00:15:46.880> exempt<00:15:47.279> from child care programs are exempt from
• child care programs are exempt from lensure >> and<00:15:51.279> so<00:15:51.600> be<
• <00:16:14.639> caring in the definition of child caring in the definition of child caring

Bills: SF0087, SF0088, SF0092

Keywords: felony, law enforcement, police officer, criminal penalties, public safety, sex offender, child care facility, residency restrictions, criminal law, sex offenders, child care facilities, legislation, false claims, civil penalties, state accountability, whistleblower protection, fraud prevention, 916, all

Bills: HB2035, HB2041, HB2611, HB2860, HB4004, HB4049, SCR1032

Keywords: kinship care, child welfare, foster care, relative placement, child protection, child neglect, financial resources, behavioral health, Christian Science treatment, parental rights, group homes, children's rights, safety protocols, employee training, mental health, child safety, oversight, independent committee, transparency, accountability

Summary: The Senate Committee on Government considered only SCR 1032, along with a strike-everything amendment. The amendment would require school districts, subject to voter approval, to dedicate at least 60% of operational spending to teacher pay, with a phased-in increase starting in FY 2028 for districts below that threshold. It also would penalize noncompliant districts by requiring unexpended Classroom Site Fund monies to revert, making districts ineligible for those funds until back in compliance, and directing JLBC to exclude those districts from per-pupil calculations. The Superintendent of Public Instruction could grant limited waivers of the forfeiture provisions for up to one year, not more than two consecutive years for the same district. Supporters, including representatives of Heritage Action, the Goldwater Institute, and the Center for Arizona Policy, argued that Arizona has increased school funding substantially while teacher pay has remained flat in real terms, and said the measure would improve accountability and ensure more money reaches teachers rather than district administration. They cited Auditor General findings and prior voter-approved efforts such as the Classroom Site Fund and teacher pay initiatives as evidence that districts have not prioritized classroom spending as intended. A rural school coalition testified in opposition, saying the proposal would be difficult for small districts to meet because it could force cuts to other essential costs such as fuel, insurance, facilities, and other operating needs, and that the Auditor General’s classroom-spending categories may not accurately reflect actual teacher pay. One committee member also raised concerns that the measure could harm special education and other legally required student services. During discussion, the sponsor said charter schools were excluded because they are private businesses under the state’s framework, despite receiving public funds. The committee adopted the strike-everything amendment and then voted 4-3 to give SCR 1032, as amended, a do pass recommendation.

Transcript Highlights:

• program integrity and access to care. program integrity and access to care.
• Is ITP programming and development a direct service with a child, or can it be billed without the child
• And the child who's showing stress in their programming, the programming is adjusted to meet their needs
• And the child who's showing stress in their programming, the programming is adjusted to meet their needs
• the child. the child.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• <00:11:26.320> care<00:11:26.519> providers role these teachers child care providers
• <00:54:38.760> about pay for child care as we've talked about pay for child care as we've
• c><01:00:36.520> care<01:00:37.280> and add up for things like child care and add up for
• experienced Child Care can be especially experienced Child Care can be especially financially<01
• expensive forms of child expensive forms of child care<01:00:52.400> I've<01:00:52.520>

Bills: HF1346, HF1169, HF1276

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

Transcript Highlights:

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

Bills: HF1346, HF1169, HF1276

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

Transcript Highlights:

• and Human Services Program.
• I'm a part of helping the WIT program there which helps foster care receive academic tutoring.
• If a child is identified as a clear concern for the risk of sex trafficking, There are care coordinating
• One of those is Unbound Now's EIP program, that is Early Intervention Program.
• It's on the Texas CASA website, and it is the ACT Anti-Child Trafficking Program.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• And it's been reported that states with complex care aid programs like these, there are about 7 so far
• of care.
• Uh, these are people who deserve to be taken care of, and taking care of them, doing criminal history
• Foster care history disclosure that would ensure juvenile justice agencies know when a child in their
• So we need to be caring for their part.

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• Releasing the child in a situation where she’s giving the child up for adoption.
• A complex care aide in home health is a trained caregiver who provides specialized care.
• And it's been reported that states with complex care aid programs like these, about seven so far, have
• contracts with DFPS to perform community... ... based care (CBC) model of care.
• Foster care history disclosure would ensure juvenile justice agencies know when a child in their custody

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• I mean, it seems to me that the care of the child would be the focal point. And it is.
• It repeals the nursing facility direct care staff rate enhancement program.
• The State Long-Term Care Ombudsman Program is independent within HHSC, and my testimony today does not
• Part of the issue with the Direct Care Staff Enhancement Program was that there were 27 levels, many
• . and child care licensing services.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation