Transcript Highlights:

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

Bills: SB21, SB42, SB81, SB101, SB139

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

Transcript Highlights:

• It allows child care operators and at-home child care facilities to provide assistance or to provide
• child care without additional regulations.
• Finally, child care is a revenue generator.
• For every dollar invested in child care, states realize about $2 in local spending because child care
• There is a current model in this health care up in Las Vegas where we have a privately owned and operated

Bills: HB303, SB96, HM6

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

Transcript Highlights:

• That goes far beyond health care and departs from the national model reflected in House Bill 214.
• So, when child care operators who are offering care in a home go from serving six to seven children suddenly
• Programs and child care centers.
• they provide care in that home that they live in A child's care center would only be permitted in commercial
• And there are places that offer 24-hour care or care from midnight to 6 a.m. for infants.

Bills: SB20, SB53, SB86, SB96, SB129

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

Transcript Highlights:

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

Bills: SB500, SB1522, SB1137, SB1266

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

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

Transcript Highlights:

• In child care, and certainly not quality child care, their options are limited to lower quality.
• We need to ensure that we provide the kind of child care that allows us to take care of these children
• the Child Care Innovation Pilot proposed in this bill, which is modeled off of a pilot program that
• Cammie's Home Daycare, a home child care program in South Arlington, was approached by Child Care Aware
• It's not part of our business model.

Bills: HB74, HB175, HB460, HB576, HB2271, HB2294, HB2874, HB3016, HB3133, HB3191, HB3458, HB3929, HB4063, HB4115, HB4394, HB74, HB175

Keywords: Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support

Transcript Highlights:

• in the state's child care program.
• and their access to child care.
• We're the only child care providers who do get state funding to support our families through child care
• , for their child care needs.
• Having it as a grant model means that child care providers can continue to serve the amount of children

Bills: HB74, HB175, HB460, HB576, HB2271, HB2294, HB2874, HB3016, HB3133, HB3191, HB3458, HB3929, HB4063, HB4115, HB4394, HB74, HB175

Keywords: Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support

Transcript Highlights:

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

Bills: HF4525, HF3002, HF3665, HF4420

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

Transcript Highlights:

• They do have hard and fast models, and it seems to be working.
• For those of you that may or may not know, this foster care is a passion for me.
• I've sent it to my judges that make the decisions on foster care and that kind of thing.
• You guys are because I know you care, and I know you're involved. And so your opinions are great.
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.

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

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

Transcript Highlights:

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

Bills: SB1131, SB1249

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

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

Transcript Highlights:

• Or a fixed fee based on the cost of rent or care.
• We provide assisted living in Alzheimer's certified care.
• Our mission is to provide high quality care in a home-like setting at an affordable price.
• SSCCs enter into performance-based contracts with DFPS as a part of the community-based care model.
• So because they care. OK.

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

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

Transcript Highlights:

• from agencies that help families find senior living communities, such as assisted living or memory care
• Per referral or a fixed fee based on the cost of rent or care.
• We provide assisted living and Alzheimer's certified care.
• Soon, 75% of the state will be part of the model. model, and as we expand, additional tools in the toolbox
• SSCCs enter into performance-based contracts with DFPS. as a part of the community-based care model.

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

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

Transcript Highlights:

• Responsibility for certain out-of-network medical care provided to children in foster care.
• , contractors, family homes, and child care facilities.
• Texans rely on highly trained and skilled health care workers to deliver essential medical care.
• For instance, if a personal care attendant does not have a personal care attendant for a day or two,
• They bring the primary care there that we need.

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

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

Transcript Highlights:

• It’s model legislation from NCOIL.
• It’s model legislation from NCOIL.
• It's, again, part of model legislation that's been done with national stakeholders, um, and, you know
• It's, again, part of model legislation that's been done with national stakeholders, um, and, you know
• > legislation<00:40:38.480> that's again part of model legislation that's again part of

Bills: HB300, HB40, SB19, HB283, HB179, HB296, HB300, HB40, SB19, HB283, HB179, HB296

Keywords: HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration

Transcript Highlights:

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

Bills: SB500, SB1522, SB1137, SB1266

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

Transcript Highlights:

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

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

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

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

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

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• Well, what I like about thank you for the question about this model is it's throwing this net up in the
• I think they all have different models and I think that is not unusual in the nonprofit world.
• If it's a successful model, it wouldn't surprise me if some don't start using the same approach.
• It's just ensuring that a detailed medical information is Being received from the primary care providers

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• <00:48:23.119> provider payments to a child care provider payments to a child care provider
• child care provider.
• child care provider.
• child care provider.
• We turned it the Great Start Child Care Tax Credit and dependent care credit because the dependent care

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:

• <00:19:00.840> system we witnessed in our child care system we witnessed in our child care
• the executive director for a child care the executive director for a child care program<00:19:56.560
• Sanford with the Minnesota Child Care Sanford with the Minnesota Child Care Association,<00:26:43.040
• Limiting the county-by-county care.
• , Under the current PSAP model, Under the current PSAP model, PSAP<01:33:40.400> is<01:33:

Bills: HF2136, HF4195, HF4548, HF4432, HF4174, HF3024, HF4389, HF3773

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

• as the search for better Health Care as the search for better Health Care insurance<00:04:01.079
• Our health care system also has home care and direct care, and the certified direct support professional
• Our health care system also has home care and direct care, and the certified direct support professional
• Care Resources like Youth Care Care Resources like Youth Care transition<01:24:41.960> teams<
• acute care in the first place.

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust