Bills: HB4, HB1, HB2, HB18, HB19, HB20, HB4, HB1, HB 2, HB20, HB19, HB18, HB 4, HB 1, HB 2, HB 18, HB 19, HB 20

Keywords: redistricting, congressional districts, Texas Legislature, elections, 2020 Census, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, emergency communication, interoperability, grant program, first responders, state council

Transcript Highlights:

• We initiated the process to get a modeling program done of our system.
• Uh, we can turn this into a living document that eventually can become a capital improvement program
• We also have a program on. All underwater quality of regulating on-site sewage facilities, right?
• that, uh, the SWIFT program from the Water Development Board from 30 years to 40 years.
• A few decades ago, the Texas leader set up the economically distressed Areas Program EDAP.

Bills: HB 1520, HB 1525, HB 1530, HB 1535, HB 2068, HB 2091, HB 2347, HB 2372, HB 2805, HB 2815, HB 2867, HB 3154, HB 3482, HB 3483, HB 3663, HB 3781, HB 3901, HB 3915, HB 4135, HB 4153, HB 4158, HB 4329, HB 4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• After 2019 floods, we initiated the process to get a modeling program done of our system. how can we
• We can turn this into a living document that eventually. can become a capital improvement program for
• And while these programs are well-intentioned, some significant drawbacks have arisen in the past few
• that the SWIFT program from the Water Development Board from 30 years to 40 years.
• As it stands, the state's Economically Distressed Areas program.

Bills: HB1520, HB1525, HB1530, HB1535, HB2068, HB2091, HB2347, HB2372, HB2805, HB2815, HB2867, HB3154, HB3482, HB3483, HB3663, HB3781, HB3901, HB3915, HB4135, HB4153, HB4158, HB4329, HB4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• be issued from the water supply account and allows Texas Water Development Board establish a grant program
• Postings are unique to SWIFT and no other Texas Water Development Board financial assistance program
• creates inefficiencies and inconsistencies across the Texas Water Development Board's financial programs
• But if you're, for example in the my part of the world, we have a water map. program and so in fact I
• As part of the stormwater permitting program. that counties would then be able to join.

Bills: HB1520, HB1525, HB1530, HB1535, HB2068, HB2091, HB2347, HB2372, HB2805, HB2815, HB2867, HB3154, HB3482, HB3483, HB3663, HB3781, HB3901, HB3915, HB4135, HB4153, HB4158, HB4329, HB4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• The bill requires that the Alabama Department of Public Health is required to develop educational programs
• This substitute only takes the requirement for Medicaid to stop doing the two-step program, which means
• The program, as you can imagine, requires waiting long to see if a drug is effective.

Bills: SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Transcript Highlights:

• across programs.
• Child care program to maintain parity across programs.
• ... ...to amend Welfare and Institutions Code to include participation in CalWORKs program activities
• The IV-E stipend program is a significant support for building and sustaining the child welfare workforce
• Very important program. Probably the most important program in the world.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major discussion focused on child care and early education, including proposed reductions tied to federal Child Care and Development Fund and Proposition 64 revenue changes, the shift of reductions from general child care to the California Alternative Payment Program, the end of funding for prospective pay implementation, a 2.01% cost-of-living adjustment, child care infrastructure grants, and a proposal to increase administrative funding for alternative payment agencies. The Legislative Analyst’s Office generally supported removing prospective pay funding and urged caution on the administrative-rate shift, while also recommending more justification for the slot reduction approach and more detail on infrastructure grant alignment. Committee members strongly objected to eliminating about 6,000 child care slots, arguing the Legislature should preserve and expand child care access. The Department of Education supported the preschool QRIS block grant increase and the COLA but raised concerns about rate alignment for three- and four-year-olds and the lack of funding to maintain enrollment growth. The committee then reviewed trailer bill language affecting child care, including codifying age-based reimbursement categories, expanding documentation for enhanced inclusion rates, clarifying CalWORKs child care eligibility, aligning health and safety standards with federal requirements, coordinating disaster-related infrastructure funding, and updating oversight language. Administration officials said the proposals were intended to support the single reimbursement rate structure, improve safety compliance, and coordinate disaster recovery funding. LAO said it had no major initial concerns with the trailer bill language but would continue reviewing it. The hearing then turned to CalFresh and nutrition programs. CDSS described projected caseload declines, a one-time augmentation for county administration to implement federal H.R. 1 changes, a proposed reassessment schedule for county administrative funding, and updated estimates that H.R. 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people. Members pressed the administration on the impact of H.R. 1, the “chilling effect” on immigrant households, county workload, and whether the state should backfill federal cuts, especially for families with children subject to new work requirements. The committee also discussed a one-time CalFood augmentation, state administrative expense funding, staffing for H.R. 1 implementation, and a small increase to the CACFP meal reimbursement rate. Finally, the committee began IHSS items, including the impact of reinstating the Medi-Cal asset limit, automatic IHSS termination tied to Medi-Cal loss, and related savings and caseload estimates, with the administration explaining that these proposals would reduce eligibility and that there is no broad substitute for IHSS for many recipients.

Transcript Highlights:

• Chair, we have all kinds of welfare programs in the state.
• Um, members, we already have a plethora of welfare programs.
• Um, but we have all kinds of welfare programs in this state that provide for continuous income streams
• Um, if the plethora of welfare programs.
• Um but we have all kinds of welfare Um but we have all kinds of welfare programs<01:19:05.920>

Keywords: 1187, senate, all

Transcript Highlights:

• There is federal oversight of these programs.
• fortunate that they take this program very seriously.
• There is federal oversight of these programs.
• There is federal oversight of these programs.
• There is federal oversight of these programs.

Keywords: 910, house, all

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• These programs work.
• That's why in the past two budgets we have funded the diversion program.
• to parent support programs and therapeutic programs.
• welfare tends to intersect the juvenile justice system.
• “...doesn't look like an economically efficient program, right?

Keywords: 995, all

Summary: The Senate Committee on Juvenile and Emerging Adult Justice held an informational hearing focused on diversion programs and services for high-risk youth, with no bills before the committee and no votes taken. The chair and members emphasized that the session was intended to hear from invited testimony and discuss how to strengthen diversion, reduce court involvement, and improve outcomes for youth. The committee heard first from the Office of the Child Advocate and diversion providers, who described the Massachusetts Youth Diversion Program, its statewide expansion to 10 of 11 court counties, and its reported success rate of about 80% completion without reoffending. Testimony highlighted that diversion keeps youth out of court, connects them more quickly to community-based services, and can address needs such as mental health, education, and substance use. Witnesses also pointed to racial and ethnic disparities in arrests versus summonses, regional variation in diversion access, and the need for clearer statutory authority, more funding, and broader use of pre-arrest diversion. Committee members asked about the difference between arrest and summons, who can initiate diversion, why arrest rates have increased relative to summonses, and how diversion might prevent harmful downstream consequences such as detention or immigration enforcement involvement. Witnesses said police, clerk magistrates, district attorneys, and judges can refer youth to diversion, and argued that local policy, training, and legislative changes could expand use. They also discussed the impact of detention on youth, including stigma, lost school time, and the lack of credit for time served in the juvenile system. Testimony from Citizens for Juvenile Justice focused on prevention, school discipline, and the school-to-prison pipeline, arguing for more restorative practices, better data, and legislation to limit suspensions and expulsions, especially for younger students and nonviolent conduct. They also raised concerns about DCF-involved and foster youth, who are disproportionately represented in the juvenile system. The final panel, the Children's League of Massachusetts and transition-age youth providers, shifted to child welfare and young adult supports. They supported reducing court involvement in child requiring assistance cases, expanding family resource centers, and strengthening services for transition-age youth leaving DCF or DYS custody. Providers described housing instability, homelessness, and the need for education, employment, behavioral health, and supportive housing services for young adults ages 18 to 23. Across the hearing, witnesses consistently argued that early intervention, community-based supports, and diversion are more effective than court processing or detention for most youth, and that the legislature can help through funding, statutory clarity, expanded eligibility, and stronger data collection.

Transcript Highlights:

• Now we'll be taking up Tab 5, SB 1626 on child welfare by Senator Grall.
• Now we'll be taking up tab 5, SB 1626 on child welfare by Senator Graal.
• He went into the child welfare system.
• A petition for an adjudication of dependency is your entryway into the child welfare system.
• A petition for an adjudication of dependency is your entryway into the child welfare system.

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and considered five bills. SB 1174, by Senator Jones, would simplify the process for transferring a family foster home license when a foster parent moves within Florida. A friendly amendment clarified that the transfer applies to the same licensed person, not a different individual, and directs DCF to prioritize amended licenses. The committee adopted the amendment and reported the bill favorably. SB 558, by Chair Grall, created a framework for voluntary post-adoption contact agreements between adoptive and biological parents, including contact with siblings, with court filing and enforcement procedures. A strike-all amendment changed the child’s party status age from 14 to 12, required court filing in the adoption case, set a preponderance standard, and moved the effective date to January 1, 2026. The committee adopted the amendment and reported the bill favorably. SB 1626, also by Chair Grall, was substantially revised by a strike-all addressing unaccompanied alien children reporting and custody procedures, military family child protective investigations, domestic violence shelter certification, children’s services councils, criminal-background exemptions, group home rates, subcontractor indemnification, child care licensing extensions, small residential group home fire suppression rules, and missing-child jurisdiction issues. After testimony both supporting and opposing parts of the bill, the committee adopted the amendment and reported the bill favorably. SB 738, by Senator Burton, updated child care and early learning licensing rules, including expedited licensing for compliant providers, faster background screening and provisional licensure, online training/testing, exemptions for certain military and employer-provided child care, and removal of a residential insurance provision from the bill. The committee adopted the amendment and reported the bill favorably. SB 304, by Senator Sharief, known as Patterson’s Law, addressed child abuse investigations involving rare genetic or metabolic conditions that can mimic abuse. The strike-all required more detailed medical analysis in reports, allowed second opinions, and set procedures for experienced physician review and judicial resolution. After extensive testimony from affected families, advocates, and DCF, the committee adopted the amendment and reported the bill favorably. At the end, Senators Harrell and Rouson asked to be recorded as voting favorably on additional bills, and the committee adjourned.

Transcript Highlights:

• As a program overview, the ACCESS system is the department's integrated eligibility processing system
• It supports many other programs.
• So next up will be our child welfare modernization project, also known as CWIS.
• They have decided that they are going to now join and implement a CWIS program.
• So next up will be our child welfare modernization project, also known as CWIS.

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:

• identification, and program integrity. identification, and program integrity.
• operate in other programs. operate in other programs.
• which is a federal program. which is a federal program.
• This program is a federal entitlement program, with states and counties implementing the program.
• on programs. on programs.

Keywords: 1187, senate, all

Transcript Highlights:

• Coach Craig constantly elevated high school basketball programs throughout his career.
• current administration framework for work release programs.
• , reported from Health and Welfare with amendments.
• Senate Bill 433 by Senator Boudreaux, Health and Welfare favorably.
• Senate Bill 433 by Senator Boudreaux, Health and Welfare favorably.

Bills: HR308, HR309, HR310, HR311, HR312, HR313, HR314, HR315, HR316, HR317, HR318, HR319, HR295, HR296, HR297, HR298, HR299, HR300, HR301, HR302, HR303, HR304, HR305, HR306, HR307, HCR115, HCR116, HCR117, SCR71, SCR72, SCR73, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR273, HR276, HR278, HCR85, HCR100, HCR105, HCR107, HCR113, HCR114, SCR5, SCR29, SCR33, SCR37, SCR63, HB255, HB378, HB509, HB1090, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB25, SB132, SB155, SB157, SB202, SB295, SB433, HR179, HR223, HR225, HR274, HCR89, HR252, HR253, HCR96, HCR103, HCR108, HCR26, HB250, HB265, HB339, HB427, HB445, HB463, HB468, HB606, HB639, HB649, HB665, HB746, HB781, HB853, HB861, HB872, HB886, HB916, HB937, HB1054, HB1068, HB1117, HB1237, HB74, HB108, HB956, HB1085, HB1137, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB1199, SB268, SB283, HB782, SB149, HR84, HB646, HB998, SB56, SB163, SB197, SB97, SB326, SB341, SB518, SB123, SB353, SB479, SB495, HB901, HR20, HR74, HR168, HCR65, HCR71, HCR98, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, HB134, HB258, HB359, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449

Keywords: HR 308, House Resolution 308, Pope Leo XIV, Catholic Church, Holy See, Vatican, commendation, resolution, Louisiana Catholic heritage, St. Louis Cathedral, New Orleans, South Louisiana parishes, religious recognition, ceremonial resolution, faith leadership, pontificate, spiritual solidarity, human dignity, peace, mercy

Transcript Highlights:

• Today is May 13th, and this is the meeting of the Senate Committee on Health and Welfare.
• We considered a perinatal bereavement program.
• I think this is my first time in Senate Health and Welfare. So lovely to see you.
• So welcome to the Capitol, welcome to Senate Health and Welfare.
• Griffin, welcome to Health and Welfare. You want to introduce yourself? Yes, Dr.

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• That comes down to kinship benefits that may come down to a PCA program which you'll hear about in a
• Um, I've been practicing in this area over 25 years, and I'm board certified in child welfare case law
• Audited the state of Texas on its child welfare practices and compliance with federal law.
• Um, so Texas COASA is a statewide membership organization for the 74 local COASA programs across Texas
• So are we talking if Under a 504 program in school or they're behind in school or like to what degree

Bills: HCR 10

Keywords: balanced budget amendment, federal budget, deficit reduction, deficit spending, fiscal restraint, constitutional amendment, U.S. Constitution, Congress, PAYGO, Gramm-Rudman-Hollings, national debt, budget deficit, taxpayer dollars, balanced budget resolution, memorial resolution, Texas Legislature, federal spending, budget reform, fiscal conservatism

Transcript Highlights:

• And New Mexico is now working with the Casey Family Program.
• They're pre-K programs. Program requires a home visit. They all have multiple screenings.
• , and deal with the family infant-toddler program.
• Some of the programs are able to fund...
• For instance, my organization has a total of four programs.

Transcript Highlights:

• <00:02:10.440> is that are served in my programs is that are served in my programs is incredibly
• tangibly improve the quality of programs tangibly improve the quality of programs in<00:03:56.000
• impactful for existing programs impactful for existing programs and<00:05:23.760> could<00
• I just care that there's not a child welfare bill that's going to make child welfare better.
• early care and education program board. early care and education program board.

Bills: HF4382, HF2929

Keywords: child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size

Transcript Highlights:

• . >> I would say that that child should be coming into the child welfare system if they do not have and
• or guardian that can care for them because it's a minor cha and so through the well, first child welfare
• would be how services could be provided because the child is within the law enforcement and child welfare
• Senator Dodd Senator Grall referenced how can one evaluating effect this of effectiveness of a program
• But that kid, that kid that's been failed kite, frankly, back parents in by the welfare system.

Keywords: 999, senate, all

Transcript Highlights:

• Prescription Assistance Program, the Kentucky Asthma Management Program, the COPD program, Education
• programs that we have here in Kentucky. programs that we have here in Kentucky.
• . program. program.
• For licensed programs, there is the Child Care Aware program.
• There are programs, and the Division of Child Care has programs and coaches.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• A shuttered housing program where fraud was so bad the program couldn't be saved.
• We need a top-down reform of how we manage the state welfare programs, including how they're built-in
• so bad the program where fraud was so bad the program<00:00:39.680> couldn't<00:00:39.920>
• of how we manage the state welfare of how we manage the state welfare programs,<00:01:14.320>
• their welfare programs. their welfare programs.

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.