Bills: SB2004, HB1600

Keywords: ethics commission, immunity, conflict of interest, complaints, public officials, transparency, legislative action, criminal prosecution, complaint resolution, HB 1600, immigration law clinic, University of North Dakota, UND Law, law school clinic, legal aid, immigration attorney, student clinic, pro bono, immigration legal services, caseload limit

Summary: The committee reconvened to continue work on water-related appropriations and related bills, with the chair emphasizing the need to move the water bill to conference committee soon because of differences with the House. Members reviewed project funding levels and carryover balances across several water projects, including NAWS, Southwest, Valley City, Cirrus River flood control, Hart River, Redder water supply, municipal and rural water, general water, and discretionary funding. The discussion focused on reduced revenue forecasts, the use of a $150 million line of credit as a working assumption, and concerns about large carryover amounts and piling up cash. No final changes were made to the water funding numbers, but the chair said the committee would revisit the bill after further cleanup of the draft language. The committee then took up House Bill 1600, which would create an immigration law clinic at the University of North Dakota law school. Members agreed the program should be treated as a one-time pilot rather than ongoing general fund spending, so they adopted an amendment changing the $400,000 appropriation to one-time funding from the strategic investment fund. The amended bill passed unanimously, and Senator Meyer was assigned to carry it. House Bill 1417, dealing with parole and probation-related policy, was also amended. The committee removed Section 8, which eliminated the bill’s appropriations language, based on testimony that the referenced funding was already included elsewhere in the budget. The amended bill then passed unanimously. The committee also discussed possible future amendments to water study language, including earlier reporting deadlines and a proposal to require larger new water project requests to go through the Water Topics Overview Committee before being introduced, but no final action was taken on those concepts. Several other bills, including the AI-related House Bill 1448 and law enforcement bonus bill 1193, were left for later consideration.

Transcript Highlights:

• in order to connect them to those services.
• and children's protective services.
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of services.
• CMS authorized ILOS in lieu of services in 2016 as a service or setting that works as a substitute for

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, 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

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• So Port Aransas is unique in the sense where we have both a thriving economy but also a thriving ecosystem
• to prevent the jailing of those in mental health crises and helped create the assisted outpatient service
• Uh, he first began service at Travis County in 1981 with an appointment as a justice of the peace judge
• Judge Herman with eligibility for burial in the Texas State Cemetery, we recognize a lifetime of service
• Recognize over 165 years of service to Texas students, teachers, researchers, and everyday citizens.

Bills: HCR6

Keywords: Meals on Wheels, senior services, nutrition, community support, volunteerism

Transcript Highlights:

• care services care services we<00:18:54.000> we<00:18:54.160> might<00:18:54.320><
• You will hear later today, services.
• You will hear from life-saving services.
• Mahalo for your service. PFLAG Oahu, Cameron Miiamoto.
• Mahalo for your service. Mahalo for your service.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• services statutes. services statutes.
• Medical Services and Injury Prevention. Medical Services and Injury Prevention.
• Preventive Services Task Force.
• Preventive Services Task Force.
• . services. services.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Bills: SB1465, SB2110, SB1771, SB206, SB1584, SB1386, SB1696, SB1806, SB1428, SB1390, SB1381, SB201, SB1778, SB1332, SB1836, SB1369, SB1794, SB1290, SB175, SB1379

Keywords: professional engineers, surveyors, licensure board, sunset extension, state board, occupational licensing, engineering license, surveying license, professional regulation, regulatory board, sunset review, emergency clause, Oklahoma O.S. 59, board appointments, lay member, Oklahoma Workforce Commission, workforce development, data collection, economic development, outside counsel

Transcript Highlights:

• of Human Services to voluntarily remain in care till the age of 21.
• Senate Bill 1428 creates the office of Alzheimer's and related dementia services coordination at the
• We did hear this full last year in health and human services, but altered it significantly.
• I can't speak to other grant services or other organizations or entities.
• And they're currently, there are only five certified human trafficking service programs statewide.

Bills: SB1290, SB1332, SB1369, SB1379, SB1381, SB1386, SB1390, SB1428, SB1584, SB1696, SB175, SB1778, SB1794, SB1806, SB1836, SB201

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, housing, infrastructure, water projects, Oklahoma Water Resources Board, economic development, zero-interest loans, clawback provision, local contractors, mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, human trafficking

Transcript Highlights:

• This bill is the Health and Human Services Forecast Adjustments Bill.
• also for the Human Services Committee. also for the Human Services Committee.
• and just this afternoon in Health and Human Services and here.
• MACSSA, or the Minnesota Association of County Social Service Agencies.”
• In a prior evaluation of PSAP, services.

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:

• and it this will improve service and it this will improve service continuity<00:02:56.319> for
• These services work. these kids daily. These services work.
• family safe, provide intensive services family safe, provide intensive services to<00:31:34.960>
• That the provider entity must deliver the service components of children's therapeutic services, and
• therapy ecosystem in Minnesota. therapy ecosystem in Minnesota.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• services.
• Services and life-sharing services new rate implementation.
• Services.
• services at all.
• The same services.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• . services caseworkers.
• and child protective services.
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of other services.
• It is not a needed state amendment plan. in lieu of services in 2016 as a service or setting that works

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, 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

Transcript Highlights:

• suggested amendments, clarifying the definitions of farmer employee housing and bonafide agricultural services
• bonafide employee housing and bonafide employee housing and bonafide agricultural<00:03:13.599> services
• <00:03:15.120> would<00:03:15.360> also<00:03:15.599> like agricultural services
• I would also like agricultural services.

Bills: SB2373, SB2101, SB2905, SB3231, SB2486, SB2376

Keywords: carbon sequestration, marine ecosystem, climate change, renewable energy, biodiversity, nature-based solutions, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management, county solid waste plan

Summary: The committee heard SB 2006, which would clarify that a farm dwelling permit in an agricultural district may include a single-family farm dwelling with an accessory employee housing structure, subject to restrictions. Testimony was largely supportive, with comments from the Department of Agriculture Biosecurity, DPP, Hawaii Farm Bureau, Hawaii Realtors, Grassroot Institute of Hawaii, Hawaii Farmers Union, Housing Hawaii Future, and several individuals. The chair noted there were nine in support, two opposed, and four offering comments. In decision-making, the chair recommended passing the bill with OPSD-suggested amendments to clarify the definitions of farm employee housing and bona fide agricultural services. The chair also referenced opposing testimony that raised concern the original draft could limit tourism activities that provide supplemental income for bona fide farming operations. The proposed amendments were intended to make clear that farm employee housing is only for workers and not visitor accommodations, while allowing tourism activities on the same parcel if they are secondary and incidental to a bona fide agricultural operation, do not occur in employee housing units, and comply with county ordinances. The committee adopted the recommendation and voted to pass SB 2006 with amendments. The recorded votes showed the chair, vice chair, Senator Rhoads, and Senator Awa in favor, with Senator DeCoite excused. The same pass-with-amendments recommendation was then made to the housing committee and adopted there as well, with Senator Elephante voting aye and Senator Favella excused.

Bills: HB1, HB143, HB1, HB92

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• So that investment requires us to maintain a maintenance service contract with Motorola, the system vendor
• I just want to thank you for your service, truly.
• <00:46:31.840> unit dedicated legislative services unit dedicated legislative services unit
• You know, as we all know, the strength of capital security and the dedicated legislative services unit
• <00:51:04.720> unit dedicated legislative services unit dedicated legislative services unit

Bills: HF4810, HF4597, HF1082, HF3230

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

Transcript Highlights:

• This is a research and development ecosystem bill.

Bills: SB1530, SB1579, SB1778, SB1847, SB1990, SB1992, SB2060

Keywords: research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, property tax, valuation increase, taxpayer rights, homestead, protest process, reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, Medicaid, ADvantage Waiver, home-based services, eligibility criteria

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• Um, the scope of your Services.
• of Minnesota are receiving the services. of Minnesota are receiving the services.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• These services allow me to live independently and also work a full-time job.
• We'll be taking up Tab 5, SB 1630 on aging and disability services by Senator Grall.
• This amendment is titled more broadly as substance abuse services.
• And with that, customer service, a culture of customer service, is something that I am working really
• How do we stack up as far as providing customer service? But customer service starts with me.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• Medicaid covers many cancer treatments, such as chemotherapy, but it doesn't cover the auxiliary services
• House Bill 2610 would expand Medicaid coverage to include physical therapy and dental services. compression
• garments, mastectomy products, and the committee substitute adds chiropractic services to the expanded
• Many Texans cannot afford these services, and I'm hoping to expand coverage just to help particularly
• It specifically covers a list of services that are commonly needed after. cancer treatment.

Bills: HB2140, HB2610, HB3121, HB3339

Keywords: maternal health, mortality review, health committee, obstetrics, public health, Medicaid, cancer treatment, healthcare reimbursement, physical therapy, dental services, protheses, compression garments, mortality, morbidity, doula services, disparities, Black women, maternal mortality, health disparities, socioeconomic status