Transcript Highlights:

• New Mexico needs more child care centers.
• 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

Committee: Senate Senate Health & Public Affairs

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."
• , skilled nursing, memory care, rehab services, and hospice.
• The delivery of long-term care, like other sectors of healthcare, continues to evolve.
• CCRCs are adding services like memory care, hospice, and home-based services.
• their CCRC certification because of an outdated definition of continuing care.

Bills: SB500 , SB1522 , SB1137 , SB1266

Committee: House Human Services

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:

• </c><00:19:00.840><c> system</c> we witnessed in our child care system we witnessed in our child care
• </c> the executive director for a child care the executive director for a child care program<00:19:56.560
• </c> Sanford with the Minnesota Child Care Sanford with the Minnesota Child Care Association,<00:26:43.040
• Limiting the county-by-county care.
• </c> exiting out of foster care exiting out of foster care are<01:51:28.920><c> protected</c><01:51:29.640

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

Committee: House Children and Families Finance and Policy

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:

• 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
• Which would be utilities and health care.

Bills: HB303 , SB96 , HM6

Committee: House House Commerce & Economic Development Committee

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:

• Continuing care retirement communities, or CCRCs, are facilities that provide a continuum of care and
• if the only unrelated adults receiving personal care in the home are those foster care youth.
• And for foster care providers caring for children who become young adults with care needs, this presents
• And for foster care providers caring for children who become young adults with care needs, this presents
• providers in addition to other health care providers and health care entities.

Bills: HB2384 , HB2402 , HB2505 , HB1904 , HB2145 , HB2182 , HB2211 , HB2242 , HB2247 , HB2329 , HB2339

Committee: House Health Care & Wellness

Keywords: continuing care retirement community, CCRC, life plan community, senior housing, retirement community, long-term care, assisted living, nursing home, actuarial analysis, solvency, financial oversight, resident contracts, entrance fee, disclosure statement, registration, insurance commissioner, DSHS, consumer protection, elder care, aging services

Transcript Highlights:

• As you know, we continue to address child care issues, especially for our smaller child care providers
• As you know, we continue to address child care issues, especially for our smaller child care providers
• 12 years, and we currently provide care to 130 children.
• will support Washington's child care workforce.
• Agencies include child care businesses, child placing agencies, foster homes, group care facilities,

Bills: HB1544 , HB2219 , HB2253

Committee: House Early Learning & Human Services

Keywords: child welfare, risk assessment, investigation, child abuse, neglect, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families, Washington child care, preschool licensing, family child care, child care centers, nature-based child care, outdoor preschool, mixed-age ratios, staff-to-child ratio, group size, zero tolerance

Transcript Highlights:

• 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.
• Situation, and we do have to have a community of support, particularly in terms of foster care folks
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.

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

Committee: House Children, Youth and Family Services

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:

• care and 16 times higher for inpatient care.
• patients to care isn't working as it claims.
• patients to care isn't working as it claims.
• Federal policy shifts, a worsening workforce for primary care, and a severe shortage for primary care
• I'm also part of the health care system.

Bills: SB6226 , SB6305 , SB5924 , SB5990 , SB5185 , SB5845 , SB6071 , SB6258

Committee: Senate Health & Long-Term Care

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Transcript Highlights:

• Primary care is the gatekeeper to health care services.
• Primary care is the gatekeeper to health care services.
• 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.
• A few years ago, we increased primary care and behavioral health, including maternal child, moving to

Bills: SB21 , SB42 , SB81 , SB101 , SB139

Committee: Senate Senate Health & Public Affairs

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:

• underlying bill here modifies some licensure requirements for receiving children for supervision or care
• and lawyers to be licensed, allowing the termination of licenses for inactivity, exempting kinship care
• and lawyers to be licensed, allowing the termination of licenses for inactivity, exempting kinship care
• And our child care providers are stretched.
• Just briefly, this gives some flexibility to our small child care providers. Please vote yes.

Bills: HB1544 , HB2099 , HB2185 , HB2219 , HB2253 , HB2317 , HB2318 , HB2319 , HB2350

Committee: House Early Learning & Human Services

Keywords: child welfare, risk assessment, investigation, child abuse, neglect, military families, early childhood education, access, assistance program, education equity, homelessness, youth programs, advisory committee, prevention, protection, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families

Transcript Highlights:

• This is just access to care.
• Why would we deny care, and why is it that we deny care for some and not others?
• care that they deserve.
• If I were a provider of this care and I had this bill in front of me, I would not provide the care.
• access to care.

Bills: SB1014 , SB1094 , SB1146 , SB1177 , SB1192 , SB1194 , SB1214 , SB1372 , SB1390 , SB1398 , SB1399 , SB1494 , SB1557 , SB1561 , SB1564 , SB1602 , SB1603 , SB1621 , SB1628 , SB1629 , SB1713 , SB1752 , SB1776 , SB1813 , SB1814 , SB1821

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• Our workers need child care to get to work.
• Those three things include housing, child care, and employment.
• providers and family licensed family child care providers.
• subsidy, such as Working Connections Child Care.
• ECEAP expansion has the potential to greatly strengthen child care.

Bills: HB2099 , HB2317 , HB2318 , HB2350

Committee: House Early Learning & Human Services

Keywords: military families, early childhood education, access, assistance program, education equity, HB2317, early learning, child care licensing, day care, preschool, Head Start, DCYF, Department of Children, Youth, and Families, Washington State, RCW 43.216, child care center, family home provider, family child care, outdoor nature-based child care, school-age child care

Transcript Highlights:

• As you know, we are seeing a lot of volatility in health care right now.
• So Samaritan and Moses Lake has an affiliation with multi-care.
• When I read what the bill does, that health care, Medicaid managed care organizations and others may
• Senate Bill 5916 directly addresses. ...care, not fewer.
• Association of Washington, and Fresenius Medical Care.

Bills: SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025

Committee: Senate Health & Long-Term Care

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• In the process, nursing facilities must continue to care for patients and fund that care without Medicaid
• oversight by the long-term care ombudsman.
• care ombudsman.
• and increase quality of care.
• So you have the patient care expense, which would include direct care, dietary, and indirect care.

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

Committee: House Human Services

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:

• A complex care aide in home health is a trained caregiver who provides specialized care.
• (CBC) model of care.
• We appreciate the careful approach adopted by House Bill 3195.
• These are people who deserve to be taken care of and respected.
• So we need to be caring for that part.

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

Committee: House Human Services

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:

• , 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

Committee: House Health and Human Services Oversight

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:

• </c><00:48:23.119><c> provider</c> 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

Committee: House Children and Families Finance and Policy

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:

• </c> care center. care center.
• </c> care if they hurt people. care if they hurt people.
• </c> child care. child care.
• to child care facility, which would include family child care providers and child care centers that
• care providers and child family child care providers and child care<01:13:19.080><c> centers</c><01:

Bills: HF3415

Committee: House Children and Families Finance and Policy

Keywords: child care, day care, licensed child care center, license-exempt child care, immigration enforcement, ICE, Customs and Border Protection, CBP, USCIS, Department of Homeland Security, DHS, judicial warrant, facility access, sensitive locations, immigrant families, Minnesota Statutes chapter 142B

Transcript Highlights:

• child care assistance.
• older care and learning.
• how to manage my care.
• . care. care.
• </c> type of care from county officers. type of care from county officers.

Bills: HF3665 , HF3002 , HF4217 , HF4125 , HF4174

Committee: House Children and Families Finance and Policy

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• They use us as their voice and the care residents that take care of them.
• </c> care we provide in our own homes. care we provide in our own homes.
• </c> part of a family foster care. part of a family foster care.
• </c> and the care that I have provided. and the care that I have provided.
• </c> care providers that do. care providers that do.

Bills: HF4491 , HF4338 , HF4288 , HF4566

Committee: House Human Services Finance and Policy

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