Transcript Highlights:

• a child care center.
• a child care center.
• Being able to pay for child care or to be able to make a living wage at a child care center.
• Thank you for your time today. care centers. care centers.
• care facility, which would...

Transcript Highlights:

• </c> to be taken care of. to be taken care of.
• </c> only acute care hospital. only acute care hospital.
• . care. care.
• . care. care.
• primarily primary care, not necessarily specialty care.

Transcript Highlights:

• for their loved ones, keeping our older adults from higher levels of care such as institutional care
• or family care.
• or family care.
• or family care.
• We all know how expensive child care is, and, as has been said, elder care.

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on several measures related to housing, homelessness, caregiving, and tax relief. On HB 431, which appropriates funds for the CAL initiative and HHFDC, the Department of Human Services supported the bill and noted the Governor’s request for $50 million per year for HMS, the need for more permanent supportive housing, and a technical issue with establishing a special fund in session law. The Statewide Office on Homelessness and Housing Solutions strongly supported the measure, describing it as unprecedented funding for CAL projects and linking it to goals of reducing homelessness and expanding housing inventory. Catholic Charities Hawaii, the ACLU of Hawaii, and the Reimagining Public Safety in Hawaii Coalition also supported the bill, emphasizing permanent supportive housing, diversion from jail, and public safety benefits. The chair redirected one testifier to stay on the measure when testimony drifted to another program. Written support was also noted from several organizations and agencies. The committee then heard HB 225 on squatting. DHS said it appreciated the intent and deferred to the Attorney General and task force members, while noting that outreach on public lands differs from private land, where owner consent is required. The Office of the Public Defender supported the bill and wanted a voice in finding a solution. The Statewide Office on Homelessness and Housing Solutions also said it supported the intent, while opposition from the Kingdom of the Hawaiian Islands and support from one individual were noted. For HB 280, which would make the community outreach court permanent and appropriate funds, the Judiciary strongly supported the bill, describing the court as a mobile, community-based program serving vulnerable populations and connecting participants to services. The Office of the Public Defender also supported the measure, saying the program has helped people move off the streets and into stable housing and that permanent funding would allow expansion. Written support from the Hawaii Substance Abuse Coalition was noted. The committee then moved to HB 71, creating a refundable family caregiver tax credit, where the Department of Taxation provided comments, the Executive Office on Aging and AARP Hawaii supported the measure, and the Tax Foundation of Hawaii raised concerns about duplication with an existing dependent care credit and the lack of incentives for cost control. The committee next heard HB 753, which would increase the applicable percentage for the household and dependent care services tax credit. Support came from the Executive Office on Aging, Catholic Charities Hawaii, AARP Hawaii, and Hawaii Children’s Action Network, while the Tax Foundation again raised technical concerns about complexity and administration but noted the bill adds guardrails against abuse. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Evidence shows that high cost sharing often deters families from seeking care, even care that a child
• children's health care will be covered.
• And this certainly is the right moment for us to think about how we can reduce care, the cost of care
• children's health care will be covered.
• Under current law, commercial health plans impose cost sharing at the point of care on most health care

Committee: House Health

Transcript Highlights:

• Trent requires 24/7 care.
• Trent requires 24/7 care.
• Trent requires 24/7 care.
• </c><01:36:23.040><c> for</c> that care will be near finding care for that care will be near finding
• </c><01:42:54.880><c> I</c> Memory Care Home care and hospice I Memory Care Home care and hospice I appreciate

Committees: Senate Health and Human Services , Senate Human Services

Transcript Highlights:

• Better coordination of care.
• Seek care, and that care will likely be at a neighborhood emergency room. Correct.
• , women's health care. ...people to get providers for comprehensive health care, women's health care
• indigent care.
• indigent care.

Committee: Senate Budget and Fiscal Review

Transcript Highlights:

• Substance use disorder care should be integrated into whole-person, life-course health care.
• Care should be integrated into whole-person, life-course health care.
• This care requires multiple...
• Primary care... Primary care integration of SUD has a very good retention rate.
• And then second... ...care into all of our other health care.

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• Um, that contribute to child care funds.
• </c> for child care. for child care.
• </c> funds that could be used for child care funds that could be used for child care for<00:19:14.640
• And as as you know and I my care.
• A number of child care slots just out.

Committee: Joint Finance

Transcript Highlights:

• One way to think about us relative to our health care counterparts is that health care tends to take
• paying for health year on Health Care paying for health care<00:09:25.760><c> but</c><00:09:26.000><
• and the long-term care waivers and home care.
• health care programs.
• So a lot of care, but we want to make sure they get the right care.

Committee: House Health Finance and Policy

Transcript Highlights:

• We have CCTR, general child care, state preschool, and also private pay child care center programs in
• We also ask that you keep the promise for child care spaces.
• Increasing pay for child care staff prevent staff shortages and enhance and ensure consistency in care
• rely on consistent and high-quality child care.
• Child Care Resource Center alone has over 19,000 children waiting for care.

Transcript Highlights:

• Moving on to page two, in the Health Care Authority—I'm sorry, in the Health Care Affordability Fund
• The system of care in New Mexico now.
• New Mexico Care is a new program in our long-term care division.
• And so that's New Mexico Care.
• Our grandchildren taking care of their grandparents, just like grandparents are taking care of their

Committee: Senate Senate Finance

Transcript Highlights:

• filed did not get care through Care Court.
• on Care Court.
• SB 1016 strengthens Care Court by making it part of a true continuum of care and not a dead end.
• a higher level of care.
• the... how the care court.

Summary: The committee heard several bills. SB 911, by Senator Becker, would require notification and verification of defensible-space compliance when homes in high wildfire severity zones are transferred, using the preliminary change of ownership report; supporters said it would improve wildfire resilience and insurance availability, while county assessors opposed the use of the PCOR and urged a different recorded document. Members generally supported the bill but raised concerns about the 12-month compliance window and the need to keep working with assessors; the bill was held pending a quorum and later placed on call. SB 1016, by Senator Blakespear, would create a pathway for a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate or otherwise needs more intensive care. Supporters, including psychiatrists, family members, and local officials, said Care Court is leaving many severely ill people untreated and that the bill would connect them to existing LPS processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued it would expand involuntary detention, bypass existing pre-petition screening safeguards, and undermine Care Court’s voluntary nature. The bill passed the committee on a roll call vote and was placed on call. SB 1112, by Senator Archuleta, would create a faster court process for victims of illegal or excessive “bandit towing” to recover their vehicles by posting a bond and obtaining a release certificate. Support came from Enterprise Mobility and the author, who said the bill targets bad actors and helps equalize leverage for vehicle owners; the California Auto Body Association sought an amendment to exclude auto repair shops. The committee passed the bill as amended to Appropriations and placed it on call. SB 1119, by Senator Padilla, would impose child-safety requirements on AI chatbots, including risk assessments, crisis-response protocols, parental controls, limits on time and data use, reporting, audits, and a private right of action. The bill was driven by testimony from the mother of a teenager who died by suicide after prolonged chatbot interactions; industry and business groups opposed or sought amendments, citing overlap with recent law, vague standards, and prescriptive design mandates. Members expressed strong support for the bill’s goals while urging tighter definitions, and the bill was moved on a roll call vote and placed on call.

Transcript Highlights:

• That is the real health care crisis, not premiums.
• I sit with these health care providers and see the 2002.
• costs and preserve access to care.
• And that means that neonatal intensive care units are going to have to be looked at, trauma care, burn
• centers, community outreach, prenatal care, and on and on and on.

Summary: The Judiciary Committee met to consider HB 6003, a bill to repeal Florida’s “free kill” law that limits certain survivors’ ability to recover non-economic damages in medical negligence wrongful death cases. The sponsor, Rep. Trabulsy, said the bill would restore access to the courts for a small class of families and noted the measure passed both chambers last year before being vetoed by the governor. She and supporters framed the bill as a fairness and constitutional issue, while opponents argued repeal would increase malpractice exposure, insurance costs, and pressure on physician access, especially in high-risk specialties and rural areas. Public testimony was sharply divided. Supporters included family members who described deaths they said were caused by medical negligence and who argued the current law denies accountability and equal treatment based on marital status or whether a decedent had minor children. Opponents included the Florida Hospital Association, Florida Medical Association, Florida Chamber, U.S. Chamber, Florida Insurance Council, and other health care and business groups, who warned that repeal could worsen already high malpractice premiums, contribute to physician shortages, and destabilize access to care. Several speakers on both sides discussed possible caps on non-economic damages as a compromise, though the bill itself was presented as a clean repealer with no amendments. During debate, several members spoke in support, emphasizing equal access to the courts and rejecting the idea that the law should treat some families differently from others. Opponents of the bill argued that the current system helps preserve market stability and that liability concerns, not the free kill law, are driving provider departures. After closing remarks from the sponsor, the committee voted 15 yeas and 1 nay to report HB 6003 favorably.

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

Transcript Highlights:

• Maternity deserts in Minnesota are a serious barrier to accessing safe care.
• After that, I'm unable to provide maternal and primary health care for my community.
• They haven’t necessarily worked in a health care setting before.
• Scope, but we’re saying that these are primary health care providers for women.
• </c><00:21:07.240><c> because</c> would I be doing primary care because would I be doing primary care

Transcript Highlights:

• Accordingly, careful legislative language, Accordingly, careful legislative language, including oversight
• A foster care multi-agency office has the potential to streamline services, A foster care multi-agency
• at risk of foster care entry, those who have exited foster care because of permanency, or those who
• The law does prohibit SSA funds from being used to cover the care and supervision costs of foster care
• This is related to an emerging issue within community care licensing for child care programs.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Transcript Highlights:

• Health care facility.
• , which is a barrier to care.
• the volume of care rather than the quality of care. provided.
• care, fee-for-service, to paying for health care that keeps people healthy.
• care.

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services

Transcript Highlights:

• We currently provide a holistic model of care including pastoral care, behavioral health, primary care
• care, behavioral health, pastoral care, behavioral health, primary<00:16:35.600><c> care,</c><00:16:
• and recovery care, and chronic care for chronic illnesses.
• They're finding care.
• </c> contracting and valuebased care. contracting and valuebased care.

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• Including health care workers themselves, right?
• It's made scarce by the way that our health care facilities work and the way our health care programs
• Our health care facilities work and the way our health care programs are funded.
• It's about whether politics... our health care facilities work and the way our health care programs are
• The Senate version, yes, out of Health Care Financing. Yes, out of Health Care Financing.

Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met and heard a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used rationing criteria that prioritized short-term or long-term survival in ways that disadvantaged disabled people, older adults, and people with certain chronic conditions, and he discussed related issues such as QALYs, DNR pressure, and inequities in vaccine prioritization. He also noted that disability rights advocates, legal groups, and allies used litigation, media outreach, and public pressure to force revisions to the standards, and that Massachusetts ultimately adopted more protective third-round standards that limited the use of life-expectancy judgments and banned QALYs in those decisions. Members asked why the disability health care discrimination bill has not passed despite being reintroduced over multiple sessions. Killick said the main obstacle now appears to be lack of legislative prioritization rather than active opposition, after earlier concerns about QALYs were resolved through compromise. He identified the bill as S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, and said it had been favorably reported out of the Health Care Financing Committee. Members thanked him for the presentation and for his work during the pandemic. The meeting then moved to roll call, approved the minutes by motion and second, and adjourned after noting the next meeting date as August 31st.

Transcript Highlights:

• care and reducing the growth of health care costs.
• care.
• health care spending to primary care.
• care.
• Independent primary care practices improve outcomes and reduce the overall cost of care.

Bills: SB268 , SB306 , SB264 , SB312

Committee: House Administration

Summary: The House Administration Committee met to consider a series of resolutions and bills covering arts districts, child care background checks, federal worker relief, health care reform, court transparency, school tax reassessment, municipal charter changes, constitutional amendment procedures, data center nondisclosure agreements, state employee benefits governance, and lieutenant governor vacancies. Members also noted that House Concurrent Resolution 12 had been removed from the agenda and that public comment would be limited to one minute per speaker. The committee released SCR 167 to study arts, culture, and creative districts in Delaware; HB 438 to close a loophole in the child care service letter requirement; SB 268 to provide interest-free loans, free transit, and tax deferrals for federal workers during shutdowns; SS2 for SB 1 to expand and permanently strengthen primary care investment while also addressing hospital cost growth; HCR 147 to request a Court of Chancery report on audio recordings and automated case assignment; SB 322 to replace the current post-reassessment 10% school revenue increase authority with a 2% annual increase option under safeguards; SB 306 to amend the Rehoboth Beach charter; HB 440 to require voter approval for constitutional amendments after legislative approval; SB 312 to bar nondisclosure agreements for large data center projects; SS1 for SB 289 to change State Employee Benefits Committee governance; and SB 264 to require a special election to fill a lieutenant governor vacancy. Testimony was mixed on several measures. Arts, child care, federal worker relief, primary care, court transparency, data center transparency, and the lieutenant governor vacancy bill drew mostly supportive testimony, while SB 322 and SB 306 drew both support and opposition, especially over tax impacts and the proposed spouse/partner restriction in Rehoboth Beach. HB 440 prompted debate over whether 55% voter approval was the right threshold for constitutional amendments, and SB 312 was supported as a transparency measure by residents affected by prior data center NDAs. All of the listed measures were released from committee by roll call vote, with some members voting no on HB 440, SB 306, SB 312, SS1 for SB 289, and SB 264.