Transcript Highlights:

• </c> participant-directed services. participant-directed services.
• </c> day that services start. day that services start.
• service service fee<01:21:06.880><c> schedule.
• , in the fee-for-service fee-for-service, in the fee-for-service world, world, world, there<01:36:54.120
• ><c> services</c> outpatient services outpatient services and<01:47:43.440><c> that</c><01:47:43.560>

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• </c> for their dedicated state public service for their dedicated state public service and<00:05:44.840
• </c> during his lifetime of public service. during his lifetime of public service.
• </c> service as a state trooper. service as a state trooper.
• If you don't know about Champlain Community Services, it's an organization that serves people with developmental
• </c> from Champlain Community Services here. from Champlain Community Services here.

Transcript Highlights:

• Thank you for your service. Further introductions, lady from Dunklin.
• Thank you for your service. Further introductions, lady from Jasper. Introduction of special guest.
• Thank you for your service. Further introductions, gentleman from St. Louis County. Thank you, Mr.
• So I guess... ...a definition of developmental disability and two other sections.
• opportunity by the Community Service Commission.

Transcript Highlights:

• developmental disabilities frequently rely on home health services to remain in their homes and communities
• developmental disabilities frequently rely on home health services to remain in their homes and communities
• services, pediatric service, and burn center.
• services, pediatric service, and burn center.
• services, pediatric service, and burn center.

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• </c> them that same spirit of service. Mr. them that same spirit of service. Mr.
• His service to our nation did not end there. Following his service in the Navy, Mr.
• </c> personal hardship into public service. personal hardship into public service.
• </c><06:33:42.240><c> Speaker,</c> your service. Thank you, Mr. Speaker, your service.
• </c> service contracts for their friends. service contracts for their friends.

Bills: HB8595 , HB4288 , HB4647 , HB6963 , HB5362 , HB6007

Keywords: appropriations, State Department, foreign aid, foreign assistance, diplomacy, embassy security, consular services, passport backlog, visa wait times, international broadcasting, Fulbright, Peace Corps, Millennium Challenge Corporation, foreign military financing, security assistance, counterterrorism, nonproliferation, democracy promotion, human rights, global health

Transcript Highlights:

• </c><00:25:39.520><c> to</c> accountability, and improve service to accountability, and improve service
• The previous and and Human Services.
• </c> their adult child with developmental their adult child with developmental disabilities<00:41:51.119
• </c> social service agencies and etc. social service agencies and etc.
• </c> direct access to the social services direct access to the social services information<01:04:41.760

Bills: HF3901 , HF962 , HF4428 , HF4478 , HF1775

Committee: House Judiciary Finance and Civil Law

Keywords: foster care, ombudsperson, investigative powers, children's rights, complaint process, HF4428, Medical Assistance, Medicaid, community engagement, work requirement, work mandate, employment requirement, community service, 80 hours, half-time student, income threshold, federal minimum wage, eligibility verification, benefit suspension, benefit termination

Transcript Highlights:

• We’ll call it SIPC for ease, which will provide increased access to mental health services, increased
• This addresses a service provision that is not within the realm of any type of medication prescribing
• I know in the past that the school boards have extended their service for a year whenever their term
• Well, if I believe the ad runs through House Legislative Services.
• So the individual or organization goes through House Legislative Services. No. Okay.

Bills: HB88 , HB181 , HB210 , HB250 , HB486 , HB529 , HB544 , HB639 , HB996 , HB1036 , HB1071 , HB1113

Committee: House House and Governmental Affairs

Keywords: local law, special bill, legislative process, transparency, election amendment, lobbying, public service, ethics, statewide officials, compensation, disclosure requirements, government employment, financial disclosure, public servants, immediate family, psychology, telepsychology, interjurisdictional practice, compact, licensure

Transcript Highlights:

• </c> uh option with emergency services. uh option with emergency services.
• </c><00:24:56.880><c> for</c> about $70 million in debt service for about $70 million in debt service
• </c> This fall, they were receiving services This fall, they were receiving services by<00:48:18.760>
• </c> and ensures uh safe medical services and ensures uh safe medical services that<01:20:54.600><c>
• </c> also provide good delivery of service. also provide good delivery of service.

Bills: HF3753 , HF4299 , HF4700 , HF4282 , HF4139 , HF3530 , HF4031

Committee: House Public Safety Finance and Policy

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Bills: SB330 , SB2069 , SB2095

Committee: House Wildlife

Keywords: elk population, wildlife management, Oklahoma State University, veterinary medicine, ecosystem health, habitat assessment, advanced nuclear energy, nuclear power, small modular reactor, SMR, microreactor, generation III+, generation IV, nuclear reactor, nuclear permitting, nuclear licensing, Oklahoma Corporation Commission, OCC, Oklahoma Advanced Nuclear Energy Office, Oklahoma Advanced Nuclear Development Revolving Fund

Bills: SB274 , HB586 , SB274 , HB586

Committee: House Boards, Agencies and Commissions

Keywords: cannabis, psychoactive cannabinoids, CBD, delta-8 THC, delta-9 THC, delta-10 THC, criminal penalties, youth protection, medical cannabis, HB586, Cullman, Cullman County, City of Cullman, annexation, municipal boundaries, corporate limits, local legislation, boundary adjustment, city limits, municipal expansion

Transcript Highlights:

• </c><00:24:57.600><c> with</c> benefits, services and programs with benefits, services and programs with
• </c> healthcare and program and service healthcare and program and service delivery<00:27:10.400><c>
• </c><00:29:02.720><c> We</c> benefits, services, and programs. We benefits, services, and programs.
• Uh, the Cold War ended, and that's when I ended my service because I was a Cold War sailor.
• </c> Minnesota Association of Veteran Service Minnesota Association of Veteran Service Officers<00:34

Bills: HF3540 , HF3522 , HF3544

Committee: House Veterans and Military Affairs Division

Keywords: veterans rights, employment discrimination, human rights, Minnesota laws, protected classes, veterans, Minnesota Department of Veterans Affairs, veterans affairs, Secret War in Laos, SGU veteran, Hmong veterans, Laotian veterans, honor guard, military funeral honors, state veterans cemetery, burial eligibility, veterans home, temporary closure, state active service, National Guard

Transcript Highlights:

• ARCs provide services for roughly 5,000 families with developmental disabilities throughout the state
• :00.560><c> 5,000</c> provide services for roughly 5,000 provide services for roughly 5,000 families<
• with developmental disabilities families with developmental disabilities throughout<00:17:03.440><c>
• Autism services agencies are going to leave the state.
• </c><00:22:07.440><c> to</c><00:22:07.679><c> provide</c> autism services to provide autism services

Bills: SB78 , SB103 , SB113 , SB180 , SB78 , SB103 , SB113 , SB180

Committee: House Boards, Agencies and Commissions

Keywords: inhalants, butyl nitrite, nitrous oxide, amyl nitrite, possession, sale, misdemeanor, felony, criminal penalties, public health, public works, sealed bids, bid advertisement, procurement, government contracting, construction bids, municipal bidding, county bidding, state bidding, Department of Transportation

Transcript Highlights:

• Alternatively, school districts and educational service districts may elect to grant surplus personal
• And thank your husband for his service. Hi. Thank you. Hello, I'm Amanda Wilder.
• She said she has more than 300 community service hours for her community.
• I have more than 300 community service service for our community. None of this would be possible.
• I don't know. 100 community service hours for our community.

Bills: SB6222 , SB6263 , SB6118 , SB6261 , SB6320

Committee: Senate Early Learning & K-12 Education

Keywords: public education, technology access, surplus hardware, digital divide, student resources, school district, public bidding, bid limits, procurement, public works, construction contracts, competitive bidding, lowest responsible bidder, small works roster, quotations, school purchasing, Washington-grown food, local food, inmate work programs, Department of Corrections

Bills: SB746 , SB1404 , SB1536 , SB1559 , SB1838

Committee: House S/C on Family & Fiduciary Relationships

Keywords: guardianship, guardian ad litem, incapacitated person, proposed ward, ward, probate, Estates Code, Texas probate, elder abuse, adult protective services, capacity restoration, guardian removal, annual account, annual report, estate guardian, person guardian, civil immunity, court-appointed representative, judiciary, civil jurisprudence

Summary: At 10:00 p.m. on Monday, May 12, the chair called the meeting to order and asked the clerk to call the roll. Members present included Hayes; Dutton, Landgraf, Gonzalez, and LaHood were not present. Because there was not a quorum, no business could be conducted. The chair announced that the meeting would adjourn, and the meeting ended immediately.

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• , that couldn't afford that service.
• So I just think, after, Service.
• Thank you for your service.
• The Senate Committee on Health and Human Services will come to order.

Bills: SB1406 , SB1681 , SB2480 , SB2721

Committee: Senate Health & Human Services

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Summary: The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending. The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending. Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion. After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.

Transcript Highlights:

• My name is Paul Moore, Assistant Commissioner of Accounting Services at Minnesota Management and Budget
• service, and so there is still an issue.
• ><c> in</c><00:31:39.279><c> the</c><00:31:39.440><c> classified</c><00:31:40.000><c> service</c><00:
• 31:40.440><c> and</c> staff is in the classified service and staff is in the classified service and so
• The biggest section is the exceptions within some of the departments, so Human Services.

Bills: HF1 , HF1754 , HF1809 , HF1478

Committee: House State Government 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

Bills: SF24 , SF51 , SF55 , SF135 , SSB1044 , SSB1046

Committee: Joint Transportation

Keywords: railway, crossing, repairs, upgrades, penalties, public safety, transportation, personal information, privacy, Department of Transportation, data protection, law enforcement, firefighter, registration plates, revocable trust, emergency services, vehicle registration, validation sticker, license plate, registration renewal

Transcript Highlights:

• The next is the Division of Developmental Disability Services and its appropriation summaries on page
• This division administers programs and services for people who are intellectually and developmentally
• The next is the Division of Developmental Disability Services and its appropriation summaries on page
• This division administers programs and services for people who are intellectually and developmentally
• It's the second fund from the bottom, 896, Division of Developmental Disability Services.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• Governor's Letter Number 11 for DHS Developmental Disabilities contains positions.
• Governor's Letter Number 12, also DHS use services, contains positions. Refer to personnel.
• Governor's Letter Number 11, DHS Developmental Disabilities, contains positions.
• Governor's Letter Number 12, DHS Use Services, contains positions. Refer to personnel.
• C-24, which is Governor's Letter Number 24 for the Department of Shared Administrative Services, contains

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee met briefly to review a long list of agency and governor’s letters and determine which items should be referred to subcommittees. The chair explained that the main purpose of the meeting was referral only; any letters not acted on would be carried over to next Tuesday’s agenda. Under agency communications, letters from the Auditor of State, Supreme Court, Secretary of State, and Lieutenant Governor were referred to personnel because they contained positions. Under the governor’s letters, several items were referred to personnel or special language, including requests involving the Department of Education, Department of Health, multiple DHS divisions, the Department of Correction, the Department of Agriculture, the Department of Public Safety, Shared Administrative Services, Workforce Services, Energy and Environment, and the Department of Finance and Administration. No substantive debate or votes were described beyond the referral decisions. The chair then announced a busy schedule for the following week, with personnel, JBC, claims, peer review, and special language meetings set across Tuesday through Thursday, and the meeting adjourned.

Transcript Highlights:

• national light on Minnesota and highlighting the achievements of athletes with intellectual and developmental
• corporate partners to address the statistics of underemployment of people with intellectual and developmental
• national light on Minnesota and highlighting the achievements of athletes with intellectual and developmental
• corporate partners to address the statistics of underemployment of people with intellectual and developmental
• </c> intellectual and developmental intellectual and developmental disabilities<00:01:36.040><c> and<