Transcript Highlights:

• the Department of Health, the Office of the Insurance Commissioner, and the Health Care Authority to
• And this is very difficult to be able to take care of the patients.
• We need more primary care doctors and staffing for primary care doctors, which impacts our quality of
• us, to take care of our health.
• take care of our health.

Bills: HB2255, HB2320, HB2548

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, firearm regulation, manufacturing, safety standards, background checks, license requirements, health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change

Summary: The committee held public hearings on three bills. HB 2255 would regulate third-party litigation funding by requiring disclosure of funders and financing agreements, limiting certain funder practices, capping funder recovery at 25% of a monetary award, and creating enforcement remedies. The bill sponsor and supporters from insurance and business groups described it as a transparency and consumer-protection measure that could improve case management and reduce costs, while opponents from the plaintiffs’ bar and litigation finance industry argued it would chill access to justice, create satellite litigation, and unfairly expose plaintiffs’ financing arrangements. No vote was taken; the chair asked testifiers to submit written comments and closed the hearing. The committee then heard HB 2548, which would expand state notice and review requirements for health care market transactions, including broader definitions of material changes, pauses for Attorney General information requests, interagency data-sharing, and revocation of nonprofit designation in certain transactions. Supporters, including patient advocates, nurses, the Office of the Insurance Commissioner, and the Attorney General’s office, said the bill would help address consolidation, private equity involvement, and rising health care costs. Hospital and medical association representatives opposed or sought changes, citing drafting problems, undefined terms, concerns about overbreadth, and questions about how nonprofit status would be affected. Staff was asked to follow up on the alleged drafting error and other language concerns. Finally, the committee heard HB 2320, which would tighten restrictions on the manufacture and distribution of 3D-printed and CNC-produced firearms, digital firearm manufacturing code, and devices marketed for firearm production, and would make certain violations per se CPA violations. The sponsor and supporters, including school officials, gun violence survivors, students, researchers, and gun safety advocates, said the bill would close a loophole in existing ghost gun laws and respond to growing use of untraceable firearms. Opponents, including the NRA and a makerspace representative, argued the bill was overbroad, raised First, Second, and Fifth Amendment concerns, and could sweep in lawful 3D printing and CNC activities. The hearing ended with additional testimony in support and opposition; no action or vote was taken.

Transcript Highlights:

• system</c><01:03:18.800><c> here,</c> status of our health care system here, status of our health care
• </c> emergency medical systems of care. emergency medical systems of care.
• </c> of uh in-state doctor to establish care of uh in-state doctor to establish care and<01:25:02.120
• of care that we understand the quality of care that we have<01:34:08.080><c> here</c><01:34:08.400><
• ><c> improve</c> care and means of trying to improve care and means of trying to improve population<01

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• It is not in any sort of other health care realm.
• That means Medicaid can pay for ongoing care in the community, not just short episodes of crisis care
• care, and there are thousands of individuals like Kelsey.
• Cost of her care, and there are thousands of individuals like Kelsey.
• for this SMI long-term level of care.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• </c> are doing taking care of our loved ones are doing taking care of our loved ones um<00:32:36.640>
• Again, hospice care is end-of-life care, and she was able to graduate off of that care.
• is is end of life Again, hospice care is is end of life care<00:43:16.079><c> and</c><00:43:16.480><
• </c> care and she was able to graduate off of care and she was able to graduate off of that<00:43:18.800
• Uh but part of part of end of that care.

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• And so, um, there is a lot of enthusiasm for this model of health care.
• We appreciate the of delivering care.
• We look forward to working with of care.
• > who</c> availability of care for patients who availability of care for patients who already<00:21:19.919
• of the health care avoid the pitfalls of the health care system,<00:30:26.559><c> which</c><00:30:26.880

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• HE IS OF AGE TO PURCHASE THAT GUN. I WANT THAT TO SINK IN FOR A MINUTE.
• THIS WAS A PARENT TRYING TO STOP THE PURCHASE OF THIS GUN. SHE KNEW THERE WAS A PROBLEM.
• THESE RIGHTS SHOULD NOT BE INFRINGED UPON WHEN IT COMES TO LAWFUL PURCHASE OF A FIREARM.
• People can possess it, yet they can't purchase it if they're under the age of 21. Why?
• I care about each and every one of you and your stories. and the things you've been through.

Keywords: sales tax reduction, budget cuts, boating safety, water treatment, municipal utilities, school safety, medical malpractice, firearm purchase age, cursive writing instruction, first responder support, veto overrides, veterans funding, infrastructure projects

Summary: The Florida House convened for regular business, with Speaker Perez announcing historic budget plans including the largest state tax cut in Florida history - a permanent 0.75% sales tax reduction from 6% to 5.25%, saving Floridians nearly $5 billion annually. The House will propose a budget lower than both the Governor's proposal and last year's budget. Several bills passed including Lucy's Law (boating safety), water access facilities funding, municipal utility rate corrections, hazardous walking conditions for schools, and medical malpractice 'Free Kill Law' repeal. The controversial firearm purchase age bill (HB 759) passed 78-34, lowering the minimum age from 21 to 18, despite emotional opposition citing the Parkland shooting. Other bills addressed cursive writing instruction, peer support for first responders, and government sunset reviews. Multiple veto override motions were approved unanimously, reinstating funding for veterans programs and infrastructure projects.

Transcript Highlights:

• This is the second of force.
• of staff, responding to... ...patients already inside an evaluating agency under the care of staff,
• support of SB 1188.
• any personal identifying information of an emergency medical care technician for a commercial purpose
• She said we should at least take care of firefighters. Madam Chair, I guess that would be my point.

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Transcript Highlights:

• Members, uh, in Texas, more than 286,000 children are being raised outside of their parents' care.
• in foster care, they put a box of, I mean a case of water on the floor, they get it, you know, they have
• But I'm, I'm in support of this bill because it's a struggle for us to take care of our grandchildren
• Care of, you know, 6 kids and by the grace of God, he's my provision and he's taking care of me and these
• as a part of wellness initiatives and preventative care.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• contracts for the purchase, lease, or sale of goods, services, or real estate.
• I like the idea of kind of a what in medicine we call a medical home, but the idea of having all this
• of.
• It shortens the time period for informal arrangements for care of foster children from 7 days to 72 hours
• and puts additional guardrails in place around temporary care of foster children.

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Transcript Highlights:

• And Medicaid dollars on Alzheimer's disease and the cost of having those in long-term care.
• contracts for the purchase, lease, or sale of goods, services, or real estate.
• care of.
• So it shortens the time period for informal arrangements for care of foster children from seven days
• to 72 hours and puts additional guardrails in place around temporary care of foster children.

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Summary: The Senate Health and Human Services Committee heard and advanced a series of health, licensing, and child welfare measures. Senate Bill 1806 would allow eligible individuals receiving Oklahoma Department of Human Services services to voluntarily remain in those services until age 21; the author said the title was struck while fiscal estimates were being revised, and the bill passed 11-0. Senate Bill 1430 would shift authority over hiring, supervising, and removing the commissioner of mental health from the governor to the governing board; it passed 8-2 after questions about removal provisions. Senate Bill 206, as amended, added tribal entities to EMS-related essential services to help draw down federal funding, and passed 10-0, while Senate Bill 1849 made a cleanup change allowing the State Board of Podiatric Medical Examiners to approve medical marijuana education for continuing education credit and passed 11-0. The committee also approved Senate Bill 1428, creating an Office of Alzheimer’s and dementia-related services within the Department of Health; the author said outside funding would cover the first two years and the bill would have no state budget impact, and it passed 9-2. Senate Bill 1653 created the Occupational Therapy Licensure Compact and passed 9-2 after discussion of closed meetings and compact operations. Senate Bill 1984 updated and clarified the Osteopathic Medicine Act and passed unanimously. Senate Bill 1644 required alpha-gal syndrome to be added to the reportable diseases list and passed 12-0. Senate Bill 1561, requested by regional EMS, added disciplinary steps for ambulance and EMT personnel to avoid automatic disqualification and passed 12-0. Senate Bill 1813 enacted the athletic trainer compact and passed 10-2. The committee then took up major child welfare restructuring. Senate Bill 1570 would create a Department of Child Safety and Well-Being by consolidating DHS Child Welfare Services and the Office of Juvenile Affairs, with a phased implementation timeline and a future board and interim commissioner; members discussed protecting ongoing cases and adding lived-experience representation on the board. The bill passed 12-0. Senate Bill 1796 shortened the period for informal foster care arrangements from seven days to 72 hours and added guardrails for temporary foster care placements; the author said it was intended to prevent harm when children are left with unvetted caregivers, and it also passed 12-0. The committee adjourned after distributing a handout related to the foster care/respite care changes.

Transcript Highlights:

• workforce quality of care initiatives.
• system and has accelerated investments in treatment workforce and quality of care.
• Matthew Stackpole, on behalf of the Greater Albuquerque Chamber of Commerce, in strong support of Senate
• I'm going to defer to the Secretary of the Health Care Authority. Mr.
• Can fill in some of those of which are vacant.

Bills: SB101, SB58, SB55

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB58, metropolitan redevelopment, redevelopment property, property tax exemption, payments in lieu of taxes, PILOT, municipal redevelopment, local government

Transcript Highlights:

• , but that term is not a defined standard of care.
• I'm here on behalf of the Association of Washington Health Care Plans, or AWHP, as we are called.
• about the rising cost of care.
• That's the promise of future care when people's long-term care and other health care needs escalate.
• That's the promise of future care when people's long-term care and other health care needs escalate.

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Transcript Highlights:

• the power of lived experience to transform systems of care.
• for the quality of care that we are capable. of providing, but for what it means to be supported by
• I aged out of care at 18, I didn't know what to do.
• My aunt did not have enough money for this and was constantly. afraid of, what do I do to take care of
• care. that improve the quality and accessibility of care for pregnant women with opioid use disorder

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• care system in the state of Texas.
• The state of Texas alone got an extra $400 million for foster care, raising the budget to $5.1 billion
• Can you please all of you share what you're seeing when a child ages out of foster care?
• Most of them don't have access to that program, because when they're out of foster care or in a placement
• When kids are aging out of the foster care system, that is one of the most vulnerable times, and that

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• of family child care.
• of empathy, caring skills, and so many more things.
• of education, and that kids exiting foster care have continuity in extended foster care.
• the Minnesota Board of Early Care and Education.
• And Board of Early Care and Education.

Bills: HF4382, HF2929

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

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement

Transcript Highlights:

• or even peak times of the day.
• The peak times of the year for the ODBA usually like March through October, or the peak times of the
• Is there any kind of reporting for those who don't comply, or any kind of fine or anything for those
• And when suicide or overdose happens, we take care of that in the moment. And we don't look back.
• are not made aware of 11 of their patients died from an opioid overdose.

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Transcript Highlights:

• peak times of the day.
• peak times of the day.
• Is there any kind of reporting for those who don't comply, or any kind of fine or anything?
• Sometimes we don't know the gaps, and when suicide or overdose happens, we take care of that in the moment
• , or overdose happens, we take care of that in the moment and we don't look back.

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Summary: The Health and Human Services Oversight Committee opened with prayer and then heard a series of bills, most of them request bills from state agencies or related to veterans and military matters. House Bill 3043 would let the Oklahoma Dental Board Association hire temporary or PRN workers during peak periods; it passed 11-1. House Bill 3044 would continue an existing tax-return checkoff for donations and passed 12-0. House Bill 3078 would create an online donation option for the Oklahoma Department of Veterans Affairs during license and tax transactions and passed 12-0. House Bill 3940 made a number of cleanup and policy changes to a prior Oklahoma National Guard measure, including retention, benefits, discipline, museum operations, and state active duty pay issues; it passed 11-0. House Bill 4117 would define family resource centers in statute and emphasize faith-based partnerships, workforce development, and braided funding; it passed 12-0. The committee also advanced House Bill 3428, which would require certain businesses to post information about veterans’ benefits in a conspicuous place to help more eligible veterans enroll in benefits; members discussed raising the employee threshold from 50 to 100, but no amendment was adopted during the meeting, and the bill passed 10-2. House Bill 4275 would allow counties and cities to employ case managers and peer support specialists while maintaining certification, to support sheriffs and first responders, and it passed 12-0. House Bill 3257 would treat 100% disabilities caused by VA medical malpractice as service-connected for state benefit purposes, aligning state law with federal treatment, and it passed 12-0. Two public health bills also advanced. House Bill 3901 would authorize psychological autopsies in suicide and overdose cases to better understand causes and improve prevention; members discussed whether the process should include notifying prescribing physicians when patients die from opioid overdoses, and the bill passed 12-0. House Bill 4298 would allow DHS child care rule changes to be distributed by mail and electronically, reflecting current practice, and it passed 12-0. The committee adjourned after reporting all measures do pass.

Transcript Highlights:

• I know there are a lot of factors involved in those challenges, and one of them has been the need for
• Is there some kind of a mechanism that the insurance company could be billed instead of relying on state
• This came up kind of kind of Quickly, with our focus now on literacy and other issues, we have addressed
• of years ago.
• These new properties are some of those that are listed or some of the state-run facilities that are in

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• </c> behalf of the long-term care Imperative. behalf of the long-term care Imperative.
• So one of the pieces of that of care.
• </c> care imperative about the portions of care imperative about the portions of the<00:34:33.119><c>
• care, we're talking about people at the very end of that care.
• of care for the um that is not standard of care for the community.<01:02:43.280><c> If</c><01:02:43.440

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services