Transcript Highlights:

• requires the Department of Human requires the Department of Human Services<00:13:18.720> to
• Thank you for Human Services in person.
• <00:19:15.760> you'll<00:19:15.919> move Human Services, we hope that you'll move Human
• Aloha, Chair, Vice Chair, and members of the Committee on Human Services and Homelessness.
• Um, okay, next up we have Department of Human Services. Is that on Zoom?

Bills: HB1877, HB2006, HB2167, HB2224, HB1626, HB1690, HB2012

Keywords: LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds

Summary: The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition. The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals. The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.

Transcript Highlights:

• Department of Health and Human Services.
• Health and Human Services Committee is already collecting that data.
• Human Services.
• Did anyone have questions for Health, Human Services?
• And as I've already stated, it is going to provide clarification for the health and human Human Services

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• of Human Services to voluntarily remain in care till the age of 21.
• And that it makes sense, and the data shows it's the right thing to do.
• We did hear this full last year in health and human services, but altered it significantly.
• I can't speak to other grant services or other organizations or entities.
• And they're currently, there are only five certified human trafficking service programs statewide.

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

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

Transcript Highlights:

• We are convening the House Committee on Human Services and Homelessness.
• Human Services and Homelessness Committee. Thank you for listening to this bill, SCR 63 SD1.
• :04:44.440> bill Human Services and Homelessness bill Human Services and Homelessness bill committee
• <00:13:14.440> Services, Human Services, Human Services, Homeless<00:13:16.440> Programs
• <00:23:08.840> Services,<00:23:09.320> Homeless Department of Human Services, Homeless

Bills: SCR63, SCR8, SCR160, SCR90, SCR93

Keywords: disability, accessibility, healthcare communication, sign language interpreters, deaf, hard of hearing, deaf-blind, auxiliary aids, building permits, seniors, health care, safety modifications, county regulations, expedited processing, housing ladder, move-up housing, subsidized housing, public housing, affordable housing, housing mobility

Summary: The House Committee on Human Services and Homelessness heard several resolutions focused on disability access, housing, and support for Native Hawaiian beneficiaries. SCR 63 SD1 would have the Disability and Communication Access Board study communication needs in health care settings for people who are deaf, hard of hearing, or deaf-blind and revise provider guidance; testimony was strongly supportive, including from the board, a physician, and a family member who described harmful delays in care, and the committee later recommended passage as is. SCR 8 would require counties to act within 45 days on completed permit applications for home modifications needed for an older adult or person with a disability; testimony noted delays in permitting and financing, and the committee recommended passage as is. The committee also heard SCR 160, which urges state housing agencies to create a “housing ladder” program to help individuals and families move from subsidized to unsubsidized housing. Hawaii Public Housing Authority and other agencies supported the concept, and DHS described its family self-sufficiency program and said prior federal resident-services funding had declined over the past 20 years. The committee acknowledged the program may already exist in some form but still recommended adoption of the resolution as is. SCR 90 would ask county planning departments to establish kupuna-friendly building permit requirements for parking accessibility in private businesses. The committee moved it forward with an HD1 for technical amendments; a member raised concern that the measure did not specify the age threshold for “kupuna,” and said they would vote with reservations. Finally, SCR 93 would direct DHHL and the Statewide Office of Homelessness and Housing Solutions to develop a coordinated support and stabilization pathway for Native Hawaiian beneficiaries experiencing homelessness or very low income. DHHL said it is already operating a transitional housing effort called Ka Leo Opu Mama for about 18 beneficiaries using more than $6 million in federal Nah Ho Sa funds, with no dedicated state funding, and the committee recommended passage as is. The meeting ended with the chair thanking testifiers and members and adjourning the hearing.

Transcript Highlights:

• The chair sees a qual the senate Health and Human Services will come to order.
• Senate Bill 1806 allows eligible individuals currently receiving services through the Oklahoma Department
• of Human Services to voluntarily remain in those services until age 21.
• The compact is designed to enhance access to athletic training services across state lines.
• So all the services that child welfare currently has would all transfer to this piece.

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:

• DHS was asked if this flexibility had created any data related to negative health or safety impacts in
• Human error in this field will always exist.
• best practices human error in this<00:15:49.600> field<00:15:50.160> will<00:15:50.399
• <00:21:32.520> pieces talk about why some of the data pieces talk about why some of the data
• so just just think hours of service so just just think about<00:42:58.880> that<00:42:59.160>

Bills: HF1247, HF628

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• Meredith Nichols, representing the Department of Human Services.
• Human Services to submit Department of Human Services to submit submit<01:33:39.600> a<01:33:39.640
• c> Services<01:34:20.120> stands The Department of Human Services stands The Department of
• <01:39:13.080> Services for uh Department of Human Services for uh Department of Human Services
• requiring the Department of Human requiring the Department of Human Services<01:58:35.760> to

Bills: SB709, SB2089, SB2090, SB2108, SB2211, SB2250, SB2325, SB2803, SB2866, SB3245

Keywords: mental health, crisis intervention, assisted community treatment, treatment orders, law enforcement training, public safety, court-ordered treatment, Medicaid, healthcare access, unlicensed professionals, supervised services, workforce development, mental health equity, child custody, evaluations, licensed counselors, family court, juvenile justice, waiver of jurisdiction, transfer to adult court

Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.

Transcript Highlights:

• I'm Meredith Nichols, uh, representing Department of Human Services and we stand on our testimony in
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• uh representing Department of Human uh representing Department of Human Services<01:30:42.560>
• We're not human services. >> Oh, wait. We're not human services.
• >> On behalf of the Committee on Human >> On behalf of the Committee on Human Services

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• So we've heard about the human cost and the community impact.
• Adopted already in the Human Services Committee.
• Services are available to youth through the age of 24.
• rates, which don't even come close to covering the cost of providing these services.
• Requiring medical assistance to cover this service at a sustainable rate is critical.

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• > of<00:23:18.559> early data shows that rates of early data shows that rates of early
• face it head on like we too are human face it head on like we too are human and<00:42:14.400>
• I'll note there is a DE1 in your packets that was adopted already in the Human Services Committee.
• 01:35:03.440> is Unfortunately, providing this service is Unfortunately, providing this service
• medical assistance to cover this service medical assistance to cover this service at<01:35:26.080

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• I am Raymond Winter, the Inspector General for Health and Human Services, and I'm here to testify on
• National studies show that up to 10% of any expenditures, and health and human services annually are
• So, in Texas, the annual spend on health and human services is about $50 billion. dollars as state and
• For a service to be offered as an in lieu of service, of service, it must be medically appropriate, cost-effective
• . services.

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

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:

• Department of Health and Human Services.
• The previous and and Human Services.
• The Department of Human Services needs 65 FTEs in order to abide by this conformity.
• The Department of Human Services needs 65 FTEs in order to abide by this conformity.
• c> Services<01:25:38.960> needs The Department of Human Services needs The Department of Human

Bills: HF3901, HF962, HF4428, HF4478, HF1775

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:

• And importantly, the data strongly supports this.
• Services, Hawaii State Department<00:35:27.760> of<00:35:27.840> Defense.
• , Services, Services, our<00:35:52.200> engineering<00:35:53.200> division<00:35:53.840
• > convening workforce development data convening workforce development data convening happening
• audit of the Department of Human audit of the Department of Human Resources<00:48:53.760> Development

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Bills: SB 623, SB 1266, SB 1310, SB 1373, SB 1580, SB 1952, SB 2032, SB 2269, SB 2544, SB 2653, SB 2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• appropriates up to $2 Million in interest funds to the Office of Juvenile Affairs to address gaps in youth services
• to $1 million in interest funds to the Oklahoma Department of Mental Health and Substance Abuse Services
• Members, Senate Bill 1134 appropriates interest funds up to $16,200,000 to address gaps in the human
• When in August of 2021, when the Health and Human Services working group had the first meeting...
• We will get that data pulled. We'll be able to pull it. Thank you.

Bills: HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund

Transcript Highlights:

• This bill appropriates the APATER funds to A gap in existing juvenile facility service projects in Rogers
• And then also under the youth services agency, we covered 12 different counties.
• This bill reappropriates excess ARPA interest funds to a couple of projects within the Department of Human
• Services.
• So how Much I mean, what's the ROI data that we have on it? Jobs created, did they spin off?

Bills: HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142, HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund

Transcript Highlights:

• Chairman and members, we know from our State Department of Health and Human Services that we have about
• The Texas Department of Health and Human Services has indicated that the risk of diabetes has increased
• Do you have your data, or could you share your data with the committee, please?
• The Health and Human Services Commission reported in 2023 that nearly one in five newborns in the state
• So there is ample evidence... data to show that this and other services like it are highly effective.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• The study is necessary to update pre-pandemic data and guide food access solutions.
• So let's get some more data. Let's fix this. I just had Dr.
• When we consolidated the Health and Human Services system, we also established the Women's Health Advisory
• These services are completely lacking for children in our Medicaid system.
• They are ready and willing to offer this service. They do in many other states.

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• Additionally, this bill directs the Health and Human Services Commission to monitor the frequency with
• And we'll call Rachel Patton, Health and Human Services Commission. Thank you. Thank you.
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• We're just human beings like you.
• No ideology should diminish my humanity and dignity as a woman.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• And we'll call Rachel Patton, Health and Human Services Commission. Thank you.
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• Yet does not define these given the complexities of human biology.
• At Patriot Mobile, we know God makes humanity. We know he makes good.
• No ideology should diminish my humanity and dignity as a woman.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission