Transcript Highlights:

• You are with Texans Care for Children, correct? Excuse me. Yes, that's correct.
• I am Kate Murphy, Director of Child Protection Policy at Texans Care for Children.
• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• But once the child is placed in care, they always ask, are you willing?
• Care providers or their staff to violate this provision.

Bills: SB2041 , SB1777 , SB1681 , SB2311

Committee: House Human Services

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

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

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

Committee: House Early Learning & Human Services

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

Transcript Highlights:

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

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

Committee: House Children and Families Finance and Policy

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

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

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

Committee: Senate Health & Long-Term Care

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

Transcript Highlights:

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

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

Committee: House Human Services

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

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

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

Committee: House Human Services

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• an emergency measure that allows individuals who do not receive supervisory, personal, or directed care
• assisted living resident, not be required to have a service plan or any sort of long-term health or care
• facility the full full breadth to ensure that their patient, their, their resident who is under their care
• establishes standards for optometrists to conduct eye examinations according to community standards of care
• not ophthalmologists, but optometrists probably do about 90% of what would be considered basic eye care

Bills: SB1023 , SB1145 , SB1242 , SB1247

Committee: House Health & Human Services

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Transcript Highlights:

• Health care provider.
• In many ways, Coordinated Care is the Affordable Care Act success story.
• care services.
• 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

Committee: House Health Care & Wellness

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

Transcript Highlights:

• a health care provider must also state the provider's name, type of credential, and any health care-related
• care credential during patient care encounters.
• Two, it ensures that all health care advertisements that name a health care professional identify the
• when the vast majority of our health care dollars... ...towards medical care.
• Additionally, providers of community-based care and in-home care, ...from liability.

Bills: HB2261 , HB2283 , HB2425 , HB2110 , HB2113 , HB2122 , HB2152

Committee: House Health Care & Wellness

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• and managed care plans.
• Foster care like me, those safety nets don't often exist.
• I aged out of care at 18, I didn't know what to do.
• So what happens to these children that do not receive care, receive delayed care?
• postpartum care, and deliver infants less likely to. who require intensive care.

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

Committee: House Human Services

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:

• As a result, newborns are experiencing delays and missing vital early care, including early checkups
• I have you as Alec Mendoza from Texans Care for Children.
• We know that early checkup screenings and medical care are vital for a baby's healthy start.
• Any delays in medical care can cause significant health issues for children.
• Can you please all of you share what you're seeing when a child ages out of foster care?

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

Committee: House Human Services

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:

• since the announcement about a month ago of changes that will throw about 16,000 people out of medical care
• reducing their eligibility criteria, which is going to limit the pool of clients who could access care
• , ...that special relationship you have with your physician as a woman, in HIV care, you build a very
• And it creates greater barriers to care for someone. And so there are concerns with it.
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care.

Bills: S0068 , S0096 , S0340 , S0428 , S0606 , S1480 , S7018

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• </c> past we have seen Managed Care past we have seen Managed Care organizations<00:35:39.760><c> not
• I see them relying on medical assistance for their health care coverage to access primary care.
• care system money.
• primary care provider.
• </c><01:23:48.000><c> care</c> assertive assertive community care care assertive assertive community

Bills: HF1005

Committee: House Human Services Finance and Policy

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• </c> children's care. children's care.
• > for</c><00:49:40.400><c> their</c> can care provide free care for their can care provide free care
• </c> their care. their care.
• </c> entered foster care. entered foster care.
• </c> foster care. foster care.

Bills: HF3877 , HF3714 , HF3750 , HF3024

Committee: House Children and Families Finance and Policy

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• is 2399, and that's related to PRTFs and how they're billing and how that's reimbursed for direct care
• How they're billing and how that's reimbursed for direct care.

Bills: HB1012

Committee: Senate Appropriations - Human Resources Division

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• I am a server and a cashier at Serenity Care Center.
• We don't care if they're union or non-union; we don't care.
• We don't care if they're union or non-union; we don't care.
• We don't care if they're union or non-union; we don't care.
• If you grow up in health care, you might be in health care.

Bills: HF339 , HF1272 , HF2121 , HF2122 , HF1216 , HF1003 , HF2319

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• Untreated postpartum depression increases long-term health care costs due to emergency interventions
• Is there a funding mechanism for ADPH to take care of the cost?
• Because, as I see it, now the medical schools are teaching more short-term patient care.
• My grandson just finished getting his MD this summer, and it's just that part of caring and nurturing

Bills: HB330 , HB336 , HB322 , HB346

Committee: House Health

Keywords: lead ban, plumbing codes, lead-free, public health, environmental management, respiratory therapy, interstate compact, licensing, military service members, healthcare access, regulation, postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials

Transcript Highlights:

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

Bills: HF4491 , HF4338 , HF4288 , HF4566

Committee: House Human Services Finance and Policy

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

Transcript Highlights:

• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.

Bills: HB4423 , HB3342 , HB3645 , HB3647 , HB3887 , HB4430 , HB4431 , HB2964 , HB3834

Committee: House Public Health

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• The new director of the Health Care Authority supports it, and it's fair and equitable.
• The new director of the Health Care Authority supports it, and it's fair and equitable.
• And the oversight basically is the board of the Health Care Authority.
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.

Bills: HB4423 , HB3342 , HB3645 , HB3647 , HB3887 , HB4430 , HB4431 , HB2964 , HB3834

Committee: House Public Health

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.