Video & Transcript Research : 'trauma services'

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TX

Texas 89th Regular

Ways & Means May 5th, 2025

Ways & Means

Transcript Highlights:
  • Thank you all for your service, as well. We appreciate it. All right, you are Ross Flynn.
  • We honor all veterans, including our homeless veterans, by attending their funeral services to ensure
  • I'm so grateful to each of you for your support and service.
  • During my husband's career of 34 years of service, we and our two children moved ten times.
  • ESDs provide critical fire services... ...protection and emergency medical services across the state,
MN

Minnesota 2025 1st Special Session

House Ways and Means Committee 4/24/25

Ways and Means

Transcript Highlights:
  • He said the funding is coming from the Driver and Vehicle Services operating account and that there is
  • The funding is coming from the Driver and Vehicle Services operating account.
  • Um, what I know is that the account receives funding from vehicle services fees, things like vehicle
  • titles and motor service, fuel tax, driver's license, training schools.
  • Um then uh on child protective services.
TX

Texas 89th 2nd C.S.

State Affairs Apr 14th, 2025

State Affairs

Transcript Highlights:
  • or prior commission approval as long as the capacity is essential and not excessive for restoring service
  • We've done this to protect the public and provide reliable electric service to our members.
  • This would allow us to utilize our existing expertise and continue to provide the reliable service our
  • They're becoming parents, they are driving, they hold down jobs, they commit to military service.
  • Specifically, the bill clarifies that digital products like computing services and desalinated water
TX

Texas 89th Regular

State Affairs Apr 14th, 2025

State Affairs

Transcript Highlights:
  • It simply says that the government shouldn't use state funds and tax dollars to provide services that
  • We can provide ancillary services.
  • What this bill does is it only makes customers pay for services that they actually receive.
  • Before the service is actually provided... I think that that's how it works.
  • That wouldn't be our expectation, that anything is paid up front before the service is provided.
TX

Texas 89th Regular

State Affairs Apr 14th, 2025

State Affairs

Transcript Highlights:
  • or prior commission approval as long as the capacity is essential and not excessive for restoring service
  • We've done this to protect the public and provide reliable electric service to our members.
  • Over 90% of our system lost power after the eye of the storm passed through our service territory.
  • This would allow us to utilize our existing expertise and continue to provide the reliable service our
  • The bill clarifies that digital products like computing services and desalinated water are recognized
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 4/9/26

Taxes

Transcript Highlights:
  • . services. services.
  • is trauma season. is trauma season.
  • HCMC provides critical trauma services that serve the whole state and upper Midwest.
  • But lesser known are the trauma services provided to greater Minnesota.
  • But lesser known are the trauma services But lesser known are the trauma services provided<01:03:04.720
Bills: HF4841, HF4234, HF3697
LA

Louisiana 2026 Regular Session

House of Representatives May 19th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Help us remember that public service is ultimately about serving others with compassion, fairness, and
  • Those persons exemplify the spirit of public service and technical leadership.
  • term of office for certain hospital service district commissioners.
  • Representative Spell: I think there is a link to other services.
  • on services provided to veterans for compensation.
LA

Louisiana 2026 Regular Session

House of Representatives May 19th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Those persons exemplify the spirit of public service and technical leadership.
  • This just outlines that to add protection to hospice services.
  • term of office for certain hospital service district commissioners.
  • I think there is a link to other services.
  • Senate Bill 208 by Senator Kathy provides relative to veterans' services, restrictions on services provided
Summary: The House met on May 18, 2026, with a quorum present, and began with prayer, the pledge, leave requests, and several personal privileges recognizing visitors and groups at the Capitol, including early education advocates, a poster contest winner, Entergy’s River Bend Nuclear Station on its 40th anniversary, a Children’s Miracle Network champion, Community Action leaders, and Leadership Tangipahoa participants. The chamber also received Senate messages, enrollment reports, a conference committee report on Senate Bill 149 that was allowed to lie over, and a long list of House resolutions and Senate bills that were either introduced, referred, or set aside for later consideration. Several resolutions were adopted without objection, including measures recognizing Early Education Day, World Preeclampsia Awareness Day, Dora’s Voyager, Tourism Day, and National Mississippi River Day, while House Concurrent Resolution 98 on SNAP grocery delivery fees failed on reconsideration by a vote of 46 yeas to 39 nays. The House then took up a series of Senate bills. Among the measures passed were SB 39 on provisional massage therapist licenses; SB 111 on freshwater recreational fish limits in the Atchafalaya Basin; SB 124 on peer review confidentiality for health systems; SB 134 on child sexual abuse material and sexting involving minors under 17; SB 99 on electronic DEQ notifications; SB 190 on special-focus nursing facilities; SB 201 on juvenile life-without-parole sentencing procedures; SB 233 on a statewide data exchange compact; SB 236 on annual kidney disease reporting; SB 258 on juvenile traffic offenses; SB 270 on medical marijuana use by terminally ill patients in health care facilities; SB 273 on hospice care requirements; SB 307 on educational displays and a Ten Commandments monument on Capitol grounds; SB 320 on CODIS hit tracking; SB 321 on electronic bonds; SB 325 on excluding threatening persons from sports wagering; SB 331 on temporary exceptions to the Scenic Rivers Act for lower Pearl River Basin work; SB 339 on gaming-related background checks; SB 345 on annual OJJ reporting; SB 346 and SB 347 on deepfake misuse in schools and on campuses; SB 357 on judiciary cleanup provisions; SB 359 on hospital district commissioner terms; SB 387 on pharmacy benefit managers; SB 393 on explosives regulation; SB 401 creating a Prescription Drug Affordability Board; SB 415 creating the Empower Louisiana Food Purchase Program; SB 419 on pre-charged pneumatic devices for deer hunting; SB 422 on unsupervised probation for certain repeat DWI offenders; SB 426 on the Addictive Disorder Regulatory Authority and peer support credentials; SB 435 creating a Commission on Fatherhood Engagement; SB 437 on licensed treatment services in facilities housing judicially referred residents; SB 440 creating a Renaissance District in Rapides Parish; SB 451 on newborn hearing screening and intervention; SB 464 on severe obesity treatment coverage; SB 470 on pregnancy-related rules in correctional facilities; SB 487 on gaming premises rental agreements; and SB 488 creating a school safety drone response pilot program. Several bills were returned to the calendar for later action, including SB 189 on atmospheric releases affecting weather and climate, SB 326, SB 341, SB 353, and SB 495. A number of bills drew debate over policy and fiscal effects. SB 112 on school release time for religious instruction prompted questions about public-school participation, sponsoring entities, and parental consent; SB 189 on prohibiting intentional atmospheric release of substances for climate or weather modification passed 75-21 after questions about aircraft fuel dumping and agricultural exceptions; SB 201 on juvenile sentencing led to discussion of Supreme Court precedent and appellate review; SB 233 raised privacy concerns about interagency data sharing; SB 313 on electronic filing fees in criminal matters was criticized as a possible unfunded mandate and failed 25-68; and SB 451 on newborn hearing screening drew questions about board expansion, Medicaid coverage, and added administrative costs before passing 94-1. Most other bills passed with little or no opposition, and the House repeatedly adopted motions to table reconsideration after final passage votes. The chamber also announced it would stop debate at 5:00 p.m. and continued working through Senate bills as the Natural Resources Committee finished its meeting.
KY
Transcript Highlights:
  • trauma statute. trauma statute.
  • Level IV trauma system.
  • level of trauma center so you can get an idea of what makes up a trauma center.
  • capable of taking care of real trauma. capable of taking care of real trauma.
  • We have 100% trauma center.
Keywords: 958, all
Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.
LA

Louisiana 2026 Regular Session

Senate May 5th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Abigail McElroy, Customer Service Manager. Mr.
  • The sheriff will pay 100% of the health premiums after 20 years of service and 50% after 15.
  • How do you define intentionally evade service?
  • Like, service of process in the legal world is always an issue with the sheriff.
  • It's about services that can be provided.
Bills: SB524, SR108, SR109, SCR56, SCR57, SCR12, HB227, HB398, HB689, HB897, HB1029, HB1107, HB1217, HB221, HCR58, HB136, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB283, SB338, SB488, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1071, HB1091, HB1117, HB119, HB129, HB677, HB850, SB68, SB149
LA

Louisiana 2026 Regular Session

Senate May 5th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Abigail McElroy, Customer Service Manager, are with us today.
  • The sheriff will pay 100% of the health premiums after 20 years of service and 50% after 15.
  • How do you define intentionally evade service?
  • I'm just wanting to make certain that we can provide the services to the seniors who need it.
  • It's about services that can be provided.
Bills: SB524, SR108, SR109, SCR56, SCR57, SCR12, HB227, HB398, HB689, HB897, HB1029, HB1107, HB1217, HB221, HCR58, HB136, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB283, SB338, SB488, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1071, HB1091, HB1117, HB119, HB129, HB677, HB850, SB68, SB149
Summary: The Senate opened with a quorum, a guest minister prayer, the Pledge of Allegiance, and a St. Charles Parish presentation featuring a youth national anthem singer. The chamber then moved through a large number of House and Senate messages, committee reports, and introductions, including measures on career and technical education, flood risk maps, public-private partnership contracting, arts day, and a task force on work-based learning. Several resolutions were adopted, including SCR 56 honoring the YMCA and SCR 57 honoring Jonathan Nicole, both by unanimous votes. A House concurrent resolution supporting elimination of the U.S. Department of Education also passed 26-9. On Senate bills, the chamber gave final passage to SB 112 on voluntary release time for K-12 religious instruction with a criminal background check amendment, SB 194 on public assistance and citizenship verification, SB 307 on public displays of historical/religious documents, SB 341 expanding church and nonprofit religious self-insurance coverage, SB 346 prohibiting deepfake materials used against students, SB 495 on campaign finance reporting and unitemized contributions, SB 503 on age assurance for minors using mobile apps, SB 507 creating a statewide process for determining non-enrollment, SB 509 on bank-owned life insurance, SB 131 limiting attorney fee recovery in occupational licensing disciplinary cases, SB 145 requiring backup power for adult residential care providers, SB 333 on child-in-need-of-care proceedings and federal reimbursement, SB 464 on severe obesity treatment coverage, SB 466 on expropriation and foreign adversaries, SB 488 on a school safety drone response pilot program, SB 312 on union dues and withholding procedures, and SB 319 on voter identification and provisional ballot procedures. Most passed with little or no opposition, though SB 194, SB 307, SB 503, SB 131, SB 333, and SB 319 drew some dissenting votes. The chamber also passed multiple House bills, including HB 1071 on public records exceptions for aerospace critical infrastructure, HB 537 repealing the Workers’ Compensation Advisory Council, HB 652 and HB 653 adjusting Oyster Task Force membership, HB 661 narrowing nepotism restrictions for certain school board hires with an amendment, HB 756 aligning watercraft enforcement with Coast Guard standards, HB 851 banning intentional balloon releases, HB 964 authorizing a Caddo Parish property transfer, and HB 34 and HB 35 on sheriff pension fund eligibility and contribution rules. Several items were returned to the calendar or referred to committees. A major discussion centered on SB 484, which would restructure parts of higher education governance and transfer certain Board of Regents functions; it drew extensive questioning and amendments, including a new Lumcon board structure and financial reporting requirements, but was returned to the calendar for further work rather than final passage.
KY
Transcript Highlights:
  • services. Just a reminder as we do every services.
  • trauma care. trauma care.
  • trauma certified. trauma certified.
  • are trauma designated. are trauma designated.
  • trauma cases. Um with obviously with trauma cases.
Keywords: 958, all
Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.
MN

Minnesota 2025 1st Special Session

Human services panel hears HF2143 3/26/25

Minnesota House Floor Meeting

Transcript Highlights:
  • We do it's a very lowcost service.
  • trauma and therefore individuals with PTSD related to such trauma are not eligible.
  • trauma are not eligible. trauma are not eligible.
  • Uh, members discussion Representative Hicks. services. Thank you for the opportunity services.
  • . services. services.
Keywords: 1183, house
OK
Transcript Highlights:
  • And whereas his commitment to education and service reflects the values of resilience and dedication
  • Nicole Bowden and thanking her for her service. Welcome, Dr. Bonton. Mr. Flola, thank you, Mr.
  • If they're going to provide services, they should be the ones funding it, not taxpayers.
  • So these services will be provided by a company, telemedicine, effectively making.
  • like for us to look further in developing those services.
HI

Hawaii 2026 Regular Session

House Chamber - Wed Mar 18, 2026, 12:00PM HST - Day 29

Hawaii House Floor Meeting

Transcript Highlights:
  • I yield to my colleague from Kahului. devoted 12 years of service to the devoted 12 years of service
  • , and the promotion of library services, and the promotion of library services, including<00:26:34.480
  • that public service Believing that public service believing<00:26:43.320> that<00:26:43.480><
  • <00:50:20.000> in This HD1 maintains essential services in This HD1 maintains essential services
  • , maintains our essential services, maintains our essential services, and<00:50:57.760> balances
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/15/26

Taxes

Transcript Highlights:
  • level one adult trauma center. level one adult trauma center.
  • debt service debt service uh<00:42:01.000> on<00:42:01.280> bonds<00:42:01.760>
  • care and safety net services.
  • <01:24:30.840> services<01:24:31.600> that provides critical trauma services that provides
  • critical trauma services that serve<01:24:32.000> the<01:24:32.120> whole<01:24:32.320
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Psilocybin therapeutic use program established 3/9/26

Minnesota House Floor Meeting

Transcript Highlights:
  • Also, the current federal Commissioner of Health and Human Services, Robert F.
  • If they stood in capable of navigating the complexities of their traumatrauma that ultimately led them
  • If they stood in capable of navigating the complexities of their trauma trauma that ultimately led them
  • I did my own research looking for more mental health and and brain trauma.
  • The truth is that trauma is something that touches all of us.
Keywords: 1183, house
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • I extend my appreciation for his service.
  • So there needs to be a fee-for-service carve-out.
  • center, trauma-sensitive yoga, without requiring one to self-identify as a trauma survivor, without
  • center, trauma-sensitive yoga, without requiring one to self-identify as a trauma survivor, without
  • ...problems in the mental health system and service delivery systems by integrating behavioral services
Keywords: 995, all
Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Tue Feb 4, 2025 @ 9:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • also important is that those Services also important is that those Services help<00:10:19.560>
  • Welfare Services Division.
  • Services, then it would be beyond just a lack of services.
  • Our primary kuleana is to strengthen state service systems by creating a trauma-informed state because
  • systems by creating a service systems by creating a trauma-formed<01:28:04.639> state<01:28:05.639
Keywords: 910, house, all
Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.