Video & Transcript Research : 'facility rules'
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AZ
Arizona 2026 Regular Session
03/03/2026 - House Republican Caucus Calendar #8 and #9
Transcript Highlights:
- We've seen the elderly aging in place for quite some time instead of sitting in living facilities and
- strike-everything amendment to House Bill 2404 that requires, beginning December 31, 2026, inter-facility
- members, the strike-everything adopted by the Judiciary Committee for House Bill 2861 establishes rules
- members, the strike everything adopted by the Judiciary Committee for House Bill 2861 establishes rules
- care services to live with a resident in an assisted living center or home if authorized by the facility
Summary:
The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules.
Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements.
No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.
AZ
Arizona 2026 Regular Session
01/30/2026 - House Health & Human Services Committee of Reference
Transcript Highlights:
- or nursing facilities that are controlled by a separate entity.
- or nursing facilities that are controlled by a separate entity.
- Facilities or nursing facilities that are controlled by a separate entity.
- Rule allows these applications, these applications...
- We also found that the board adopted rules when required to do so, with one exception: the board's rules
Summary:
The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations.
After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 23rd, 2026
Transcript Highlights:
- was just a proposed rule.
- We haven't seen the final rule yet.
- Our facilities aren't big enough to handle the need.
- Our facilities aren't big enough to handle the need.
- As of April, ICE is detaining over 5,800 Californians in for-profit private detention facilities, facilities
Summary:
The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs.
A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed.
The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.
MN
Transcript Highlights:
- a few companies get to set those rules. a few companies get to set those rules.
- >
other the manufacturing facility other the manufacturing facility other immigrant<00:26:00.720 - , facilities on tribal only facilities, facilities on tribal land<01:18:10.320>
and <01:18:10.480 - That rule is in effect now.
- That rule is in effect now.
TX
Transcript Highlights:
- This insurance is mandated in order to protect our facilities.
- Over public instructional facilities.
- preventing the TEA from promulgating mandatory rules for a homeschool.
- homeschooler wants to participate, here are the rules that they have to follow.
- The rules are in the bill, right?
Bills:
HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381
Keywords:
efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise
MN
Minnesota 2025-2026 Regular Session
Commerce Committee Meeting - 2025-04-02
Commerce Finance and Policy
Transcript Highlights:
- We're spending more time trying to be kind and accommodating to the rules. Let's just move on.
- Those two Senate provisions relate to the licensing for the testing facilities.
- As noted, we create a licensing variance for testing facilities.
- Just for example, if you look at the cannabis medical rules on pages 64.9 to 64.17 of the draft rules
- HF 2426 proposes to rewrite those rules before the ink is even dry.
Keywords:
medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance
WA
Transcript Highlights:
- So some bus and bus facilities are electrification projects and some aren't.
- One, for the people that access and use those recharging facilities, do they pay for the electricity,
- My understanding is there's a legal appeal that could bring those rules back.
- First up: Bus and Bus Facilities program...
- First up: Bus and Bus Facilities program... Oh, yeah, that'll help. Look at the number there.
Summary:
The House Transportation Committee held a work session focused heavily on Climate Commitment Act transportation spending and electrification programs. Staff first reviewed roughly $2.2 billion in CCA transportation allocations over three biennia, noting that the largest shares went to public transportation, active transportation, ferry electrification, ZEV programs, rail freight/ports, and planning, with about half of the electrification and fuel-conversion spending tied to state ferries. Members asked for more detail comparing CCA dollars with the broader transportation budget and for total project costs, not just CCA contributions.
The Department of Ecology presented on the zero-emission school bus program. Ecology said the legislature codified the program in 2024 and requires electric buses once diesel and electric costs are equivalent, with exemptions available when electric buses cannot meet district needs. Ecology reported $38.3 million in CCA funding for 2025-27, with $21.4 million already obligated or spent to replace 91 diesel buses in 28 districts, plus additional federal EPA funding leveraged for 13 more buses. Members asked about health impacts, parity timing, rural route exemptions, charging and training costs, and whether the program includes infrastructure; Ecology said the grants cover buses, charging, and sometimes training, and that the Office of Superintendent of Public Instruction is developing the cost-equivalency formula.
The Department of Commerce described its clean transportation role, including EV rebates, charging infrastructure, tribal electric boats, and the EV Coordinating Council. Commerce said its rebate program was designed to lower monthly payments for low-income households, that 89% of recipients said the rebate was essential to their purchase, and that lease incentives helped draw additional federal dollars. Members asked about tribal boat details, utility interconnection and curtailment, range anxiety, and vandalism at charging stations; Commerce said battery storage and managed charging are being used in some projects, some utilities are more responsive than others, and vandalism remains a challenge. The Department of Enterprise Services reported 567 Level 2 and 46 Level 3 charging ports installed at 82 state sites, with 19 more sites in progress and over $100 million in additional candidate projects. DES said most funding is for new infrastructure, though some VW settlement money is used for replacements, and members asked about charger replacement needs, mobile charging, and EV fleet purchasing data.
WSDOT then outlined its EV infrastructure and transit programs. It said the Zero Emission Vehicle Infrastructure Partnership program has funded 23 new charging sites this biennium, including overburdened communities and tribal locations, and has supported 264 DC fast-charging ports statewide. WSDOT also described the new Washington Zero Emission Incentive Program, a point-of-sale voucher program for zero-emission commercial vehicles and equipment with $112 million available this biennium; it reported strong early demand, especially for off-road equipment and heavy trucks, and said technical assistance is being provided to help businesses participate. In public transportation, WSDOT said CCA funds support bus and bus facility grants, commute trip reduction, green transportation capital projects, paratransit, tribal transit, zero-emissions access car share, and other mobility projects, with most awards benefiting overburdened communities. Finally, WSDOT’s rail freight and ports division said port electrification projects are underway but spending is still low because of long design, permitting, utility, and supply-chain timelines; it estimated the $89.8 million program could reduce more than 140,000 metric tons of emissions over 10 years. Members questioned the pace of spending, the Northwest Seaport drayage project, and how state funds can leverage additional federal or port resources.
TX
Transcript Highlights:
- In fact, there are federal rules that say we can't require virtual credit card usage.
- It allows the commissioner to adopt a rule along those lines. This is not a big policy jump.
- So, this allows the state to make sure that it doesn't follow that rule.
- Certain facilities continue to take advantage of the law's lack of look-back period.
- That's important to remember this: the big facilities that are ... are going to mediation.
Bills:
HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
FL
Transcript Highlights:
- The bill provides districts with greater control over their short- and long-term facility plans.
- The bill provides districts with greater control over their short and long-term facility plans.
- The Senator of the 28th District, Rules Chair Pasadomo, for what purpose do you rise?
- Move that the rules be waived, and all bills passed today be immediately certified to the House.
- Before I recognize the Rules Chair for our last motion, are there any other announcements today?
Summary:
The Senate convened with an opening prayer, pledge, and several recognitions, including visiting student groups, chambers of commerce, and apprenticeship participants. Senators also observed a moment of silence for a fallen Walton County deputy and later for the late John Pasadoma. The chamber then moved through a long third-reading calendar and special order calendar, with most bills passing overwhelmingly and several amendments adopted along the way.
Among the major measures, SB 234 on criminal offenses against law enforcement officers passed 37-0 after debate and an amendment clarifying “good faith” in an officer’s duties; SB 7020 on open government and cybersecurity information passed 37-0; SM 1488 urging Congress to create a U.S. sovereign wealth fund was adopted by voice vote; SB 944 reducing insurance overpayment claim deadlines for psychologists passed 37-0; SB 878 expanding misdemeanor probation treatment provisions to controlled substances passed 36-1; SB 538, the state court system package, passed 37-0; SB 480 on nonprofit agricultural organization medical benefit plans passed 32-4; SB 472 on correctional-facility education credit for licensure passed 37-0; and SB 56 on geoengineering and weather modification passed 28-9 after extensive debate about enforcement, federal preemption, and the bill’s purpose.
Later, the Senate passed CS/HB 421 on peer support for first responders 37-0 after substituting the House companion, and SB 164 on vessel accountability advanced with a technical amendment. SB 166 on administrative efficiency in public schools drew the most extended debate and multiple amendments; it changes testing, promotion, teacher evaluation, certification, and facilities rules, and passed 37-0. The chamber also passed SB 282 on warranty association financial requirements 36-0, SB 316 creating series LLCs 35-1, and SB 384 on annexing state-owned lands 36-0. At the end of the day, the Senate waived rules to immediately certify all passed bills to the House, received budget schedule guidance from Appropriations Chair Hooper for SB 2500 and SB 2502, and adjourned until April 9.
NJ
Transcript Highlights:
- To waive the thirty-bill limit imposed by Rule 17:7. Thank you.
- Resolved that pursuant to Rule 17-3, Substitution.
- The amendments have been distributed according to the rules.
- Resolved that pursuant to Rule 17-3, Assembly Bill 2757...
- Resolved that pursuant to Rule 17-3, Assembly Bill 4085...
FL
Florida 2025 Regular Session
Joint Administrative Procedures Committee Feb 17th, 2025
Transcript Highlights:
- AFTER THE RULE WAS ANALYZED THE SIGN WAS CREATED DISTURBED INTO SAFE HOMES IN RESIDENTIAL TREATMENT FACILITIES
- THE SECOND RULE I WANTED TO TALK ABOUT WAS A BRAND-NEW RULE I CREATED CHAPTER 60 5K RELATED TO CERTIFICATION
- THE EMERGENCY RULE CAN BE IDENTICAL TO THE RULE ADOPTED AND SUBJECT TO RATIFICATION.
- ALTHOUGH THE EMERGENCY RULES ARE IN EFFECT FOR 90 DAYS, THOSE RULES HAVE A WEDDING RATIFICATION THE EMERGENCY
- TO BREAK IT DOWN WE HAVE HAD SOME ISSUES WITH EMERGENCY RULES WHERE THE EMERGENCY RULES HAVE BEEN REPUBLICAN
ND
North Dakota 2026 1st Special Session
Legislative Management Jan 14th, 2026 at 01:00 pm
Transcript Highlights:
- and the Senate and Joint Rules packages.
- So, jumping on to the special session rules, the majority of the rule amendments that you see in these
- the proposed special session rules.
- Included in that report, including the adoption of the rules for forwarding to the Rules Committee.
- Do we have any discussion on any of the rules? Any discussion? Any of the rules? Any discussion?
Summary:
Legislative Management met with a quorum, approved the July 11, 2025 minutes, and then considered recommendations from the Legislative Procedures and Arrangements Committee. Beth Dittes explained proposed special session rule changes, which largely mirror prior special session rules and are intended to speed floor action. The changes would allow faster second readings and transmission between chambers, replace regular standing committees with two joint committees for the special session—Joint Appropriations and Joint Policy—and limit bill introduction methods. The package also included delayed-effective-date changes for the next regular session, such as moving the agency and Supreme Court prefile deadline earlier and advancing several resolution deadlines. Liz Fordall then reviewed revisions to the legislative workplace harassment policy, including clarified definitions, longer intake and review deadlines, an option for informal resolution before a review panel, and clearer disclosure rules. The committee adopted the report and forwarded the rules and policy changes.
The committee also approved tentative first-day special session agendas for both chambers, with a Speaker-requested revision to allow time to swear in new House members. Megan Gordon outlined the schedule: early Rules Committee meetings, morning floor sessions, a joint session for the governor’s State of the State, then meetings of the joint appropriations and policy committees, with optional later floor and committee time. Members discussed how the joint committees would handle bills and confirmed the process would mirror the prior special session. The agendas were adopted.
Chairman Bekkedahl then reported for the Rural Health Transformation Committee, which had completed its work and recommended five bill drafts for the special session: a Presidential Physical Fitness Test requirement for schools, a nutrition component for physician continuing education, joining a physician assistant licensure compact, expanding pharmacist scope for lab testing and prescribing, and a two-year appropriations bill to cover the program through the next regular session. He explained the federal rural health transformation grant, the state’s application, funding restrictions, and the need to keep the bills aligned with CMS requirements to avoid funding reductions or clawbacks. DHS officials said the department would measure outcomes through required metrics, use templates for awards, and set up an Office of Health Transformation to track long-term impacts. The committee adopted the rural health report and forwarded the bills.
Finally, members discussed special-session logistics. Legislative staff said employment committees would approve a limited number of staff, Legislative Management would serve as the delayed-bills committee, and a letter would be sent to legislators explaining the process and a suggested Friday noon drafting deadline for bills to be considered at the January 20 meeting. The committee also discussed how many bills might be introduced and how to assign the rural health bills to the House or Senate for origin. No formal vote was taken on those logistics, and the meeting adjourned with plans to reconvene on January 20.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (01/08/2026)
Health and Human Services
Transcript Highlights:
- Um facilities that do um environment.
- <00:20:09.280>
are And so um long-term care facilities are And so um long-term care facilities - , our administrative rules.
- actually exists not just in our rules actually exists not just in our rules but<00:51:06.880>
- <00:57:34.880>
that Supreme Court and it was ruled that Supreme Court and it was ruled that
NH
New Hampshire 2025 Regular Session
House Transportation (01/14/2025)
Transcript Highlights:
- to yes we're going to follow the rules to yes we're going to follow the rules we're<00:56:39.480
- DMV rule sets—we have a lot of rules at the DMV.
- DMV rule sets—we have a lot of rules at the DMV.
- DMV rule sets—we have a lot of rules at the DMV.
- these uh dress and decorum another rule these uh dress and decorum another rule that<02:23:44.600
Summary:
The Transportation Committee met for an opening/orientation session in which members introduced themselves and explained their interest in the committee. Several members noted backgrounds in trucking, piloting, boating, motorcycles, road safety, or constituent concerns about transportation issues. The chair also noted several absent members and said the committee would first hear agency presentations before covering committee procedures.
The Department of Safety gave the main presentation, outlining its seven divisions and how they relate to transportation policy and the Highway Fund. The assistant commissioner emphasized that Highway Fund revenue supports both the Department of Transportation and the Department of Safety, with collections coming largely from the road toll/gas tax, DMV fees, and the new electric vehicle surcharge. He also noted that 12% of Highway Fund revenues go to local road repair through the DOT Betterment Fund, and warned that the fund has had a structural deficit for several biennia, requiring General Fund transfers that may be uncertain this session. He said the department aims to provide data and fiscal context on legislation and fiscal notes.
State Police then provided a detailed overview of its structure and operations, including the Operations Bureau, Investigative Services Bureau, and Justice Information Bureau. Testimony highlighted Troop G’s role in vehicle inspections, commercial motor vehicle enforcement, fraud investigations, and consumer complaint handling, as well as statewide staffing shortages. The division reported rising calls for service, motor vehicle stops, DWI arrests, and other arrests despite a vacancy rate of about 17%. It also described aviation, K-9, bomb squad, special events response, SWAT, narcotics, major crime, forensic laboratory, and other specialized units, with statistics on drug seizures, investigations, and lab workload. No votes or formal committee actions were taken during this portion of the meeting.
HI
Hawaii 2026 Regular Session
WLA-EDU, EDU Public Hearings 02-18-2026
Water, Land, Culture and the Arts
Transcript Highlights:
- That's the rule of law. And so, that has That's the rule of law.
- Facility modernization, um, does a facility have the adequate space for student learning?
- Facility modernization, um, does a facility have the adequate space for student learning?
- facilities use process. facilities use process.
- facilities use. facilities use.
Bills:
SB2003
Keywords:
Mauna Kea, land management, University of Hawaii, astronomical observatories, leasable lands, natural resource management, stewardship authority, 912, senate, all
Summary:
The joint committees on Water, Land, Culture, and the Arts and Education heard testimony and discussed SB 20003, which would require the auditor’s report under Act 255 to include a recommendation on whether the Monarch Stewardship and Oversight Authority is fit to continue managing Monaca lands. Testimony focused on the bill’s reversion language, the role of the auditor, and whether the measure gave the auditor too much discretion without clear criteria. The Office of the Auditor’s position, read into the record, was that it had strong reservations because the bill did not provide standards for assessing fitness and asked that the requirement be held or amended. Other testimony suggested a work group with relevant agencies and Hawaiian practitioners to manage the transition and reduce conflict.
Committee members debated whether the bill should simply restore the original reversion language or also require an audit-based fitness determination. Several members questioned the need for a 2031 audit when Act 255 already provides for a performance and financial audit in 2031 and noted that the bill could shift authority away from the legislature. In response, the committee chair explained that the measure was intended to restore language removed during conference and to address the transition back to the University of Hawaii if the authority was not meeting the act’s purpose.
The committees ultimately recommended SB 20003 be passed with amendments. The amendments would strike the auditor/audit section, add language addressing timelines by providing a 10-year lease extension and sublease extension, and make technical changes including a defective date. The committees voted to adopt the amended measure and send it forward as an SD1.
The transcript also included a separate Education Committee hearing on SB 3286, which would require the University of Hawaii to develop a facilities and student housing master plan and report to the legislature. University of Hawaii testimony said the system supports the intent but that the bill’s requirements are a heavy lift across 10 campuses and should follow development of a broader academic strategy. Members raised concerns about deferred maintenance, shifting priorities, and the lack of a systemwide plan, while the university said it already has a six-year capital improvement plan but acknowledged it does not fully incorporate the broader academic and housing strategy the bill contemplates.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (02/11/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- Uh, facility comfort dogs are paragraph.
- what they should eat and and um rules what they should eat and and um rules about,<00:11:41.120>
- they're all playing by the same rules they're all playing by the same rules and<00:22:36.559>
- I think I got that right. rules. Okay. So that this section this rules. Okay.
- installed seen these facilities installed seen these facilities installed especially<01:58:17.440
HI
Transcript Highlights:
- years right then since then the rules years right then since then the rules have<00:23:01.400>
rules do provide that guidance rules rules do provide that guidance rules really<00:26:51.799>- I love rules myself, so I was really excited when the feds came out with their rules.
<00:54:10.640>especially capacity for facilities especially capacity for facilities especially - :54:13.040>
a appropriate facilities to establish a appropriate facilities to establish a adult
Summary:
The Committee on Health and Human Services held an informational briefing on Kupuna Care funding, distribution, utilization, and the status of program rules. The Office of Aging explained that state Kupuna Care funds are distributed using the same federally approved interstate funding formula used for Older Americans Act funds, with eight weighted factors tailored to Hawaii’s conditions: older adults, greatest economic need, low-income minority status, disability, language barriers, geographic isolation, inverse population density, and older adults living alone in poverty. The department said the formula is based on census and American Community Survey data, with current county shares listed as Kauai 7.45%, Honolulu 69.61%, Maui 11.7%, and Hawaii County 17.88%. Officials said the formula is being reviewed with current data and will need federal approval and then public hearing before final adoption.
Members questioned how the program works in practice, noting that the statute and eligibility language can sound like direct individual benefits even though services are delivered through area agencies on aging, ADRCs, and contracted providers such as meal and adult day care programs. The Office of Aging said ADRCs determine eligibility and then refer clients to authorized providers, who must meet service standards in their contracts. The chair pressed repeatedly for long-delayed rules, saying the Legislature had expected them years earlier and that clear rules are needed to ensure funds are spent properly and to avoid conflicts of interest. The department acknowledged the delay, said draft rules were written in 2023 after earlier commitments to finish sooner, and said it paused while federal Older Americans Act rules were being updated; it now expects to send the rules to the Deputy Attorney General, then out for public hearing, with a goal of completion in 2025.
The department also reported utilization data for the last two fiscal years. In 2023, it expended about 93% of its allocation and served 5,473 older adults at an average annual cost of $1,358; in 2024, it expended about 97% and served 5,520 older adults, with the average cost down by about $200, which officials said may indicate fewer services per person. Eligibility was described as age 60 or older, U.S. citizen or qualified alien, with cognitive impairment or disability and functional deficits, and the statewide profile showed many participants were homebound, living alone, or below poverty. The most-used services were transportation, case management, and home-delivered meals. The chair also asked about the former Kupuna caregiver program; officials said the programs are now combined under Kupuna Care, with most funding going to adult day care to provide respite for working caregivers.
County representatives then described local conditions, especially on Hawaii Island. Hawaii County officials said the county covers about 5,000 square miles, has about 208,000 residents, and roughly 24% are age 65 or older. They identified three main challenges: staffing shortages and retention problems among providers, shortages within the county department itself, and the loss of adult day care capacity, with only one center remaining on the island and none on the west side. They said these constraints limit service delivery even as demand grows. At the same time, they highlighted successes such as serving people in the community before they need higher levels of care, providing caregiver counseling and training through adult day care, serving 467 individuals locally, and ensuring the Resource Center answers calls from caregivers seeking help.
TX
Transcript Highlights:
- I'm not familiar with your facility, obviously, in our.
- Just this facility, but others.
- To the facility, special facility. So are you applying, it sounds like you're applying.
- Be applied on this facility? What do you call the facility here? Non-public.
- So in my facility, which is different from an educational setting, there are teachers in my facility.
Keywords:
fetal development, health curriculum, public schools, middle school health education, grade 7, grade 8, State Board of Education, school health advisory council, Texas Education Code, pregnancy, reproductive health, infertility, birth defects, prenatal development, unborn child, trimester, medically accurate instruction, age-appropriate instruction, drug and alcohol effects, lead exposure
TX
Transcript Highlights:
- Affairs HB 1590 by Gates relating to multi-family residential Social development owned by public facilities
- Reynolds relates to the emergency detention of persons with a mental illness in the mental health facility
- They should be 2409 by cane ruling for the prohibition on government contracts with Chinese companies
- SB 2510 by Turner, relating to the assisted living facility operations and the provisions of certain
- services to the assisted living facility.
TX
Transcript Highlights:
- I'm asking parliamentary rules. How and when can we make those inquiries, Mr.
- The chair hears none and the rules are suspended. The following resolution.
- Chair hears none, and the rules are suspended. The following resolution.
- The chair hears none and the rules are suspended. The following resolution.
- HB 3707 by Craddock rulings.