Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• I'm also the program director of the SD program at Shamanad.
• I'm also the program director of the SD program at Shamanad.
• I'm also the program director of the SD program at Shamanad.
• Is it programs, that kind of thing?
• <00:51:49.680> is provider that delivered the care is provider that delivered the care is

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:

• legal custodian requests a medical examination, child protective investigators and child protection teams
• Child protective investigators and child protection teams rely on qualified medical professionals with
• abuse, not because they refused care.
• They must obtain this memory care services license if the ALF serves one or more memory care residents
• , $118 million for core child welfare programs, $71 million for mental health and substance use prevention

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• who receive support through Medicaid waiver programs.
• Many have accepted the managed care pilot program, many have accepted to go into that, and then we've
• Robert Astellos: Family care councils, two things for us.
• Emmett Reed, Florida Health Care Association, waving in support.
• Florida Health Care Association, waving in support.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• Bill, uh, the Lone Star card is the ID card for financial assistance programs in Texas.
• Members, I know how important this program is to so many of our constituents, and this bill in no way
• cuts program eligibility or benefits.
• which is a special program for when a hurricane hits.
• Would that child not be someone, I mean, how do you prove that that child didn't commit fraud by buying

Bills: SB 596, SB 961, SB 1398, SB 1183, SB 1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• I am a huge believer that community-based care is the right approach for improving child welfare. ...
• And so we've done really innovative and creative ideas while the child is in the care of the family.
• that allows those kids to step down from a hospital into that program without ever touching. the child
• I'm Kate Murphy, Director of Child Protection Policy at Care for Children, and I'm here to support Senate
• Committee members, as our child welfare system continues its transition to community-based care, it's

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• The Lone Star Card is the ID card for financial assistance. assistance programs in Texas, such as SNAP
• cuts program eligibility or benefits.
• About natural disasters, there's a program called D-SNAP, Disaster SNAP, which is a special program for
• Reviewing that film, would that child not be someone to prove that that child didn't commit fraud by
• Is this already allocated within their program? Okay, we'll leave that alone. Thank you.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• Because the child is not choosing not to be vaccinated; the child...
• The question is: why is this child more of a threat than that child?
• For that child.
• HB1106 undermines this careful balance by creating a dangerous carve-out in our child abuse definitions
• Under a reasonable standard of care, a parent would affirm their child. Simple affirmation.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• in a child care facility in a public or private school, in a conservatorship of DFPS, or while on the
• when in a child care facility, or egregious instances of abuse.
• … When they were working in child care, you have an opportunity for that.
• Members, we've all heard about the impacts of the child care crisis in our state.
• When a child comes into care, the department tries to ensure...

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• program is programming and career program is programming and career exploration<00:28:19.440>
• benefit this wonderful program. benefit this wonderful program.
• program quality.
• . program. program.
• programs and ensure program quality. programs and ensure program quality.

Bills: HF3650, HF2238

Keywords: student career pathways, education framework, experiential learning, employer engagement, career technical education, HF2238, Minnesota, workforce development, construction trades, youth skills training, youth apprenticeship, pre-apprenticeship, construction training, career and technical education, CTE, child labor laws, minor labor, labor exemption, workforce pipeline, skilled trades

Transcript Highlights:

• Thank you for taking care of these kids. Thank you for supporting their growth and their learning.
• It was a child care center at some point way back when, and they're here visiting us today.
• Hagler is a leader in district-wide career and technical education programming, and she's... ...is a
• eligibility, program terms, and reporting requirements, making an appropriation.
• and to report the results of the study with a recommendation on how to implement such a program.

Bills: HM3, HM11, HM14, HM15, HM21

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Transcript Highlights:

• is the youngest junior ROTC program in the state.
• The Lincoln Christian wrestling program just capped off the best year in the history of their program
• has been an integral part of building the program.
• Senator Paxton, would you care to close debate? He weighs clerk, please open the roll.
• Senator Green, would you care to close debate? Thank you, Mr. President.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• . ...special education and child care programs participating in TWC's subsidized care system.
• This is really important for a basic reason: when a child enrolls in an early learning program, any child
• , whether... ...it be a community-based child care provider, a church-based program, or a public school
• She shared her story trying to get inclusive child care for her child with a disability.
• I mean, I don't care.

Bills: HB322, HB126, HB3062, HB1481, HB2310, HB2674, HB121, HB2243, HB3627, HB1178, HB367, HB5515, HB126, HB121

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, student athletes, name image likeness, compensation, intercollegiate athletics, representation, fentanyl prevention, drug poisoning awareness, higher education, mental health resources, substance abuse education, student policy, communication devices, school regulations, disciplinary measures

Transcript Highlights:

• At this point, we believe there are about 66 cities that fall under this program.
• It's a 10-year rebate period and Right now, there are about 22 cities under this program.
• The center hotel tax rebate program to the City of South Padre Island.
• Inclusion in the qualified hotel program strengthens Anna's competitiveness in the hospitality and tourism
• Does the substitute do something with respect to the prohibition on the use of funds for programs that

Bills: SB1071, SB1444, SB1483, SB1556, SB1703, SB1756, SB1854, SB2036, SB2133, SB2297, SB2622, SB2779, SB2955, SB2979

Keywords: municipality, tax revenue, hotel project, convention center, economic development, hotel tax, municipal authority, local governments, local authority, convention centers, hotel occupancy tax, municipal finance, local tax revenue, tourism, hotel and convention center project, Tax Code Chapter 351, city revenue, special district, Texas municipalities, venue financing

Transcript Highlights:

• TEA oversees the early childhood education programs, TWC oversees the The Child Care Service Programs
• The main reason is because when a child enrolls in an early learning program, whether it be a community-based
• care services program in TWC, child care licensing in the health and human services. and public pre-K
• One is parents who can't find child care programs. to accept their child with a disability because they
• In the child care setting, we've seen child care partners resistant to allowing EDI providers in their

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• That really is our responsibility, as well as the responsibility of the various federal programs and
• When we took a deep dive looking at foster care, this is the exact mechanism that we used was we.
• But again, I want to ask you, are there situations in which a child is not protected?
• It may be after I've talked with the child. Um, that makes sense.
• has presented, which unfortunately and horribly results in harm to that child.

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• Over 70% of men in batterer's intervention programs report having witnessed domestic abuse as a child
• President, on page 11, it talks about the batterer's intervention program.
• who complete intensive tiered programming through programs like Recovery and Remerge.
• and the Oklahoma Department of Veteran Affairs Equipment and Capital Improvement Program.
• Child moved advancement at the appropriate time. I yield for questions, members.

Bills: SB1238, SB1277, SB1304, SB1378, SB1423, SB1484, SB1501, SR32, SB1502, SB1721, SB1735, SB1832, SB1847, SB1859, SB1876, SB2170, SB2182

Keywords: domestic abuse, domestic violence, assault and battery, strangulation, intimate partner violence, family or household member, repeat offender, felony enhancement, Class B5 felony, stalking, batterers intervention program, court-ordered treatment, protective order, presence of a child, pregnant victim, great bodily injury, animal cruelty, cockfighting, dogfighting, sex offender registration

Transcript Highlights:

• care at a home childcare center in his district, and the husband of the child care provider had a crime
• 00:19:01.200> home of mine went to child care at a a home of mine went to child care at a a home
• > a husband of the child care provider had a husband of the child care provider had a crime<00:19
• And so, um, and I was just flabbergasted that I was losing another family child care provider over something
• Program integrity and continuity of care are not competing values.

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• And then there were a lot of conversations about just how many Oklahomans are on these programs.
• in the United States and their parents are undocumented, they can still apply for programs.
• They have an intern program, similar to what doctors do when they do their residency.
• Do we know what the fiscal could possibly be to the health care authority?
• care workers at the federal level.

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid