Transcript Highlights:

• . service agency license but does not cover hospice and personal assistance services providers.
• The Department of Family and Protective Services' time for implementation.
• This resulted in 140 calls for service and 56 incidents.
• The area had 32 calls for service for all time.
• We want quality services.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• It does not require pharmacists to provide services that they are not comfortable providing.
• These services met him where he was and treated him with dignity.
• Twelve years ago, I was a participant in syringe services. My client ID was 2812.
• Twelve years ago, I was a participant in syringe services. My client ID was 2812.
• I'm the legislative director with the Office of Defense Services. Good afternoon.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

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

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

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:

• increase mental health services increase mental health services statewide. statewide. statewide.
• 21.359> service,<00:35:22.079> which the the service, which the the service, which >
• They have to have a lot of services.
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• We're not human services. >> Oh, wait. We're not human services.

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

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

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

Transcript Highlights:

• Assembly Bill 514 comes from the Joint Interim Standing Committee on Health and Human Services.
• see in paragraph two, there's the federal share that we'll be able to draw down to pay for these services
• We have an extraordinary technical services unit that does all the physical work of taking all of the
• There was testimony in opposition from the Nevada Coalition of Legal Service Providers.
• that they provide for adoption assistance programs to each agency that provides such services.

Bills: AB49, AB93, AB108, AB169, AB188, AB212, AB221, AB224, AB251, AB282, AB284, AB296, AB304, AB331, AB356, AB366, AB375, AB409, AB467, AB475, AB476, AB479, AB494, AB514, AB515, AB533, AB542, AB550, AB558, AB567, AB568, AB571, AB581, AB583, AB584, AB585, AB595, AB596, AB597, SB170, SB427, SB460, SB508

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, public employees, police officers, benefits, appropriation, law enforcement, outdoor education, recreation, grant program, environment, funding, health insurance, speech-language pathology

Bills: HB 35, HB 138, HB 754, HB 1314, HB 1612, HB 2254, HB 2510, HB 2789, HB 3560, HB 3597, HB 4224, HB 4273, HB 4643, HB 4783

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, healthcare, price estimates, billing requirements, consumer protection, nonemergency services, assisted living, licensing, criminal offense, personal assistance

Transcript Highlights:

• and report on the status of maintenance of the governor's residence and recommend to the General Services
• Then, through the General Services Department, we are the keepers of that fund, as I mentioned.
• The centers also have been shown to increase engagement with recovery services.
• Participants are more likely to engage with services and make healthier choices for themselves.
• When funds are delayed or diluted, services could disappear.

Bills: SB238, HJR1, SM21, SM22

Keywords: Governor's Residence, management committee, government administration, New Mexico, advisory, commission, general services, nominating committees, boards of regents, student representation, political party registration, New Mexico constitution, overdose prevention centers, harm reduction, drug overdose, opioid crisis, substance use disorder, public health, addiction treatment, naloxone

Bills: SB2004, HB1600

Keywords: ethics commission, immunity, conflict of interest, complaints, public officials, transparency, legislative action, criminal prosecution, complaint resolution, HB 1600, immigration law clinic, University of North Dakota, UND Law, law school clinic, legal aid, immigration attorney, student clinic, pro bono, immigration legal services, caseload limit

Summary: The committee reconvened to continue work on water-related appropriations and related bills, with the chair emphasizing the need to move the water bill to conference committee soon because of differences with the House. Members reviewed project funding levels and carryover balances across several water projects, including NAWS, Southwest, Valley City, Cirrus River flood control, Hart River, Redder water supply, municipal and rural water, general water, and discretionary funding. The discussion focused on reduced revenue forecasts, the use of a $150 million line of credit as a working assumption, and concerns about large carryover amounts and piling up cash. No final changes were made to the water funding numbers, but the chair said the committee would revisit the bill after further cleanup of the draft language. The committee then took up House Bill 1600, which would create an immigration law clinic at the University of North Dakota law school. Members agreed the program should be treated as a one-time pilot rather than ongoing general fund spending, so they adopted an amendment changing the $400,000 appropriation to one-time funding from the strategic investment fund. The amended bill passed unanimously, and Senator Meyer was assigned to carry it. House Bill 1417, dealing with parole and probation-related policy, was also amended. The committee removed Section 8, which eliminated the bill’s appropriations language, based on testimony that the referenced funding was already included elsewhere in the budget. The amended bill then passed unanimously. The committee also discussed possible future amendments to water study language, including earlier reporting deadlines and a proposal to require larger new water project requests to go through the Water Topics Overview Committee before being introduced, but no final action was taken on those concepts. Several other bills, including the AI-related House Bill 1448 and law enforcement bonus bill 1193, were left for later consideration.

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Transcript Highlights:

• which allows people of all ages to receive a bike in exchange for completing 2. 5 hours of community service
• to prevent the jailing of those in mental health crises and helped create the assisted outpatient service
• Uh, he first began service at Travis County in 1981 with an appointment as a justice of the peace judge
• Judge Herman with eligibility for burial in the Texas State Cemetery, we recognize a lifetime of service
• Recognize over 165 years of service to Texas students, teachers, researchers, and everyday citizens.

Bills: HCR6

Keywords: Meals on Wheels, senior services, nutrition, community support, volunteerism

Transcript Highlights:

• care services care services we<00:18:54.000> we<00:18:54.160> might<00:18:54.320><
• You will hear later today, services.
• You will hear from life-saving services.
• Mahalo for your service. PFLAG Oahu, Cameron Miiamoto.
• Mahalo for your service. Mahalo for your service.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• services statutes. services statutes.
• Medical Services and Injury Prevention. Medical Services and Injury Prevention.
• Preventive Services Task Force.
• Preventive Services Task Force.
• . services. services.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• services.
• Services and life-sharing services new rate implementation.
• Services.
• services at all.
• The same services.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• Medal for his military service.
• And whereas, following his service to our country, Staff Sergeant Bobby Joe Floyd dedicated more than
• 40 years of law enforcement service to the state of Oklahoma.
• Thank you for your service, Mr. Floyd. Mr. Floyd, later, thank you, Mr. Speaker.
• Accepted several awards for his service to patients in Oklahoma.

Bills: HR1037, HR1043, SB1491, SB1451, SB1286, SB1581, SB1521, SB201, SB1290, SB169, SB1377, SB1991, SB1346, SB1509, SB1928, SB2028, SB2071, SB2110, SB2117, SB2127, SB2134, SB722, SB3

Keywords: National Poetry Month, poetry, education, cultural celebration, arts and humanities, child abuse, prevention, community support, family safety, child welfare, presidential electors, vacancies, oath of office, political party, elections, voter registration, election integrity, Secretary of State, cancellation of registration, gender neutrality

Transcript Highlights:

• So that investment requires us to maintain a maintenance service contract with Motorola, the system vendor
• I just want to thank you for your service, truly.
• <00:46:31.840> unit dedicated legislative services unit dedicated legislative services unit
• You know, as we all know, the strength of capital security and the dedicated legislative services unit
• <00:51:04.720> unit dedicated legislative services unit dedicated legislative services unit

Bills: HF4810, HF4597, HF1082, HF3230

Keywords: public safety, radio communications, infrastructure funding, county funding, interoperability, ARMER network, local jurisdictions, HF4597, Minnesota public safety, 911, emergency dispatch, emergency communications, public safety appropriation, Metropolitan Emergency Services Board, PSAP, dispatch interoperability, real-time coordination, emergency response coordination, cross-jurisdictional response, 911 center awareness platform

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• Um, the scope of your Services.
• of Minnesota are receiving the services. of Minnesota are receiving the services.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house