Transcript Highlights:

• </c> transferability of child foster care transferability of child foster care background<01:02:57.560
• </c> change for child foster care studies. change for child foster care studies.
• </c> uh related to supervision for child care uh related to supervision for child care background<01:
• You can't care for seniors or care for disabled people until you've passed the background study.
• can't care for seniors or care can't you can't care for seniors or care for<01:04:24.359><c> disabled

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• That's just my personal belief. But that's not why I'm.
• For those of you that may or may not know, this foster care is a passion for me.
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.
• Sorry if I may, may I take one moment of personal privilege about this?
• And that's my personal statement. Thank you. Thank you, Blandett.

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We want to keep it strong so that we can reach every person in this state with dementia care and resources

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Transcript Highlights:

• I don't know if there's anybody else on this; I don't care.
• Pardon me. to reinvest savings and payments into charity care, primary care, behavioral health, and pharmacy
• Would most of those probably be the trauma care?
• They were settling his personal injury.
• We got him medical care. We fought back.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• approval, even though we knew that care was necessary.
• Oncology care is a very evidence-based practice.
• because they abandon medically appropriate care.
• with 25% of tests, 22% of prescriptions, and 11% being either unsafe care or care that an employer is
• They do care about the bottom line.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• services, or personal care services, conditioned on the payment of an entrance fee in addition to or
• The second is an individual with a child-specific foster care license, which allows a relative or a person
• and if the only unrelated adults receiving personal care in the home are those foster care youth.
• providers who care for more than one unrelated person with activities of daily living needs in their
• And under current definitions, foster care providers who care for more than one unrelated person with

Bills: HB2384, HB2402, HB2505, HB1904, HB2145, HB2182, HB2211, HB2242, HB2247, HB2329, HB2339

Keywords: continuing care retirement community, CCRC, life plan community, senior housing, retirement community, long-term care, assisted living, nursing home, actuarial analysis, solvency, financial oversight, resident contracts, entrance fee, disclosure statement, registration, insurance commissioner, DSHS, consumer protection, elder care, aging services

Summary: The committee held public hearings on three bills. HB 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with results sent to DSHS for registration decisions and an appeal process through DSHS. Supporters said the bill would improve transparency and protect residents’ financial security; LeadingAge Washington supported transparency but raised cost and implementation concerns. HB 2505 would exempt certain foster parents and child-specific foster care providers from adult family home licensure when former foster youth remain in the home as adults and other conditions are met. The sponsor and DSHS said the bill would help vulnerable young adults stay with caregivers and avoid unnecessary licensure barriers. HB 2402 would phase out DEHP in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; testimony largely supported removing phthalates for health and environmental reasons, while manufacturers, hospitals, and AdvaMed raised supply chain, timing, and implementation concerns and requested later phase-out dates and exemptions. In executive session, the committee adopted amendments and advanced several bills. HB 1904, prohibiting cat declawing, was amended to remove recordkeeping, reporting, fines, and disciplinary references tied to declawing and was reported out with a do pass recommendation. HB 2145 on the 340B drug pricing program was advanced as a proposed substitute after a lengthy discussion about transparency, reporting, and concerns over authority and litigation. HB 2182, concerning abortion medications held and distributed by the Department of Corrections, was amended to require appropriations for purchases, restore cost-based distribution language, prioritize Indian health providers, add annual reporting, and remove the emergency clause; the substitute bill then passed out of committee. HB 2211 on medically tailored meals also passed out, with one member opposing due to concerns about limiting participation to certain nonprofits. The committee also passed out HB 2247 on veterinarian-client-patient relationships and telehealth after adopting a substitute that clarified recordkeeping, telehealth prescribing, clinical practice requirements, and the effective date. HB 2329 on supervision of medical assistants and lactation consultants by licensed midwives passed after a cleanup amendment clarified that midwives are not prohibited from coordinating with lactation consultants. HB 2339 on nurse licensing passed after a technical amendment updated definitions and terminology for nurse practitioner and clinical nurse specialist credentials. The meeting concluded with all of these measures reported from committee, mostly on strong bipartisan votes, though several bills drew mixed votes or dissent over scope, costs, or implementation.

Transcript Highlights:

• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• their CCRC certificate because of an outdated definition of continuing care.
• Continuing care is not clear in the statute.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• despite those Child Care Centers visited despite those Child Care Centers receiving<00:20:13.679><c>
• ><c> or</c><00:21:27.360><c> early</c> in child care assistance funds or early in child care assistance
• visit, but they are no longer required to do the in-person visit.
• It is to provide help for child care facilities, right?
• It is to provide help for child care facilities, right?

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• </c><00:48:23.119><c> provider</c> payments to a child care provider payments to a child care provider
• child care provider.
• child care provider.
• child care provider.
• We turned it the Great Start Child Care Tax Credit and dependent care credit because the dependent care

Bills: HF1, HF1384

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• This bill protects the personal information of administrative law judges to help keep these judges safe
• Their cases can involve personal and sensitive topics such as child abuse and neglect, driver's license
• for whom the public disclosure of personal information is absolutely prohibited.
• We can streamline healthcare costs, improve care coordination, and provide our employees with greater
• This comes out to $14,750 per person for medical costs.

Bills: HCR141, SB438, SB1495, SB1964, HB 1225

Keywords: HCR 141, House Concurrent Resolution, NASA, Houston, Space City, Johnson Space Center, Mission Control, Apollo 11, moon landing, aerospace, commercial space, space exploration, Texas Space Commission, space policy, federal resolution, memorial resolution, Congress, Washington D.C., headquarters relocation, space industry

Transcript Highlights:

• Services, including medical care.
• We’ve got to be careful. Very careful before we go through and change the structure of health care.
• To care for those rural communities.
• Are we gonna have primary care physicians in the future?
• The TMA is committed to providing the best care possible.

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• I believe that there are people that care about science.
• Three years y'all too. care of me.
• I don't care. in this room, you're not, period.
• It redefines the direct care ratio as a patient care expense. ratio.
• providers delivering the care to maternal patients.

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• child care assistance.
• And it adds additional accountability, requiring that when a young person is terminated from foster care
• how to manage my care.
• . care. care.
• </c> type of care from county officers. type of care from county officers.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Certain persons and entities that provide child care are not subject to the DCYF licensing requirement
• Certain persons and entities that provide child care are not subject to the DCYF licensing requirement
• Our workers need child care to get to work.
• providers and family licensed family child care providers.
• subsidy, such as Working Connections Child Care.

Bills: HB2099, HB2317, HB2318, HB2350

Keywords: military families, early childhood education, access, assistance program, education equity, HB2317, early learning, child care licensing, day care, preschool, Head Start, DCYF, Department of Children, Youth, and Families, Washington State, RCW 43.216, child care center, family home provider, family child care, outdoor nature-based child care, school-age child care

Summary: The Early Learning and Human Services Committee held public hearings on several bills focused on early learning access and disability services. House Bill 2317 would exempt certain ECEAP and Head Start programs located in public school buildings or on public school property from DCYF child care licensing when they operate part-day or school-day. Staff explained the current licensing requirements, and the prime sponsor and testifiers from Head Start, ECEAP, and private school groups said the bill would reduce duplicative oversight, delays, and costs while helping expand preschool access. House Bill 2099 would expand ECEAP eligibility for military families and add prioritization factors for deployed and single custodial military parents; the sponsor and multiple advocates, including military and early learning organizations, said military families face unique child care, housing, and readiness challenges and need better access to preschool slots. House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements; the sponsor and disability advocates said the bill would improve transparency and help families respond to safety and care concerns. The committee also heard House Bill 2318, which would allow ECEAP and Head Start children to count toward the 5% participation threshold needed for Early Achievers quality improvement awards. The sponsor said the change would provide modest additional funding to providers serving high-need children and help support child care programs with thin margins. Testifiers from a remote nonprofit child care center and the Head Start/ECEAP association said the current rule can discourage providers from enrolling ECEAP children because it can jeopardize award eligibility, and that the bill would remove an unintended barrier without changing the program’s purpose. No votes were taken; each bill was heard and then the committee moved on or closed the hearing.

Transcript Highlights:

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

Bills: HF1005

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

Transcript Highlights:

• Then we have the first portion, which is the child care center parent access.
• </c> child is in attendance at a child care child is in attendance at a child care center<00:09:06.880
• Um, on a personal note, I actually fear that it's going to get even worse.
• Um, on a personal note, I actually fear that it's going to get even worse.
• </c><01:21:47.040><c> that</c> but I really want to be careful that but I really want to be careful that

Bills: HF2078, HF777, HF841, HF1112, HF1098, HF1926

Keywords: child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment

Transcript Highlights:

• Abuse does not include the refusal by a person responsible for the child's care, custody, or welfare.
• He was a good person. He was a wonderful person in so many ways.
• So it's, it's pastoral care of LGBTQ persons, which is a very specific area that the church is growing
• It was personal.
• They may actually care deeply for the other person in the room, but from what I've seen is that there

Bills: HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• abortion or ways to seek abortion, present them with an ad that connects them to a chat with a real person
• know many of us have received from people who are concerned about this legislation was what if a person
• defined as the transforming maternal health model, which will support the development of a whole person
• It's just ensuring that a detailed medical information is Being received from the primary care providers

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• Members, House Bill 1380 is simply requires the Health Care Authority to verify eligibility by checking
• Senate Bill 1425 repeals sections of the Health Care Workers and Educators' Assistance Program and the
• Health Care Workforce Resources Center.
• I believe it's handled right now by the Health Care Authority.
• I believe it's handled right now by the health care authority. Thank you.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.

Transcript Highlights:

• Decisions about whether care is delivered in person or via telehealth should be based around clinical
• care and 16 times higher for inpatient care.
• Federal policy shifts, a worsening workforce for primary care, and a severe shortage for primary care
• I'm also part of the health care system.
• I personally called them after their visits, and they told me how much the pharmacy care meant to them

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.