Transcript Highlights:

• attest to many conversations I've had with communities around the state who want this composting service
• In the Albuquerque area, we benefit from the services of Ciudad, getting our kids outdoors, learning
• And the intent over the period of time is to ensure that we do provide, if you will, those services in
• They are in dire need of improvements and expansion to their animal care center.
• They were locked, basically, and there were some of the animal care advocates outside.

Bills: SB47, SB195, SB196, SB197, SB198, SB78

Keywords: food recovery, composting, waste management, solid waste surcharge, organic waste reduction, environment, grants, advisory group, soil conservation, water resources, training services, outreach programs, environmental protection, animal care, veterinary services, spay and neuter, Las Vegas, community funding, animal welfare, animal shelter

Transcript Highlights:

• And measure the impact that primary care would have.
• Making the investment in primary care to the doctors back they're seeing...
• , and why would we require an insurance carrier to pay for uncovered services?
• , before the time of service, it isn't that a way to prevent the debt that you're talking about.
• care.

Bills: HB3794, HB3796, HB3928, HB2955, HB4453, HB4460

Keywords: licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance

Transcript Highlights:

• Senate Bill 1983 is directing the Department of Human Services to provide foster care.
• Long as we're on foster care, we Might as well go to Senate Bill 1796.
• It does that's part of what the definitions are there, whether it's informal care or respite care or
• Members, Senate Bill 1806 extends foster care through the age of 21.
• So, congratulations and thanks for your service.

Bills: SB1558, SB1983, SB1796, SB1806, SB1426, SB633

Keywords: child care, licensing, definitions, foster care, child welfare, SB1983, resource family partner, resource family partners, Department of Human Services, DHS, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention

Transcript Highlights:

• Senate Bill 1983 is directing the Department of Human Services to provide foster care data to resource
• And so it's giving them information to better manage our foster cares.
• , respite care, or alternative caregiver.
• So congratulations and thanks for your service.
• So congratulations and thanks for your service.

Bills: SB1558, SB1983, SB1796, SB1806, SB1426, SB633

Keywords: child care, licensing, definitions, foster care, child welfare, SB1983, resource family partner, resource family partners, Department of Human Services, DHS, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention

Summary: The committee first announced that Senate Bills 1426 and 633 would not be heard and then took up several foster-care-related measures. Senate Bill 1983, presented by Representative Kane, would require the Department of Human Services to provide aggregated foster care data to private child-placing agencies under contract with DHS so they can better identify shortages, placement needs, and sibling separation issues. Members discussed how the information would be used and emphasized that no private information would be shared. The bill passed 6-0 and was sent to oversight. Majority Leader Lawson then presented Senate Bill 1796, which largely codifies existing foster care administrative rules and adds a 72-hour cap for informal care. Members asked about screening and background checks for temporary caregivers, and Lawson explained that caregivers must be screened and that DHS must verify placements are safe. The bill passed 6-0 and moved on. Lawson also presented Senate Bill 1806, extending foster care eligibility to age 21 for certain youth who are aging out or who achieved permanency after age 16, with education, training, or work requirements. Members discussed the need for post-21 services, possible future review of additional supports, and the bill’s potential to draw federal matching funds. It passed 6-0 and was reported out. Representative Geis presented Senate Bill 1558, which clarifies the definition of a child for licensing level E group homes so a youth can remain in a judge-ordered placement until age 19 to receive rehabilitation services. The committee had no questions or debate, and the bill passed unanimously 6-0. In closing, the chair thanked members for their attendance and work on children and family issues, noted the committee’s accomplishments during the year, and adjourned the meeting.

Transcript Highlights:

• </c> child welfare services in the country. child welfare services in the country.
• </c> same services as perhaps another county. same services as perhaps another county.
• Most people who are receiving public services are happy to receive those public services.
• Most people who are receiving public services are happy to receive those public services.
• </c><01:37:15.360><c> We</c> and Human Services Committee. We and Human Services Committee.

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill

Transcript Highlights:

• Primary care physician, a family medicine physician, out of the three years of specialty practice that
• And we need the primary care physicians and other physicians to take notice.
• Primary care physicians and other physicians need to take notice.
• And so we know that most of this care is in primary care because we don't have enough specialists.
• Most of this care is in primary care because we don't have enough specialists to go around.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• It provides relative to long-term care, to provide for a definition, to provide long-term care pharmacy
• It defines what a long-term care pharmacy is in Louisiana law.
• That's a higher level of service than a typical retail pharmacy.
• We service about 60% of the long-term care patients in the state of Louisiana.
• My bill requires the social services in your particular parish and district as well.

Bills: HB184, HB235, HB546, HB557, HB584, HB747, HB902, HB930

Keywords: charitable pharmacy, healthcare fees, outpatient prescription, exemption, Louisiana Department of Health, sewerage systems, individual systems, community systems, local governance, legislation, installation regulations, protective custody, peace officers, mental health, emergency medical services, involuntary admission, long-term care, healthcare, pharmacy, residents

Transcript Highlights:

• General Services Administration.
• General Services Administration.
• This is just in the primaries.
• A Republican primary that allows no-party voters and a Democrat primary that doesn't.
• In any closed party primary.

Bills: HB398, HB906, HB1201, SB41, SB47, SB106, SB210, SB218, SB220, SB248, SB289, SB397

Keywords: travel expenses, reimbursement, state officials, US General Services Administration, disaster management, nominating petitions, unaffiliated voters, party primaries, political participation, elections, public meeting minutes, transparency, government accountability, publication deadlines, open meetings, boards and commissions, public records, contact information, email addresses, phone numbers

Transcript Highlights:

• long-term care regulation.
• Currently language Access Service employees are housed in Health and Human Services, System Support Service
• We're just careful. I'm a lawyer. I like to be careful about these things as well.
• services.
• access to services.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• . welfare services.
• . care.
• Michelle Dionne-Vaholic, Associate Commissioner, Long-Term Care Regulation, Health and Human Services
• other in the home and they are delivering personal care services to one or more of those four.
• Personal assistance services, and in the statute, I think this is important: personal care means any

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Michelle Dionne Vahale, with Health and Human Services, Associate Commissioner, Long Term Care Regulation
• Part of Health and Human Services, Long-Term Care Regulation, has the jurisdiction to investigate abuse
• to get the Department of Family and Protective Services, Child Protective Services involved.
• Services in the past 10 years.
• We're just careful. I'm a lawyer; I like to be careful about that. These things as well.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• Cher, welcome to Senate Health and Human Services again to the people in the room.
• So, but for this one thing, they met the requirements of the RFP to provide services.
• So is this only for digital services?
• So, I'm a big proponent of ABA services. So, I just want to leave you with that.
• The bottom line, Senate Bill 1794 helps Oklahoma get people in crisis to care faster.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

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:

• </c> office and we hear from um service office and we hear from um service providers.<00:10:39.920><c
• And so that's the primary not working.
• </c> leading cause of death and healthc care leading cause of death and healthc care costs<01:01:12.720
• You can be selective services.
• You know, high-deductible plan, and also to provide $1,000 to meet early preventive primary care costs

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• establishes parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care
• public entities, such as municipal, county, tribal, or other public entities, consider essential services
• My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• the Department... ...from the President's Executive Order on foster care and directs the Department
• I believe that there are a number of children that are in the foster care system.
• We just want to make sure that they're covered to make sure that they are taken care of. Okay.
• Highest rated child care providers.
• That is correct, but again, what the primary purpose...

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Transcript Highlights:

• I believe that there are a number of children that are in the foster care system.
• Is that they're covering to make sure that they are taken care of? Okay.
• Is the Department of Human Services anywhere in between that, or is that...
• House Bill 3131 started off as a statewide continuum of care.
• You know, one of the primary goals should be...

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Summary: The committee first considered House Bill 3552, which would let child care providers bridge the gap between subsidy reimbursement rates and tuition rates. An amendment was adopted unanimously to make the bill subject to approval by the Administration for Children and Families, with the author explaining it was intended to protect federal DHS funding. The bill then passed on a 4-1 vote. Members then heard several child welfare and human services measures. House Bill 3380, on foster care reform and DHS transparency, passed 5-0 after questions about how public input and scoring would be documented. House Bill 3502, the parental rights and child welfare bill, passed 4-1 after debate over whether the bill addressed a real problem and whether resources would be better spent recruiting foster parents. House Bill 3849, updating and broadening a mentoring program for children and youth, passed 5-0, and House Bill 3886, requiring Health Department personnel to remain on site after an immediate jeopardy finding at a nursing home until a removal plan is accepted, also passed 5-0. The committee also approved House Bill 3907, which would prohibit certain facilities serving vulnerable juveniles and adults from being staffed through temporary staffing agencies, on a 5-0 vote. House Bill 4201, changing master teacher requirements in licensed child care from license capacity to actual enrollment, passed unanimously after discussion of how staffing ratios would work in practice. House Bill 4302, as amended, passed unanimously after removing subpoena language and instead allowing the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement when needed to protect safety. House Bill 3448, requiring umbrella insurance coverage for certain child care caregivers, and House Bill 3409, streamlining recertification for five-star child care providers, both passed unanimously. House Bill 4095, reauthorizing and clarifying the 211 collaborative as the state lead entity for hotline services, also passed 6-0. The most extensive debate came on House Bill 3131, which would establish statewide baseline standards for transparency, public safety, and health safety in homeless shelters and create an advisory board. Members raised concerns about local control, rural county burdens, agency workload, and whether the bill duplicated existing requirements, while the author said he was open to further changes, including strike title and possible population-based exceptions. Despite objections, the bill advanced to the Oversight Committee on a 4-3 vote. Before adjournment, the chair said the committee would begin a deeper review of OCCY multidisciplinary teams and CAC child advocacy groups in upcoming meetings.

Transcript Highlights:

• child welfare service child welfare services. services. services.
• That's all in this uh pregnancy care, care, care, miscarriage<00:41:34.520><c> care.
• Eric Cowan, Hawaii Primary Care Association providing comments.
• Eric Cowan, Hawaii<00:45:19.000><c> Primary</c><00:45:19.440><c> Care</c><00:45:19.640><c> Association
• </c> Hawaii Primary Care Association Hawaii Primary Care Association providing<00:45:20.720><c> comments

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
• It absolutely changes their lives because it takes care of the disease at the cellular level.
• And so, yes, it would take care of the deductible. If this goes through, it would be allowed.
• said, they did ask for $250,000 that would go to the AG’s office to provide the informational data service
• That takes care of our agenda for bills for the morning.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• It provides that a health care professional disclose the use of any recording device, software, or service
• treatment, primary behavioral health care, case management, housing, and homelessness response programs
• homeless service providers.
• We are a rural continuum of care. We are a rural continuum of care. We cover 7,000 square miles.
• We are a group of homeless service providers, continuums of care, and persons with lived expertise in

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