Transcript Highlights:

• care.
• Basically, what we've done is we've built this payment and regulatory system that treats routine care
• care.
• Care.
• It considers indigent care, considers charity care.

Keywords: 1184, house, all

Transcript Highlights:

• It's not just home care. It's all the continuum from home care to assisted living to nursing homes.
• Health and post-acute care facilities, which include long-term care hospitals, inpatient...
• I've had to navigate the mental health care system for my own son, for his care and support.
• We represent home care workers, both personal care attendants, home care agency workers, hospital workers
• care, AFCs, these providers.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• settings, including home care.
• I care deeply for my patients, and it is heartbreaking and morally distressing to repeatedly care for
• That's discrimination just as care.
• For such cases, providers are legally required to provide all care available, even though this care can
• In fact, my practice is consulting on the goals of care, the patient's goals of care, about what they

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• women, parents, seniors who are Medicaid recipients, foster care or former foster care to age 26, SSI
• plans to provide care.
• these health plans to provide care.
• basics.
• You talked a lot about expanded care within the plans.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• basically says, you know, healthc care basically says, you know, healthc care provider<00:35:39.280
• Safe and legal are basically terms wrapped around, you know, what's called the standards of care.
• Safe and legal are basically terms wrapped around, you know, what's called the standards of care.
• Safe and legal are basically terms wrapped around, you know, what's called the standards of care.
• Safe and legal are basically terms wrapped around, you know, what's called the standards of care.

Keywords: 1189, house, all

Summary: The committee first recessed for a subcommittee meeting on HB 313, which concerned an open-meetings-related issue. In the subcommittee, members discussed concerns that the bill might be unnecessary because current law already allows a person to request an open meeting in advance; the subcommittee then voted ITL on HB 313 by voice vote and closed its work session. The full Judiciary Committee then reconvened and took up CACR 6, the proposed constitutional amendment on a “right to compute,” with members debating whether the language was too broad and could create unintended consequences. Supporters framed it as a forward-looking protection for computation resources and strong encryption, while opponents said it was too open-ended and better addressed by future legislation. The committee voted ITL on CACR 6 by a 17-0 roll call. The committee next turned to HB 232, as amended, concerning the rights of conscience for medical professionals. The amendment narrowed the bill to abortion-related objections, removed sterilization and artificial contraception, aligned the abortion definition with existing state law, and reduced damages from treble damages to actual damages. Supporters said the bill would protect conscience rights, give physicians and patients more choice, and could help attract providers to New Hampshire. Opponents argued it was overly broad, unclear in key definitions, and could interfere with employers’ ability to assign staff, especially in rural health settings. Members also raised concerns about the bill’s scope and enforcement, including the broad definition of “participate,” the lack of clarity around exceptions for providers whose services include abortion as a “major part,” emergency determinations, and the inclusion of nursing homes in the definition of health care institution. Some members argued the bill singled out abortion while other controversial medical procedures were not treated similarly, and others criticized the minimum-damages provision as potentially punitive and designed to deter participation. The discussion continued without a final vote shown in the transcript excerpt.

Transcript Highlights:

• portion of the basic allotment.
• That's the basic thing.
• However, we do manage two health care programs as well. both TRS CARE and TRS ACTIVE CARE.
• . care.
• TRS Active Care is a.

Keywords: 1184, house, all

Transcript Highlights:

• need health care, delaying health care sometimes makes it more costly.
• need health care, delaying health care sometimes makes it more costly.
• need health care, delaying health care sometimes makes it more costly.
• need health care, delaying health care sometimes makes it more costly.
• need health care, delaying health care sometimes makes it more costly.

Keywords: 1189, house, all

Transcript Highlights:

• patient care for 46 years.
• patient care for 46 years.
• And what that does, basically, is a lot of times the cost of that care comes back on the state of Louisiana
• And what that does, basically, is a lot of times the cost of that care comes back on the state of Louisiana
• This is not experimental care.

Summary: The committee first heard Senate Bill 135, which would redirect a portion of wagering dedications from the sports fund to the Louisiana Early Childhood Education Fund and remove a cap affecting that funding stream. The author and staff explained the amendment was designed to avoid any impact on the State General Fund while increasing support for early childhood education. The committee adopted the amendment and reported the bill favorably as amended. Senate Bill 202, from the Secretary of State’s office, would increase the number of compensated days for parish board of election supervisors to cover additional election-related duties. Secretary Landry and election officials testified that the change was needed because supervisors now perform more work, including ballot tabulation, machine sealing, and verification tasks. The committee adopted technical and appropriation-related amendments and reported the bill favorably as amended. The committee then took up several health and human services bills. Senate Bill 155 would require insurance coverage for medically necessary dental procedures needed before cancer treatment; testimony from medical and dental professionals emphasized that untreated dental problems can delay chemotherapy or radiation and worsen outcomes. After adopting amendments to narrow the fiscal impact, the bill was reported favorably as amended, with discussion of a possible subject-to-appropriation amendment to be worked out later. Senate Bill 237, a major DCFS reform bill, drew extensive testimony and debate over child welfare oversight, mandatory reporter training, law enforcement coordination, and the bill’s large fiscal note. The committee adopted amendments, including a subject-to-appropriation provision, and reported the bill favorably as amended after emotional testimony from supporters and former DCFS employees. The committee also advanced Senate Bill 465 on prompt-pay insurance reform after an amendment reduced the fiscal note to zero; Senate Bill 261 on unclaimed property after a substitute bill was adopted; Senate Bill 295 on expanded coverage for traumatic brain injury rehabilitation after amendments narrowed the mandate and added subject-to-appropriation language; Senate Bill 157 providing six weeks of paid parental leave for K-12 educators and staff, also subject to appropriation; Senate Bill 276 requiring bail bond producers to certify outstanding obligations before new appointments; Senate Bill 83 on human trafficking services after removing the age-expansion cost; Senate Bill 143 on bulletproof vests after shifting funding away from a direct state appropriation; and Senate Bill 450 on school safety assessments after an amendment limited implementation to available funds and resources. In each case, the committee’s actions focused on reducing or eliminating fiscal notes while keeping the bills moving forward.

Transcript Highlights:

• immediate care centers.
• Some sort of basics on this. Some basics on the structure of the Affordable Care Act.
• Some sort of basics on the structure of the Affordable Care Act.
• care.
• Older people tend to use more care. Older people tend to need more expensive care.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• Basically, Assemblyman Koenig covered it.
• of individuals that are seeking care, we noticed that rehabilitative residential mental health care is
• The bill basically does this.
• This is basically with the practices at this time.
• This is basically with the practices at this time.

Keywords: 909, all

Transcript Highlights:

• So this is basically a place all, um, after the acting clause, new section, long-term care guardianship
• They basically all... everywhere was marked uncompensated care.
• it was mental health and I was care it was mental health and I was basically<00:28:39.559> going<
• Basically, this establishes a committee to study palliative and hospice care in New Hampshire.
• But basically, like I said, it's a study committee to study palliative and hospice care to see if there's

Keywords: 1191, senate, all

Transcript Highlights:

• I’m a concerned New Mexican who cares about health care affordability.
• for income on our child care.
• So basically, this is Bill 196.
• , which is basically keep, or dispose, which is basically get rid of stolen property that you know has
• So it's basically stealing the gun.

Keywords: 996, all

Transcript Highlights:

• We work day in and day out taking care of our individuals, loving them, caring for them, providing for
• We work day in and day out taking care of our individuals, loving them, caring for them, providing for
• These workers are home care aides, direct care staff, mental health, substance use, and disability service
• These workers are home care aides, direct care staff, mental health, substance use, and disability service
• Black and brown workers make up a disproportionate share of the home care and direct care workforce.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid hearing on legislation concerning unemployment insurance, non-compete agreements, prevailing wage, and minimum wage issues. Committee leaders outlined the hearing process, asked witnesses to keep oral testimony to three minutes, and invited written testimony through November 20. No votes were taken during the hearing; it ended with a motion to adjourn and notice of the next hearing on November 20. Much of the testimony focused on bills to expand unemployment insurance for striking workers, including H. 2168 and S. 1319. Labor leaders, union members, and legal advocates argued that workers who are out on strike for more than 30 days should be able to receive UI benefits, saying the policy would help workers and families meet basic expenses, reduce employers’ ability to “wait out” strikes, and encourage good-faith bargaining. Speakers cited recent strikes, including the Republic Services strike, and said the proposal would not meaningfully increase strike activity or strain the UI trust fund. Another major topic was minimum wage legislation, especially H. 2107/S. 1349 to raise the minimum wage to $20 by 2029 and index it to inflation, and H. 2191 to create a $25 enhanced care worker minimum wage. Supporters said current wages are not keeping pace with housing, food, and childcare costs, and that care workers, direct support staff, and human service employees face chronic vacancies, burnout, and turnover. Testimony also supported H. 2126 on prevailing wage by adding apprenticeship and training contributions to the wage calculation, and H. 2159 and S. 1363 on prevailing wage-related issues. One witness, Russell Beck, testified against S. 1336, which would ban non-competes, and against H. 2118, arguing Massachusetts’ current non-compete law is a balanced compromise that should not be disrupted.

Transcript Highlights:

• In practice, this delays access to medical care, financial decision-making assistance, and other basic
• And it also provides both Care Court agreements as well as Care Court plans.
• Agreement or care plan.
• care coordination.
• These facilities house thousands of people who depend on them for food, shelter, medical care, and basic

Summary: The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system. SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record. The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.

Transcript Highlights:

• County cap or for the long-term care County cap or for the long-term care costs<00:27:44.840>
• to that child are we providing care to that child are we basically<01:09:18.199> the<01:09:18.440
• anything to their care?
• foster care like me.
• care of that woman.

Keywords: 928, house, all

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• care.
• care.
• That's just for foster care. Then they have to go through trauma-informed care training as well.
• , the total cost of care.
• It's a fairness issue too, but quality care saves the health care delivery system money.

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• <00:34:11.760> I meet their basic needs and safety. I meet their basic needs and safety.
• <00:59:41.920> it assistance and medical care it assistance and medical care it absolutely
• Uh this basically don't have now?
• or uh basically abuses the system.
• I think you read that cultural foster care means a specialized foster care system.

Keywords: 1189, house, all

Transcript Highlights:

• of care when there's a long-term care of care when there's a long-term care nursing<00:28:22.960
• <00:28:30.960> Medicaid care Medicaid care Medicaid eligibility<00:28:33.120> med<00:28
• allowance is part of that cost of care. allowance is part of that cost of care. Okay. Okay.
• <00:34:41.679> basic able to provide for some basic basic able to provide for some basic basic
• care items.

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 118, as amended, which contains several unrelated provisions with a modest fiscal note. Nathan White of the Department of Health and Human Services explained that section 1 would change the personal needs allowance for Medicaid-eligible residents of private and county nursing homes from an adjustment every five years to an annual adjustment, increasing the state cost by about $50,000 per year. He also described section 2, a one-time appropriation of about $160,000 to make certain Hampstead employees whole for missed bonuses and lost leave during the state’s transition of the facility to Dartmouth management. White then outlined sections 3 through 5, which would create a dedicated fund for Hampstead lease revenue to cover the state’s contractual obligation to match Dartmouth capital improvements dollar-for-dollar up to $3 million. He said the state receives about $1.141 million in lease revenue in the first year, with a 3% annual escalator, and that the fund would hold lease revenue until needed for reimbursement. Members questioned how the matching arrangement would work, what happens if Dartmouth spends before the fund has enough money, and whether the state could refuse to match certain improvements. White said Dartmouth has final determination under the agreement if disputes arise, and that if the bill does not pass the state could face difficulty meeting the obligation without cutting services or finding other general funds. Several members also raised policy concerns about the personal needs allowance becoming an automatic cost driver. Brian Clark, attorney for the Bureau of Adult and Aging Services, clarified that current law requires the allowance to be updated at least every five years, but the legislature could change it in an off year if it chose. He also explained that the allowance is money residents retain from their own income, such as Social Security, as part of Medicaid cost-of-care calculations, and that the department does not regulate how residents keep those funds. No vote was taken during the discussion, and the committee paused to correct the bill copy before continuing testimony.

Transcript Highlights:

• So that's basically what the bill does.
• So the only provider that's caring for that patient is hospice, so I'm assuming they would have the care
• setting providing inpatient care.
• So basically we just kind of said that...
• I have 30 years of health care experience.

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• Christiana Care yesterday.
• This bill will support hospitals, long-term care facilities, public health providers, ambulatory care
• It's a modest investment that has tremendous long-term returns for our health care system and, basically
• It's a modest investment that has tremendous long-term returns for our health care system and, basically
• care, child care subsidy program.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.