Transcript Highlights:

• Today, it is estimated that 70 to 80% of all ABA services in the state are funded by MassHealth.
• We provide ABA services to children and families.
• We provide ABA services to children and families.
• Our families in Massachusetts are waiting far too long for critical ABA services.
• At the same time, the demand for ABA services continues to increase, and At the same time, the demand

Bills: H4353, H4425, H4453, H4623, H4770, S2587, S2737

Keywords: behavioral health, Medicaid, reimbursement rates, healthcare providers, service delivery, accreditation, Medicare, end-stage renal disease, healthcare access, patient coverage, renal failure, MassHealth, asset limit, personal vehicle exemption, vehicle value, healthcare, autism, ABA services, assistive technology, children

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care financing bills, with most testimony focused on autism/ABA services and kidney disease coverage. On House Bill 4623, Representative Lisa Field and providers from Community Autism Services and related groups urged the committee to recognize assistant-level ABA providers, including BCaBAs, in the MassHealth reimbursement structure to expand capacity, reduce wait lists, and improve access for children with autism. An actuary testified that moving from a two-tier to a three-tier ABA model could lower MassHealth costs, and providers said current reimbursement and new MassHealth requirements are contributing to long delays and workforce strain. On House Bill 4353 and Senate Bill 2587, testimony from ABA organizations supported a biannual Medicaid rate review process to better align reimbursement with service costs, workforce needs, accreditation requirements, and new administrative burdens, without mandating a specific rate increase.

Transcript Highlights:

• public entities, such as municipal, county, tribal, or other public entities, consider essential services

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:

• 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?
• I had never even heard of ABA therapy.
• So, I'm a big proponent of ABA services. So, I just want to leave you with that.

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

Transcript Highlights:

• Welcome to Senate Health and Human Services.
• So, but for this one thing, they met the requirements of the RFP to provide services.
• So is this only for digital services?
• Preventive Services Task Force does not recommend routine screening.
• So I'm a big proponent of ABA services.

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

Summary: The Senate Health and Human Services Committee heard and advanced a series of health-related bills. Senate Bill 1503 would allow a digital abortion-related service provider to participate in the Choosing Childbirth grant program without requiring a brick-and-mortar Oklahoma presence; it passed 10-2. Senate Bill 1553, dealing with appeals reviewed by psychologists, passed unanimously. Senate Bill 1427, as amended, would add antibody screening for type 1 diabetes with parental consent and Medicaid reimbursement for the Medicaid population; it passed 9-3. Senate Bill 1642, allowing physicians to prescribe opioids in divided quantities during the initial seven-day period, passed unanimously. Senate Bill 1421, requiring non-physical intervention training for direct-care staff and volunteers in certain mental health facilities, also passed unanimously. The committee also approved several behavioral health and rural care measures. Senate Bill 1837 would ask the Oklahoma Health Care Authority to seek a federal exemption so rural providers of home- and community-based services can also provide case management and person-centered planning; it passed 12-0. Senate Bill 1566, aimed at expanding access to autism diagnosis and ABA therapy by broadening who may diagnose ASD and allowing telemedical supervision of behavioral techs, passed 9-3 with title off due to fiscal concerns. Senate Bill 1567, a cleanup bill for APRN prescriptive authority and medical board fee language, passed 9-3. Senate Bill 1794 would create a statewide behavioral health vacancy registry to help place people in crisis more quickly; it passed 11-1 with title off after fiscal concerns were raised. Later, the committee approved Senate Bill 1484, requiring medical examiner investigations of SIDS and sudden unexpected infant deaths to include review of immunization and medical records and adding parental notification/consent provisions unless a crime is suspected; it passed 12-0. Senate Bill 1557, transferring ABA therapist licensing duties from DHS to a licensing board, passed after an amendment shifting the board involved. Senate Bill 1564, requiring a standardized billing code and reimbursement rate for certain dental surgeries under general anesthesia, passed 11-1 with title off because of a $1.9 million fiscal note. Finally, Senate Bill 1591, as amended, would cap THC in medical marijuana edibles at 10 mg per edible and 100 mg per package to reduce child poisonings; it passed 10-2. Several bills were amended during discussion, and multiple members noted fiscal concerns, parental consent, and access-to-care issues throughout the meeting.

Transcript Highlights:

• Call the Oversight for Health and Human Services to order.
• state to provide those services, it is the expectation that those services be provided.
• Again, ...to provide those services, it is the expectation that those services be provided.
• childbirth and what other services are provided by this.
• childbirth and what other services are provided by this.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

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:

• Call the Oversight for Health and Human Services to order.
• state to provide those services, it is the expectation that those services be provided.
• Again,... ...to provide those services, it is the expectation that those services be provided.
• in Oklahoma to be considered essential services.
• or other medical service.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

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

Summary: The committee opened with prayer and then took up a series of health and human services bills, most of them moving forward on do-pass motions. Senate Bill 1645 would set audit procedures for Medicaid providers, with discussion focused on protecting providers from penalties for scrivener’s or typographical errors while still holding them accountable for fraud or failure to provide services. Senate Bills 1796 and 1806 addressed foster care, including a 72-hour cap on informal care and extending foster care to age 21 for youth continuing their education. Senate Bills 1423, 1425, and 1502 all repealed outdated advisory councils or programs that were no longer active or needed. SB 206, as amended, expanded licensed ambulance services as essential services to help them access more federal funding, and SB 500 sought to prevent pharmacy benefit managers from delaying payments to pharmacists. These measures were reported out with unanimous or near-unanimous votes. The committee also heard Senate Bill 1503, which would allow certain nonprofit pregnancy-support organizations without an Oklahoma physical address to apply for Choosing Childbirth grants. Members questioned whether state dollars could go to out-of-state personnel and how telehealth and reporting requirements would work. The bill was laid over for further amendment work. Senate Bill 1557 would place certified behavioral analysts under the State Board of Examiners of Psychology, and members raised questions about how it might interact with a separate bill affecting board authority; it passed after discussion. Senate Bill 1894 gave the podiatry board authority over continuing education, and SB 1984 was a cleanup bill for the Board of Osteopathic Medicine, including authority over certain licensure and telemedicine-related review issues; both passed after questions about scope and reciprocity. Later, the committee considered several pharmacy and insurance-related bills. SB 1344 created an insulin access and affordability program to partner with manufacturers of low-cost biosimilar insulin, and SB 1380 required Medicaid eligibility checks against death records, with an amendment discussed to protect long-term care facilities from retroactive nonpayment when eligibility is delayed. SB 1572 would commission a feasibility study on dissolving the Department of Mental Health and temporarily allow the Health Care Authority commissioner to oversee both agencies. SB 2007 required PBMs to reimburse pharmacists at actual acquisition cost when reimbursement falls below cost, with escalating fines for noncompliance. SB 2074 would impose a mandatory dispensing fee tied to the Medicaid rate; it drew extensive debate over whether costs would be shifted to employers, employees, or the state, and over the impact on pharmacy closures and rural access. The committee ultimately reported the bills out, with SB 2074 passing after lengthy discussion and a final vote.

Transcript Highlights:

• service.
• </c> of an essential service. of an essential service.
• </c> intensive service. intensive service.
• </c> providers in those 13 services. providers in those 13 services.
• </c> the 14 services. the 14 services.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• public service agencies.
• </c> support services. support services. uh<00:07:58.000><c> through</c><00:07:58.160><c> a</c><00:07
• </c> service response. service response.
• </c><00:19:06.240><c> Um,</c> service. It's it's a safety element. Um, service.
• </c> those services. those services.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• Welcome to the Senate Human Services Committee for this Monday, January 19th.
• Examples of community residential services businesses include adult family homes, supported living services
• Examples of community residential services businesses include adult family homes, supported living services
• By starting DDCS services at 20, we can prevent this service cliff.
• through the developmental disabilities community services.

Bills: SB5681, SB6024, SB6036, SB6063

Keywords: employment services, community inclusion, age limitations, disability services, home and community living, community residential services, oversight, monitoring, service providers, streamlining, foster care, licensure, adoption, child welfare, support services, terminology alignment, social services, Washington state code, department reorganization, legislative amendment

Summary: The Senate Human Services Committee heard four bills. SB 6024, sponsored by Senator Gildon, would streamline DSHS oversight of community residential service providers by limiting routine reviews to no more than one annual review per subject area, combining reviews when possible, and requiring better document sharing within the department to reduce duplicate requests. The sponsor and provider witnesses said the bill would reduce redundant audits and paperwork so providers can spend more time on direct client care. SB 6063, a DSHS request bill sponsored by Senator Bateman, would update statutes to reflect DSHS’s recent reorganization and rename references to the new administrations; testimony described it as a technical, no-cost cleanup measure. The committee also heard a proposed substitute for SB 5681, sponsored by Senator Cortez, which would lower from 21 to 20 the age at which people with intellectual and developmental disabilities may access employment and community inclusion services, and would rename community access as community inclusion. Senator Cortez and multiple advocates, educators, and service providers testified that earlier access would help young adults avoid a service gap after school, support transition to work, and improve long-term independence; the substitute was explained as changing the original bill’s proposed age from 19 to 20. SB 6036, sponsored by Senator Kaufman and requested by DSHS, would create a narrow exemption from adult family home licensure for certain foster care or kinship caregivers who continue caring for former foster youth who are the only unrelated adults in the home. Senator Kaufman and DSHS said the bill would preserve stability and continuity of care for youth aging out of foster care while maintaining safeguards, and DSHS testified in support. No votes were taken; the chair closed each hearing after testimony, and announced upcoming executive sessions and future hearings.

Transcript Highlights:

• daily living skills, medical and dental services, employment services, and behavior supports.
• daily living skills, medical and dental services, employment services, and behavior supports.
• disabilities services.
• Is it going to Home and Community Services? Is it going to residential services?
• services, is it going to residential services, and then when they get it, are they sharing it?

Bills: HB2185, HB2200, HB2230, HB2319

Keywords: homelessness, youth programs, advisory committee, prevention, protection, developmental disabilities, residential settings, data access, safety, stability, community oversight, residential services, regulation, service providers, monitoring, HB 2319, residential habilitation center, state school renaming, Rainier School, Firecrest School

Summary: The Early Learning and Human Services Committee held its first 2026 hearings and heard four bills. HB 2185 would expand the Homeless Youth Advisory Committee to include more members with lived experience of homelessness or involvement in publicly funded systems, including adults over 25 and youth or young adults under 25. The sponsor and testifiers from homeless youth advocacy organizations said the change would broaden representation, improve guidance to the Office of Homeless Youth, and better reflect the needs of disproportionately affected populations; the bill was well received and the hearing was closed without opposition. HB 2319 would rename Washington’s residential habilitation centers by removing the word “school” from their statutory names. Staff and the sponsor said the change is purely terminological and does not affect operations or funding, but would reduce confusion because the facilities do not provide schooling and are not children’s institutions. Testifiers from The Arc of Washington, Disability Rights Washington, and self-advocates supported the bill as a needed update to reflect current services and avoid misinformation. The committee then heard HB 2230, which would limit DSHS to one annual routine review per community residential service provider in specified areas and require better coordination and document sharing to reduce duplicative audits and site visits. The sponsor and provider witnesses described repeated overlapping inspections as burdensome and said streamlining would let staff focus more on client care; the bill drew support, though some members asked about oversight and the need to preserve safety monitoring. The final bill, HB 2200, would direct JLARC to review safety and stability outcomes across developmental disabilities residential settings from 2022-2025 and require DSHS to create a public dashboard comparing emergency calls, ER boarding, placement terminations, and staff retention across state-operated and contracted settings. The sponsor argued the system lacks comparable data for most people served in community settings and that the bill would create transparency and help identify what works. Supporters, including state employee representatives, disability rights advocates, and a professional guardian, said the data would help families, policymakers, and providers make informed decisions. Some provider testimony raised concerns that raw numbers could be misleading without adjusting for population size or acuity and that the bill could add cost or reporting burden, but the sponsor said the goal was to make existing information accessible and comparable. The committee closed the hearing on HB 2200 and adjourned after announcing caucus locations.

Transcript Highlights:

• people who are getting services are getting services.
• traditional services.
• traditional services.
• </c> services, um terminating their service services, um terminating their service agreements,<00:57:
• </c> of services. of services.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• Time to start off week two in our Early Learning and Human Services Committee.
• and to advise the legislature on statewide behavioral health services as to you. health services, and
• to advise the legislature on statewide behavioral health services to support them.
• have to utilize the high-intensity services as much.
• , even... ...will allow greater access to dental services.

Bills: HB2429, HB2171, HB2314, HB2364, HB2415

Keywords: behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities

Summary: The committee began with a work session on the Children and Youth Behavioral Health Work Group and the Washington Thriving Strategic Plan. Tisha Kirshbaum of the Health Care Authority described the work group’s recommendations, including making Washington Thriving a state initiative, restoring and funding behavioral health access points, strengthening school behavioral health guidance, supporting 988 operations, and improving coordination across agencies. Members asked about fragmentation among the seven agencies involved, duplication of effort, and examples of upstream prevention; Kirshbaum and Rep. Lisa Callan emphasized a system-of-care model, early intervention, community health workers, school-based services, and better coordination rather than adding more layers. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the strategic plan, create an executive coordination officer and leadership council, extend the work group, and require alignment by state, tribal, local, and nonprofit partners. Testimony was overwhelmingly supportive from the governor’s office, parents, youth, providers, hospitals, and advocacy groups, though one witness opposed the bill on government-overreach grounds and another urged adding youth mentoring representation. No vote was taken. The committee next heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Economic Justice and Well-Being Task Force, adds state agencies to the voting membership, and aligns the body with the state’s 10-year plan to dismantle poverty. Rep. Mia Gregerson and DSHS testified that the bill updates the statute to match the evolved poverty-reduction alliance and has no fiscal impact. Support testimony from the Statewide Poverty Action Network emphasized bipartisan collaboration and the need for the law to reflect current work. No action was taken. Finally, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board, and expand training for foster parents and workers. The prime sponsor, Rep. Mike Steele, was represented by Rep. Brian Burnett, who described the bill as a response to a survivor’s experience of going missing from foster care. DCYF supported the intent but raised legal and cost concerns, noting it already has missing-from-care locators and coordination procedures. Child welfare advocates and the Mockingbird Society supported stronger protections but warned that public alerts could increase risk or trauma for some youth and urged guardrails. The hearing then moved to House Bill 2314 on dental care services at residential habilitation centers, with staff explaining a pilot allowing certain community-based developmental disabilities clients to access RHC dental clinics. Rep. Josh Penner said the bill would use existing, underused state dental capacity for people who cannot access community dentistry, while disability advocates argued it would pull people back into institutional settings and that community-based dental capacity should be strengthened instead. The hearing continued with testimony and no final vote reported.

Transcript Highlights:

• </c> Department of Human Services' excuses. Department of Human Services' excuses.
• </c> for services that are done. Thank you. for services that are done. Thank you.
• Across all services.
• </c> better be given 12 hours of services. better be given 12 hours of services.
• </c> for the family residential services. for the family residential services.

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• We are on the verge of creating a senior services waiting list.
• There are three areas of services for seniors.
• We have home and community-based services, which is at the Department of Human Services.
• The cost varies between these three categories of services.
• Home and community-based services cost about $22,000 per individual.

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

Transcript Highlights:

• </c> in any service. in any service.
• . service. service.
• </c> to deliver those services. to deliver those services.
• </c> &gt;&gt; uh services in a setting. &gt;&gt; uh services in a setting.
• </c> which type of service you're getting. which type of service you're getting.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• </c> health facilities, health care services health facilities, health care services uh<00:21:04.240>
• </c> Department of Human Services on Zoom? Department of Human Services on Zoom? Yes. Yes. Yes.
• </c> Department of Human Services on Zoom? Department of Human Services on Zoom?
• services statewide.
• </c> Support Services. Support Services.

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• </c> to continue delivering critical services to continue delivering critical services to<00:02:49.680
• </c> services otherwise provided. services otherwise provided.
• </c> their services. Representative Curran. their services. Representative Curran.
• </c><01:37:13.360><c> And</c> deliver these services. All right. And deliver these services.
• </c> accountability in government services. accountability in government services.

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• </c> Services, 702 KAR 5130. Services, 702 KAR 5130.
• </c> services in the child waiver. services in the child waiver.
• </c> PDS services at this time. PDS services at this time.
• </c> participant directed services. participant directed services.
• </c> not a service delivery option. not a service delivery option.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• </c> uniform service standards. uniform service standards.
• . services. services.
• </c> support services. support services.
• services, services and other services, and<00:59:12.640><c> disrupt</c><00:59:13.040><c> care</c><00
• </c><01:03:27.160><c> servicing</c> Western Prairie Human Services servicing Western Prairie Human Services

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction

Summary: The committee considered House Bill 2115, which was described as a measure to move certain programs from one agency to another. Chairman Osborne presented the bill and moved adoption, then yielded for questions. No substantive questions or debate were recorded. A motion for a due pass recommendation was made and seconded, and the committee proceeded without further discussion. The chair then indicated the bill would be opened for signatures. With no additional business, the meeting adjourned. Before adjournment, the chair offered brief personal remarks thanking Mike and noting it was his first, last, and only opportunity to chair the committee.