Transcript Highlights:

• We got a big change in the CMS-approved amendments for the state home and community-based services.
• </c><00:14:54.960><c> and</c> of what this office does first and of what this office does first and foremost
• Uh, these programs are worth it, and I hope that uh next year we can find ways to support that community
• First of all, I wanted to say thank you, um, for the uh amazing work and for your service to the state
• c><01:26:13.480><c> communities</c> yourself, and and I hope our communities yourself, and and I hope

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:

• , crisis response services, and certified community behavioral health clinic services.
• for a market rate study for home and community-based services.
• </c> support uh services and background support uh services and background studies. studies. studies.
• Long-term care services and supports.
• Long-term care services and supports.

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

Transcript Highlights:

• and requirements as a the same services and requirements as a community<00:26:12.600><c> residential
• c><00:35:39.880><c> a</c><00:35:39.920><c> community</c> service and a corporate or a community service
• The first individual I supported had complex medical and physical needs and ultimately passed away in
• </c> community engagement and inclusion. community engagement and inclusion.
• services and hear from them about what they need to remain in community.

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:

• and community-based services.
• and community-based services.
• and community-based services.
• We offer integrated community supports, community residential services, and customized living services
• integrated community supports Community residential<00:36:18.599><c> services</c><00:36:19.119><c> and

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• The programs we're talking about in this bill include PCA Choice, the Community First Services and Supports
• program, the Consumer Directed Community Supports program, and the Consumer Support Grant.
• AIDS support, first and foremost.
• support families and service designed to support families and establish<01:21:58.800><c> long-term</
• level of supports and services as quickly and efficiently as possible.

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• Sections 1, 5, and 9 of the bill prohibit assisted living, nursing homes, and community residential service
• nursing homes and community<00:02:39.440><c> residential</c><00:02:40.000><c> service</c><00:02:40.319
• , and safer communities.
• service providers, providing services through the four disability waivers and supporting people in a
• own home and in a family's home, supporting people through adult family foster care services.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• </c> committee or community and I think would committee or community and I think would just<00:14:15.120
• planning and implementation of resilience plans and then good governance and service to all Minnesotans
• planning and implementation of resilience plans and then good governance and service to all Minnesotans
• planning and implementation of resilience plans and then good governance and service to all Minnesotans
• with different community communicating with different community members<00:51:50.319><c> and</c><00:

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

Transcript Highlights:

• , but a training and support service.
• </c> but a training and support service. but a training and support service.
• of the basic service as well as the training and the more intensive supports.
• And that's why, before last year, the home and community-based service manual said that if a person wants
• it meets both the person support and training needs flexibly in a single service.

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:

• We also provide home care services in the consumer-directed community support program.
• We also provide home care services in the consumer-directed community support program.
• As you know, the idea and intentions were good for Community First Services and Supports, CFSS.
• It replaced Consumer Support Grant and personal care assistant, PCA, services.
• and the reviews and the service plans.

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:

• First, expand access to care in DCT and in the community.
• community</c><00:15:02.800><c> first</c> care in DCT and in the community first care in DCT and in the
• our state-operated services and community mental health services.
• Health</c> services and Community Mental Health services and Community Mental Health Providers<00:37
• there was not the right service and the right support in our community for that acute mental illness

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• We stand on our written testimony and support. Support. Thank you.
• And first up, we have written testimony from the Office of the Assistant Secretary of War in support.
• And first up, we have written testimony from the disability and communication access board in support
• ><c> able</c><00:30:33.679><c> to</c> and support services to be able to and support services to be able
• We represent the 14 community health centers across the state of Hawaii, and we strongly support this

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

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

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

Transcript Highlights:

• :02:55.040><c> improve</c><00:02:55.360><c> service</c> and it this will improve service and it this
• He and his support team are learning the skills they need to keep him in his home and community.
• and community while treating their mental health conditions and supporting the caregivers who care for
• </c> move forward and I ask for your support. move forward and I ask for your support.
• </c> business community is supporting it. business community is supporting it.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• Health and Human Services Commission.
• Our members strive to provide their residents with community, support their independence, and respect
• welfare and juvenile justice systems and communities it serves.
• human services programs and 211 services.
• And their, their services and costs go exponentially exponentially high.

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• And so private duty nursing is one of those services.
• Our members strive to provide their residents with community support, maintain their independence, and
• welfare and juvenile justice systems and the communities it serves.
• human services programs and 211 services provided by the Texas Information and Referral Network.
• A happy medium, and we appreciate that they touched on better communicating the kinds of services that

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• board and any other services that are necessary to provide services to our folks out in the community
• and audit a period of time and say these claims weren't supported, and then we have an appeal process
• This includes real estate. companies, therapy services, laundry and maintenance, food services, HR, and
• . and child care licensing services.
• and you will be testifying in support.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• who will describe um how co-navigators support our deafblind community and with that, I, um, I'm open
• and services for the deafblind community and clients through the vocational rehab program.
• One Accord partners with local leaders and service providers and families in West Texas to develop community-based
• We've been able to just really provide some wrap-around support and that is what community-based care
• As a legacy region with no bidders, I urge the committee to support House Bill 1536 and allow rural communities

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• to distribute to responsible social services agencies for support and implementing the act statewide.
• and</c> services agencies for support and services agencies for support and implementing implementing
• like</c> fund that support and make changes like fund that support and make changes like moving<00:15
• her communities and her families.
• Uh first, I I support the support.

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Transcript Highlights:

• the programs that we support and the people who need the service the most, those who are living in home
• the programs that we support and the people who need the service the most, those who are living in home
• the programs that we support and the people who need the service the most, those who are living in home
• speech therapies, as well as other supportive services such as home health aides and social work.
• speech therapies, as well as other supportive services such as home health aides and social work.

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health

Transcript Highlights:

• I remember as a new rank-and-file Democrat in the House when I first got elected, Bob would come and
• </c> first got elected, Bob would come and first got elected, Bob would come and try<00:10:33.360><c>
• /c> uplifting and supporting continuing uplifting and supporting continuing education<00:16:08.400><c
• the land and feed our communities.
• Mahalo nui loa and feed our communities.

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health