Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• You know, it might work out for a waiver program.
• Quite honestly, Representative, they cannot absorb these cuts, and a potential waiver, you know, when
• Quite honestly, Representative, they cannot absorb these cuts, and a potential waiver, you know, when
• Quite honestly, Representative, they cannot absorb these cuts, and a potential waiver, you know, when
• Additionally the most recent CSM waivers Additionally the most recent CSM waivers Amendment<01:46

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:

• setting for disability waivers.
• waivers.
• waivers.
• waivers.
• waivers.

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:

• But even with the waiver, individuals are waiting four to six months for DHS approval, and if there is
• So why wouldn't we trust them to authorize it just like they do with other waiver services?
• Letting case managers handle authorization for people utilizing waivers would reduce bottlenecks in the
• People utilizing waivers have already gone through an extensive assessment and approval process.
• It is limited to people between the ages of 22 and 64 who are on a disability waiver.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• ,<00:57:47.119> individuals But even with the waiver, individuals But even with the waiver
• These same case managers with waivers.
• Right now DHS is other waiver services?
• Letting case managers without waivers.
• It is limited to people between the ages of 22 and 64 who are on a disability waiver.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• We agreed to get a waiver that will allow us to operate the program for five years, but the bill only
• We can only fund through two more years because that's all we have on the waiver.
• <00:56:42.440> be so you're asking that the waiver be so you're asking that the waiver be
• <00:56:59.720> is<00:56:59.880> two that's all we have on the waiver is two that's
• all we have on the waiver is two of<00:57:00.200> the<00:57:00.359> five<00:57:00.559><

Bills: HF837

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, 1183, house

Transcript Highlights:

• service called individualized home supports with training, which supports people on the disability waiver
• IHS is one of the services available to people on a disability waiver who are living in their own home
• I'm the executive director of EGH, a small nonprofit HCBS provider in the western suburbs.
• They'll probably look at county case waiver management procedures, budget setting, etc.
• case manager procedure, uh uh waiver case manager procedure, uh uh<01:13:25.960> claims<01:13

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:

• Senate Bill 1847 is a cost-saving measure that allows individuals who qualify for the Advantage Waiver
• Chairman, members, Senate Bill 1833 directs the Department of Human Services to apply for the SNAP waiver

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• It would require the Department of Human Services, upon obtaining a federal waiver, to establish a pre-release
• House Bill 1518 would require the Department of Human Services, upon obtaining a federal waiver, to establish
• Um, this proposal would allow Hawaii to seek a federal waiver to provide SNAP benefits or allow inmates
• Um, this proposal would allow Hawaii to seek a federal waiver to provide SNAP benefits or allow inmates
• Um, this proposal would allow Hawaii to seek a federal waiver to provide SNAP benefits or allow inmates

Bills: HB2264, HB2336, HB2298, HB1518

Keywords: protective orders, military, law enforcement, judicial coordination, victim safety, community safety, federal military installations, disaster response, emergency services, state funding, transportation department, public safety, Hawaii, education, high school diploma, veterans, wartime practices, armed services, HB1518, Hawaii SNAP

Summary: The committee opened by announcing that it would hear testimony but would not take decisions on the day’s bills, with action deferred to a later decision-making agenda. The first measure, HB 2264, would require notification to military security forces when a protective order is issued involving a military-affiliated person. Support came from the U.S. Defense State Liaison Office, the Hawaii National Guard, and DBEDT’s Military Affairs office, all emphasizing better coordination and faster notice to help protect victims and support command oversight. Family Court Judge Jesse Hall supported the intent but asked for deferral, explaining that a prior fax-and-email notification system had broken down and that the military had not re-engaged with the court. The Hawaii State Coalition Against Domestic Violence supported the bill but recommended narrowing it so it applies only when the respondent is actually marked as military-connected and delaying the effective date to January 1, 2027 to allow implementation. In questions, members discussed the current breakdown in communication, the number of military-marked TROs statewide, and whether the bill would be necessary if the old system were restored; the military witness said she would try to reestablish contact with the court. The committee then took up HB 2336, which would authorize the Department of Transportation to enter into agreements with the U.S. Department of Defense for services at federal military installations and charge an administrative fee. DOT and the Military Affairs office supported the measure, describing it as a way to speed projects, combine state and federal resources, and strengthen infrastructure that also supports disaster response and the economy. Members questioned why the bill was needed if similar arrangements had existed before, and whether Title 23 federal highway funds could be used; DOT responded that the bill would help expedite projects and supplement, not supplant, federal funding, while each project would still require review of the appropriate funding source. The committee also heard HB 2298, which would allow the Department of Education to award high school diplomas to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The U.S. Defense State Liaison Office, the Hawaii Office of Veterans Affairs, and DOE supported the bill, and DOE said implementation would have only a minimal printing cost. Finally, the committee heard HB 1518, which would require DHS, upon obtaining a federal waiver, to create a pre-release SNAP application process for inmates nearing release by January 1, 2028. DHS said it was already working on a pilot and stood on its testimony; the County of Hawaii, the Correctional System Oversight Commission, the ACLU of Hawaii, and the Hawaii Public Health Institute supported the measure, arguing it would improve reentry outcomes and would not cost the state additional money. No votes or final committee actions were taken on any of the bills during this meeting.

Bills: HF3919, HF3467, HF3741

Keywords: veterans benefits, Secret War, Laos veterans, eligibility process, burial fees, veteran designation, veterans affairs, food insecurity, homelessness, suicide prevention, state resources, reporting requirements, agency initiatives, veterans, educational assistance, tuition waiver, spouses, children, military service, benefits

Summary: The committee first approved the minutes, then heard an update from Metro Meals on Wheels on a veterans home-delivered meals grant funded by the committee in 2023. Testifiers said the program has served more than 82,000 meals to over 500 veterans, but funding is running short; enrollment was stopped in July 2025 and meal service was reduced to five per week to stretch dollars. They said the program is serving 168 veterans as of January 31 and will likely run out of funds in July unless additional money is provided. Members asked about eligibility and how the program ensures the grant is used only for veterans who do not qualify for other services; the organization said referrals come through county veteran service officers, MACV, hospitals, and other partners, and that it can provide confidential tracking information. No vote was taken on funding, but members expressed support and interest in more documentation. The committee then took up House File 3919, which implements recommendations from a task force on benefits for SGU veterans and irregular forces who served in the secret war in Laos from 1961 to 1975. The Department of Veterans Affairs said the bill largely reflects the task force report and technical recommendations, including adding SGU veterans to the burial fee statute so burial costs in state cemeteries can be covered, while noting there is still an unresolved issue about headstone costs for spouses and dependents. A testifier from the task force supported the bill but objected to creating a separate SGU veteran designation on driver’s licenses, arguing it could create two classes of veterans and add administrative costs; he urged using a single veteran designation instead. Other public testimony emphasized the service of Hmong, Lao, Cambodian, Vietnamese, and other allies in Laos and urged the legislature to adopt the recommendations broadly. The committee discussed the burial fee language and the purpose of the designation, but no final action or vote on HF 3919 was taken in the portion provided.

Bills: HF2740, HF2901, HF4443, HF3943

Keywords: affordable housing, housing finance, Minnesota Housing Finance Agency, MHFA, low-income housing tax credit, LIHTC, Section 42, compliance period, housing stability, rental housing, affordable rental housing, homelessness, housing insecurity, housing supply, preservation, recapitalization, distressed properties, regulatory relief, local affordable housing aid, Interagency Council to End Homelessness

Bills: SB706, SB1262, SB1272, SB1546

Keywords: school funding, general fund carryover, State Aid, educational finance, budget penalties, emergency clause, tuition waiver, human trafficking, education, higher learning access, victims' rights, Oklahoma Tuition Equalization Grant, higher education, financial aid, income eligibility, student grants, scholarships, capital improvements, teacher incentives, Oklahoma Equal Opportunity Education Scholarship Act

Transcript Highlights:

• definition alignment bill that fixes an inconsistent inconsistency in Texas law regarding collision damage waivers
• because our customers and the businesses that we do business with, they ask for Collision Damage Waiver
• , which we've referred to as CDW, or Damage Waiver.
• That if a rental is returned early or the damage waiver is canceled earlier than thought.

Bills: HB186, HB517, HB 1093, HB 1268, HB1395, HB186

Keywords: social media, children, account verification, data privacy, parental control, property owners' association, residential watering restrictions, vegetation, fine limitations, drought, technology, innovation, economic development, grants, Texas Economic Development, business funding, HB 1395, private passenger vehicle rental, car rental, vehicle rental

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

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=aNg2fNu_Rg0, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:27 APPROVAL OF MINUTES 01:02 DISCUSSION WITH COMMUNITY BASED SERVICES, LESLIE HOFFMAN, DEPUTY COMMISSIONER, PAM SMITH, DIRECTOR FOR MEDICAID SERVICES. WAIVER ENROLLMENT NUMBERS, AND RATE & STUDY FINDINGS. 2:06 DISCUSSION WITH CEO, KY ASSOCIATION OF PRIVATE PROVIDERS, AMY STAYED ON THE IMPLANTATION OF THE INCREASE FOR WAIVER PROVIDERS THAT IS LISTED IN HOUSE BILL 1 24:18 DISCUSSION WITH LESA DENNIS, ACTING COMMISSIONER WITH DEPT. OF COMMUNITY BASED SERVICES &SHANNON HALL, CHIEF OF STAFF ABOUT SOCIAL WORK RECRUITMENT & RETENTION IN THE FIELD AND OFFICES. 32:16, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• So, I'm going to use the home and community based waiver, HCB, as my example.
• So HCB, if you remember, I showed you on the earlier slide, they're in a new waiver year.
• /c><01:00:11.359> original<01:00:11.760> HCB HCBS waiver, you have an original HCB HCBS
• Uh, question specifically about the HCB waiver.
• going to be a denial within the HCB going to be a denial within the HCB waiver,<01:21:58.080>

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• <01:08:00.720> administered<01:08:01.200> by waiver, the HCB that is administered by waiver
• So the provider that they are with then becomes the waiver provider. So there are 150 for HCB.
• So the provider that they are with then becomes the waiver provider. So there are 150 for HCB.
• Information related to the 1915C waivers and the HCBS growth.
• Not knowing all the five other waivers were going to come about, we named it HCB.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• Both institutional LTSS as well as HCBS.
• Adults receiving Medicaid HCBS or institutional LTSS.
• So you could, if you only want to look at HCBS, for example.
• In terms of the 1115 waivers, I believe that is included within our measure of HCBS.”
• Because DDS doesn't provide, it's not in our regular HCBS.

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.

Transcript Highlights:

• <00:13:12.639> and be approved in some form of waiver and be approved in some form of waiver
• . waivers. waivers.
• We're not using, we haven't maxed out our HCBS slots as it is under the current waiver. sort of um that
• we're not we haven't maxed out our HCBS we're not we haven't maxed out our HCBS slots<00:22:46.000
• there is the potential to carve out HCBS there is the potential to carve out HCBS as<00:24:54.080

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.