Transcript Highlights:

• And that very preliminary study looked at only the four of the 12 Indian Health Service clinics and looked
• I was only successful on two occasions being able to extract some limited data around Indian Health Service
• In 1972, after an eruption of the appendix, I was admitted to Gallup Indian Health Service in Gallup,
• She thinks she's a nurse at Indian Health Service. So I said, 'Was there a question?'
• During the time of my legal dissertation, I was able to investigate records through Indian Health Services

Bills: SM14

Keywords: forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs, Commission on the Status of Women, survivor testimony, reproductive health access, genocide, transitional justice

Transcript Highlights:

• And thank you for offering your time and service.
• health service facilities.
• Health Service facilities.
• care or any kind of health care.
• The federal government utilized the Indian Health Service for primary Channel to practice these civilization

Bills: SM13, SM14

Keywords: land grant, Las Vegas, governance, self-governance, judicial management, forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs

Transcript Highlights:

• It included money for aging long-term services for New Mexico Care.
• And then within CYFD, it was money for the Juvenile Justice Division and Protective Services Division
• That would be an agreement that is arranged through the Indian Affairs Department. Okay, so Mr.
• But in general, they each had independent contracts with different providers of prison-related services
• , detention services.

Bills: HB2, SB152

Keywords: general appropriation, budget, Medicaid, education funding, public safety, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• to some services and make it.
• Services that are truly needed on tribal reservations.
• good internet service.
• Every agency, from public safety to health services, depends on systems that must be reliable, secure
• Page 201, the Indian Affairs Department.

Bills: HB2, SB152

Keywords: general appropriation, budget, Medicaid, education funding, public safety, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• And these hospitals are Hennepin HealthCare, not surprising; Range Regional Health Services in Hibbing
• And when health care services, it's a very, it has its own economy in it, and that's where it comes out
• "And when health care services, it's a very, it has its own economy in it, and that's where it comes
• services<01:24:55.320> it's<01:24:55.480> it's And when health care services it's it's
• And when health care services it's it's a<01:24:55.680> very<01:24:56.520> it<01:24:56.600

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• Good afternoon, Chairwoman Bliss, Vice Chair, members of the House Committee on Health and Human Services
• services provided to a member under the American Indian Health Program by a behavioral health provider
• services provided to a member under the American Indian Health Program by a behavioral health provider
• Services.
• Madam Chair, members, Senate Bill 1193 prohibits the Department of Health Services from selling or disclosing

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.

Transcript Highlights:

• Patients still need diabetic care, mental health support, and preventative services.
• Patients still need diabetic care, mental health support, and preventative services.
• Patients still need diabetic care, mental health support, and preventative services.
• Patients still need diabetic care, mental health support, and preventative services.
• Members of the committee, I'm the senior director of administration at Community Health Service, Inc.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• Department of Human Services' excuses. Department of Human Services' excuses.
• for services that are done. Thank you. for services that are done. Thank you.
• their health their health care teams. their health their health care teams.
• Across all services.
• 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:

• House File 4609 would mandate all health plans cover assisted reproduction services.
• We'll have first up the Department of Health and the Department of Human Services, the state for the
• This data offers a unique opportunity for Minnesota to learn more about the health care services and
• We have two programs, the health care loan forgiveness program and the home and community-based services
• Minnesota Care, the behavioral health Minnesota Care, the behavioral health services,<01:31:20.800

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• I'm the research analyst for the Senate Health and Human Services Committee.
• for the Health and Human Services and Public Safety Committees.
• I am a research intern for Health and Human Services, and I'm currently a senior at U of A majoring in
• So we need the services. We need the money there to get us services that we can use.
• So we need the services. We need the money there to get us services that we can do with.

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Summary: The committee began with member and staff introductions, then took up a series of health and human services bills. The first group focused on radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms: SB 1120 would require at least half of procedure rooms in covered facilities to have a radiation protection system by July 1, 2027; SB 1118 would create a state grant program for rural hospitals to help pay for those systems; and SB 1121 would prohibit requiring lead aprons in rooms equipped with such systems, while allowing voluntary use with a real-time dosimeter. Physicians, nurses, and a hospital CEO testified that long-term radiation exposure and heavy lead aprons have caused cancer, cataracts, and orthopedic injuries, and that commercially available systems can reduce exposure to near zero. Some members raised questions about cost, vendor involvement, FDA clearance, and whether the bills should be discussed with stakeholders; the Health Systems Alliance of Arizona said it was neutral and wanted further stakeholder meetings. All three bills were adopted by 7-0 votes, with SB 1120 and SB 1121 amended. The committee then heard SB 1001, which would appropriate $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program. Blind and low-vision speakers described long waitlists, the need for independent living training, and how services help seniors remain at home rather than enter more costly care. The bill passed 6-0 with one member not voting. Next, SB 1072 proposed ongoing General Fund and Medicaid spending to raise reimbursement rates for home- and community-based services for people with intellectual and developmental disabilities, plus room-and-board funding and a workforce survey/reporting requirement. Providers testified that the system is underfunded, staff turnover is high, overtime is extensive, and many people wait for services; the bill passed 6-0 with one not voting. The committee also approved SB 1125, requiring the Department of Child Safety to annually seek MOUs with tribes and improve tribal access to information about placements and enforcement actions involving licensed group homes, after members asked about the stakeholder process and tribal participation. SB 1123, which removes the requirement that a supervising forensic pathologist be board-certified before delegating autopsy-related tasks to trainees, passed after Maricopa County said the change would help address training delays and workforce shortages. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under specified safeguards, drew support from the sponsor and an assisted-living operator but also opposition from a member concerned about off-label treatment in nonmedical settings; it passed 5-2. Finally, SB 1112, reducing the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allowing a judge to waive the witness requirement in some cases, passed 5-2 after testimony from supporters who said the current rule often blocks treatment for seriously mentally ill people and from opponents who argued it weakens due process. The committee then began SB 1113, which would allow service of court-ordered evaluation and treatment documents by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before action on that bill.

Transcript Highlights:

• Among those federal employees are healthcare professionals within the Indian Health Service. This.
• The Indian health system has continued to be dramatically underfunded, providing Indian health service
• Health Care be honored at 100% FMAT for the services received through the Indian Health Service.
• In preserving and preserving accepting it's expecting Indian Indian Health Service American beneficiaries
• systems. services, and I put this to when I was born in Alaska and went to the Indian Health Services

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• If we go to their establishment and they are in the middle of providing services, depending on the service
• Hands-on services on another human being, it has to be clean.
• or comes to your office and provide services.
• , senior centers, or community services.
• And do I cut services for the good people? Or do I—where do I begin to cut services?

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Transcript Highlights:

• And I have an amendment that says the insurance company cannot acquire a health provider in Alabama.
• <00:08:24.639> a insurance company cannot acquire a insurance company cannot acquire a health
• health provider in Alabama. health provider in Alabama.

Bills: HB372, HB361, HB391, HB372, HB361, HB391

Keywords: Elmore County, rental tax, tax revenue, infrastructure funding, economic development, Ma-Chis Lower Creek Indian Tribe, tribal police, reservation security, state-recognized tribe, law enforcement authority, certified police officer, Peace Officers' Standards and Training Commission, P.O.S.T., trespass, warrantless arrest, tribal land, sovereignty, public safety, Indian tribe, reservation

Transcript Highlights:

• to honor their service.
• to honor their service.
• which can be used to verify his service. which can be used to verify his service.
• Department of Health doesn't use it?" Department of Health doesn't use it?"
• <01:24:02.639> Yes, director department of health? Yes, director department of health?

Bills: HB0026, HB0042, HB0067, HB0069

Keywords: tribal governments, vehicle registration, exemption, license plates, Wind River Indian Reservation, vehicle, accident, duty to stop, felony, personal injury, death, veterans property tax exemption, ad valorem tax, property tax relief, military tax exemption, Wyoming National Guard, active duty, reserve members, surviving spouse, surviving parent

Bills: HB0026, HB0042, HB0067, HB0069

Keywords: tribal governments, vehicle registration, exemption, license plates, Wind River Indian Reservation, vehicle, accident, duty to stop, felony, personal injury, death, veterans property tax exemption, ad valorem tax, property tax relief, military tax exemption, Wyoming National Guard, active duty, reserve members, surviving spouse, surviving parent

Bills: HM64, HM65

Keywords: capital outlay, Indian nations, tribes, technical assistance, state funding, resource allocation, firearm safety, public health, task force, violence prevention, alcohol misuse, legislation, 996, all

Transcript Highlights:

• What we do is we give all the money to COG, and we just put general language, but we do have health services
• Give all the money to COG, and we just put general language, but we do have health services in there.
• Charles, in the Health Care Authority of the $324 million, is the Health Care Secretary allowed to use
• that for rural hospital health care equipment?
• And Charles, how much is in the rural health care fund? I need to check.

Bills: SB152, SB145, SB190, HB247

Keywords: telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion, rural internet, broadband infrastructure, eligible telecommunications carrier, ETC, tribal consent

Transcript Highlights:

• , employment, and emergency services.
• This is on the request of CTIA, striking radio common carrier services, including mobile telephone services
• They also provide the service in that community. Everybody provides a service, but we don't.
• If we are directly supporting an internet service provider to provide service on a nation, Pueblo, or
• But then do they, if you're going to get service, does the person that's requesting service have to get

Bills: SB152, SB145, SB190, HB247

Keywords: telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion, rural internet, broadband infrastructure, eligible telecommunications carrier, ETC, tribal consent

Transcript Highlights:

• challenges, or other temporary health challenges, or other temporary crises Our services are voluntary
• this preventive service. this preventive service.
• access to health care was turned off. access to health care was turned off.
• family, education, finances, and health family, education, finances, and health services<01:17:09.680
• sterility, and mental health crises. sterility, and mental health crises.

Bills: HF3877, HF3714, HF3750, HF3024

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• under certain... ...that put under certain circumstances, the water system was there under the Public Service
• available for anyone who wanted to do it to put themselves under, with certain circumstances, the Public Service
• are affiliated with a regulated sewer system, to elect to come under the regulation of the Public Service
• They share common corporate services, such as financial, legal, and maintenance, etc., that go on with
• Any occasion that, if not adequately managed, poses a threat to the health and safety of Alabama.

Bills: HB68, HB140, HB168

Keywords: foreign investment, agriculture, property rights, critical infrastructure, sanctions, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates, wastewater management, Alabama utilities, Jefferson County Board of Health