Transcript Highlights:

• We are going to need some kind of care like this at some point.
• We have almost 8,000 seniors approved for long-term care in 2025.
• The cost for long-term care was $51,000 per individual last year.
• Home and community-based services cost about $22,000 per individual.
• If only 1% of decision-makers about long-term care chose to go to either PACE or home and community-based

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:

• When we request the case file, and who requests the case file with community-based care and SSCCs coming
• When we request the case file and who requests the case file with community-based care and SSCCs coming
• Continuing care retirement communities, or CCRCs, offer older Texans a promise of aging in place through
• We also represent the vast majority of continuing care retirement communities in the state, and I'm testifying
• SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• It amends family care home to family child care home.
• It amends family care home to family child care home.
• The bill requires DCF and each community-based care lead agency to coordinate with organizations that
• I'm doing well in college and in my community.
• I entered care at the age of 12, and I've been in six placements.

Bills: S0996, S1022, S1462, S1690

Keywords: dependent children, child welfare, cash allowance, caregivers, community organizations, empowerment, foster care, out-of-home care, temporary cash assistance, eligibility, drug trafficking, human trafficking, Florida statutes

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced four bills. CS/SB 1690, on early childhood education, was amended with a delete-all amendment that required public posting of child care inspection reports and data on child deaths, injuries, and substantiated abuse; changed certain notice and insurance provisions for family and large family child care homes; created the Florida Endowment for Early Learning; and made related definitional changes. The amendment was adopted and the committee reported the bill favorably. SB 1022, on children’s initiatives, would add two new Florida Children’s Initiatives in Bay County and Pompano in Broward County; the sponsor described the program as a community-based service network model, and the bill was reported favorably without opposition. SB 996, on dependent children, would require DCF and community-based care lead agencies to coordinate and regularly meet with organizations focused on people with lived experience in the child welfare system, and to publish how suggestions are implemented. Several young adults with foster care experience testified in support, emphasizing the importance of youth voice, normalcy, and teaching financial responsibility through allowance. The bill was reported favorably after supportive debate. The committee also considered CS/SB 1462, on temporary cash assistance eligibility, after adopting an amendment that narrowed a SNAP eligibility carve-out to people who were victims of human trafficking at the time of a drug conviction. The sponsor said the bill was intended to remove barriers to reunification and redemption. After supportive testimony and no opposition, the committee reported the bill favorably. The meeting then adjourned.

Transcript Highlights:

• Who believe that we can do better, um, and that brings us to community-based care.
• So when community-based care, uh, which you may know, began in 2017, is privatizing foster care across
• So whenever Region 9 was added to the list for community-based care implementation in 2021.
• We've been able to just really provide some wrap-around support and that is what community-based care
• um and what might need to be done differently in a rural community to help community-based care be successful

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:

• We work in a nursing home because we care about our residents in our community.
• <01:21:45.800> Care children from boarding to Community Care children from boarding to Community
• the community to identify care<01:27:28.679> Pathways<01:27:29.119> for<01:27:29.320><
• - based care from transition to community- based care from boarding<01:28:43.800> and<01:28:43.960
• <01:51:02.239> Acute Community level care outside of Acute Community level care outside of

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:

• . communities. communities.
• is devastating to continuity of care. is devastating to continuity of care.
• fragmenting care. fragmenting care.
• communities.
• in our communities.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• Requests for the case file with community-based care and SSCCs are coming in, and all of this is so up
• Continuing Care Retirement Communities (CCRC) offer older Texans a promise of aging in place through
• progressive levels of care.
• We also represent the vast majority of continuing care retirement communities in the state.
• SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• is 2399, and that's related to PRTFs and how they're billing and how that's reimbursed for direct care
• How they're billing and how that's reimbursed for direct care.

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• like assisted living or memory care.
• in our community to get our business.
• For example, this means smaller and rural communities, which may offer lower cost care, can remain competitive
• SSCCs enter into performance-based contracts with DFPS as a part of the community-based care model.
• So because they care. OK.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• , such as assisted living or memory care.
• name in our community to get our business.
• a month community is significantly different.
• For example, this means smaller and rural communities, which may offer lower-cost care, can remain competitive
• SSCCs enter into performance-based contracts with DFPS. as a part of the community-based care model.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Responsibility for certain out-of-network medical care provided to children in foster care.
• care, contractors, family homes, and child care facilities.
• Texans rely on highly trained and skilled health care workers to deliver essential medical care.
• A common concern that emerged is the lack of communication and advance notice to community members and
• Last year, community health centers provided care for 1.8 million Texans through 650 sites in 129 counties

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• there was no communication, right? there was no communication, right?
• <00:51:49.680> is provider that delivered the care is provider that delivered the care is
• uninterrupted care for the Mokai<01:24:20.400> community<01:24:21.199> and<01:24:21.440
• This is a community need.
• This is a community need.

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:

• can provide to a community.
• and their communities.
• For those of you that may or may not know, this foster care is a passion for me.
• Situation, and we do have to have a community of support, particularly in terms of foster care folks
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• health care that they need.
• And they all deserve access to life-saving care. in care.
• Latina, Asian, every single Texan deserves health care. care, evidence-based reproductive care, no matter
• This CARE Act is about ensuring access to Texans to trusted community health care providers like Planned
• communities.

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• communities? Thank you. communities? Thank you.
• important is cuz I care. important is cuz I care.
• That means fewer options, longer wait lists, and entire communities without care.
• communities without care. communities without care.
• our communities. our communities.

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

Summary: The Children and Families Committee adopted the April 8 minutes and then took up House File 4407, as amended by the A1 amendment. The amendment, explained by nonpartisan staff, incorporated much of the Senate version of related legislation and made a series of changes: it revised the definition of “disproportionately represented child,” shifted that determination to the Commissioner of Children, Youth, and Families, made technical cross-reference and terminology updates, adjusted training requirements, set the working group to expire December 31, 2027, and added an appropriation for statewide implementation. The committee adopted the A1 amendment and then referred the bill to Ways and Means. Representative Gilman said the bill is intended to preserve the goals of the Minnesota African American Family Preservation Act while addressing operational, legal, and fiscal problems before statewide implementation. He argued for delaying the effective date by one year, shifting case review responsibilities to the state, and providing funding so counties are not left with an unfunded mandate. He also said the bill adds safety measures related to synthetic opioids and other imminent-harm concerns, and that the delay would allow the working group to finish its recommendations and give counties time to prepare. County officials Steve Schmidt of Meeker County/Minnesota Rural Counties and Jenny Mojo of Clay County testified in support of the bill as amended, emphasizing that counties need clearer responsibilities, staffing, training, technology, and dependable funding to implement the law successfully. Rebecca St. George of DCYF said “active efforts” is not absolutely defined and is determined case by case, often with court involvement. Members raised questions about the meaning of active efforts, the bill’s synthetic opioid language, and whether the proposal should apply more broadly rather than within this specific act. A citizen also cautioned that the opioid language should not unintentionally affect families in treatment programs. Representative Hicks warned that the fentanyl provisions could lead to broad removals and create placement problems for teens with substance use disorder, while Representative Gilman responded that the bill includes a rebuttable presumption and is meant to protect children from imminent harm.

Transcript Highlights:

• So, if you are trying to get advice on how to improve things in hospitals and stroke care and things
• I think it was a Senator Peugh bill at a time when we had memory care units holding themselves out as
• , Alzheimer's care, dementia care to make sure that they are accountable and actually providing the services
• This, I'm gonna hopefully get to do a couple of bills here related to foster care.
• Senator Thompson, Senator Peugh, do you care to vote? Senator Rossino: 9 ayes, 2 nays.

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

Transcript Highlights:

• <00:31:43.760> an need to do or create in the community an need to do or create in the community
• <00:38:01.520> social electronic communications and social electronic communications and social
• a very prominent part of our community a very prominent part of our community and<00:38:08.400><
• uh written or electronic communication. uh written or electronic communication.
• leading cause of death and healthc care leading cause of death and healthc care costs<01:01:12.720

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• collaboration with the Waku community collaboration with the Waku community department<00:27:21.600
• in-person participation at community in-person participation at community representation<00:28:12.080
• <00:29:25.200> representation with the community representation with the community representation
• advocacy groups and community groups. advocacy groups and community groups.
• Hai with Aloha Care. We stand in Ralia. Hai with Aloha Care.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.

Transcript Highlights:

• health care costs and health care health care costs and health care services services services &
• We at the department are seeing a growing demand for these community-based care homes that allow our
• We at the department are seeing a growing demand for these community-based care homes that allow
• long-term care type facility. long-term care type facility.
• SB 3324 SD 1, which is increasing rates for our Medicaid home- and community-based care.

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:

• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• As far as the long-term care facilities, in Section 1, that's the new program.
• And, you know, the long-term care facilities are very important.
• You know, the long-term care facilities are a very important part of our medical care for our citizens

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.