Transcript Highlights:

• We also provide home care services in the consumer-directed community support program.
• We also provide home care services in the consumer-directed community support program.
• As you know, the idea and intentions were good for Community First Services and Supports, CFSS.
• services, um terminating their service services, um terminating their service agreements,<00:57:
• of services. of services.

Bills: HF3797, HF3780, HF4068, HF3935

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

Transcript Highlights:

• . service. service.
• We got a big change in the CMS-approved amendments for the state home and community-based services.
• <00:07:48.440> CMS<00:07:48.880> required community-based services.
• CMS required community-based services.
• First of all, I wanted to say thank you, um, for the uh amazing work and for your service to the state

Bills: HF4338

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

Transcript Highlights:

• I remember him years ago when we first got, and I first got up here, you got to have the votes.
• And if you aren't communicating, it's going to get harder and harder to do stuff.
• First I have to see the amendments and discuss the amendments. Sure.
• Can you just give us first blush?
• If we pass question, if we pass this one first and then this one If we pass this one first, and then

Bills: HCR3025

Keywords: law enforcement, first responders, heroism, community safety, condolences, 908, all

Summary: The State and Local Government Committee first heard House Concurrent Resolution 3025, a resolution honoring the police and first responders of Fargo. Representative Hendricks presented it as a straightforward tribute tied to a tragic incident, and several members and a representative of the Chiefs of Police Association and North Dakota League of Cities spoke in support. There was no opposition, and the committee closed the hearing and later gave the resolution a 6-0 do pass recommendation, with Senator Braunberger volunteering to carry it. The committee then heard House Concurrent Resolution 3010, which would direct Legislative Management to study legislative responsibility to review existing law before proposing new law. Representative Kempinock said the idea was to reduce repetitive or duplicative bills and improve legislative education, but also noted that current efforts by Legislative Council and leadership had made the resolution largely unnecessary. Members generally agreed with the premise but questioned whether a study was needed, and the committee ultimately gave it a 4-2 do pass recommendation, with Senator Lee volunteering to carry it. Next, the committee heard House Concurrent Resolution 3003, which would raise the threshold for approving constitutional amendments from 50% to 60%. Speaker Wise argued constitutional changes should be difficult and cited other states’ higher thresholds, while Eric Spencer of the Greater North Dakota Chamber supported the measure and emphasized how often North Dakota’s Constitution has been amended. Members discussed the irony of asking voters to raise the threshold by a simple majority and the broader issue of an overused constitution, but the committee still recommended it do pass on a 6-0 vote. The committee then spent considerable time on House Bill 1297 and related House Bill 1307 amendments dealing with approval voting, ranked-choice voting, and a Fargo-specific exemption. Members and witnesses from the Secretary of State’s office and the League of Cities debated whether Fargo should be exempted and how to avoid conflicts between the two bills. An amendment to strip approval voting from 1297 failed on a 3-3 tie, after which the committee gave 1297 a 4-2 do pass recommendation so the floor could decide the issue, with plans to reconcile 1307 afterward based on that outcome.

Transcript Highlights:

• The programs we're talking about in this bill include PCA Choice, the Community First Services and Supports
• This bill seeks to expand access to community-based services, which is crucial.
• , and in some communities they don’t even know the services exist.
• , and in some communities they don’t even know the services exist.
• , and in some communities they don’t even know the services exist.

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:

• The first item that's included is a portion of the governor's Transforming Human Services System OP50
• , crisis response services, and certified community behavioral health clinic services.
• for a market rate study for home and community-based services.
• and community-based study for home and community-based services. services. services.
• I provide EIDBI services to young children with autism in their homes and community.

Bills: HF4207, HF4338

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

Transcript Highlights:

• <00:08:15.240> the services are provided first before the services are provided first before
• We not only provide the same services and requirements as a community residential setting, but we also
• and requirements as a the same services and requirements as a community<00:26:12.600> residential
• service and a corporate or a community service and a corporate or a community residential<00:35:
• They came from a corporate foster care, which is not the same as community 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:

• There are three areas of services for seniors.
• We have home and community-based services, which is at the Department of Human Services.
• Home and community-based services cost about $22,000 per individual.
• These programs, home and community-based services and PACE, are underutilized because no one knows about
• We know that if we provide better information, more people will choose home and community-based services

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:

• This is my first interaction with the deafblind community because I wasn't aware of what it meant.
• and services for the deafblind community and clients through the vocational rehab program.
• So in region 9, so community-based care is implemented, uh, the population, service population is children
• This bill creates a model for delivering child welfare services in rural communities.
• We are asking this bill is asking for that first step, identification for services to begin.

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

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• OK, if not, I'll take personal privilege here to since this is my first last and Only opportunity to

Bills: HB2115, HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• And first up, we have written testimony from the disability and communication access board in support
• 21.359> service,<00:35:22.079> which the the service, which the the service, which >
• there was no communication, right? there was no communication, right?
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• We're not human services. >> Oh, wait. We're not human services.

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:

• It's a powerful economic engine for our communities.
• service.
• Uh, he first began service at Travis County in 1981 with an appointment as a justice of the peace judge
• The first recorded.
• This isn't your first layout of a bill, is it? It is not. I get to say that. Is it your first HCR?

Bills: HCR6

Keywords: Meals on Wheels, senior services, nutrition, community support, volunteerism

Transcript Highlights:

• day Services um for community-based day Services um which<00:15:39.720> we<00:15:39.839> need
• and community-based services.
• and community-based services.
• and community-based services.
• We offer integrated community supports, community residential services, and customized living services

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

Bills: HB 35, HB 138, HB 754, HB 1314, HB 1612, HB 2254, HB 2510, HB 2789, HB 3560, HB 3597, HB 4224, HB 4273, HB 4643, HB 4783

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, healthcare, price estimates, billing requirements, consumer protection, nonemergency services, assisted living, licensing, criminal offense, personal assistance

Bills: HB 101, HB1819, HB1875, HB1965, HB2193, HB2914, HB3248, HB3354, HB3531, HB101

Keywords: Texas State Guard, task force, professionalization, state missions, critical infrastructure, veterans, veterans' affairs, mental health, community mental health, behavioral health, grant program, matching grant, non-state match, community services, family support, county population, Health and Human Services Commission, HHSC, public safety, homeland security

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• <00:20:30.240> The community. Let me say that again. The community.
• Mahalo for your service. Mahalo for your service.
• So, I ask you on this community.
• Our community is being harassed.
• Our community is being harassed.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.