Transcript Highlights:

• We are on the verge of creating a senior services waiting list.
• There are three areas of services for seniors.
• We have home and community-based services, which is at the Department of Human Services.
• The cost varies between these three categories of services.
• Home and community-based services cost about $22,000 per individual.

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:

• . services. services.
• . service. service.
• some of the numbers and services, Chair. some of the numbers and services, Chair.
• demographics seeking services. demographics seeking services.
• <01:39:07.160> I human services. You just shouldn't. I human services.

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.

Bills: SB216, SB225, SB248

Keywords: Native American, language certification, cultural education, appropriation, education funding, tribal liaison, voter education, electoral access, translation services, Indian Affairs, communication, consultation, New Mexico, tribes, federal government, 996, all

Transcript Highlights:

• You often hear, where are the gaps in services?
• Well, do you have to ask for a consultation, or are they going to be required to give a consultation?
• However, I believe they offer consultation. They have to ask if you would like consultation.
• Department of Health and Human Services.
• And our hospitals currently offer these services.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB1455

Keywords: tribal consultation, Indian Affairs Commission, tribal governments, tribal sovereignty, state-tribal relations, Native American, tribal nations, consultation requirement, legislative process, jurisdiction, sovereignty, North Dakota tribes, government-to-government consultation, tribal chairpersons, 908, all

Summary: The Judiciary Committee took up House Bill 1489, and Victoria Christian from Legislative Council reviewed the latest 3003 version. She explained that the bill was revised to clarify language about individuals who are or were in a dating relationship, to incorporate provisions from related Senate bills, and to narrow confidentiality and hearing provisions to domestic violence and sexual assault protection order cases. She also noted a clarification on page 12 regarding certification of certain individuals under Supreme Court rules rather than by the Supreme Court itself. Members discussed the consolidation of multiple related bills into one measure. Senator Myrdal moved Amendment 3.03 to engross House Bill 1489, and the motion passed. Senator Myrdal then moved a do pass recommendation on House Bill 1489 as amended, seconded by Senator Luick. The committee voted in favor of the amended bill by roll call, with all members present voting yes, and the motion carried. Chair Larson then asked for a member to carry the bill to the floor, and it was agreed that the bill would be carried. The committee also discussed its remaining workload and planned to clear the rest of its calendar the following week.

Transcript Highlights:

• At its core, this bill is about tribal consultation.
• Tribal consultation is more than just a procedural step.
• Tribal consultation is more than just a procedural step.
• The significance of tribal consultation cannot be overstated.
• I saw that there wasn't true consultation, and the federal government does require true consultation

Bills: HB1455

Keywords: tribal consultation, Indian Affairs Commission, tribal governments, tribal sovereignty, state-tribal relations, Native American, tribal nations, consultation requirement, legislative process, jurisdiction, sovereignty, North Dakota tribes, government-to-government consultation, tribal chairpersons, 908, all

Summary: The Judiciary Committee first heard House Bill 1455, which would require the North Dakota Indian Affairs Commission to review introduced legislation for tribal implications and conduct consultation with affected tribes. Rep. Collette Brown said the bill was intended to formalize and strengthen tribal consultation, and Standing Rock Sioux Tribe representative Ross Bell testified in support. Brad Hawk, executive director of the Indian Affairs Commission, testified neutrally, saying the office already does much of this work but that the bill would add structure; several senators raised concerns about duplication, possible future staffing costs, and whether the bill was necessary. The committee amended the bill to replace “each measure” with “all legislation,” then passed a do-not-pass recommendation on HB 1455 by recorded vote, with Sen. Luick designated as carrier. The committee then took up House Bill 1032, dealing with municipal courts, appeals, and judge qualifications. Legislative Council and court staff walked through proposed amendments, including making municipal courts courts of record on a delayed effective date, clarifying appeal procedures, and adding standards for municipal judges. Members discussed whether to use the term “ethical standards” or “judicial conduct”; after questions about definitions and enforcement, the committee settled on replacing the language with “judicial conduct” in the amended bill. The committee adopted the amendments and then passed HB 1032 as amended on a do-pass vote, with Sen. Cory to carry. Later, the committee heard House Bill 1263, which would make it easier for people with criminal records to seek sealing after a denial by allowing an appeal and reducing the waiting period for a new petition from three years to one year. Rep. Nels Christensen, Christopher Davis, Travis Fink, and Brad Peterson all supported the bill’s goal of giving people a better path to rehabilitation and employment. The main point of disagreement was whether to keep the statutory presumption that the benefit to the petitioner must outweigh the presumption of openness of criminal records; several witnesses urged removing that language, while others said it was part of the compromise that created the current law. The committee closed the hearing without taking final action and said it would review the House discussion before deciding later.

Transcript Highlights:

• So thank you, Madam Chair, Senator, thank you for your service on the school.
• Corey Lee, the Director of Psychosocial Services with Heroes Path Palliative, and we are a nonprofit
• Pediatric palliative care consultation, specifically for peds, in the hospital also...
• Secondarily, the lack of this service—pediatric palliative care physicians and teams—directly leads to
• Palliative medicine physicians are uniquely equipped to provide these services, as they have additional

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• of Human Services. of Human Services.
• . services. services.
• Services. The department stands on our Services.
• So, I'm getting... service we have plenty of direct service service we have plenty of direct service
• Services. Services.

Bills: HB1518, HB1699, HB1747, HB1705, HB1565, HB1801, HB1645, HB2115, HB2114

Keywords: HB1518, Hawaii SNAP, Supplemental Nutrition Assistance Program, food stamps, Department of Human Services, DHS, pre-release SNAP, pre-release application process, incarcerated individuals, prisoner reentry, reentry services, formerly incarcerated, jail release, prison release, recidivism, food security, benefits eligibility, controlled substance felony, drug felony, drug conviction

Summary: The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing. The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar. Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• of Minnesota provides critical Services of Minnesota provides critical Services every<00:03:12.040
• <01:03:10.279> with requiring St agencies to consult with requiring St agencies to consult
• I can't remember exactly when we passed the consultation bill.
• I can't remember exactly when we passed the consultation bill.
• <01:08:50.960> with agent a state agency to consult with agent a state agency to consult with

Bills: HF1470, HF1310, HF1837

Keywords: opioids, substance use, addiction recovery, mental health, state cabinet, HF1310, Office of Cannabis Management, cannabis, marijuana, tribal consultation, government-to-government relationship, Minnesota tribes, Tribal governments, state government, consultation, rulemaking, Indian affairs, cannabis regulation, tribal sovereignty, state-tribal relations

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Transcript Highlights:

• But the memorial would also entail consultation with the family to ensure that this is done.
• After checking with House IT services, she said this is not a standard House practice.
• when I first Um I did consult leadership when I first saw<00:51:38.760> it.
• In 2025, Northstar government services."
• We have plenty of consultants that they can hire to refer to to help them out.

Bills: HF3643, HF4470, HF4462, HF4366, HF4172, HF3629, HF4356, HF3093

Keywords: Melissa Hortman, Mark Hortman, memorial park, state park, working group, Minnesota Historical Society, Capitol Area Architectural and Planning Board, Saint Paul, Department of Natural Resources, Department of Administration, Legislative Coordinating Commission, general fund appropriation, park planning, interpretive services, public engagement, state memorial, land use, natural resources, commemorative legislation, HF4470

Transcript Highlights:

• Lactation consultant services do not just increase breastfeeding rates.
• consultants and allows those providers to receive Medicaid reimbursements for their services.
• I also provide consultation services to attorneys and parents throughout Texas, so I'm testifying from
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of services.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, 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

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• These rebates have funded the HIV support service grants to HIV supportive services organizations, which
• so if you've done um of service so if you've done um successful<00:28:51.799> services<00:28:
• boarding by ensuring the right services boarding by ensuring the right services are<01:21:50.679
• Services, and I'm also here on behalf of the Minnesota Association of Social Services Administrators
• This service is essential.

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:

• . services caseworkers.
• Lactation consultant services do not just increase breastfeeding rates; they can also positively impact
• consultants and allows... providers to receive Medicaid reimbursements for their services.
• I also provide consultation services to attorneys and parents throughout Texas, so I'm testifying from
• in lieu of other services.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, 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

Transcript Highlights:

• and it this will improve service and it this will improve service continuity<00:02:56.319> for
• mental health consultation grant.
• These services work. these kids daily. These services work.
• family safe, provide intensive services family safe, provide intensive services to<00:31:34.960>
• of consultation. of consultation.

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

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

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion