Transcript Highlights:

• Families meeting these criteria are not required to pay a copay to the provider.
• to live in a community-based residential setting that's available under a home and community-based waiver
• to live in a community-based residential setting that's available under a home and community-based waiver
• representing the largest number of direct support professionals under state-contracted services. waiver

Bills: HB1873, HB2600, SB5957

Keywords: child care, Working Connections Child Care, WCCC, graduate students, professional students, higher education, full-time student, affordable child care, subsidized child care, child care subsidy, Department of Children, Youth, and Families, DCYF, income eligibility, state median income, copayment, copay waiver, family support, workforce participation, working families, special needs child care

Summary: The House Early Learning & Human Services Committee held public hearings on House Bill 1873, which would expand Working Connections Child Care eligibility to full-time graduate and professional students with household income at or below 85% of state median income. Staff explained the bill and its copay rules, and Rep. Janice Zahn said the measure would help student parents avoid choosing between graduate school and child care. Student advocates from the University of Washington and Washington State University testified in strong support, describing high child care costs, stipend limitations, and the impact of child care on degree completion and workforce entry. Some members raised questions about likely uptake, cost, and return on investment, and the sponsor said she hoped to gather more data for future versions of the bill. The committee also heard House Bill 2600, which would require DSHS to update the supported living cost report template and convene a work group to develop Medicaid rate recommendations aimed at improving direct support professional wages. Supporters, including SEIU 775 and several direct support professionals, said the bill would add transparency and help ensure state funding reaches frontline workers, citing low wages and high turnover. Opponents from provider organizations argued the current cost report is already detailed and transparent, and warned the bill would add administrative burden and costs without addressing the underlying funding gap. No vote was taken on either House bill during the hearing. In executive session, the committee advanced three Senate bills. It adopted a striking amendment and passed Substitute Senate Bill 5911, which limits DCYF’s use of extended foster care funds and raises the threshold for conserving client funds, by a 9-1 vote. It then passed Senate Bill 5957, expanding the Homeless Youth Advisory Committee, by a 10-0 vote, and passed Substitute Senate Bill 6184, updating Office of Homeless Youth programs and language, by a 7-3 vote. The meeting ended with an interim planning discussion in which members raised priorities including critical incidents and imminent risk definitions, juvenile justice and rehabilitation, homelessness, developmental disabilities, child care funding, and possible committee tours and stakeholder roundtables during the interim.

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Transcript Highlights:

• The copay accumulators are not welcome in North Dakota.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Bills: HB527, HB563, HB580, HB579, SB190, HB15, HB390, HB527, HB563, HB580, HB579, SB190, HB15, HB390

Keywords: liability, off-roading, parks, participant safety, risk management, SNAP, food assistance, public assistance, income standards, Department of Human Resources, eligibility, HB580, Alabama Healthy Schools Act, public schools, K-12, school nutrition, school meals, cafeteria, vending machines, fundraising sales

Transcript Highlights:

• service called individualized home supports with training, which supports people on the disability waiver
• IHS is one of the services available to people on a disability waiver who are living in their own home
• They'll probably look at county case waiver management procedures, budget setting, etc.
• all, you're absolutely correct, the legislature will have to act to make adjustments to what's in waiver
• case manager procedure, uh uh waiver case manager procedure, uh uh<01:13:25.960><c> claims</c><01:13

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

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

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

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

Transcript Highlights:

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

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Bills: HB300, HB40, SB19, HB283, HB179, HB296, HB300, HB40, SB19, HB283, HB179, HB296

Keywords: HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration

Transcript Highlights:

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

Bills: HF837

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

Bills: HB31, HB31

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

Bills: HF169, HF195, HF194, HF1756, HF2133

Keywords: HF169, Minnesota insurance, health plan, summary of benefits and coverage, SBC, patient assistance program, deductible, health insurer, consumer disclosure, out-of-pocket costs, medical assistance funds, copay assistance, health coverage transparency, chapter 62Q, enrollee, HF195, Fairmont, street reconstruction, bonding bill, capital investment

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Transcript Highlights:

• is sometimes provided by counties and by ICF/DDs, which are institutions that can't actually get waiver
• setting for disability waivers.
• And then the third provision in this area is related to waiver case management requirements.
• And then the third provision in this area is related to waiver case management requirements.
• And then the third provision in this area is related to waiver case management requirements.

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

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

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

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

Transcript Highlights:

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

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

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

Transcript Highlights:

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

Bills: HB2264, HB2336, HB2298, HB1518

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

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

Transcript Highlights:

• Finally, by limiting waivers to DFPS. its policies, clarifying confidentiality rules, and establishing

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Bills: HF3919, HF3467, HF3741

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

Bills: HF2740, HF2901, HF4443, HF3943

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