Transcript Highlights:

• Direct Primary Care, or DPC.
• This bill ensures that direct primary care payments apply toward the individual's deductible under their
• Some concern has been raised regarding how direct primary care arrangements interact with health savings
• Members, amid the challenges in our healthcare industry, direct primary care has emerged through the
• It's similar to a husband and wife, and one of them is concierge, or rather direct primary care. and

Bills: HB3015, HB3521, HB5632, HJR182, SJR57

Keywords: healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance

Transcript Highlights:

• Direct primary care and direct primary care-like approaches have emerged in part to help address these
• spending with respect to direct primary care.
• direct primary care.
• direct primary care.
• > in largest direct primary care practice in largest direct primary care practice in the<00:27

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• <00:56:31.640> access Primary Care allow motans to access Primary Care allow motans to access
• as<00:56:33.920> primary preventive care as well as primary preventive care as well as
• Primary Care ultimately saves the Primary Care ultimately saves the overall<00:56:54.200> health
• primary care provider.
• > able<00:58:17.960> to and primary care provider I was able to and primary care provider

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• Primary care is the gatekeeper to health care services.
• Primary care is the gatekeeper to health care services.
• There is a national gap in primary care.
• There is a national gap in primary care.
• There is a national gap in primary care.

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Transcript Highlights:

• the<00:35:36.880> Direct the Direct Care crisis yet the Direct the Direct Care crisis yet
• > daily rely upon direct care services for daily rely upon direct care services for daily living<
• Our health care system also has home care and direct care, and the certified direct support professional
• Our health care system also has home care and direct care, and the certified direct support professional
• Direct Care counties DHS churning within Direct Care counties DHS and<01:31:51.520> Healthcare

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:

• grant that was uh dedicated for direct grant that was uh dedicated for direct care<01:13:40.080>
• <01:15:00.800> care college students to serve as direct care college students to serve as
• direct care uh<01:15:01.640> workers.
• > are the direct care workforce program are the direct care workforce program are providing<01
• <01:15:24.520> care more people into the direct care more people into the direct care workforce

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:

• It also extends direct care and treatment county correctional facility support pilot program appropriation
• In 2024, the legislature appropriated a little over $2 million to direct care and treatment to develop
• Importantly, resources can be directed toward proficient staff with expertise for instruction, care,
• Importantly, resources can be directed toward proficient staff with expertise for instruction, care,
• I don't care. care. care.

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

Transcript Highlights:

• I guess I'll just ask a direct question.
• I just think we need to be very careful with that.
• I had a conversation with my primary care doctor. I've had a good friend for many, many years...
• I had a conversation with my primary care doctor.
• And health care doesn't happen in isolation.

Bills: S1082, S1168, S1756, S1156, S1480

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Transcript Highlights:

• <00:34:47.280> Um to direct self-directed home nursing.
• Um to direct self-directed home nursing.
• receiving care. receiving care.
• Metro Care is legit. But We are legit. Metro Care is legit.
• I was taking care I was taking care of I was taking care I was taking care of my<01:30:16.719>

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• Hawaii Primary Care Association in support. Wala Health Center in support.
• I'm with the Hawaii Primary Care Association.
• I'm with the Hawaii<01:00:11.760> Primary<01:00:12.160> Care<01:00:12.319> Association
• <01:00:12.960> We<01:00:13.200> did Hawaii Primary Care Association.
• We did Hawaii Primary Care Association.

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:

• for direct care treatment um so speaking for direct care and<00:24:41.200> treatment<00:24:41.480
• direct care and treatment admissions to direct care and treatment mha<00:33:58.600> strongly<00
• c> we the rest of direct care and treatment we the rest of direct care and treatment we are<00:59
• > within<01:06:44.520> DHS uh Direct Care and treatment within DHS uh Direct Care and treatment
• Direct Care and treatment demand and uh Direct Care and treatment was<01:15:35.280> able<01:15

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• direct primary care is not insurance. direct primary care is not insurance.
• ,<01:20:00.560> please direct primary care or insurance, please direct primary care or insurance
• Direct primary care and direct primary care-like approaches have emerged in part to help address these
• c> direct<01:23:13.640> primary Direct primary care and direct primary Direct primary care
• direct primary care arrangements carving direct primary care arrangements out<01:23:27.360> of

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• resident care, an spent on direct resident care, an essential<01:19:02.000> guardrail<01:19:02.560
• It was a startup providing primary care for seniors.
• <01:30:32.080> care It was a startup providing primary care It was a startup providing primary
• Minnesota has a growing shortage of primary care physicians. As Dr.
• <01:31:58.080> Singh primary care physicians. As Dr. Singh primary care physicians.

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• Piner, asked about the primary runoff. Do you know what that date would be?
• Qualifying has to end at 5:00 P.M. on the Friday that is 116 days before the primary.
• So that day, the requested primary runoff day would not be impacted.
• Was the primary last May, wasn't it the... ...the primary last May, wasn't it?
• Everybody was scrambling and trying to call superintendents to take care of that.

Bills: HB258, HB308, HB258, HB308

Keywords: primary election, election calendar, off-presidential year, May primary, second Tuesday in May, fourth Tuesday in May, runoff primary, special primary, presidential primary, election administration, candidate filing, ballot access, political parties, county election officials, state election law, Alabama elections, elections, voter registration, publishing requirements, cost-saving

Transcript Highlights:

• And it creates greater barriers to care for someone. And so there are concerns with it.
• care service providers of about 7%.
• care service providers of about 7%.
• care physicians.
• care physicians.

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• > drawing<00:15:23.440> the careful about immediately drawing the careful about immediately
• <00:20:56.159> and move the bill in the right direction and move the bill in the right direction
• <00:43:15.680> of led through uh the directions of led through uh the directions of organizations
• I also just really this direction.
• When you notify the child care center?

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill

Transcript Highlights:

• In 2017, the legislature passed SB 654. to help alleviate the lack of primary care providers in Texas
• The bill directs that...
• Nobody cared. Why is that all of a sudden?
• The threat of an investigation caused providers, including mental health care providers, to cease caring
• We need a resolve to accept and care for all.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• It relates to the provision of direct patient care by physicians and healthcare practitioners.
• Current state law provides for a direct primary care model, which allows patients to pay an agreed-upon
• It would allow primary care without involving insurance.
• I am available as a resource witness for anyone who has specific questions about how direct primary care
• So it's actually direct medical care, just like paying for an x-ray or anything else by cash.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• , leading to better care quality.
• So first, small businesses want to provide health care and health care coverage for their employees.
• on preventive care and making sure people are getting care early on to reduce costs.
• Delayed care and worse health outcomes.
• So if you if you care about patient's care... This is the best way to help with the patient's care.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• was intended to do is to provide better information to stakeholders and policy makers on how health care
• So the increase of insurance more to take care of an administrative fee you're talking about well I'm
• Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
• That's the cost for you to, to take care of. doing the wig, the mandate.
• We have Texans who, for example, are covered by Medicaid and Medicare. care so this will just provide

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers