Transcript Highlights:

• that outlines cardiac emergency response policies.
• response plan aligned with national best practices?
• These are the most basic indicators of emergency preparedness.
• plan.
• The first Alzheimer's state plan was published in 2016.

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Summary: The Committee on Appropriations heard two bills. Senate Bill 1131 would require school districts and charter schools to report AED counts, CPR/AED training levels, and cardiac emergency response plans to ADE, and would appropriate $1 million for AED purchases and maintenance. The committee adopted an amendment shifting the funding source from the general fund to the industry-recognized certification and licensure reimbursement fund, after staff said the fund had an estimated $2 million balance and continued to receive $1 million annually. The American Heart Association testified in support, emphasizing the need for AEDs, CPR training, and emergency planning in schools. The bill was returned with a due pass recommendation by a 15-1 vote, with two members voting present and several members noting concerns about using the special fund rather than general funds. Senate Bill 1249 would create or continue a dementia services program and Alzheimer’s state plan at the Department of Health Services and appropriate $600,000 from the Health Services Lottery Moneys Fund. The Alzheimer’s Association testified in strong support, saying the prior three-year appropriation helped establish the plan and workgroups and that the new funding would support implementation, caregiver support, data collection, training, and grant applications. Several members raised concerns about taking money from a fund that supports maternal and child health programs such as Health Start and WIC, describing it as “robbing Peter to pay Paul,” while others said they supported the policy but wanted a sustainable funding source. The bill received a due pass recommendation on a 9-3 vote, with three members voting present.

Transcript Highlights:

• we are not just a child care committee. we are not just a child care committee.
• I do, we have a plan?
• I don't care. I don't care.
• That's all I care about.
• That's all I care about.

Bills: HF4382, HF2929

Keywords: child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size

Transcript Highlights:

• by emergency services providers.
• Quality of care can be lower.
• In my opinion, community-based care... is not a model of care.
• We have 400 children in foster care or seven... care.
• And many of our members already have emergency preparedness plans in place to ensure access to safe temperatures

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• 20 years of working in the world of foster care.
• In 1998, I wrote patient software for the home health care industry that had to coordinate the care of
• And if that's through an ERISA plan or any other plan...
• They're the third-party benefit administrators for ERISA health care plans.
• An ERISA plan, the savings is baked into the total plan.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Raising children involved in foster care in the foster care system in a rural community showed us that
• These provisions apply to ERISA plans.
• And if that's through an ERISA plan or any other plan, a sort of mandate-like plan, uh, this, this will
• and, um, and be able to take care of their families as well.
• , the, the savings is, is baked into the total plan.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Uh, this bill simply says that the state agencies cannot self-declare emergencies at the governor. >>
• serving on a contract with you and and Sunset Committee where I see these agencies self-declaring emergencies
• emergencies at the governor. governor. governor.
• Sunset Committee where I see these agencies<00:08:32.399> self-declaring<00:08:33.120> emergencies
• <00:08:34.159> so agencies self-declaring emergencies so agencies self-declaring emergencies

Bills: HB213, HB136, HB182, HB213, HB136, HB182

Keywords: HB213, Calhoun County, board of registrars, registrar compensation, county commission, local legislation, election administration, county general fund, expense allowance, officeholder compensation, public officials pay, county election officials, Alabama Code 45-8-110, Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher

Transcript Highlights:

• statewide rollout, a plan. statewide rollout, a plan.
• important is cuz I care. important is cuz I care.
• child care is very fragile. child care is very fragile.
• communities without care. communities without care.
• No plan to move.

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

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

Transcript Highlights:

• care, and economic opportunities. care, and economic opportunities.
• We have to be careful not to giveaway.
• Policy Foundation, Hawaii Primary Care Policy Foundation, Hawaii Primary Care Association,<00:36
• resilient in the face of emergencies. resilient in the face of emergencies.
• > and housing conversation planning and housing conversation planning and assessments<01:14:30.880

Bills: HB2116, HB1879, HB2214, HB2310, HB2168, HB2427, HB2560, HB1596, HB2197, HB2498, HB2167

Keywords: grants, community engagement, nonprofit organizations, federal assistance, volunteering, youth transit, public transportation, subsidized transit, environment, energy independence, affordable transportation, Hawaii, diaper tax credit, families, low-income, childcare, health, Hawaii Department of Human Services, DHS, emergency appropriation

Summary: The committee heard testimony on several measures related to human services, homelessness, transit, and family supports. HB 2116 HD1, concerning grants from the Office of Community Services to nonprofits providing training and volunteerism opportunities, drew strong support from Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and multiple organizations in written testimony. Supporters said the bill would help vulnerable people affected by federal program changes and cuts by connecting them to reintegration and support services. HB 1879 HD1, establishing a subsidized youth transit program coordinated with counties, received extensive testimony in support from the Department of Health, Department of Taxation, Climate Change Mitigation and Adaptation Commission, Aloha United Way, Hawaii Bicycling League, Hawaii Appleseed, Hawaii State Youth Commission, Hawaii Public Health Institute, Greenpeace Hawaii, Hawaii Youth Transportation Council, and others. Testifiers emphasized equity, school attendance, reduced transportation costs, climate benefits, and broader access for youth. Several witnesses urged amendments to make the program universal rather than means-tested, and committee discussion noted implementation questions for neighbor islands and rural areas. HB 2214, creating a refundable diaper tax credit for low-income families with children age four and under, was supported by the Hawaii Diaper Bank, Hawaii Children’s Action Network Speaks, and several other organizations. The Department of Taxation recommended making the credit non-refundable and clarifying definitions to aid administration, while supporters argued refundability was important for low-income families who may owe little or no income tax. HB 2310, an emergency appropriation to replenish DHS funds used to provide SNAP benefits during a federal shutdown, also drew broad support from DHS, Catholic Charities, Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, Hawaii Food Industry Association, Aloha United Way, and others; witnesses praised the state’s rapid response and said the appropriation would prepare DHS for future emergencies. The committee also heard HB 2168 HD1 and HB 2427 HD1 on education for students experiencing homelessness and unaccompanied homeless youth; the Attorney General recommended technical amendments to avoid conflicts with existing law and to clarify McKinney-Vento-related definitions, while advocates stressed the need for school access, transportation, meals, and other supports for homeless and runaway youth.

Transcript Highlights:

• health care system.
• We did have one remedial plan. Remedial plans are non-disciplinary.
• SB 1138 requires these emergency departments to create specific response plans for emergencies at group
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• Why would you care, right?

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
• And that was requested by PERS because of when their plan renews each year.
• plan like a thousand... ...deductible plan.
• And it doesn't cover ERISA plans, is that correct? Okay.
• That takes care of our agenda for bills for the morning.

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.

Transcript Highlights:

• I called our primary care physician.
• Is it the health plan?
• Remedial plans are non-disciplinary.
• SB1138 requires these emergency departments to create specific response plans for emergencies at group
• Why would you care, right?

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• The current program provides a strong framework with careful reimbursement parameters to safeguard taxpayer
• for Texas residents and businesses, and at the same time safeguarded Texas taxpayer dollars with careful
• Quailan, were you planning to do a presentation? You answered all the questions very well. Mr.
• Growing up, I always had the plan to go to UT.
• Upon graduating, I had planned to move out to LA or Georgia. However, that has changed.

Bills: SB22, SB 22

Keywords: Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, youth camp, summer camp, camp safety, emergency operations plan, emergency preparedness, evacuation drill, camp staff training, volunteer training, camper safety, lost camper, natural disaster, fire safety, mass casualty

Bills: SB22, SB 22

Keywords: Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, youth camp, summer camp, camp safety, emergency operations plan, emergency preparedness, evacuation drill, camp staff training, volunteer training, camper safety, lost camper, natural disaster, fire safety, mass casualty

Transcript Highlights:

• SB68 proposes to simply update and align Alabama law with present-day emergency management operations

Bills: SB68, SB68

Keywords: emergency management, mutual aid, disaster response, local government, political subdivision, public safety, public health, emergency services, first responders, intergovernmental agreements, reciprocal aid, emergency preparedness, local emergency management organization, governing body, liability immunity, Alabama Code 31-9-9, Alabama Code 31-9-11, tribal agreements, federally recognized Indian tribes, state emergency management plan

Transcript Highlights:

• and out-of-network providers, particularly for emergency care, diagnostic imaging, and laboratory services
• MCOs began to carve out eye care services in Medicaid, allowing them to be administered by vision plan
• MCOs began to carve out eye care services in Medicaid, allowing them to be administered by vision plan
• Medicaid MCOs are subcontracting eye care services to vision plans, and in the process of doing so, the
• I'm the CEO of the Texas Association of Health Plans, and we represent all of the Medicaid managed care

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:

• We also plan to increase some hours here within the department.
• We just worked with those agencies to plan accordingly.
• House Bill 182 by Representative Reynolds concerning emergency medical transport providers.
• Everything that we recommend today falls within that plan.
• Auburn University School of... that plan.

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• , CBC model of care.
• Currently, daycares are required to have basic emergency plans, but no one checks if those plans actually
• HB 5223 fixes this by making sure everyday care follows strong standardized emergency protocols.
• This bill is about protecting children and making sure daycares have real emergency plans, they practice
• So Doubletree Hotel, where all of our, our emergency plan for our AL residents is that we're all going

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• (CBC) model of care.
• Currently, daycares are required to have basic emergency plans, but no one checks if those plans actually
• This bill is about protecting children and making sure daycares have real emergency plans they practice
• And so what they will oftentimes do as part of their emergency planning procedures, they may have a generator
• All of our emergency plan for our assisted living residents is, we're all going to the Doubletree.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• In the process, nursing facilities must continue to care for patients and fund that care without Medicaid
• Care Ombudsman Act of 2020."
• care ombudsman.
• and increase quality of care.
• So you have the patient care expense, which would include direct care, dietary, and indirect care.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• TRS Retiree Health Plan, TRS CARE, where we have under... a quarter of a million lives, retired teachers
• on insurance plans.
• Because most health care plans have become so comprehensive with mandates piled on top of mandates.
• Right, and this is regarding the plans that are, you know, governed by Texas... you know, health care
• 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