Transcript Highlights:

• It creates presumptive eligibility pathways for patients already enrolled in programs such as Medicaid
• self-pay, or carrying significant medical balances so that they are not expected to discover these programs
• My name is Christine O’Brien, and I am Vice President of External Affairs for the Delaware Healthcare
• It provides a transparent process for the state-operated programs, which are included in the draft list
• “This legislation does not expand eligibility for the purchase of care program.

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• So, the choosing childbirth program was enacted in 2017.
• So, that was a reset of the old 2017 program.
• program, not the new program.
• under the 2024 program.
• So, this is a program That is working.

Bills: HB2786, HB2787, HB2786, HB2787

Keywords: mental health, substance abuse, appropriation, state funding, emergency declaration, healthcare, State Department of Health, childbirth program, emergency funding, 914, all

Transcript Highlights:

• to cover previously established cost providers, excuse me, associated with the Choosing Childbirth Program
• These programs are going to be administered under the Oklahoma State Department of Health based on the

Bills: HB2786, HB2787, HB2786, HB2787

Keywords: mental health, substance abuse, appropriation, state funding, emergency declaration, healthcare, State Department of Health, childbirth program, emergency funding, 914, all

Transcript Highlights:

• represent 20 member programs statewide represent 20 member programs statewide who<00:16:04.720> are
• Honestly, this whole program needs an overhaul.
• <00:32:12.399> a violence intervention programming a violence intervention programming a pathway
• >> Cameron [clears throat] Herd, program >> Cameron [clears throat] Herd, program director
• So that will be one pilot program.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• This has been one of the governor's priorities in his healthcare task force, and we're trying to find
• task force and we're trying healthcare task force and we're trying to<00:02:20.640> find<00:02
• This could potentially help drive down some of the costs of healthcare.
• We're working on a proposal to the reenlistment bonus programs.
• programs.

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• unemployment insurance tax and program. unemployment insurance tax and program.
• healthcare workforce. healthcare workforce.
• is a pay for performance program. is a pay for performance program.
• into this program. into this program.
• This is a program program standards.

Bills: HF3843, HF3597, HF4003, HF3167, HF4193

Keywords: workforce development, appropriations, nonprofit organizations, employment services, state funding, paid leave, S corporations, employment law, exemptions, Minnesota Statutes, cancer, healthcare, appropriation, Rural Cancer Institute, Minnesota clinicians, pilot program, nursing, education, University of Minnesota, equity

Transcript Highlights:

• We extended audio only tellahalth and public programs.
• We extended audio only tellahalth and public programs.
• address access issues in this healthcare address access issues in this healthcare bill.<00:10:26.079
• We helped our and public programs.
• <00:10:34.079> modified dispensing payment program modified dispensing payment program modified

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Bills: HB241, HB381, HB241

Keywords: healthcare, insurance, vaccine, public health, emergency response, vaccine distribution, healthcare legislation, state coordination, veterans, disability, employment preference, state agency hiring, supplemental security income, PTSD, mental health, grants, treatment protocols, pilot program, personalized treatment, neuroinflammation

Transcript Highlights:

• Um so there are in CTE programs.
• So the proposed amendment, again for your consideration, would be after program insert 'make it programs
• So the proposed amendment, again for your consideration, would be after program insert 'make it programs
• So the proposed amendment, again for your consideration, would be after program insert 'make it programs
• 53:02.720> programs<00:53:03.520> and<00:53:03.839> say insert make it programs

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• The first item on the agenda is Senate File 14, the literacy position for K-3 reading program.
• You can look at each of the different types of areas that increase our taxes with healthcare, public
• , increase our taxes with healthcare, increase our taxes with healthcare, public<00:10:33.200>
• The other one came through an amendment, and that was basically to set up, establish a grant program
• Basically directed WID to stand up a grant program to look at backfilling the deficit only.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Um, have you heard from retailers regarding how this may impact how they program their POS systems?
• not aware in any of the other 22 counties where there is a workforce housing exaction or mitigation program
• is a workforce housing exaction or is a workforce housing exaction or mitigation<02:05:18.320> program
• <02:05:19.440> This<02:05:19.599> is<02:05:19.760> targeted mitigation program
• This is targeted mitigation program.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Is there an obligation under the Guardian program that the gun be stored? You're recognized.
• Do you know, does the Guardian program actually provide the weapon to the guardian? Mr. Chairman?
• They do not want to alter their program at all.
• The heart of this bill are those provisions that don't relate to the Guardian program.
• The heart of this bill are those provisions that don't relate to the Guardian program.

Bills: S0118, S0896, S1690, S1756

Keywords: recreational vehicle parks, special assessments, property tax, occupancy rates, commercial assessment, school safety, guardian program, firearms, crimes near schools, security assessments, public postsecondary education, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions

Summary: The committee first took up CS for SB 896, a school safety bill expanding the Guardian program to public postsecondary institutions. The bill requires active assailant response plans, security risk assessments, threat-management protocols, use of the suspicious activity reporting tool, and allows voluntary participation in Guardian for colleges and universities. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty are not eligible for Guardian. Members debated campus carry concerns, storage of firearms, and whether the bill could lead to broader gun access on campuses. Several faculty and gun-safety advocates testified against the bill, while supporters argued trained guardians can deter violence. The committee reported the bill favorably by roll call vote. The committee then approved CS for CS for CS for SB 1690 on child care and early learning services. The bill updates child care laws, clarifies regulations, and reduces overregulation of before- and after-school programs. An amendment expanded authority for the Florida Education Foundation to fundraise for early learning from birth to VPK. Testimony was largely supportive, emphasizing affordability, access to quality child care, and relief for working families, though one speaker opposed the bill as an expansion of government. The bill was reported favorably. Next, the committee passed CS for CS for SB 118, which clarifies how non-ad valorem special assessments are applied to recreational vehicle parks and limits the square footage used for assessment purposes to the maximum size of an RV space. The committee also approved CS for CS for SB 1220, the Department of Transportation package, which addresses seaport and airport planning, personal delivery devices, autonomous vehicles, advanced air mobility, toll programming, and other transportation-related changes. Amendments modified provisions on personal delivery devices, utility permits, autonomous vehicle penalties, and law-enforcement cruiser lights. Both bills were reported favorably. Finally, the committee began hearing SB 1756, the medical freedom bill, which proposes new vaccine information requirements, conscience-based school immunization exemptions, limits on compelled vaccination during public health emergencies, and behind-the-counter access to ivermectin for adults. The sponsor and supporters framed the bill as strengthening informed consent and parental rights, while opponents and some senators raised concerns about vaccine hesitancy, herd immunity, and the inclusion of ivermectin. Public testimony was extensive and sharply divided. The transcript ends during continued testimony and debate on SB 1756, before a final vote is taken.

Transcript Highlights:

• What do you think is the issue between students not using that program and students using that program
• It isn't an operating loan program.
• There's no reason to switch to a whole new program now where this would continue on that program.
• We have a program in place.
• We have a program in place.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• year of that program.
• year of that program.
• And this is the first year of that program. So with that, Mr.
• And if we need to step up programs that are more specific, we can.
• And to have programs then that takes me to Make North Dakota Healthy Again, to have actual programs in

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Bills: HB0036, HB0112, HB0106, HB0111, SF0001

Keywords: wildfire, fire management, funding, forestry, state investment, task force, capital construction, state funding, legislative services, budget appropriation, unexpended funds, sunset clause, conservation, employment, inmate crew program, Wyoming, major maintenance, community colleges, budget, education

Bills: HB0036, HB0112, HB0106, HB0111, SF0001

Keywords: wildfire, fire management, funding, forestry, state investment, task force, capital construction, state funding, legislative services, budget appropriation, unexpended funds, sunset clause, conservation, employment, inmate crew program, Wyoming, major maintenance, community colleges, budget, education

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction