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• services, which includes the home health aide, rehab therapy, and skilled nursing visit services, as
• Rehab therapy and skilled nursing visit services, as well as the home care nursing services.
• services and various home care services and activities<00:10:44.279> that<00:10:44.519> impact
• ’s own home, through a variety of services including 24-hour daily services and unit-based services provided
• a four-person community residential setting to an individual’s own home, and through a variety of services

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

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• reforms that are desperately needed to improve our system of providing home and community-based services
• reforms that are desperately needed to improve our system of providing home and community-based services
• reforms that are desperately needed to improve our system of providing home and community-based services
• Improve our system of providing home and community-based services.
• home and community-based services and waiver management.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

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• and community-based services.
• and community-based services.
• and community-based services.
• home and the services that support them.
• home and the services that support them.

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

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• <00:09:03.360> community are Medicaid work and community are Medicaid work and community engagement
• <00:19:15.520> community implementation of work and community implementation of work and community
• and Georgia have had experience actually implementing work and community engagement requirements, and
• <00:27:15.760> community implementing work and community implementing work and community engagement
• Thank you. systems, and to communities. Now, as systems, and to communities.

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

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• We have home and community-based services, which is at the Department of Human Services.
• Home and community-based services cost about $22,000 per individual.
• These programs, home and community-based services and PACE, are underutilized because no one knows about
• We know that if we provide better information, more people will choose home and community-based services
• us in a policymaking capacity can see what is being invested in home and community-based services and

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

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• committee or community and I think would committee or community and I think would just<00:14:15.120
• planning and implementation of resilience plans and then good governance and service to all Minnesotans
• planning and implementation of resilience plans and then good governance and service to all Minnesotans
• with different community communicating with different community members<00:51:50.319> and<00:
• <01:24:04.960> now years and uh she um has been home now years and uh she um has been home

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

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• Services literally Cuts nursing homes Services literally Cuts nursing homes and and and what<01:
• operational costs of assisted living settings, unlike traditional home and community-based services
• > based and a community-led competency based and a community-led competency based review<01:45
• We’re a home and community-based service provider throughout Minnesota, and I’m here today to offer my
• and Community Based adequate Home and Community Based supports<01:48:42.880> aren't<01:48:43.360

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

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• residents, and it would have jeopardized the tort claims protections for assisted living communities
• Our services are free to families and our advisors provide personal guidance based on personal care needs
• Their compensation is not based on, um, the compensation received from the community.
• SSCCs enter into performance-based contracts with DFPS as a part of the community-based care model.
• So, so is that how you define high quality service? Yes, performance-based contracts.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

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• TLA represents assisted living and senior living communities with members located across the state.
• residents, and it would have jeopardized the tort claims protections for assisted living communities
• Our services are free to find. ...and our advisors provide personal guidance based on individual care
• SSCCs enter into performance-based contracts with DFPS. as a part of the community-based care model.
• for delivering quality services as they agreed to do for our kids and families.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

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• However, in June of 2024, HHSC's legal department determined that the law only applies to home and community
• and community support service agencies to be covered by this bill.
• of communication from the Department of Family and Protective Services.
• This communication is regarding group homes and residential neighborhoods.
• I do represent all of the community health services centers and federally qualified health centers in

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

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• c> places community based organizations or places community based organizations or places that<00
• Moving on to our next bill, SB 3324 SD1, which appropriates funds for Medicaid home and community-based
• We at the department are seeing a growing demand for these community-based care homes that allow our
• We at the department are seeing a growing demand for these community-based care homes that allow
• SB 3324 SD 1, which is increasing rates for our Medicaid home- and community-based care.

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• and services for the deafblind community and clients through the vocational rehab program.
• It's the pilot program is only for our area or this area, and it, and it's, uh, to allow for a community-based
• One Accord partners with local leaders and service providers and families in West Texas to develop community-based
• Who believe that we can do better, um, and that brings us to community-based care.
• um and what might need to be done differently in a rural community to help community-based care be successful

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: 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, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

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• And in fact if they request it or we have communication and they ask us questions, we absolutely should
• been indicted and they may have spent the last 10 months in jail and maybe they have lost their home
• So the Texas Health and Texas Health and Human Services Commission has confirmed.
• Human Service Commission interprets usual and customary charges to include membership-based discount
• Priscilla Pria, Health and Human Services Commission, and you are neutral, you're on the bill.

Bills: HB 741, HB 1199, HB 2070, HB 2402, HB 2542, HB 2665, HB 2789, HB 3096, HB 3396, HB 3595, HB 3747, HB 4116, HB 4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

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• When we request the case file, and who requests the case file with community-based care and SSCCs coming
• When we request the case file and who requests the case file with community-based care and SSCCs coming
• CCRCs are adding services like memory care, hospice, and home-based services, but many are reducing nursing
• home or skilled nursing services at each location.
• There is an oversaturation of group homes being placed in communities, and they're not licensed.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

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• :02:55.040> improve<00:02:55.360> service and it this will improve service and it this
• He and his support team are learning the skills they need to keep him in his home and community.
• children at home and this child had children at home and this child had assaulted<00:31:12.080><
• <00:31:51.519> Serving him in his home and community.
• Serving him in his home and community.

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

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

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• Health and Human Services Commission.
• My mom, her and her home girls, they always talk about the senior community they all want to live in
• welfare and juvenile justice systems and communities it serves.
• human services programs and 211 services.
• And their, their services and costs go exponentially exponentially high.

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

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• And so private duty nursing is one of those services.
• residents who called these communities home.
• welfare and juvenile justice systems and the communities it serves.
• human services programs and 211 services provided by the Texas Information and Referral Network.
• A happy medium, and we appreciate that they touched on better communicating the kinds of services that

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

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• for room and board and any other services that are necessary to provide services to our folks out in
• And it was happening before we went to the community-based care model.
• This includes real estate. companies, therapy services, laundry and maintenance, food services, HR, and
• . and child care licensing services.
• For example, in family-based services, safety services, the number of visits per family is based on risk

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

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• ability to transition into community. based care and also to serve children in foster care in West Texas
• And so we see this as we and the community.
• professionals. professionals, and service providers with knowledge and expertise in IDD services, and
• I represent fundamental administrative services and the independent coalition of nursing home providers
• They'll tell you about how many of the home-based providers we've lost and how many more communities

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

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• And maybe they have lost their home and maybe they are now branded. as a convict when there's evidence
• So the Texas Health and Service Texas Health and Human Services Commission has confirmed that this substitute
• Human Services Commission interprets usual and customary.
• Priscilla Perea with the Health and Human Services Commission is a resource on the bill.
• Human Services Commission, and you are neutral.

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid