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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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• 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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• 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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• 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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• These services include homemaker services under the disability and elderly waivers, home health agency
• These services include homemaker services under the disability and elderly waivers, home health agency
• These services include homemaker services under the disability and elderly waivers, home health agency
• These services include homemaker services under the disability and elderly waivers, home health agency
• ’s own home, through a variety of services including 24-hour daily services and unit-based services provided

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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• And uh and community building settings.
• Mokai Drugs is a rural community pharmacy, and we have been providing services to Mokai and her people
• community pharmacy and we have been<00:31:27.360> providing<00:31:27.760> services<00:31
• , the entire community, and HHSC.
• And bear with me, home kitchens.

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

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

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

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• Welcome to the second session of the 60th legislature for Health and Human Services.
• And I really do appreciate your help and understanding.
• And so with That DHS has asked for this change. And I moved to pass and yield for questions.
• The funds shall be used to support the development and implementation of evidence-based pretrial diversion
• Chairman, members, Senate Bill 1833 directs the Department of Human Services to apply for the SNAP waiver

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• of case management and community support services.
• adult day services, child foster residence settings, and community residential services.
• Section 12 from the DHS policy bill adds financial management services, community-first services and
• supports, unlicensed home and community-based organizations, and consumer pro-directed community supports
• And section 35 is just repealing outdated home and community-based services licensing standards and community

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

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

Transcript Highlights:

• of case management and community support services.
• day services, child foster resident settings, and community residential services.
• supports, unlicensed home and community-based organizations, and consumer-directed community supports
• And section 35 is just repealing outdated home and community-based services licensing standards and community
• > the Community Engagement Fellow and the Community Engagement Fellow and the Homes<01:20:03.520>

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

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

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=aNg2fNu_Rg0, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:27 APPROVAL OF MINUTES 01:02 DISCUSSION WITH COMMUNITY BASED SERVICES, LESLIE HOFFMAN, DEPUTY COMMISSIONER, PAM SMITH, DIRECTOR FOR MEDICAID SERVICES. WAIVER ENROLLMENT NUMBERS, AND RATE & STUDY FINDINGS. 2:06 DISCUSSION WITH CEO, KY ASSOCIATION OF PRIVATE PROVIDERS, AMY STAYED ON THE IMPLANTATION OF THE INCREASE FOR WAIVER PROVIDERS THAT IS LISTED IN HOUSE BILL 1 24:18 DISCUSSION WITH LESA DENNIS, ACTING COMMISSIONER WITH DEPT. OF COMMUNITY BASED SERVICES &SHANNON HALL, CHIEF OF STAFF ABOUT SOCIAL WORK RECRUITMENT & RETENTION IN THE FIELD AND OFFICES. 32:16, 958, all, 2.2.42, 2.1.47

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• 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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• 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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• <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

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

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• me in community and was crying.
• me in community and was crying.
• me in community and was crying.
• and Human Services, and I County Health and Human Services, and I have<00:53:17.280> with<00:
• limited access to community-based services.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

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• Many of us share the goal of increased access to home care services that allow older Minnesotans and
• I'm the Senior Director of State and Federal Policy at ARM, representing over 200 home and community-based
• , meaning the service provider does not have any control over the physical home and provides services
• And that's why, before last year, the home and community-based service manual said that if a person wants
• , the<00:25:57.400> home<00:25:57.600> and<00:25:57.680> community-based<00:25:58.440

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

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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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• 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.