Transcript Highlights:

• the state can take to strengthen home care services in Minnesota.
• c> allow</c> access to home care services that allow access to home care services that allow older<00
• home care services in take to strengthen home care services in Minnesota.<00:05:21.120><c> This</c><
• </c><00:08:23.800><c> care</c><00:08:24.000><c> services</c><00:08:24.520><c> to</c> access to home care
• services to access to home care services to Minnesotans<00:08:25.200><c> across</c><00:08:25.600><c>

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• through care coordination and home care nursing services.
• </c><00:01:24.320><c> through</c><00:01:24.560><c> care</c> hospitals to their homes through care hospitals
• to their homes through care coordination<00:01:25.439><c> and</c><00:01:25.759><c> home</c><00:01:26.000
• ><c> care</c><00:01:26.320><c> nursing</c> coordination and home care nursing coordination and home care
• Improve our system of providing home and community-based services.

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

Transcript Highlights:

• care for our seniors at the lowest possible cost. offered and where we can best manage those services
• We have home and community-based services, which is at the Department of Human Services.
• These services keep elders in their homes and provide support to enable them to stay there as long as
• We also have long-term care. The cost varies between these three categories of services.
• Home and community-based services cost about $22,000 per individual.

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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• when evaluating foster care placements.
• care, it should be considered temporary because parents are working to get their children home.
• The parents working to get their services so they can get their child home.
• Many of these homes meant to care for vulnerable Texans include people with disabilities and older adults
• Referrals to licensed group homes remains permitted.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• The parents are working to get their services so they can get their child home.
• Many of these homes that are meant to care for vulnerable Texans, including people with disabilities
• Senate Bill 1777 is a bill about group homes, and what it does is, in a few statements, group homes are
• Licensed group homes remain permitted.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• </c> Department of Customer Services. Department of Customer Services.
• services? services?
• , dental care.
• Prison dental care is horrible. Mental health care is important.
• </c> sure that these services are available. sure that these services are available.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• Or a fixed fee based on the cost of rent or care.
• Our mission is to provide high quality care in a home-like setting at an affordable price.
• Our services are free to families and our advisors provide personal guidance based on personal care needs
• the SSCC servicing my district.
• So because they care. OK.

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

Transcript Highlights:

• Our services are free to find. ...and our advisors provide personal guidance based on individual care
• SSCC servicing my district.
• to provide the service if that makes sense.
• high quality services.
• So, is that how you define high quality service?

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

Transcript Highlights:

• Responsibility for certain out-of-network medical care provided to children in foster care.
• , contractors, family homes, and child care facilities.
• support services. service agency license but does not cover hospice and personal assistance services
• For Child Care Regulation within the Health and Human Services Commission, so I'm here to answer any
• We want quality services.

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

Transcript Highlights:

• It gets them out of the foster care system and gets them into a forever home where they're not going
• It gets them out of the foster care system and gets them into a forever home where they're not going
• , skilled nursing, memory care, rehab services, and hospice.
• 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.

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.

Transcript Highlights:

• By way of brief background, DSHS provides in-home care services to clients who meet Medicaid functional
• and financial eligibility requirements, and in-home care services may be provided by individual providers
• And then there's a 20% maximum threshold so that the home care agency administrative rate The home care
• It ensures that Medicaid home care funds are used exactly as you intended to compensate direct care.
• I’m the home care director at Catholic Community Services, and we provide home care to about 4,000 people

Bills: SB5985, SB6019, SB6161, SB6183, SB6210, SB6194, SB6102, SB6103

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Summary: The committee first met in executive session and advanced SB 6102, SB 6103, and SB 6194. SB 6102, concerning the Ambulance Transport Fund quality assurance fee, and SB 6103, concerning payments for rural emergency hospitals, were both given due pass recommendations to the Rules Committee. SB 6194, which would allow cost-based Medicaid payments for certain rural hospitals on federally recognized Indian reservations, was referred to the Ways and Means Committee without recommendation. All three actions were approved without recorded opposition. The committee then held hearings on several public hearing bills. SB 6183 would require health plans, including public employee plans, to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor argued it would reduce barriers to timely treatment and prevention, and a person living with HIV testified that insurance changes had once interrupted access to medication. The hearing drew substantial public interest, with testimony and sign-in counts reported as 53 pro, 58 con, and one other. SB 5985 would create an endometriosis online resource center, Department of Health training modules, and related school health curriculum updates. The sponsor and multiple patients and clinicians described long diagnostic delays, dismissed symptoms, and the need for better education; testimony was strongly supportive, though the sign-in count showed both support and opposition. SB 6019 proposed changes to home care rate statutes to preserve parity and set administrative-rate caps; labor and provider witnesses supported it as a technical fix, while the committee also discussed an updated fiscal note. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public health materials and provider resources when appropriate; the sponsor, Alzheimer’s advocates, and family members supported it as a low-cost prevention measure. Finally, SB 6210 would let the Health Benefit Exchange add a new certification criterion for exchange plans to address affordability and access, including county availability and plan differentiation. The sponsor, the Exchange, and supporters said it could help prevent bare counties and improve affordability amid rising premiums and federal subsidy changes, while the Insurance Commissioner requested an amendment to protect rate confidentiality. Carriers, brokers, and some insurers opposed the bill, warning it could destabilize the market, reduce competition, and pressure premiums; AARP and some consumers supported it as a way to preserve access and choice.

Transcript Highlights:

• The agreement includes a $1.5 million program to create an online matching service, and home care workers
• </c><00:04:51.320><c> will</c><00:04:51.560><c> now</c> service and home care workers will now service
• > and</c><00:36:47.400><c> adults</c> care services for children and adults care services for children
• care services for daily rely upon direct care services for daily living<00:36:52.640><c> HF</c><00:36
• </c> Services literally Cuts nursing homes Services literally Cuts nursing homes and and and what<01:

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• as a Medicaid benefit the these Services as a Medicaid benefit the collaborative<00:10:07.200><c> care
• are often siloed from primary Services are often siloed from primary care<00:10:58.000><c> meaning</
• still a match after that and that the service dog is being properly cared for?
• still a match after that and that the service dog is being properly cared for?
• So service animals get different public accommodation rights outside of home ownership and it's really

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

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• services program and develop an Alzheimer's disease state plan.
• to DHS for the dementia services program and the implementation of the state plan.
• The legislature and governor approved Arizona's first Dementia Services Program and adopted the state
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's

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

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• It gets them out of the foster care system and into a forever home where they're not going to have to
• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• P 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.

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

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• </c> care if they don't have access to Home care if they don't have access to Home Care Care Care Services
• well as the home care nursing services.
• ><c> Good</c> of Home Care Services through Good of Home Care Services through Good Samaritan<00:09:57.880
• we can provide in home care services.
• in home care 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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• Examples of community residential services businesses include adult family homes, supported living services
• Examples of community residential services businesses include adult family homes, supported living services
• home in Washington for at least three years, provided personal care services for the former foster youth
• unrelated adults the individual provides personal care to in the home are the former foster youth who
• adults the individual provides personal care services to in the home are the former foster youth for

Bills: SB5681, SB6024, SB6036, SB6063

Keywords: employment services, community inclusion, age limitations, disability services, home and community living, community residential services, oversight, monitoring, service providers, streamlining, foster care, licensure, adoption, child welfare, support services, terminology alignment, social services, Washington state code, department reorganization, legislative amendment

Summary: The Senate Human Services Committee heard four bills. SB 6024, sponsored by Senator Gildon, would streamline DSHS oversight of community residential service providers by limiting routine reviews to no more than one annual review per subject area, combining reviews when possible, and requiring better document sharing within the department to reduce duplicate requests. The sponsor and provider witnesses said the bill would reduce redundant audits and paperwork so providers can spend more time on direct client care. SB 6063, a DSHS request bill sponsored by Senator Bateman, would update statutes to reflect DSHS’s recent reorganization and rename references to the new administrations; testimony described it as a technical, no-cost cleanup measure. The committee also heard a proposed substitute for SB 5681, sponsored by Senator Cortez, which would lower from 21 to 20 the age at which people with intellectual and developmental disabilities may access employment and community inclusion services, and would rename community access as community inclusion. Senator Cortez and multiple advocates, educators, and service providers testified that earlier access would help young adults avoid a service gap after school, support transition to work, and improve long-term independence; the substitute was explained as changing the original bill’s proposed age from 19 to 20. SB 6036, sponsored by Senator Kaufman and requested by DSHS, would create a narrow exemption from adult family home licensure for certain foster care or kinship caregivers who continue caring for former foster youth who are the only unrelated adults in the home. Senator Kaufman and DSHS said the bill would preserve stability and continuity of care for youth aging out of foster care while maintaining safeguards, and DSHS testified in support. No votes were taken; the chair closed each hearing after testimony, and announced upcoming executive sessions and future hearings.

Transcript Highlights:

• We have a situation where three nursing homes have had reduced funding, and like I said, I'll have the
• I'm here on behalf of my care center and two others, Ling Bloomston in St.
• Our three care centers started our projects prior to January 1, 2020.
• </c> duth I'm here on behalf of my care duth I'm here on behalf of my care center<00:01:11.119><c> and
• </c> there is what we call the nursing home there is what we call the nursing home facility<00:04:13.400

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• That becomes just a problem, not for the type of care that's provided, but for the types of services
• such as when someone is providing services to a spouse's relative in the home.
• </c><01:28:57.520><c> psychiatric</c><01:28:58.159><c> care</c> health services psychiatric care health
• services psychiatric care providers.<01:28:59.760><c> Um,</c><01:29:00.159><c> I</c><01:29:00.400><c
• There are changes in sections two and three in the home and community-based services positive support

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

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• Additionally, providers of community-based care and in-home care,... to evaluate the stability of the
• Additionally, providers of community-based care and in-home care, ...from liability.
• Additionally, providers of community-based care and in-home care services may not discriminate or retaliate
• Additionally, no facility or employer, rather than a provider of community-based care or in-home care
• services, may discriminate or retaliate against a nursing assistant or home care aide because the person

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.