Transcript Highlights:

• and community-based services.
• and community-based services.
• and community-based services.
• and community-based services.
• 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:

• well as the home care nursing services.
• well as the home care nursing services.
• > Good of Home Care Services through Good of Home Care Services through Good Samaritan<00:09:57.880
• <00:10:50.079> agencies services for instance home care agencies services for instance home
• to provide Home Health Services due to provide Home Health Services due to either<00:12:38.880

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

Transcript Highlights:

• 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
• and community-based services and PACE so that we can see how well it is run.

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

Transcript Highlights:

• and community-based services.
• and community-based services.
• and community-based services.
• So you're providing services away from home.
• Services away from home um tell me how Services away from home um tell me how you<01:02:35.119> have

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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• <00:04:06.480> listed<00:04:06.799> on we provide all of the services listed on we
• <00:13:12.079> on what the costs will look like based on what the costs will look like based
• It could be based on what they're doing.
• <00:40:36.640> purchasing our county based purchasing our county based purchasing um<00:40
• uh county based purchasing as well.<00:40:49.520> Um, Thank you, Representative Do.

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.

Transcript Highlights:

• <00:04:51.320> will<00:04:51.560> now service and home care workers will now service
• Services literally Cuts nursing homes Services literally Cuts nursing homes and and and what<01:
• <01:27:00.000> the Based Services which is crucial the Based Services which is crucial the
• and community-based services providers licensed under 245D.
• We’re a home and community-based service provider throughout Minnesota, and I’m here today to offer my

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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• <00:04:52.199> or alive are living in nursing homes or alive are living in nursing homes or
• not uh considered part of our base not uh considered part of our base budget<00:30:42.000> just
• So I'd like to just touch base really quick on this.
• She has the option to work from home.
• <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

Transcript Highlights:

• c> allow 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> This<
• Individualized home supports is service.
• And that's why, before last year, the home and community-based service manual said that if a person wants
• <01:31:38.200> services or abrasion to to school-based services or abrasion to to school-based

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:

• trying to save Oklahomans $153 per day per resident, allowing them to not have to go into nursing homes
• I think in a lot of our communities across the state, there is a need for new development and homes being
• primarily residential homes.

Bills: SB1530, SB1579, SB1778, SB1847, SB1990, SB1992, SB2060

Keywords: research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, property tax, valuation increase, taxpayer rights, homestead, protest process, reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, Medicaid, ADvantage Waiver, home-based services, eligibility criteria

Transcript Highlights:

• Welcome to the second session of the 60th legislature for Health and Human Services.
• In fact, I know that this is something that's already being done with child protective services that
• a Senator Peugh bill at a time when we had memory care units holding themselves out as providing services
• The report shall summarize the services rendered under the TMAh model, detailed financial information
• It requires money to be spent on nutritional support services.

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:

• 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
• Support Services. Support Services.
• 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:

• Or a fixed fee based on the cost of rent or care.
• Our services are free to families and our advisors provide personal guidance based on personal care needs
• SSCCs enter into performance-based contracts with DFPS as a part of the community-based care model.
• the SSCC servicing my district.
• 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

Transcript Highlights:

• 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.
• SSCC servicing my district.
• to provide the service if that makes sense.
• high 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:

• care, contractors, family homes, and child care facilities.
• support services. service agency license but does not cover hospice and personal assistance services
• This resulted in 140 calls for service and 56 incidents.
• The area had 32 calls for service for all time.
• 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:

• The committee on Health and Human Services is called to order.
• - and community-based services providers for the elderly and persons with physical disabilities.
• care services.
• We’re a nonprofit organization representing about 95% of the home- and community-based population under
• - and community-based services.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• out of that related to out-of-home out of that related to out-of-home placement<00:01:50.800>
• <00:03:29.440> agency the responsible social services agency the responsible social services
• Home.
• services.
• concerns for people back home. concerns for people back home.

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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• and operate from home. operate no-impact, home-based businesses.
• A no-impact home-based business must meet several requirements.
• So they would just get their home inspected, or wherever they do the service.
• So just allow the, that's why they call them non-impact home-based businesses.
• Not included as part of the no-impact home-based business definition.

Bills: HB303, HB 1107, HB 1063, HB1517, HB1991, HB2464, HB3509, HB3527, HB303

Keywords: municipality, local government, Type A, Type B, Type C, change authority, emergency medical services, civil service status, municipal government, public safety, local government code, school funding, education, state budget, local control, equity, tenant legal services, eviction, low-income tenants, disability rights

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• I work with Presbyterian Homes and Services, and with other senior professionals in Minnesota.
• I work with Presbyterian Homes and Services, and with other senior professionals in Minnesota.
• It provides all services and all financial responsibility for these individuals, from home health care
• licenses the services that are provided in the home.
• The department licenses the services that are provided in the home.

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• The Committee on Human Services will come to order. The clerk will call the roll. Chair Hall here.
• We have to request it based on a crime that's happened previously.
• So the Texas Health and Texas Health and Human Services Commission has confirmed.
• Amazon Pharmacy is a full-service digital forward pharmacy in your pocket.
• People do not have access to Medicaid I mean medical services, and this is the problem.

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

Transcript Highlights:

• human service delivery redesign. human service delivery redesign.
• that improve the lives of Minnesotans. uh service delivery through technology uh service delivery through
• human services programs. human services programs.
• service program administration. service program administration.
• :11:44.000> services<00:11:44.480> provided<00:11:44.839> by landscape of services

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care