Transcript Highlights:

• <00:25:12.720> funding significant rural healthc care funding significant rural healthc care
• together to demand better health care together to demand better health care for<01:01:14.480>
• <01:03:37.119> of generally people are taking care of generally people are taking care of
• <01:41:25.840> in or more to have a child, an infant in or more to have a child, an infant
• And um you know in some of child care.

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• School, child care.
• School, child care.
• provider where uh and how child care provider where uh and how many<00:59:26.119> infants<00:
• <01:05:18.279> family<01:05:18.599> child infant care for centers and family child
• infant care for centers and family child care<01:05:19.039> isn't<01:05:19.240> even<01

Bills: HF1247, HF628

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• reducing their eligibility criteria, which is going to limit the pool of clients who could access care
• , ...that special relationship you have with your physician as a woman, in HIV care, you build a very
• And it creates greater barriers to care for someone. And so there are concerns with it.
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care.
• death and infant and childhood...

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• Yeah, in health care, we call it triage.
• No, I don't care where they are otherwise.
• if the infant is born at the hospital and the parent voluntarily surrenders the newborn infant and does
• if the infant is born at the hospital and the parent voluntarily surrenders the newborn infant and does
• They are providing care, and I don't want to put more on them. ...providing care, and I don't want to

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Summary: The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation. The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present. Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0. The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.

Transcript Highlights:

• Health care practitioners are subject to occupational licensure, and health care boards are involved
• care practitioners.
• Health care boards are responsible for aspects of regulating and licensing health care professions.
• Typically, health care board members are appointed by the governor, and for the Typically, health care
• Health care boards.

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• system and to contribute to the greater health care environment.
• And to contribute to the greater health care environment. Thank you all for being here.
• Every unnecessary administrative requirement diverts staff from patient care.
• parent intends to voluntarily surrender the newborn infant and not return.
• That's where their babies are, and they will be taken care of best.

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Summary: The Senate Health and Human Services Committee opened with approval of the January 28 and 29 minutes and a welcome to Arizona Physical Therapy Day at the Capitol, including remarks from physical therapy advocates and students. The committee then took up several bills related to SNAP, health care oversight, child welfare, dementia planning, and safe haven newborn surrender. On SNAP, SB 1334 would bar DES from seeking or renewing federal waivers of work requirements for able-bodied adults without dependents unless authorized by law; it passed 4-1. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with regular reporting, corrective action plans, and possible funding penalties; an amendment changed the reporting to quarterly and required a special audit, and the bill passed 4-1 as amended. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; testimony split between supporters citing work incentives and opponents warning of administrative burden and impacts on families and food banks, and it passed 4-2. The committee also advanced SB 1162, which clarifies DHS as the lead licensing and monitoring agency for health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to identify duplicative oversight and report back periodically; it passed unanimously. SB 1017, requiring signatures on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, dealing with DCS periodic review hearings and notice/reporting requirements, including for tribal parties, passed 5-1. SB 1249, which designates DHS as the lead agency on Alzheimer’s and dementia planning and creates a dementia services program funded through lottery monies under the adopted amendment, passed unanimously after emotional testimony from advocates and family members. Finally, SB 1253, clarifying that a parent may surrender a newborn at the hospital of birth without leaving and returning, passed 5-0. The committee then adjourned.

Transcript Highlights:

• I don't care. I don't care.
• That's all I care about.
• That's all I care about.
• The A11 amendment had some improvements for the family child care system, on checking on infants while
• infant is an unacceptable situation. infant is an unacceptable situation.

Bills: HF4382, HF2929

Keywords: child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size

Transcript Highlights:

• Then we have the first portion, which is the child care center parent access.
• Then we have the first portion, which is the child care center parent access.
• Then we have the first portion, which is the child care center parent access.
• child is in attendance at a child care child is in attendance at a child care center<00:09:06.880
• <01:21:47.040> that but I really want to be careful that but I really want to be careful that

Bills: HF2078, HF777, HF841, HF1112, HF1098, HF1926

Keywords: child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• codifying what the medical examiner's office is already doing when there's a death investigation on an infant
• It's just ensuring that a detailed medical information is Being received from the primary care providers
• that one hospice cannot come in and Hijack a patient from another hospice that's already delivering care

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• For those of you that may or may not know, this foster care is a passion for me.
• I've sent it to my judges that make the decisions on foster care and that kind of thing.
• You guys are because I know you care, and I know you're involved. And so your opinions are great.
• Situation, and we do have to have a community of support, particularly in terms of foster care folks
• Two children from southeastern Oklahoma foster care got adopted at ages two and four.

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Transcript Highlights:

• <00:48:23.119> provider payments to a child care provider payments to a child care provider
• child care provider.
• child care provider.
• child care provider.
• We turned it the Great Start Child Care Tax Credit and dependent care credit because the dependent care

Bills: HF1, HF1384

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• The bottom line, Senate Bill 1794 helps Oklahoma get people in crisis to care faster.
• Let's see if we can get that per person to the appropriate care faster. That's all this is doing.
• To get people care quicker. Thank you. That concludes debate. The clerk will call a roll.
• syndrome, sudden unexpected infant death.
• Senator Ice, do you care to vote? Senator Stanley, Senator Rossino. 10 ayes, two nays.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• , hours of care, to people who qualify for those treatments. ...provide units of care, hours of care,
• Health Care Workforce Resources Center.
• I have repeal sections of the Health Care Workers and Educators' Assistance Program and the Health Care
• So this is a physician who did not take care of the patient in any way—no direct patient care—but is
• So this is not direct patient care.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• important is cuz I care. important is cuz I care.
• child care is very fragile. child care is very fragile.
• communities without care. communities without care.
• And costs go up, especially for infant care, where family child care is typically less than half the
• And costs go up, especially for infant care, where family child care is typically less than half the

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Summary: The Children and Families Committee adopted the April 8 minutes and then took up House File 4407, as amended by the A1 amendment. The amendment, explained by nonpartisan staff, incorporated much of the Senate version of related legislation and made a series of changes: it revised the definition of “disproportionately represented child,” shifted that determination to the Commissioner of Children, Youth, and Families, made technical cross-reference and terminology updates, adjusted training requirements, set the working group to expire December 31, 2027, and added an appropriation for statewide implementation. The committee adopted the A1 amendment and then referred the bill to Ways and Means. Representative Gilman said the bill is intended to preserve the goals of the Minnesota African American Family Preservation Act while addressing operational, legal, and fiscal problems before statewide implementation. He argued for delaying the effective date by one year, shifting case review responsibilities to the state, and providing funding so counties are not left with an unfunded mandate. He also said the bill adds safety measures related to synthetic opioids and other imminent-harm concerns, and that the delay would allow the working group to finish its recommendations and give counties time to prepare. County officials Steve Schmidt of Meeker County/Minnesota Rural Counties and Jenny Mojo of Clay County testified in support of the bill as amended, emphasizing that counties need clearer responsibilities, staffing, training, technology, and dependable funding to implement the law successfully. Rebecca St. George of DCYF said “active efforts” is not absolutely defined and is determined case by case, often with court involvement. Members raised questions about the meaning of active efforts, the bill’s synthetic opioid language, and whether the proposal should apply more broadly rather than within this specific act. A citizen also cautioned that the opioid language should not unintentionally affect families in treatment programs. Representative Hicks warned that the fentanyl provisions could lead to broad removals and create placement problems for teens with substance use disorder, while Representative Gilman responded that the bill includes a rebuttable presumption and is meant to protect children from imminent harm.

Transcript Highlights:

• > to<00:07:46.560> care Care portal provides training to care Care portal provides training
• and dental care. and dental care.
• wrap-around care. wrap-around care.
• infant GERD. infant GERD.
• <01:43:28.960> care Um but one thing like a family care care Um but one thing like a family

Bills: HF1660, HF1824, HF1926, HF1002, HF994, HF1915, HF1336

Keywords: children, youth programming, needs assessment, community engagement, state funding, education, funding, school districts, state budget, rural schools, food support, Greater Minneapolis Council of Churches, food shelves, grant funding, Minnesota FoodShare, early childhood, Head Start, education funding, developmental programs, literacy

Transcript Highlights:

• any additional comments, although Senator Dwyer, I might visit with the leader and see if he still cares

Bills: HB1015

Keywords: Office of Management and Budget, OMB appropriation, state budget, biennial appropriation, North Dakota Century Code, state facility maintenance fund, capital improvements, Capitol building fund, governor's residence, state hospital, mental health hospital, Bank of North Dakota, line of credit, strategic investment and improvements fund, SIIF, new and vacant FTE pool, state employee pay raise, performance-based compensation, guardianship grants, community corrections

Summary: The Government Operations Division met to review proposed amendments to the Office of Management and Budget (OMB) budget, with the chair noting the bill would not be voted out that day and would likely be held until the following week for any technical corrections. Members discussed a series of amendments, generally without objection: a $1.5 million appropriation for a pro-life education committee; a $40,000–$45,000 deficiency appropriation for Uniform Laws travel costs; creation of a state deferred maintenance fund with $40 million for deferred maintenance projects; adding the state hospital project to the OMB budget with $200 million from the Strategic Investment and Improvements Fund (SIF) and $85 million from a line of credit, plus construction management oversight; $110,114 for custodial equity increases; $1 million for a retirement incentive pool; $3 million to cover a shortfall in the new and vacant FTE funding pool; and $4 million for space reconfiguration and rent/moving costs. Prairie Public Broadcasting was also discussed, with a suggestion to change the purpose from local programming to infrastructure and set the amount at $850,000, likely as one-time SIF funding. The committee also heard a heads-up about a possible $180,000 federal reimbursement issue tied to an education grant, but no action was taken on that item. The committee further discussed a broader amendment to reduce the transfer from the social services fund to the human services fund from $250 million to $232 million, based on DHS needs and available carryover funding. Members also agreed to add emergency clauses to the capital assets, deferred maintenance, and moving/space reconfiguration items. The chair indicated Brady could begin incorporating the discussed changes into a consolidated amendment, while noting there could still be additional items next week. Staff also reported the SIF balance was about $280 million positive, though some removed agency items, including airport grants, would need to be considered. The committee then reconsidered its earlier action on House Bill 1581 and restored it to its original form at $100,000 after hearing that the funding would support tribal tourism-related events tied to upcoming 2026 celebrations and the Theodore Roosevelt Library opening. A motion for do pass on the bill as originally introduced passed unanimously by roll call. Finally, the committee postponed action on another bill until later that day, directing that revised materials be distributed and that the item be taken up in the afternoon session.

Bills: SB159, SB159

Keywords: sales tax exemption, use tax exemption, diapers, baby supplies, baby formula, baby bottles, baby wipes, breast pump, breast milk pumping equipment, lactation, nursing bra, nursing pads, maternity wear, pregnancy clothing, postpartum clothing, menstrual products, tampons, sanitary napkins, panty liners, menstrual cups

Transcript Highlights:

• Care, almost all the money that we send into uncompensated care goes to hospitals; it doesn't go to physicians
• For the health care providers, this is traumatic. Think about the parents.
• Poor health literacy is a major barrier to accessing adequate health care.
• It leads to higher health care costs, worse health care outcomes, and an increased strain on our state's
• health care system.

Bills: HB321, HB 1027, HB 1295, HB1782, HB2295, HCR29, HCR56

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures