Transcript Highlights:

• </c><00:21:16.559><c> service</c> about rent increases and service about rent increases and service increases
• And I also support a broader solution to cover folks like you and families like yours more long-term
• </c><01:26:23.199><c> and</c> Department of Human Services and Department of Human Services and Department
• of providers, and the long-term sustainability of these essential services.
• service providers, providing services through the four disability waivers and supporting people in a

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• , in which setting, and how that service is delivered for that individual, particularly in the long-term
• </c> are long-term, not the short-term. are long-term, not the short-term.
• And I think looking at the long term, it seems that we have got a process that is broken, that needs
• </c><01:34:20.920><c> Long-Term</c><01:34:21.240><c> Care</c> newly founded Aging and Long-Term Care
• newly founded Aging and Long-Term Care Committee.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• For example, strengthening the long-term services and support loan fund would provide a pathway for providers
• </c><00:58:51.920><c> and</c> strengthening the long-term services and strengthening the long-term services
• Long-term care services and supports.
• of our work to find savings in our long-term services and supports, the LTSS area, in advance of proposed
• Long-term care services and supports.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• > goals</c> achieve our long-term goals those goals achieve our long-term goals those goals uh<00:26:
• 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
• 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

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:

• And then there's and with that term.
• There are changes in sections two and three in the home and community-based services positive support
• There are changes in sections two and three in the home and community-based services positive support
• long-term services and supports.
• services</c> services and other long-term services services and other long-term services and<01:37:41.360

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

Transcript Highlights:

• I am here today on behalf of the Long-Term Care Imperative to explain sections two, three, four, and
• Chair and members of the committee, my name is Kayla Kang, and I'm also here on behalf of the Long-Term
• And it happens across all services? No.
• </c><00:42:13.040><c> and</c> If you're not getting services and If you're not getting services and you're
• </c><00:48:50.320><c> was</c> be supported in a family home and was be supported in a family home and

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• </c> supports and services to lowincome supports and services to lowincome individuals<00:36:13.319><
• home and the services that support them.
• home and the services that support them.
• 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

Transcript Highlights:

• This is a request for funded services and grants administered by DHS HIV Supports Division.
• For the record, my name is Aon Hbert, and I'm here on behalf of the Long-Term Care Imperative.
• It is a youth and family voice and choice-centered service designed to support families and establish
• <c> and</c> service designed to support families and service designed to support families and establish
• level of supports and services as quickly and efficiently as possible.

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:

• SB 1630 modernizes Florida's aging and long-term care statutes, streamlines service delivery, and strengthens
• With regard to long-term care streamlining, it allows DOEA-authorized and certified staff to complete
• long-term care eligibility screenings used by aging and disability resource centers.
• I've spent decades as a long-term care lobbyist and advocate in Washington, D.C., and Tallahassee, primarily
• off the pre-enrollment list and into services.

Bills: S1002, S1016, S1030, S1594, S1630

Keywords: child welfare, substance abuse, neglect, parental rights, drug exposure, Medicaid, disabilities, employment, healthcare access, income eligibility, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health, aging services, disability assistance, long-term care, Alzheimer's support

Summary: The committee considered several bills affecting children, disability services, aging, recovery residences, and foster youth benefits. SB 1016 codified the working people with disabilities program for Medicaid waiver recipients, with amendments removing automatic enrollment and improving information sharing between agencies; advocates testified that the program helps people with developmental disabilities work while keeping needed care, though they raised implementation and training concerns. The bill was reported favorably. SB 1002, as amended, clarified that evidence of acute or chronic parental drug abuse can constitute harm or neglect in child welfare cases and allow court intervention and treatment requirements; it was also reported favorably. SB 1594 would preserve veterans’ benefits for foster youth for postsecondary education or aftercare rather than using them as reimbursement to the agency, and it passed favorably. SB 1630 modernized aging and long-term care statutes, expanded emergency service authority, updated oversight of area agencies on aging and guardianship, and permanently established the Florida Alzheimer’s Center of Excellence; after two amendments, it was reported favorably. SB 1030, on recovery residences/substance abuse services, was amended with a substitute that narrowed transfer definitions, sped licensure for existing providers adding levels of care, and limited credentialing entities’ access to resident records; members noted it remained a work in progress, but it was reported favorably. The committee also held confirmation hearings. Robert Astellos, nominated as Director of the Agency for Persons with Disabilities, described efforts to reduce the pre-enrollment list, improve transparency and customer service, expand family involvement, and streamline agency processes; multiple advocacy groups appeared in support, and the committee recommended his confirmation. The committee then unanimously recommended confirmation of the appointees on tabs 7 through 10. The meeting concluded with adjournment.

Transcript Highlights:

• We stand on our written testimony and support. Support. Thank you.
• <c> guys</c> to come in and say support, you're guys to come in and say support, you're guys going<00
• ><c> able</c><00:30:33.679><c> to</c> and support services to be able to and support services to be able
• </c> testimony and strong support of this testimony and strong support of this measure<01:01:02.160><
• and individuals in support organizations and individuals in support of<01:24:41.679><c> this</c><01:

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Student leaders Faith Madison and Alina Falante Mao, and their educators Deborah Alipio and Christina
• </c> Alip Alipio and Christina Sububiono. Alip Alipio and Christina Sububiono.
• ed and including those in special ed and English<00:17:22.880><c> learners,</c><00:17:23.679><c> and
• </c> please stand and be recognized. please stand and be recognized.
• Welcome to your House of Representatives. ...all the important work, services, and resources that our

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund

Transcript Highlights:

• Um, I appreciate I stand in support with, uh, reservations and comment, please. Please proceed.
• Hawaii has always been at the forefront of organized labor and supporting unions.
• </c> forefront of organized labor and forefront of organized labor and supporting<00:12:10.800><c> unions
• Uh, I support the Department of Hawaiian Homelands and their efforts.
• </c><00:15:40.720><c> it</c> entity to be engaging in this and it entity to be engaging in this and it

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund

Transcript Highlights:

• adults living in assisted living and long-term care settings.
• long-term</c><00:46:43.520><c> imperative</c><00:46:44.000><c> and</c> have the uh long-term imperative
• connecting to them to the services and support.
• connecting to them to the services and support.
• connecting them to the services and support.

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• As a long-term care provider in our state and in collaboration with the Louisiana Hospital Association
• long term, bring down the cost curve of health care in this state and this country.
• side, and I support that bill as long as the amendment is adopted.
• a comprehensive report analyzing the current breadth, quality, and adequacy of autism support services
• a comprehensive report analyzing the current breadth, quality, and adequacy of autism support services

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• As you know, the idea and intentions were good for Community First Services and Supports, CFSS.
• It replaced Consumer Support Grant and personal care assistant, PCA, services.
• <c> they</c> working go and provide the service they working go and provide the service they would<00
• and the reviews and the service plans.
• and the the placements and the reviews and the service<00:57:59.839><c> plans.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• Welcome to the second session of the 60th legislature for Health and Human Services.
• On the opposite end of the spectrum Here is the long-term care advisory council that was formed specifically
• The funds shall be used to support the development and implementation of evidence-based pretrial diversion
• It will support the development of the whole person approach to pregnancy, childbirth, and postpartum
• 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:

• And then the other one is 2399, and that's related to PRTFs and how they're billing and how that's reimbursed
• And then I think another change was to change human service centers to behavioral health clinics.
• And the changes are on lines 16 and 17, where the department is able to review medical assistance services
• And District 14, too, in this case, and District 33.
• And when I carry the bill, I may mention to the full Senate that we, with term limits, we're looking

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• 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
• long-term care.
• We also have long-term care. The cost varies between these three categories of services.
• If only 1% of decision-makers about long-term care chose to go to either PACE or home and community-based

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

Bills: SB 623, SB 1266, SB 1310, SB 1373, SB 1580, SB 1952, SB 2032, SB 2269, SB 2544, SB 2653, SB 2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• long term.
• It's provider exits, frozen capacity, and people losing supports long before a new service exists.
• It's provider exits, frozen capacity, and people losing supports long before a new service exists.
• Berg and DHS and a collection of people receiving services and providing services have been trying to
• :01.200><c> at</c> and support services administration at and support services administration at DHS.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance