Transcript Highlights:

• Relative to child welfare, to provide for the duties and responsibilities of the state child ombudsman
• There is a little bit more coordination with the ombudsman.
• We did have so the ombudsman will have access to the online documents and then with permission we'll

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The House Committee on Health and Welfare met on April 20 and took up Senate Bill 237 by Senator Barrow, a child welfare measure addressing the duties of the state child ombudsman, DCFS, public reporting, confidentiality, critical incident reviews, multidisciplinary investigative teams, forensic interviews, mandatory reporter training, and related child abuse and neglect procedures. Before discussion, the committee reconsidered and withdrew a previously adopted amendment set, then heard the bill re-read and reviewed a new amendment package developed through meetings among Senator Barrow, Representatives Spell and Berault, DCFS, and the ombudsman’s office. Members described the revised bill as narrowing and clarifying several provisions: reducing the number of law enforcement liaisons, limiting death/near-fatality notifications to legislative leadership and committee chairs with later notice to affected district members if substantiated, adjusting medical review language, and adding quality-improvement and training components. Other changes included keeping school-related reports routed to law enforcement, changing some mandatory language to discretionary language for certain child-on-child sexual abuse situations, aligning multidisciplinary team procedures with existing interagency protocols, and making technical revisions to reduce burden and likely lower the fiscal note. The committee also adopted a separate amendment to include recreation language for the Department of Children and Family Services. Senator Barrow and several representatives emphasized that the goal was to improve child protection and review processes while making the bill workable for DCFS and other agencies. They noted the importance of outside review, ombudsman access to records, and using review findings to drive implementation changes. After no objections, the committee adopted the amendment sets and reported Senate Bill 237 favorably with amendments. The meeting then adjourned.

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• Relative to child welfare, to provide for the duties and responsibilities of the state child ombudsman
• There's a little bit more coordination with the ombudsman.
• We did have so the ombudsman will have access to the online documents and then with permission we'll
• There's a little bit more coordination with the ombudsman.
• We did have so the ombudsman will have access to the online documents and then then with permission we'll

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality, 965, house, all

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Transcript Highlights:

• First, we have the Office of the Young Ombudsman with comments. >> Oh no, we read your testimony. >>
• Our suggestion would be to have the child advocate office be part of the Office of the Ombudsman, but
• Our suggestion would be to have the child advocate office be part of the Office of the Ombudsman, but
• to disclosure of return attorney-client and attorney work-product privilege communications to the Ombudsman
• to disclosure of return attorney-client and attorney work-product privilege communications to the Ombudsman

Bills: HB1805, HB2110, HB2180, HB2184, HB2219, HB2469

Keywords: child welfare, advocacy, oversight, independent office, foster care, child advocate, child safety, nepotism, ethics, government transparency, accountability, legislative standards, electronic voting, legislative transparency, Hawaii House, voting system, appropriation, lawmaker safety, political violence, confidentiality

Summary: The House Committee on Legislative Management heard testimony on several measures. HB 1805, relating to child welfare, drew support from the University of Hawaii and concerns from the Attorney General about the bill’s definition of state agency and possible separation-of-powers and supremacy clause issues. During decision-making, the committee opted to move the child advocate function to the Attorney General’s office, accepted the Attorney General’s suggested scope and jurisdiction amendments, set the salary at 90% of the Department of Health deputy director’s salary, and passed the bill with amendments. HB 2110, relating to nepotism, received support from the Hawaii State Ethics Commission, which said the bill would apply the rule consistently and noted the existing good-cause exception process. The committee later deferred the bill, saying existing House rules on nepotism were already strict and that the proposal would be duplicative in statute. HB 2180, relating to voting boards, had no oral testimony in the room during the hearing, but the committee later amended it into a blank appropriations vehicle for the House of Representatives and passed it with amendments. HB 2184, relating to lawmaker safety, drew concerns from the Campaign Spending Commission that the bill would require redaction of address information and could create implementation issues, and the Attorney General noted missing language regarding appointed officials and an internal cross-reference issue. The committee adopted amendments to address those concerns and passed the bill with amendments. HB 2219, relating to disclosure of privileged communications to the Ombudsman, was clarified by the Ombudsman’s office as not requiring disclosure of privileged material, only preserving privilege if such material is voluntarily provided; the bill passed with amendments. HB 2469, relating to a regular session review working group, received testimony from the State Procurement Office, the Legislative Reference Bureau, and others in support and opposition, and the committee passed it with amendments after changing references and funding language.

Bills: SB37, SB1489, SB452, SB724, SB1067, SB1741, SB1273

Keywords: higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation

Bills: SB37, SB1489, SB452, SB724, SB1067, SB1741, SB1273

Keywords: higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation

Transcript Highlights:

• Pariche Rudina with the Office of the Ombudsman for Long-Term Care, here on behalf of the Consumer Advocates
• We, uh, I think, agree with Representative Mhler, the ombudsman, and the advocates.

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:

• Peric Rudina, Office of Ombudsman for Long-Term Care.
• Peric Rudina, Office of Ombudsman for Long-Term Care.

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:

• Uh, next we have the Office of the Ombudsman in support. we stand in on our testimony in strong we stand
• She's the deputy ombudsman.

Bills: HB2240, HB2272, HB2273, HB2274, HB2275

Keywords: appropriations, legislative expenses, auditor, legislative reference bureau, state ethics commission, ombudsman, government transparency, HB2272, Act 026, public employment cost items, emergency appropriations, collective bargaining, bargaining unit 11, BU-11, state employees, excluded employees, salary increases, cost adjustments, health premium payments, benefits

Transcript Highlights:

• It had caused some issues regarding certain areas of where the ombudsman would have oversight.
• I talked about the ombudsman and how complaints can be made to the ombudsman if you're... going through
• You said the ombudsman originally… was housed where, and now it's in the Coordinating Board.
• So there's this Office of the Ombudsman, and there is actually an ombudsman that people can file complaints
• This bill will establish... a core curriculum committee and an ombudsman committee?

Bills: HB2476, HB2893, HB4848, HB5062, SB37, SB60, HB2860, HB4930, SB646, SB 37

Keywords: living expenses, higher education, student support, homeless students, financial aid, grant program, baccalaureate degrees, junior colleges, workforce development, Texas Higher Education Coordinating Board, competency-based education, baccalaureate degree, cost of attendance, dual credit, computer science, course credit, foreign language requirement, curriculum review, governing board, faculty council

Transcript Highlights:

• She's the deputy child ombudsman.
• She's the deputy child ombudsman.
• We did receive, as the ombudsman had said, over 600 referrals from law enforcement.
• So notifying the ombudsman, though, should not cost more money.
• And also the ombudsman, because she— And also the ombudsman, because she, and then giving her access

Bills: SB25, SB132, SB155, SB157, SB202, SB237, SB250, SB433

Keywords: registrar of voters, parish registrar, chief deputy registrar, confidential assistant, election administration, elections, salary schedule, compensation, merit evaluation, population-based pay, census-based pay, Department of State, Secretary of State, State Board of Election Supervisors, redistricting, senate districts, Senate District 33, Senate District 34, Senate District 35, precincts

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

Bills: HF198, HF269, HF185, HF303, HF305, HF189

Keywords: HF198, shared time pupils, shared-time enrollment, nonpublic school, private school, public school, career and technical education, CTE, secondary credit, school funding, state aid, education finance, Minnesota Statutes 126C.01, compulsory attendance, school district, education policy, HF269, Spicer, Minnesota bonding bill, capital investment

Transcript Highlights:

• The Ombudsman acts very much as an auditor. The public contacts the Ombudsman.
• Cabinet, all the complaints went directly to the Ombudsman.
• The Ombudsman works very much as an auditor. The public contacts the Ombudsman.
• Cabinet, all the complaints went directly to the Ombudsman.
• that the Ombudsman is here for.

Keywords: 00:11 Call to Order/Roll Call 01:02 Discussion of 25RS SB 26 07:48 Roll Call Vote on 25RS SB 26 08:43 Discussion of 25RS SB 85 28:04 Roll Call Vote on 25RS SB 85 29:37 Discussion of 25RS HB 805 40:30 Roll Call Vote on 25RS HB 805 41:32 Adjournment, 958, all

Summary: The committee first took up Senate Bill 26, presented by Senator Brandon Storm, Family Court Judge Marcus Vanover, and Crystal Adams on behalf of the Kentucky Judicial Commission on Mental Health. The bill would ensure Kentucky complies with the ADA by prohibiting disability alone from being used to terminate adoption petitions, parental rights, or child-placement petitions. Testimony cited Kentucky Supreme Court and Court of Appeals cases involving parents with intellectual or developmental disabilities and national data showing high removal rates for parents with psychiatric, intellectual, or physical disabilities. The committee approved the bill 15-0 with favorable expression. The committee then heard Senate Bill 85 from Senator Steve Meredith and State Auditor Allison Ball, which continues the transition of the Office of the Ombudsman from the Cabinet for Health and Family Services to the Auditor’s office. Testimony focused on completing the transfer by clarifying access to the ITWIST database, ensuring complaints go directly to the Ombudsman, adding whistleblower protections, and making the office a separate office within the Auditor’s office for efficiency. Members asked about the prior conflict of interest when the Ombudsman was housed within CHFS, the database access dispute and lawsuit, and whether the office still remained independent. The bill passed with favorable expression after some members voted pass. Finally, the committee considered House Bill 805, with Representative Nick Wilson and Representative Sarah Stalker explaining a committee substitute and amendment. The bill would set timelines for the Cabinet to physically locate children reported at immediate safety risk and require annual kinship-care reporting to be automatically provided to the legislature and posted publicly. Wilson said the bill also cleans up language from last year’s House Bill 271, including changing “threats” to “risks” in the safety-plan definition and other terminology fixes. The committee adopted the substitute and amendment and advanced the bill with favorable expression.

Transcript Highlights:

• Ombudsman to work with other entities Ombudsman to work with other entities dedicated<00:12:56.920>
• One is the location of the ombudsman at DEED.
• The location of the ombudsman at DEED does create several challenges.
• important thing here is um the Ombudsman important thing here is um the Ombudsman doesn't<00:47:
• create an ombudsman for business create an ombudsman for business permitting<00:53:05.760> which

Bills: HF8, HF1416

Keywords: wetlands, environmental review, permitting efficiency, Pollution Control Agency, construction permits, environmental impact statements, local government, business regulation, environmental assessments, HF1416, relocation grants, economic development, business relocation, site selection, business incentives, grant extension, appropriation extension, DEED, Department of Employment and Economic Development, request for proposals

Transcript Highlights:

• accounts to support the long-term care ombudsman program.
• Ombudsman and local programs have become increasingly stretched thin.
• Ombudsman and local programs have become increasingly stretched thin.
• To support the Long-Term Care Ombudsman Program.
• Ombudsman Program and to show our support for this request.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• And then we have Carolyn Fen from the Ombudsman. Good morning. Can you hear me? Yes.
• And then we have Carolyn Fen from the Ombudsman. Good morning. Can you hear me? Yes.
• Ombudsman services for residents of assisted living and residents' families.
• This is a ratio of one ombudsman to approximately 4,500 residents.
• In 2025, the regional ombudsman conducted 1,374 visits and offered guidance to over 1,700 callers.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• And creating the first-ever Office of Children's Behavioral Health Ombudsman.
• Behavioral health ombudsman: This is a new activity under HB 7021.
• So just a breakdown... ...positions and creating the ombudsman office.
• There's a child welfare ombudsman as well.
• There's a child welfare ombudsman as well.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• They can't call DPH, and now they can't call the age ombudsman, the long-term care ombudsman, because
• You're protecting them by having the ombudsman available to them.
• So it's not a CCRC ombudsman, but it is our community care ombudsman that serves all older adults in
• No, I'm talking about ombudsman. So we have a community care ombudsman.
• We have long-term care ombudsman. We have assisted living ombudsman.

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.