Transcript Highlights:

• MassALA promotes a model of care that treats all residents Older adults they serve.
• Unlike other regulated care settings, Unlike other regulated care settings, the proposed ALR regulations
• Care is delivered through an interdisciplinary... ...management.
• That level of micromanagement does not equate to better care.
• This is in part what brought them to the rest home level of care.

Bills: H5243, H5376, S3056, S3057

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Summary: The Joint Committee on Aging and Independence heard testimony on two sets of bills: Senate 3057/House 5376, concerning assisted living residences, and Senate 3056/House 5243, concerning medication administration in rest homes. On the assisted living bills, MassALA supported the proposal but urged amendments to clarify and limit fines and to specifically authorize certified medication aides for limited medication administration in assisted living. AARP and the state long-term care ombudsman supported the bills and the new trust fund, with AARP backing the use of certification fees and fines to fund oversight, and the ombudsman emphasizing the need for more staffing and resources to address complaints, evictions, billing issues, and resident advocacy. MassNAELA also supported the bills but asked for additional provisions on executive director licensure, building code and emergency preparedness standards, and broader task force membership; committee members said they would review draft language and noted that building code changes would require further study. The rest home bills drew testimony from providers and industry groups who opposed the Department of Public Health’s proposed shift away from the long-standing “responsible person” medication model toward a MAP-based framework. Witnesses from rest homes, MARCH, and LeadingAge Massachusetts said the responsible person system has been used for decades, is safe and affordable, and is tailored to rest homes’ resident population and staffing realities. They warned that requiring certified medication aides or nurses would sharply increase costs, worsen workforce shortages, and could force closures or resident displacement. Several witnesses said they were open to strengthening training and oversight, but wanted a task force or collaborative process rather than immediate regulatory replacement of the current model. 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. The chairs indicated interest in moving the rest home bill sooner rather than waiting for additional fire marshal or building-code work on the assisted living side, and asked witnesses to submit proposed language and any supporting data in writing. The hearing concluded with thanks to the chairs and a motion to adjourn, which was approved.

Transcript Highlights:

• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's
• We want to keep it strong so that we can reach every person in this state with dementia care and resources

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Transcript Highlights:

• their promise and adapt to the future of care.
• , skilled nursing, memory care, rehab services, and hospice.
• SB 1522 addresses this issue by updating what constitutes continuing care.
• greater transparency and improved protections for our seniors.
• What a continuing care contract is and what it is not.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• , CBC model of care.
• Please show the nation that Texas cares about its seniors and pass HB 3195. Thank you all.
• Uh, these are people who deserve to be taken care of, and taking care of them, doing criminal history
• But senior livings, independent senior living, assisted living do not.
• HB 863, the Senior Independent Living Protection, would ensure that seniors are protected during emergencies

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• A complex care aide in home health is a trained caregiver who provides specialized care.
• (CBC) model of care.
• It’s important that Texas cares about its seniors and passes HB 3195. Thank you all.
• We must protect our seniors.
• Hospitals and nursing homes do have regulation, but senior living, independent senior living, and assisted

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• In the process, nursing facilities must continue to care for patients and fund that care without Medicaid
• oversight by the long-term care ombudsman.
• care ombudsman.
• and increase quality of care.
• So you have the patient care expense, which would include direct care, dietary, and indirect care.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• Continuing care is not clear in the statute.
• to ensure entities promising seniors access to progressive levels of care will be regulated by TDI as

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• behalf of the long-term care Imperative. behalf of the long-term care Imperative.
• decisions about their care or finances. decisions about their care or finances.
• bill for direct care and treatment. bill for direct care and treatment.
• Other healthc care information.
• direct care and treatment on this one. direct care and treatment on this one.

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 not only a senior citizen in Minnesota, but also a retired Army veteran with 20 plus years service
• Now, to get a free fishing license, senior citizens or retired veterans are forced to wait until the
• much needed change for our senior much needed change for our senior citizens<00:04:16.840> in
• <00:04:25.000> citizen<00:04:25.360> in years I am not only a senior citizen in years
• I am not only a senior citizen in Minnesota<00:04:26.080> but<00:04:26.360> also<00:04

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:

• We believe this legislation offers a crucial opportunity to improve health care access to seniors in
• Primary care is the gatekeeper to health care services.
• Primary care is the gatekeeper to health care services.
• But primary care, again, is the gatekeeper and where all care has to start.
• The primary care, again, is the gatekeeper and where all care has to start. We don't have enough.

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Transcript Highlights:

• care, reducing long-term health care care, reducing long-term health care costs,<00:05:25.919>
• We provide comprehensive care for patients of all ages, from newborns to seniors.
• This patient centric care care care and<00:14:50.240> um and um and um excuse<00:14:53.199>
• direct primary care.
• and long-term care long-term care and long-term care services<00:42:23.040> and<00:42:23.520>

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• that have implications for patient care and care continuity.
• in long-term care.
• It was a startup providing primary care for seniors.
• > seniors.
• And two minutes. patient care. patient care.

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Transcript Highlights:

• I'm the Senior Fellow for Health Care at the Texas Public Policy Foundation, which I represent.
• health care system.
• seniors access to progressive levels of health care.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• Why would you care, right?

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• It's a the senior nutrition program.
• <00:04:45.600> nutrition appropriated for the senior nutrition appropriated for the senior
• :48.560> older<00:07:48.960> adults know that seniors and older adults know that seniors
• >> and not setting seniors aside as a >> and not setting seniors aside as a population<00
• Again, hospice care is end-of-life care, and she was able to graduate off of that care.

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:

• <00:09:13.040> for ultimately providing the best care for ultimately providing the best care
• <00:10:49.079> will investment in mental health care will investment in mental health care
• care these Solutions ease Direct Care care these Solutions ease Direct Care Staffing<00:27:05.320
• just aren't paid for residents care just aren't paid for residents care bringing<00:58:29.760>
• bill is essential for Minnesotan seniors bill is essential for Minnesotan seniors and<01:05:06.559

Bills: HF1380, HF1166, HF487, HF1553, HF1472, HF258, HF1911

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• I called our primary care physician.
• I’m the Senior Fellow for Health Care at the Texas Public Policy Foundation, who I represent. ...physician
• When they can't come, it stops their care.
• ...promising seniors access to progressive levels of health care.
• Why would you care, right?

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• , necessary intervention care, and primary care. provided by a physician, outpatient mental health care
• Examples of these senior living facilities include adult foster care facilities, assisted living, retirement
• Care, allowing doctors to take the best care possible of these patients.
• The biggest one, of course, is just medical care in general, both primary care and emergency care.
• We had horrible access to emergency care, as well as primary care.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Necessary to safely care for a child until the dental care is deferred long enough to create an acute
• This also increases the number of visits to the emergency room, purely relating to deferred care.
• This bill is needed so we can provide timely care to patients.
• We appreciate this careful approach adopted by the committee.
• living and long-term care.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• However, some medical health insurers do not want to cover the anesthesia necessary to safely care for
• Purely relating to deferred care.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• We appreciate this careful approach adopted by the committee set for 1283.
• living and long-term care.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• TMA on this list: emergency care, interventional necessary care, and primary care provided by a physician
• care.
• Examples of these senior living facilities include adult foster care facilities, assisted living, retirement
• Because there is urgent care out there. Exactly, there is urgent care.
• urgent care.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.