Transcript Highlights:

• creating a hospital or urgent care center in the area of Torrance County.
• The title says urgent care, but it sounds like really, you know, a standalone.
• You can go and get your stubbed toe taken care of at an urgent care. But it's the topography.
• We do have certain calls that we could be turfing, for lack of better terms, to an urgent care.
• Most of these things could be handled at an urgent care, but we do have tons of calls on I-40.

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• has taken swift action to protect college students whose dream is to work in medical or veterinary care
• We are also trying to prohibit discrimination in medical care.
• care based solely on their vaccination status.
• Informed consent, one of the fundamental tenets of medical care, is the understanding that patients have
• And maybe most urgently, we have two bills that...

Keywords: immigration, children's rights, E-Verify, social transitioning, election integrity, Texas GOP, legislative session, urgent legislation

Summary: The committee meeting was characterized by fervent discussions surrounding critical legislation, particularly regarding immigration, children's rights, and election integrity. Key bills such as HB2258, aiming to ban social transitioning for children, and E-Verify legislation were highlighted as urgent priorities. Several representatives expressed frustration over stalled bills and emphasized the necessity of decisive action to fulfill their commitments made during their campaigns. The urgency was marked by the approaching deadline for bill passage, with only days remaining in the legislative session. Members urged House leadership to prioritize these bills, warning that failure to act would undermine public trust in their capacity to fulfill the Republicans' campaign promises.

Transcript Highlights:

• And so when we talk about whether private equity is good for health care or bad for health care, or good
• We all want safe care. We don't want predatory practices.
• We all want safe care.
• The doctors or other health care providers who are in the chain of care are often named, and it's their
• Has your care ever been at issue in a lawsuit?

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Whether you're a health care provider or a recipient of health care.
• We trusted a health care system that was supposed to care for him.
• for care.
• of care or were harmed by the care they received.
• this care.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• level of health care for New Mexico residents.
• Systems that attract and retain health care providers. Thank you. Thank you. Right.
• I don't care if they're 18 and they're all... Not right, and we're going to protect our kids.
• I don't care if they're 18 and they're all hanging around together or not.
• This legislature has already said that we don't care that they didn't know what age they were.

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Health Care Association of Hawaii in support. Thank you, Chair.
• Um, but so there in your view, we're not getting lesser quality care service provided? No.
• ><c> of</c><00:47:01.480><c> Hawaii</c><00:47:01.800><c> in</c> Uh Health Care Association of Hawaii
• </c> we're not getting lesser quality care we're not getting lesser quality care service<00:49:28.040
• We all see increased health care costs because of the damages caused by tobacco use.

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• The issue is that we don't have enough urgent cares.
• We don't have enough urgent cares around the state.
• of at an urgent care.
• I was at urgent care and was transported.
• I knew it was more than just an urgent care call.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• second thing that we did is that on the bottom of page three, number five, we were clear that the Child Care

Bills: HB1119

Keywords: child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding

Summary: The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body. Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment. Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.

Transcript Highlights:

• Section 7, this is where we did incorporate Senator Shendo's concerns in relation to tribal child care
• centers, and more specifically focused on ensuring that tribal child care centers retain their ability
• to provide child care that is in a linguistic and culturally appropriate manner, so as not to infringe
• You said that was taken care of on the other one? This one. It's—we've had it in both places.
• Let PED take care of their job. Okay. Any other questions? Senator Trujillo? Yeah, as Mr.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• Bible care facility specific.
• or universal child care.
• He's going to get free health care too for child care. I'm worried I get health care. How is that?
• They are the child care. The Boys & Girls Club. Mr. Chair, Senator Lear, they are the child care.
• Their child care.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• The Health Care Affordability Fund was built to use money generated within the health care system and
• Hospitals have uncompensated care.
• problems really are emergencies or urgent.
• We’ve seen health care costs as one of the biggest challenges.
• Yes, this bill creates the Foster Care Plus pilot project, directing CYFD and the Health Care Authority

Bills: SB241, SB145, HB2

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• </c> we are not just a child care committee. we are not just a child care committee.
• I don't care. I don't care.
• That's all I care about.
• That's all I care about.
• </c> early care and education program board. early care and education program board.

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:

• I will do that because I care. out. I will do that because I care.
• </c> important is cuz I care. important is cuz I care.
• But, my point don't care.
• </c> child care is very fragile. child care is very fragile.
• </c> communities without care. communities without care.

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

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:

• The early child care work. The workforce is the infrastructure behind universal child care.
• care facilities.
• Some care is 23 hours a day.
• and health care.
• , personal care.

Bills: SB132, SB241

Keywords: SB132, DOIT, Department of Information Technology, software replacement, equipment replacement, technology funding, revolving fund, capital equipment, enterprise services, state IT budgeting, software budgeting, amortization, depreciation, State Treasurer, Department of Finance and Administration, New Mexico, information technology, IT infrastructure, fund accounting, legislative appropriation

Transcript Highlights:

• </c> care, reducing long-term health care care, reducing long-term health care costs,<00:05:25.919><c
• This patient centric care care care and<00:14:50.240><c> um</c> and um and um excuse<00:14:53.199><c>
• direct primary care.
• direct primary care.
• and long-term care long-term care and long-term care services<00:42:23.040><c> and</c><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:

• It reduces child care wait times and helps build or rebuild the child care early learning system capacity
• </c><00:04:08.560><c> the</c> providers for Family Care goes down the providers for Family Care goes
• </c> 20,250 child care 20,250 child care slots<00:04:56.840><c> this</c><00:04:57.039><c> bill</c><00
• and child care.
• and child care.

Bills: HF656, HF655, HF633

Keywords: child care, childcare, day care, daycare, licensing, variance, licensed capacity, capacity limit, staff qualifications, staffing, child care center, family child care, provider flexibility, Minnesota career lattice, Department of Children Youth and Families, DCYF, licensing rules, enrollment, indoor space, professional development