Transcript Highlights:

• to create uh rules for the new program to create uh rules for the new program and<01:14:06.760><
• I want to point out the reimbursement I want to point out the reimbursement rate<01:38:09.719>
• <01:39:09.960> of they can't rely on reimbursements of they can't rely on reimbursements of
• So it's a great program.
• bill says to contract to set the program bill says to contract to set the program upright<02:38:

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• grant program.
• This discretionary program This discretionary program proposed to deploy Level 2 EV chargers at select
• Also, the Department of Energy State Energy Program funds, as well as Home Efficiency Rebate Program
• Programs.
• The utility programs for the current program that we're in were $400 million over four years.

Keywords: 995, all

Summary: The committee held a hearing on the impact of the Trump administration’s federal climate policy changes on Massachusetts, with a focus on threatened grants, regulatory rollbacks, and state options to continue climate work. Chair Creem and other senators emphasized that Massachusetts still has a 2050 net-zero mandate and needs contingency plans for clean energy, transportation electrification, offshore wind, resilience, and financing if federal support is reduced or withdrawn. Executive branch witnesses said Massachusetts has already experienced disruptions to more than $1 billion in climate-related federal funds, though many suspended grants were restored after litigation by the Attorney General’s office. EEA reported continued uncertainty around a $389 million Grid Innovation Program award and a FEMA dam-safety reimbursement, while MassDOT said its NEVI fast-charging program remains on track with about $50 million obligated, but a $14.4 million competitive charging grant is on hold and future unobligated NEVI funds remain uncertain. Senators also discussed EV rebates, charging infrastructure, the role of the Community Climate Bank, and whether the state can expand independent financing and support for municipalities, higher education, and nonprofits. The Attorney General’s office described successful multi-state litigation that won a temporary restraining order and preliminary injunction against the federal funding freeze, restoring access to many EPA, DOE, USDA, and Interior funds, while noting continued enforcement actions over FEMA manual reviews and other barriers. The office said it is also preparing to defend the endangerment finding, California vehicle-emissions waivers, offshore wind permits, and other federal climate protections. Outside advocates warned that federal tax-credit rollbacks, tariffs, and possible repeal of IRA and infrastructure funding could slow EV adoption and raise costs, while offshore wind testimony said federal permitting pauses and legal challenges are delaying projects and could leave Massachusetts far short of its 2030 offshore wind goals. Nonprofit witnesses also described canceled or delayed grants for wetland restoration and urban heat mitigation, and urged the Legislature to increase state funding, including for the environmental bond bill and municipal vulnerability preparedness work.

Transcript Highlights:

• program as well on a training ground for our canine program over at the Bluegrass Station, where we'll
• very hard to build that canine program very hard to build that canine program as<00:08:57.160>
• the statute said was to be reimbursed. the statute said was to be reimbursed.
• the newest program that um that we have. the newest program that um that we have.
• Kentucky Waters program. Kentucky Waters program.

Keywords: 958, all

Summary: The committee received a budget and program update from Kentucky Emergency Management on the state’s urban search and rescue buildout. Eric Gibson and Doug Hargrave said the legislature’s funding was used to create FEMA-type urban search and rescue capacity, including Kentucky Task Force 1 and 2, the incident support team, and the helicopter aquatic rescue/hoist team. They emphasized that the effort is not just equipment purchases but also training, credentialing, warehouse and training-facility development, canine program expansion, and coordination with local search and rescue agencies across the Commonwealth. Gibson reported that the agency executed 99.4% of the $16.175 million appropriation by the end of the fiscal year and said the team met its readiness target ahead of schedule, with equipment already being deployed in recent flood response operations. He also said $500,000 per year was set aside for local search and rescue grants, with about $482,000 awarded to 29 teams in one year and $490,000 to 36 teams in the next, averaging about $20,000 per grant. Several members urged the committee to consider increasing support for local responders in future budgets, noting rising equipment costs and the importance of local teams as first on scene. Members asked about staffing, coverage, and benefits. Gibson explained that the task force is a mixed workforce of full-time fire personnel loaned from local departments, professional service staff such as doctors and engineers, and temporary deployment staff, with workers’ compensation coverage provided through KYEM and/or home agencies depending on the arrangement. He also said local search and rescue members are not currently included in line-of-duty death benefits. In response to questions about coverage and deployment, he described the two task force locations as designed to keep resources within roughly 100 miles of every Kentuckian. The discussion also turned to recent flood response and disaster recovery. Gibson said the state had mobilized up to 24 teams over the weekend, documented roughly 60 to 80 water rescues or assisted evacuations, and was seeing significant damage in counties such as Cumberland, Clinton, and Metcalfe, including agricultural losses. He said several counties were meeting FEMA public assistance thresholds and that the state was preparing a broader relief request that could include FEMA, SBA, and USDA assistance. He also updated members on efforts to claw back and reallocate unused “strained fiscal liquidity” funds by the statutory deadline, saying notices were sent and funds were redirected where possible to unmet local needs.

Transcript Highlights:

• state in reimbursing. state in reimbursing.
• education program. education program.
• , those things aren't reimbursed.
• , those things aren't reimbursed.
• , those things aren't reimbursed.

Keywords: 916, all

Transcript Highlights:

• uh two coastal zone management program uh two coastal zone management program objectives<00:17:09.839
• Uh that way we're uh reimbursement.
• word reimbursement on page 32 line 15. word reimbursement on page 32 line 15.
• on reimbursements is limited to<01:24:45.199> quote,<01:24:45.600> reimbursements<01:24
• on reimbursement is limited to<01:25:17.280> reimbursement<01:25:18.080> for<01:25:18.400

Keywords: 910, house, all

Summary: The committee heard testimony on several measures. SB 1296 HD1, relating to disaster recovery, would exempt reconstruction of lawfully constructed structures damaged or destroyed in a declared disaster from special management area permits under certain conditions. OPSD, DLNR, the County of Maui, Front Street Recovery, and the Grassroot Institute supported the bill, saying it would speed rebuilding after disasters like the Maui fires; one witness noted the bill would not cover shoreline parcels unless amended, and members asked about the five-year rebuild window, the meaning of “lawfully constructed,” and whether unlawful structures were excluded. Testimony was also heard on SB 1413, which would allow the Hawaii Public Housing Authority to dispose of abandoned property in federal public housing projects after notice and within five days; HPHA said the bill would help address illegal dumping and clarify procedures. SB 31 HD1, concerning discriminatory restrictive covenants, was briefly described and had support from the Hawaii Civil Rights Commission and comments from the Uniform Law Commission, with no in-person testimony. The committee then heard SB 1341, which would add HEMA and the Office of Homeland Security to agencies allowed to review energy industry information and would expand the program’s emergency-management purpose. The Hawaii State Energy Office supported the measure, saying the data is important for emergency response and fuel-supply planning. SB 10008 HD1 would authorize counties to adopt ordinances enforcing accessible parking space requirements and clarify county enforcement of EV-related parking provisions; the Disability and Communication Access Board strongly supported the accessible-parking provisions, saying current enforcement is weak, while noting section three on EV spaces is already largely in statute and could be struck if the committee preferred. Tina Yamaki of the Retail Merchants of Hawaii testified in opposition. Finally, the committee heard SB 1028 SD1 HD1, which would eliminate fees, fines, and court costs for offenses committed by minors, discharge existing related debt, limit community service for minors to 72 hours, and repeal certain penalties tied to minors and their parents or guardians. The Office of the Public Defender, Office of Hawaiian Affairs, the Juvenile Justice State Advisory Council, Community Alliance on Prisons, and DebtFree Justice Hawaii supported the bill, arguing that youth fines burden families, worsen poverty, and disproportionately affect Native Hawaiian youth. The Department of the Attorney General offered comments, raising possible constitutional title issues because the current draft incorporates material from HB 129 and includes sections that may relate more to restitution or curfew than to fines and fees; supporters responded that the title is sufficient and cited case law. No votes or final actions were taken on the measures in the portion of the meeting provided.

Transcript Highlights:

• primary one is bed hold reimbursement. primary one is bed hold reimbursement.
• > the Bed hold reimbursement allows the Bed hold reimbursement allows the facility<00:26:00.080
• or reimbursements. or reimbursements.
• hold reimbursements. hold reimbursements.
• programs available. So, thank you. programs available. So, thank you.

Keywords: 958, all

Transcript Highlights:

• As worthy as those educational programs are, the Fair Share Amendment was envisioned to attempt to spend
• And another $13 million will go toward reimbursing the T for the Sumner-Tunnel closure costs of FY23
• so that both the state and our municipalities can better meet the funding goals of this worthy program
• So that both the state and our municipalities can better meet the funding goals of this worthy program
• Meanwhile, a mere 10% is committed to local municipal roads in a pilot program, which is a grant program

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and adopted two ceremonial resolutions: one commemorating the dedication of the Woburn Battle Road Memorial as part of the Massachusetts 250th celebration, and another recognizing May 1-7 as Elks National Youth Week. The chamber then took up House Bill 4005, a fiscal year 2025 supplemental appropriations bill using FY24 Fair Share surtax surplus funds, and ordered it to a third reading before later considering it for passage to be engrossed. During debate on the bill, the House heard a lengthy presentation in support of the proposal, which would direct about $828 million to transportation and $353 million to education. The transportation spending was described as primarily supporting the MBTA, including workforce and safety funding, reserve replenishment, station and infrastructure improvements, reduced fares, and reimbursement for tunnel closure costs, along with smaller amounts for regional transit authorities and unpaved roads. The education side included additional special education circuit breaker funding, vocational school capital, early education workforce supports, early literacy, universal school meals, higher education endowment matches, Green School Works, and ESOL waitlist reduction, with the Inspector General directed to review circuit breaker cost controls. Members then debated several amendments. One amendment related to a school athletics policy was modified by a further amendment calling for DESE analysis before implementation; both the further amendment and the underlying amendment as amended were adopted. A transportation amendment to shift $50 million from MBTA funding to Chapter 90 municipal roads was supported by members emphasizing rural road needs but was rejected on a roll call, 25-120. Another transportation amendment adding at least $300,000 for Route 93 mitigation costs in Medford was adopted, 133-20. The bill itself then passed to be engrossed on a roll call, 140-14. The House also observed moments of silence for former First Lady Kitty Dukakis and for victims of the Santo Domingo nightclub collapse, and later adopted an order to meet the next day at 11 a.m. before adjourning in memory of former Representative Philip W. Johnston.

Transcript Highlights:

• After completing the MAP program, he plans to continue working in politics and public service.
• After completing the MAP program, he plans to continue working in politics and public service before
• The bill expands financial aid and tuition waiver programs and clarifies oversight.
• Federal reimbursements must be used for federal-declared emergencies. Senator Pizzo. Thank you.
• The timing of our reimbursement today is unknown. We have a commitment and a promise.

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several member introductions of guests and staff. The chamber then took up returning messages from the House and acted on several bills, including transportation facility designations (SB 628), affordable housing/Live Local Act changes (HB 1389), utility services (HB 1451), education (HB 1279 substituted for SB 7038), data centers (SB 484), and land use/development regulations (SB 208/HB 399). Several other measures were temporarily postponed, including education, emergency services, and environmental rule ratification bills. On SB 628, the Senate concurred in the House amendment and passed the bill 31-4. On the affordable housing bill, senators discussed the fourth iteration of the Live Local Act, including a new provision allowing certain affordable housing on religious institution property, removal of accessory dwelling unit language, and changes to tax exemption and expiration provisions; the Senate concurred in the House amendment and passed the bill 35-0. On the utility services bill, the House amendment shortened the surcharge phase-out timeline and advanced reporting dates; the Senate concurred and passed the bill 30-6. The education package was substituted with the House companion, amended to include agreed-upon provisions on student health and safety, early learning, math, virtual instruction, career and technical education, school choice, accountability, tuition protections, and financial aid, and passed 36-1. The data centers bill drew extensive debate over transparency and ratepayer protections. Senators questioned the removal of the Senate’s nondisclosure agreement prohibition, the 12-month confidentiality period, and whether costs could be shifted to residential and commercial customers. Supporters said the amendment strengthened ratepayer protections and maintained local land-use authority, while critics objected to the loss of transparency and the possibility of local NDAs. After debate, the Senate concurred in the House amendment and passed the bill 31-6. The land use and development bill generated the most contentious discussion. Amendments addressed a Fontainebleau/Miami Beach resort water park issue, a sunset provision, and a major rural boundary/property rights proposal affecting counties such as Orange and Seminole. Senators debated whether the rural boundary language protected property rights or undermined local planning and environmental safeguards, with concerns raised about takings, county liability, and the use of an Attorney General opinion. The transcript cuts off during extended debate on that amendment, so no final vote on the land use bill is shown in the excerpt.

Transcript Highlights:

• Last year, there was a pilot program.
• Current MassHealth reimbursement does not reflect the actual cost.
• home- and community-based services programs is $2,901.
• and community-based services programs is $2,901.
• Our school-based Medicaid program should be a powerful tool to leverage.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• And so then we work with our Myers and Staffer on those programs to establish reimbursement rates.
• And so then we work with our Myers and Staffer on those programs to establish reimbursement rates.
• And so then we work with our Myers and Staffer on those programs to establish reimbursement rates.
• And so then we work with our Myers and Staffer on those programs to establish reimbursement rates.
• On those programs to establish reimbursement rates.

Keywords: 958, all

Summary: The committee met with a quorum and first approved the minutes from its May 13 meeting. Members then reviewed a deferred contract with the Kentucky Board of Pharmacy for the Kentucky Pharmacist Recovery Network (KYPRN), a program that provides monitoring and support for pharmacists and pharmacy interns with substance abuse or mental health issues. Board representatives explained that the contract is a long-running arrangement, renewed periodically, with an option for two additional two-year renewals. Senators asked about the program’s structure, participation trends, follow-up, and consequences for noncompliance. The board said enrollment has remained fairly consistent at about 52 participants, with roughly 500 participants over the life of the program, weekly and monthly check-ins during the five-year typical enrollment period, and possible additional sanctions if participants fail to meet obligations. The committee then approved the contract. The committee next considered a group of economic development contracts, including items from the Cabinet for Economic Development. Secretary Jeff Null and general counsel Matt Wingate testified about contracts tied to regional innovation and entrepreneurship hubs. Members focused on the large differences in funding between regions and pressed for more support for rural and eastern Kentucky. Null said the cabinet is working on a more tailored, non-one-size-fits-all approach, including possible changes to capital support, build-to-suit options, and additional resources for rural areas. He said the hubs have helped 193 startups over the last two years and helped attract nearly $350 million in private capital, and he agreed to provide a written report by hub district on startup viability. The committee approved the economic development contracts. The Kentucky Lottery Corporation then presented its contracts with vendor IGT for retail and internet sales systems. Lottery officials said the contracts are mission-critical, cover both the traditional retail system and iLottery, and are structured as a percentage of sales so no payment is made until revenue is earned. They described planned equipment upgrades, including refreshed terminals, new ticket checkers, cashless vending and bill acceptors, and connected-play features that would link retail and online wallets. Officials said keeping the same vendor reduces the risk of business disruption and that the arrangement has already produced cost savings. They also said the lottery continues to see year-over-year growth and expects to meet its annual contribution target of $360 million for scholarships and grants. The committee approved the lottery contract after discussion.

Transcript Highlights:

• planning<00:21:32.800> and Uh within the program planning and Uh within the program planning
• STS providers, the reimbursement rate is STS providers, the reimbursement rate is low,<00:36:47.440><
• create a pool of money to reimburse create a pool of money to reimburse drivers<00:39:17.560>
• > low<01:00:45.920> to Reimbursement rates are too low to Reimbursement rates are too low
• programs, Voluntary incentive-based programs, grant<01:15:52.160> programs<01:15:52.760> in

Keywords: 1187, senate, all

Transcript Highlights:

• fresh reimbursement program for healthy fresh reimbursement program for healthy fresh food<00:58:
• donated over $170,000 into a program donated over $170,000 into a program that<00:58:46.400>
• um surrounding the PACE program and um um surrounding the PACE program and um is<01:12:30.719> that
• So, I funding for programs like PACE.
• <01:18:09.120> through and we're working on programs through and we're working on programs

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:01:00 Approval of Minutes 00:02:31 Kentucky Farm Bureau 00:02:42 Kentucky Department of Agriculture 00:28:18 Kentucky Cattlemen's Association 01:48:13, 958, all

Summary: The committee heard first from Kentucky Farm Bureau leaders, who outlined the organization’s current priorities and recent work on farmland transition. Eddie Melton said Farm Bureau is working through 983 county and advisory committee resolutions and highlighted support for the updated selling farmer tax credit, now law through House Bill 775, as well as Senate Bill 28’s agriculture economic development provisions. He said Farm Bureau’s likely priorities include maintaining the 50% share of the tobacco settlement fund for agriculture, protecting funding for the Kentucky Department of Agriculture, preserving sales tax exemptions on farm inputs, keeping property taxes controlled, and exploring additional tools to keep farmland in active farmers’ hands, including possible loan or inheritance-tax changes. He also raised concerns about eminent domain transparency, nuisance deer permits, and access to agricultural inputs and crop protection products. Alita Bots described the farmland transition initiative in more detail, saying the revised state tax credit is generating strong interest and that a new federal tax provision now allows eligible land sales to actively engaged farmers to spread capital gains taxes over time. She said the initiative has reached 22 counties and more than 1,300 people this year through outreach and meetings, and that Farm Bureau is pairing policy work with resources to help farm families plan transitions and prepare wills and other estate documents. Drew Graham added that the effort is also meant to bridge the rural-urban divide and support rural communities, and Farm Bureau invited members to its annual meeting in early December. Members asked about rising insurance costs and deer damage. Farm Bureau representatives said severe convective storms, inflation, and higher repair and material costs have driven insurance rate increases, citing five major storm events since 2021 and a recent Owensboro hailstorm that caused about $350 million in losses; they said the company is moving toward percentage deductibles to help moderate increases. On deer, they said crop-loss totals are hard to quantify but acknowledged the problem and discussed possible coordination with the Department of Fish and Wildlife and Hunters for the Hungry. Commissioner Jonathan Shell then began the Department of Agriculture presentation, reporting gains from the department’s school agriculture outreach program, including a 23% increase in county participation between March and September and improved teacher-reported student learning, before continuing into the department’s legislative priorities.

Transcript Highlights:

• than the other programs. Miss Pen, Mr. than the other programs. Miss Pen, Mr.
• For example, our federal program.
• of DHS licensed programs.
• They were enrolled in our program and substance use programs.
• Not in our program at in our program.

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:

• work program in the current year.
• enhance reimbursements for Medicaid services.
• Under this program...
• Under this program, federal law requires that state Medicaid programs make payments to certain qualifying
• , from Medicaid over to KidCare, to the CHIP program.

Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.

Transcript Highlights:

• It's a federal program that provides reimbursement for nutritious meals and snacks.
• The food care program provides reimbursement for nutritious meals and snacks to eligible children who
• sponsor type that a provider works with for reimbursement, and in a few cases, food program sponsor
• type 2 or program type 3.
• program, among other programs.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• student, program cost factors or weights are added to the FTE.
• Fluctuations and funding can affect the community of our programs, the continuity of our programs, excuse
• Program, because with the personalized education program, for instance—and I know that's not what we're
• I mean, they are getting that reimbursement because the SFO is paying that back.
• We got reimbursed $24,000 for that student.

Summary: The Pre-K through 12 Budget Subcommittee met to review how Florida’s Education Finance Program (FEFP) works, receive an update from the Department of Education on the October 2024 FTE survey and third FEFP calculation, and hear from three county superintendents about forecasting enrollment and reconciling scholarship students. The chair explained that FEFP is funded by both state and local dollars, is recalculated multiple times during the year, and is now closely tied to school choice policy. Department staff said the third calculation was still being rerun but should be completed soon, and described the forecasting process as collaborative among districts, DOE, and the Education Estimating Conference. Superintendents from Polk, St. Lucie, and Hendry counties said enrollment shifts, especially students moving to Family Empowerment Scholarships, homeschooling, or private schools, make budgeting and staffing difficult. They said districts often must hold back funds to protect against midyear losses, which affects collective bargaining, staffing, transportation, and classroom organization. Several members raised concerns about duplicate counting, transparency, and whether students receiving scholarship funds can also remain in district classrooms. DOE said districts can access scholarship information through a secure portal and that scholarship funding organizations are paid quarterly, with a new process requiring certification and possible future payment adjustments to reduce duplication. The superintendents urged better real-time tracking of students through a statewide ID or student information system and suggested scholarship students should be funded separately from district FEFP calculations. Members also discussed whether more frequent or daily attendance-based calculations would improve accuracy, though some warned that daily attendance could create new problems for high-poverty districts. The committee also briefly discussed categoricals, including mental health and ESE funding, with DOE saying it evaluates programs through studies, reporting requirements, and legislative direction. No votes were taken; the meeting ended with a motion to rise and adjourn.

Transcript Highlights:

• or immigration, also put these other programs in jeopardy.
• or immigration, also put these other programs in jeopardy.
• in 2024 alone domestic violence programs in 2024 alone domestic violence programs served<00:10:05.120
• and then we draw down and get reimbursed and then we draw down and get reimbursed for<00:15:41.720
• Programs have already started to make changes.

Keywords: 1187, senate, all

Transcript Highlights:

• The vaccination is provided and paid for by the Vaccines for Children program.
• So that is not related to the reimbursement rate itself. That is related to the limit.
• And we couldn't increase reimbursement rates based on a specific diagnosis.
• So that is not related to the reimbursement rate itself. That is related to the limit.
• aspects of the insurance program, and puts them into the rules.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• Section 407.3703, Administration of Statewide Leave Sharing Program.
• That may expand or create defined benefit programs. Any further questions?
• Section 75-09-11-04 amended to provide for the review of a decision for a program whose request for reimbursement
• Section 7509.114 amended to provide for the review of a decision for a program whose request for reimbursement
• for the SUD voucher where previously it said only a program could apply.

Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.

Transcript Highlights:

• This is how the reimbursement process would work.
• Just wondering a little bit about what we're doing here with the program evaluators.
• But right now there is no reimbursement for those that live outstate. It's a daily rate.
• That's a proposed additional position, but you see three program evaluators, one senior and two program
• We might do, you know, another $135 million for a new program for, not a new program, but additional

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