Transcript Highlights:

• This was in '99, and the reimbursement rate was very poor—very, very poor—not sustainable.
• We're setting our reimbursement rates using cost models that reflect the true cost.
• And so, are reimbursement rates improving childhood outcomes? Not proven.
• So co-payments for people up to 85% state median income is the federal law.
• There's still reimbursement rates based on the star levels.

Keywords: 996, all

Transcript Highlights:

• rates need to get their reimbursement rates need to get their reimbursement rates for going uh in network
• Uh a lot of not been getting reimbursements and the getting reimbursements and the getting reimbursements
• So reimbursement levels have been low. So reimbursement levels have been low.
• that are going on. and reimbursements that are going on. and reimbursements that are going on.
• must be any amount above those payments must be any amount above those payments must be transferred

Bills: SCR 4 , SCR 18 , SCR 43 , SB 227 , SB 269 , SB 330 , SB 434 , SB 437 , SB 438 , SB 463 , SB 528 , SB 584 , SB 604 , SB 663 , SB 668 , SB 682 , SB 747 , SB 841 , SB 912 , SB 968 , SB 1013 , SB 1020 , SB 1044 , SB 1137 , SB 1138 , SB 1143 , SB 1164 , SB 1169 , SB 1200 , SB 1236 , SB 1244 , SB 1299 , SB 1325 , SB 1335 , SB 1369 , SB 1410 , SB 1418 , SB 1422 , SB 1455 , SB 1468 , SB 1495 , SB 1534 , SB 1579 , SB 1580 , SB 1612 , SB 1624 , SB 1667 , SB 1734 , SB 1745 , SB 1746 , SB 1760 , SB 1784 , SB 1860 , SB 1862 , SB 1864 , SB 1896 , SB 1898 , SB 1920 , SB 1940 , SB 1952 , SB 1998 , SB 1999 , SB 2004 , SB 2032 , SB 2052 , SB 2068 , SB 2073 , SB 2121 , SB 2127 , SB 2141 , SB 2145 , SB 2161 , SB 2167 , SB 2196 , SB 2207 , SB 2216 , SB 2246 , SB 2323 , SB 2332 , SB 2395 , SB 2429 , SB 2431 , SB 2439 , SB 2443 , SB 2581 , SB 2601 , SB 2629 , SB 2702 , SB 2705 , SB 2717 , SB 2798 , SB 2873 , SB 2881 , SB 2964 , SB 3034 , SCR 4 , SCR 38 , SB 39 , SB 227 , SB 240 , SB 330 , SB 401 , SB 407 , SB 467 , SB 506 , SB 512 , SB 527 , SB 584 , SB 618 , SB 619 , SB 636 , SB 648 , SB 663 , SB 715 , SB 732 , SB 758 , SB 801 , SB 843 , SB 847 , SB 870 , SB 957 , SB 1013 , SB 1020 , SB 1065 , SB 1152 , SB 1164 , SB 1181 , SB 1183 , SB 1257 , SB 1283 , SB 1299 , SB 1325 , SB 1349 , SB 1395 , SB 1433 , SB 1455 , SB 1490 , SB 1558 , SB 1574 , SB 1624 , SB 1626 , SB 1640 , SB 1717 , SB 1718 , SB 1727 , SB 1734 , SB 1756 , SB 1757 , SB 1789 , SB 1832 , SB 1845 , SB 1868 , SB 1920 , SB 1924 , SB 1964 , SB 2004 , SB 2018 , SB 2031 , SB 2037 , SB 2052 , SB 2073 , SB 2075 , SB 2080 , SB 2111 , SB 2117 , SB 2154 , SB 2161 , SB 2196 , SB 2206 , SB 2253 , SB 2268 , SB 2322 , SB 2323 , SB 2349 , SB 2533 , SB 2540 , SB 2570 , SB 2623 , SB 2626 , SB 2658 , SB 2660 , SB 2692 , SB 2705 , SB 2717 , SB 2722 , SB 2742 , SB 2743 , SB 2753 , SB 2788 , SB 2877 , SB 2900 , SB 2920 , SB 3031 , SB 5 , SB 260 , SB 1786 , SB 1 , HJR 4 , HB 135 , HB 1109 , SJR 36 , SJR 50 , SJR 63 , SJR 84 , SJR 59 , SCR 12 , SCR 39 , SCR 38 , SCR 4 , SCR 18 , SCR 43 , SCR 46 , SCR 48 , SCR 19 , SB 2023 , SB 1257 , SB 240 , SB 1727 , SB 870 , SB 618 , SB 62 , SB 666 , SB 847 , SB 284 , SB 854 , SB 1073 , SB 810 , SB 1505 , SB 583 , SB 1502 , SB 507 , SB 1026 , SB 1349 , SB 1433 , SB 1434 , SB 1376 , SB 1585 , SB 1772 , SB 2016 , SB 1163 , SB 619 , SB 1122 , SB 732 , SB 731 , SB 397 , SB 508 , SB 1436 , SB 287 , SB 261 , SB 1882 , SB 393 , SB 1791 , SB 529 , SB 209 , SB 2429 , SB 1999 , SB 511 , SB 2309 , SB 510 , SB 1860 , SB 2037 , SB 1924 , SB 2253 , SB 2018 , SB 2206 , SB 1299 , SB 841 , SB 668 , SB 584 , SB 1085 , SB 2431 , SB 1490 , SB 1868 , SB 2314 , SB 434 , SB 2046 , SB 1667 , SB 2127 , SB 1975 , SB 1760 , SB 1734 , SB 1335 , SB 2246 , SB 2439 , SB 1624 , SB 1244 , SB 1468 , SB 2717 , SB 1612 , SB 1262 , SB 604 , SB 2395 , SB 1832 , SB 1745 , SB 1746 , SB 2207 , SB 1784 , SB 1524 , SB 528 , SB 437 , SB 269 , SB 1137 , SB 968 , SB 636 , SB 747 , SB 1325 , SB 1455 , SB 2056 , SB 1940 , SB 2052 , SB 1579 , SB 2068 , SB 3034 , SB 1920 , SB 1558 , SB 1236 , SB 1044 , SB 884 , SB 463 , SB 227 , SB 517 , SB 1200 , SB 1410 , SB 1626 , SB 1845 , SB 1863 , SB 2216 , SB 2681 , SB 1717 , SB 2141 , SB 2323 , SB 2200 , SB 2332 , SB 2199 , SB 1757 , SB 2050 , SB 1138 , SB 2458 , SB 1864 , SB 2201 , SB 1862 , SB 1055 , SB 2660 , SB 1898 , SB 2662 , SB 2161 , SB 2964 , SB 2881 , SB 1065 , SB 801 , SB 2743 , SB 2533 , SB 2073 , SB 3014 , SB 3013 , SB 2702 , SB 2629 , SB 2443 , SB 2349 , SB 2167 , SB 2145 , SB 2121 , SB 758 , SB 648 , SB 647 , SB 512 , SB 438 , SB 1721 , SB 2268 , SB 1495 , SB 2705 , SB 2366 , SB 1422 , SB 1369 , SB 1013 , SB 682 , SB 2692 , SB 2570 , SB 2797 , SB 2111 , SB 1896 , SB 1164 , SB 1020 , SB 663 , SB 2371 , SB 1152 , SB 2196 , SB 2383 , SB 2581 , SB 2798 , SB 330 , SB 646 , SB 843 , SB 1998 , SB 1418 , SB 2788 , SB 1169 , SB 2873 , SB 1754 , SB 1534 , SB 1718 , SB 2779 , SB 2004 , SB 1143 , SB 1756 , SB 912 , SB 2119 , SB 2032 , SB 527 , SB 1580 , SB 1952 , SB 2601 , SB 2322 , SB 2448 , SB 1777 , SB 1283 , SB 407 , SB 2392 , SB 2076 , SB 2786 , SB 3031 , SB 2877 , SB 2876 , SB 2284 , SB 2225 , SB 1540 , SB 2920 , SB 2929 , SB 1395 , SB 1972 , SB 2540 , SB 1183 , SB 2742 , SB 2595 , SB 2217 , SB 2117 , SB 715 , SB 2330 , SB 1964 , SB 1383 , SB 500 , SB 1640 , SB 39 , SB 2001 , SB 2080 , SB 2722 , SB 506 , SB 2514 , SB 2623 , SB 2658 , SB 1574 , SB 2900 , SB 2753 , SB 2398 , SB 401 , SB 1241 , SB 2927 , SB 2173 , SB 2538 , SB 898 , SB 467 , SB 1449 , SB 2529 , SB 1531 , SB 2846 , SB 2476 , SB 2031 , SB 986 , SB 1181 , SB 2075 , SB 2154 , SB 2864 , SB 31 , SB 2880 , SB 1359 , SB 2386 , SB 771 , SB 2844 , SB 2550 , SB 1351 , SB 1423 , SB 1931 , SB 2245 , SB 2589 , SB 2707 , SB 2807 , SB 2351 , SB 410 , SB 659 , SB 816 , SB 2776 , SB 2693 , SB 2580 , SB 1980 , SB 1886 , SB 1234 , SB 739 , SB 482 , SB 456 , SB 127 , SB 1666 , SB 2843 , SB 2801 , SB 800 , SB 2055 , SB 784 , SB 2986 , SB 735 , SB 1012 , SB 324 , SB 2926 , SB 2938 , SB 2007 , SB 2138 , SB 1242 , SB 843 , SB 1152 , SB 1164 , SB 1299 , SB 1349 , SB 1868 , SB 2037 , SB 2349 , SB 2788 , SB 39 , SB 1183 , SB 1717 , SB 1832 , SB 2743 , SR 429 , SR 432 , SCR 38 , SB 39 , SB 240 , SB 618 , SB 870 , SB 1183 , SB 1257 , SB 1717 , SB 1727 , SB 1832 , SB 2743 , SB 2 , SB 3058 , SB 3059 , HB 6 , HB 14 , HB 43 , HB 100 , HB 136 , HB 149 , HB 204 , HB 206 , HB 307 , HB 467 , HB 685 , HB 1130 , HB 1393 , HB 1644 , HB 2027 , HB 2118 , HB 2176 , HB 2468 , HB 2488 , HB 2525 , HB 2596 , HB 2890 , HB 2894 , HB 3077 , HB 3114 , HB 3204 , SCR 4 , SCR 18 , SCR 43 , SB 269 , SB 330 , SB 434 , SB 437 , SB 438 , SB 463 , SB 528 , SB 604 , SB 663 , SB 668 , SB 682 , SB 747 , SB 841 , SB 912 , SB 968 , SB 1020 , SB 1044 , SB 1138 , SB 1143 , SB 1236 , SB 1244 , SB 1325 , SB 1335 , SB 1369 , SB 1418 , SB 1422 , SB 1455 , SB 1468 , SB 1495 , SB 1534 , SB 1579 , SB 1580 , SB 1612 , SB 1624 , SB 1667 , SB 1734 , SB 1745 , SB 1746 , SB 1760 , SB 1784 , SB 1860 , SB 1862 , SB 1864 , SB 1896 , SB 1898 , SB 1920 , SB 1940 , SB 1952 , SB 1998 , SB 2032 , SB 2052 , SB 2068 , SB 2073 , SB 2121 , SB 2127 , SB 2141 , SB 2145 , SB 2161 , SB 2167 , SB 2196 , SB 2207 , SB 2216 , SB 2246 , SB 2323 , SB 2332 , SB 2395 , SB 2431 , SB 2439 , SB 2443 , SB 2581 , SB 2601 , SB 2629 , SB 2702 , SB 2705 , SB 2798 , SB 2873 , SB 2881 , SB 2964 , SB 3034 , SB 227 , SB 584 , SB 1013 , SB 1137 , SB 1169 , SB 1200 , SB 1299 , SB 1410 , SB 1999 , SB 2004 , SB 2429 , SB 2717 , SB 3058 , SB 3059 , HB 6 , HB 14 , HB 43 , HB 100 , HB 136 , HB 149 , HB 204 , HB 206 , HB 307 , HB 467 , HB 685 , HB 1130 , HB 1393 , HB 1644 , HB 2027 , HB 2118 , HB 2176 , HB 2468 , HB 2488 , HB 2525 , HB 2596 , HB 2890 , HB 2894 , HB 3077 , HB 3114 , HB 3204

Keywords: Pflugerville, Trail Capital, health and wellness, outdoor recreation, community connectivity, patriotism, town designation, community engagement, Trophy Club, Texas Town of Patriotism, Port Aransas, Mustang Island, Fishing Capital of Texas, Texas fishing, coastal tourism, charter fishing, deep-sea fishing, bay fishing, pier fishing, angling

Transcript Highlights:

• Ultimately, the payment clarifications Ultimately, the payment clarifications in<02:39:58.880><c> this
• </c><04:30:47.199><c> through</c> receive taxpayer funded payments through receive taxpayer funded payments
• </c><05:07:44.718><c> It</c> through a simple lumpsum payment. It through a simple lumpsum payment.
• instead of requiring reimbursement for each individual expense. to be fully reimbursed.
• </c><05:09:17.840><c> dedicate</c> relocation reimbursements dedicate relocation reimbursements dedicate

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 20, 2026, 1012, house, all

Transcript Highlights:

• and saying, and this is a rough example, we’ll give you half of it right now. ...we’ll take the payments
• We are going to be short about $20,000 to make that last two payments.
• requests with the goal of determining the root cause of payment delays and ensuring compliance with
• the 30-day payment terms in its contract with vendors.
• Figure 6 illustrates the steps in the request for reimbursement process.

Keywords: 928, house, all

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• Those seem to me to be the sources of payment for all these treatments.
• Those seem to me to be the sources of payment for all these treatments.
• Those seem to me to be the sources of payment for all these treatments.
• </c><01:36:05.360><c> We</c><01:36:05.520><c> did</c> coverage for doula reimbursement.
• We did coverage for doula reimbursement.

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:04:21.720><c> program</c> compensation support payment program compensation support payment program
• payment payment um<00:07:49.440><c> I</c><00:07:49.560><c> can</c><00:07:49.759><c> give</c><00:07:49.919
• payment payment if<00:08:00.720><c> the</c><00:08:00.960><c> provider</c><00:08:01.759><c> is</c><00
• </c><00:47:39.400><c> if</c> can withhold or end CCAP payments if can withhold or end CCAP payments if
• <00:49:03.200><c> in</c> payments in payments in 2024<00:49:04.960><c> and</c><00:49:05.119><c> there

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• They're the ones who set out mitigation payment requirements.
• </c><01:13:48.159><c> And</c><01:13:48.640><c> so</c> mitigation payment requirements.
• And so mitigation payment requirements.
• Those dollars are used to reimburse the fund, and then the operators are reimbursed for any repairs that
• </c><01:25:35.679><c> for</c> then um the operators are reimbursed for then um the operators are reimbursed

Keywords: 928, house, all

Summary: The Joint Committee on Dedicated Funds met to review the House budget provision that would impose a 5% administrative charge on a broad list of dedicated funds, with some exemptions. Members discussed the House approach versus the Senate’s more general approach of leaving the governor discretion over which funds could be charged. The chair explained the committee was hearing from agencies about any legal, contractual, or practical reasons their funds should be exempt, and the agenda was expanded to include several departments and written submissions from others. The Department of Education testified first, identifying several funds it said should be exempt: a printing revolving fund that is funded by transfers rather than fees; teacher certification, which is self-funded by educator licensing fees and would require an immediate fee increase if charged; a vending stand set-aside tied to the federal Randolph-Sheppard program and subject to federal approval and vendor committee procedures; and a public school infrastructure/safety account, where most revenue is transferred from the education trust fund or general fund rather than generated by fees. Members questioned the department about the effect on school safety projects and whether the fee would simply reduce the number of projects completed each year. The Veterans Home asked for exemptions for three funds: a donation benefit account used for recreational activities and quality-of-life expenses for residents, a small memorial trust fund whose interest supports veteran activities, and a resident member account that holds veterans’ personal income such as Social Security and pensions. The department argued the charge would reduce donations, cut services, and effectively function like an income tax on vulnerable veterans. The Banking Department also requested exemption for its consumer credit administration license fund, saying it is used to keep exam fees low and is expressly intended by statute to reduce costs on regulated businesses; it said the 5% charge would undermine that framework and could eventually force higher fees. The Department of Justice began testimony on its dedicated funds, starting with the medical legal investigative fund, which pays for death investigations and related services under statute and without general fund support. No votes or final actions were taken in the portion of the meeting provided; the committee mainly heard testimony and asked questions about the practical and legal effects of applying the administrative charge.

Transcript Highlights:

• Line 47 is the UI reimbursement bianium.
• Line 139 is for UI reimbursement of $1,618,000.
• Line 185 is for UI reimbursement. It's $732,000 and remains unchanged.
• </c> Morris campus scholarship payment Morris campus scholarship payment assistance<00:18:06.400><c>
• Line 185 is for UI reimbursement.<00:18:19.840><c> It's</c> reimbursement. It's reimbursement.

Keywords: 919, house, all

Summary: The committee took up House File 2312 and first adopted the DE1 amendment, after which the amended bill was discussed. Nonpartisan fiscal staff walked through the spreadsheet and explained the bill’s higher education budget changes, including increases for state grants and tribal college assistance, unchanged funding for several existing programs, and reductions or eliminations for items such as state work study, summer academic enrichment, student loan counseling, concurrent enrollment, and the student parent support initiative. Staff also noted transfers to special revenue funds, the cancellation and reappropriation of ALS research funding, and a new licensing/registration revenue item. The committee was told the bill met the committee’s zero target overall, with a net general fund change of zero relative to the February forecast, while also adding some non-general fund expenditures for program licensing and registration. Members asked several questions about the transfers and specific line items, including whether any new special revenue accounts were being created, the foster care wraparound services line, and the treatment of the University of Minnesota and Centric Care partnership. Staff explained that the transfers generally did not create new accounts, that some items were not in the base, and that the U of M/Centric Care partnership was a one-time appropriation in the prior bill but was now being built into the base at a different amount. The University of Minnesota section also included new or continued funding for medical school development, health training restoration, emergency assistance grants, ALS research, and a weather resiliency program, while the Mayo Foundation section eliminated funding for Mayo Medical School and the Mayo family medicine residency program. The policy portion of the DE1 was then introduced. It included a maximum tuition and fee amount for state grants, direct appropriation of emergency assistance grants to Minnesota State, a juvenile justice appropriation for Metropolitan State University, and the ALS research reappropriation to the University of Minnesota. It also contained repealers for unfunded programs, including a delayed repealer for the student parent support initiative. In the higher education policy article, the bill would allow Minnesota State to offer applied doctoral degrees in cybersecurity, make technical changes to hunger-free campus and sexual misconduct procedures, extend pregnant and parenting student protections to private institutions, allow OHE to retain up to 10% of certain competitive grants for administration, consolidate reports, change the state grant formula so negative FAFSA contributions count as zero, and reduce the state grant lifetime credit cap from 180 to 120 credits. The Northstar Promise provisions would limit tuition and fees to resident rates and require MnState, and request the University of Minnesota, to ensure eligible students receive the benefit.

Transcript Highlights:

• That means they would receive payment at the beginning of the service month instead of at the end.
• This settle up is for future payments, and we believe that it is a constitutional proposal, so I would
• We oppose any premiums because we know payments of any amount cause people to lose coverage.
• I want to thank the Legislature for the delay and the cut on Prop 66 dental payments.
• cuts, requiring that Prop 35 reproductive health dollars are used for reimbursement rates, providing

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• This certainty has to do with making sure that the person who's responsible for the payment of damages
• Is there anything in here that creates projections for what Medicare or Medicaid reimbursements might
• That does include insurance who are paying because ultimately we are all part of that system of payment
• And that's kind of grounding the expectation of payment. Is that a pretty accurate summary of our?
• And reimbursement rates.

Bills: SB2030 , SB1926 , SB2170 , SB2151 , SB2166 , SB1213 , SB1381 , SB1824 , SB1876 , SB1728 , SB1582 , SB1286 , SB1386 , SB1708 , SB1618

Committee: Senate Judiciary

Keywords: expungement, record sealing, criminal records, clean slate, automatic expungement, expedited expungement, criminal history, OSBI, Oklahoma State Bureau of Investigation, deferred judgment, delayed sentence, pardon, pardon and parole board, law enforcement records, sealed records, arrest records, conviction records, reclassification of felony to misdemeanor, reentry, second chance

Transcript Highlights:

• And the second part is to help be a reimbursement for search and rescue missions only.
• of all involved, minimizing liability against the state in the case of an accident, and ensuring payments
• all involved, minimizing the liability against the state in the case of an accident, and ensure payments
• , The liability against the state in the case of an accident, and ensure payments only go to departments
• Could increase the cost or look like a new program, giving out money as opposed to reimbursing and building

Bills: SB6084 , SB6044 , SB5950 , SB6046 , SB5763 , SB5784

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: elections, double voting, voting twice, multiple voting, same-day election, primary election, general election, special election, cross-state voting, ballot fraud, election fraud, voter misconduct, RCW 29A.84.660, State v. Padilla, civil infraction, class C felony, Secretary of State, Washington elections, election law, voter eligibility

Transcript Highlights:

• And then last under this category, $6.4 million to increase daily reimbursement rates under the statewide
• and... $1.4 million to increase daily reimbursement rates under the statewide inpatient psychiatric
• The next item I want to highlight is $7.1 million to implement a new payment rate for private duty nursing
• And we have had a huge issue with payment under the fee-for-service program for the private duty nursing
• For years, we talked about how those reimbursement rates were low and noncompetitive, and they kept us

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• </c><00:25:26.960><c> bill</c> the scope of services in a payment bill the scope of services in a payment
• But we currently lack reimbursement.
• But we currently lack reimbursement.
• Please step forward. such uh reimbursement pathways already such uh reimbursement pathways already exist
• on reimbursement um and the side on reimbursement um and the viability<00:33:04.000><c> of</c><00:33

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• We also are seeing increased payment rates, so both in nursing homes through value-based reimbursement
• We also are seeing increased payment rates, so both in nursing homes through value-based reimbursement
• We also are seeing increased payment rates, so both in nursing homes through value-based reimbursement
• We also are seeing increased payment rates, so both in nursing homes through value-based reimbursement
• We also are seeing increased payment rates, so both in nursing homes through value-based reimbursement

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• How much Medicaid reimbursements have you done on your time?
• haven't gotten the reimbursement or app claiming.
• </c> &gt;&gt; in Medicaid reimbursements &gt;&gt; in Medicaid reimbursements &gt;&gt; I<03:37:09.200>
• <03:38:01.359><c> right</c> reimbursements right reimbursements right &gt;&gt; correct &gt;&gt; correct
• payments payments &gt;&gt; not<03:38:15.680><c> for</c><03:38:15.920><c> direct</c><03:38:16.319><c>

Keywords: 912, senate, all

Transcript Highlights:

• The bill requires an ID number for reimbursement during the baby's first year of life.
• are often lengthy delays in the credentialing process during which the FQHCs are sometimes not reimbursed

Bills: SB731 , SB801 , SB867 , SB2082 , SB2717 , SB2919 , HB4 , HB26 , HB 103 , HB 108 , HB 117 , HB 126 , HB144 , HB145 , HB186 , HB201 , HB223 , HB229 , HB272 , HB493 , HB521 , HB551 , HB621 , HB700 , HB748 , HB 1106 , HB 1234 , HB1403 , HB1500 , HB1661 , HB2017 , HB2026 , HB2035 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2512 , HB2516 , HB2593 , HB2674 , HB2761 , HB2818 , HB2820 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3053 , HB3057 , HB3133 , HB3151 , HB3159 , HB3180 , HB3181 , HB3225 , HB3234 , HB3250 , HB3254 , HB3284 , HB3333 , HB3512 , HB3556 , HB3595 , HB3689 , HB3711 , HB3732 , HB3749 , HB3812 , HB3833 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4157 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4690 , HB4743 , HB4749 , HB4751 , HB4795 , HB4848 , HB4903 , HB5081 , HB5115 , HB5138 , HB5149 , HB5154 , HB5247 , HB5308 , HB5394 , HB5436 , HB5659 , HB5671 , HB5674 , HB5680 , HB5696 , HCR40 , HCR108 , HCR118 , SJR5 , SJR59 , SB4 , SB8 , SB9 , SB10 , SB12 , SB22 , SB23 , SB25 , SB27 , SB34 , SB36 , SB37 , SB38 , SB40 , SB261 , SB650 , SB777 , SB924 , SB1188 , SB1318 , SB1333 , SB1398 , SB1448 , SB1566 , SB1621 , SB1723 , SB1862 , SB2405 , SB2406 , SB2407 , SB3070 , SB1 , SB17 , SB21 , SB260 , SB379 , SB509 , SB1405 , SB1506 , SB1637 , SB1833 , SB2155 , SB2308 , HB300 , HB2525 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB2549 , SB2553 , SB2919 , SB1944 , SB1232 , SB1798 , SB2603 , SB2607 , SB2683 , SB1319 , SB3045 , SB3071 , HJR7 , HB2674 , HB3556 , HB26 , HB4384 , HB748 , HB5652 , HB3395 , HB2516 , HB180 , HB 1306 , HB3966 , HB4112 , HB322 , HB 126 , HB5650 , HB4894 , HB1629 , HB5698 , HB3171 , HB2694 , HB5664 , HB4751 , HB4690 , HB4464 , HB4063 , HB3623 , HB3016 , HB2520 , HB2221 , HB2213 , HB700 , HB252 , HB146 , HB5596 , HB3619 , HB5320 , HB5651 , HB5670 , HB5665 , HB5437 , HB5679 , HB5699 , HB5661 , HB5662 , HB5654 , HB5672 , HB5656 , HB4743 , HB4666 , HB3812 , HB3595 , HB3057 , HB2035 , HB721 , HB346 , HB2512 , HB5695 , HB5694 , HB5671 , HB5674 , HB2038 , HB3185 , HB2761 , HB2593 , HB2348 , HB2073 , HB1871 , HB 108 , HB2306 , HB2017 , HB 1135 , HB144 , HB3689 , HB5308 , HB 101 , HB5666 , HB5677 , HB5682 , HB5680 , HB5658 , HB5696 , HB4144 , HB3159 , HB3254 , HB3866 , HB3010 , HB4520 , HB3642 , HB3928 , HB3815 , HB2686 , HB2012 , HB1960 , HB227 , HB654 , HB1690 , HB2128 , HB4158 , HB4530 , HB4630 , HB5659 , HB1523 , HB2078 , HB2427 , HB145 , HB1973 , HB3333 , HB3697 , HB3546 , HB3225 , HB3181 , HB3133 , HB3053 , HB2885 , HB2820 , HB2294 , HB2253 , HB1661 , HB1506 , HB 1234 , HB640 , HB621 , HB551 , HB521 , HB493 , HB272 , HB229 , HB223 , HB201 , HB186 , HB 119 , HB2080 , HB2818 , HB5394 , HB4795 , HB4466 , HB4454 , HB3940 , HB3749 , HB3151 , HB3284 , HB1403 , HB 1106 , HB2844 , HB2851 , HB1500 , HB4488 , HB4264 , HB4 , HB4170 , HB3909 , HB4081 , HB4145 , HB4157 , HB4281 , HB4285 , HB4463 , HB4749 , HB4995 , HB5081 , HB5115 , HB5138 , HB5624 , HB1449 , HB3711 , HB2598 , HB3629 , HB4361 , HB824 , HB1868 , HB4848 , HB2243 , HB40 , HB 117 , HB2313 , HB3686 , HB500 , HB3793 , HB 112 , HB 104 , HB 1056 , HB42 , HB4486 , HB3000 , HB 100 , HB2240 , HB718 , HB27 , HB4904 , HB4202 , HB2853 , HB5129 , HB5093 , HB4765 , HB4748 , HB4559 , HB4350 , HB4214 , HB3388 , HB3112 , HB5196 , HB4211 , HB3516 , HB3092 , HB4233 , HB4687 , HB705 , HB 1094 , HB2037 , HB3005 , HB3848 , HB 1105 , HB 121 , HB3372 , HB367 , HB783 , HB3336 , HB3441 , HB4449 , HB5616 , HB2407 , HB2854 , HB3425 , HB5294 , HB 1178 , HB4623 , HB14 , HB3963 , HB 1211 , HB5646 , HB5629 , HB3783 , HB4236 , HB46 , HB4638 , HB 1052 , HB4070 , HB5509 , HB5435 , HB4134 , HB3923 , HB3520 , HB3320 , HB2517 , HB2488 , HB5663 , HB2731 , HB3073 , HB2655 , HB2399 , HB541 , HB4099 , HB 111 , HB1532 , HB3483 , HB2963 , HB4580 , HB3748 , HB713 , HB632 , HB426 , HB4730 , HCR141 , HCR118 , HCR40 , HCR59 , HCR76 , HCR108 , HB26 , HB 108 , HB144 , HB145 , HB201 , HB272 , HB493 , HB551 , HB621 , HB700 , HB1500 , HB1661 , HB2017 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2516 , HB2593 , HB2761 , HB2818 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3133 , HB3151 , HB3159 , HB3254 , HB3284 , HB3595 , HB3689 , HB3711 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4743 , HB4749 , HB4751 , HB5081 , HB5308 , HB5394 , HB5659 , HB5671 , HB5680 , HB5696 , HB2674 , HB3556 , HB223 , HB1403 , HB3053 , HB5115 , HCR108 , HCR118 , SB20 , SB33 , SB75 , SB213 , SB269 , SB458 , SB528 , SB647 , SB648 , SB681 , SB740 , SB840 , SB843 , SB1061 , SB1120 , SB1121 , SB1150 , SB1202 , SB1253 , SB1423 , SB1535 , SB1574 , SB1709 , SB1789 , SB2037 , SB2078 , SB2268 , SB2544 , SB2570 , SB1198 , SB2601 , SB2778

Keywords: SB 731, Texas, Texas Department of Housing and Community Affairs, TDHCA, low-income housing tax credits, LIHTC, affordable housing, senior housing, 55 and older, elderly housing, multifamily housing, apartment buildings, high-rise, four-story building, water pressure booster, water pressure system, emergency water supply, building safety, housing development regulations, Government Code Chapter 2306

Transcript Highlights:

• The following types of claims are required to be approved by the legislature before any payments are
• Committee substitute House Bill 4486 relates to directing payment after approval of certain miscellaneous
• program members, this bill generally would provide workforce development boards the flexibility to reimburse
• House Bill 2294, relating to reimbursement rates for childcare providers participating in the Texas Rising
• House Bill 2294, relating to reimbursement rates for childcare providers in the Texas Rising Star program

Bills: SB731 , SB801 , SB867 , SB2082 , SB2717 , SB2919 , HB4 , HB26 , HB 103 , HB 108 , HB 117 , HB 126 , HB144 , HB145 , HB186 , HB201 , HB223 , HB229 , HB272 , HB493 , HB521 , HB551 , HB621 , HB700 , HB748 , HB 1106 , HB 1234 , HB1403 , HB1500 , HB1661 , HB2017 , HB2026 , HB2035 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2512 , HB2516 , HB2593 , HB2674 , HB2761 , HB2818 , HB2820 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3053 , HB3057 , HB3133 , HB3151 , HB3159 , HB3180 , HB3181 , HB3225 , HB3234 , HB3250 , HB3254 , HB3284 , HB3333 , HB3512 , HB3556 , HB3595 , HB3689 , HB3711 , HB3732 , HB3749 , HB3812 , HB3833 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4157 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4690 , HB4743 , HB4749 , HB4751 , HB4795 , HB4848 , HB4903 , HB5081 , HB5115 , HB5138 , HB5149 , HB5154 , HB5247 , HB5308 , HB5394 , HB5436 , HB5659 , HB5671 , HB5674 , HB5680 , HB5696 , HCR40 , HCR108 , HCR118 , SJR5 , SJR59 , SB4 , SB8 , SB9 , SB10 , SB12 , SB22 , SB23 , SB25 , SB27 , SB34 , SB36 , SB37 , SB38 , SB40 , SB261 , SB650 , SB777 , SB924 , SB1188 , SB1318 , SB1333 , SB1398 , SB1448 , SB1566 , SB1621 , SB1723 , SB1862 , SB2405 , SB2406 , SB2407 , SB3070 , SB1 , SB17 , SB21 , SB260 , SB379 , SB509 , SB1405 , SB1506 , SB1637 , SB1833 , SB2155 , SB2308 , HB300 , HB2525 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB2549 , SB2553 , SB2919 , SB1944 , SB1232 , SB1798 , SB2603 , SB2607 , SB2683 , SB1319 , SB3045 , SB3071 , HJR7 , HB2674 , HB3556 , HB26 , HB4384 , HB748 , HB5652 , HB3395 , HB2516 , HB180 , HB 1306 , HB3966 , HB4112 , HB322 , HB 126 , HB5650 , HB4894 , HB1629 , HB5698 , HB3171 , HB2694 , HB5664 , HB4751 , HB4690 , HB4464 , HB4063 , HB3623 , HB3016 , HB2520 , HB2221 , HB2213 , HB700 , HB252 , HB146 , HB5596 , HB3619 , HB5320 , HB5651 , HB5670 , HB5665 , HB5437 , HB5679 , HB5699 , HB5661 , HB5662 , HB5654 , HB5672 , HB5656 , HB4743 , HB4666 , HB3812 , HB3595 , HB3057 , HB2035 , HB721 , HB346 , HB2512 , HB5695 , HB5694 , HB5671 , HB5674 , HB2038 , HB3185 , HB2761 , HB2593 , HB2348 , HB2073 , HB1871 , HB 108 , HB2306 , HB2017 , HB 1135 , HB144 , HB3689 , HB5308 , HB 101 , HB5666 , HB5677 , HB5682 , HB5680 , HB5658 , HB5696 , HB4144 , HB3159 , HB3254 , HB3866 , HB3010 , HB4520 , HB3642 , HB3928 , HB3815 , HB2686 , HB2012 , HB1960 , HB227 , HB654 , HB1690 , HB2128 , HB4158 , HB4530 , HB4630 , HB5659 , HB1523 , HB2078 , HB2427 , HB145 , HB1973 , HB3333 , HB3697 , HB3546 , HB3225 , HB3181 , HB3133 , HB3053 , HB2885 , HB2820 , HB2294 , HB2253 , HB1661 , HB1506 , HB 1234 , HB640 , HB621 , HB551 , HB521 , HB493 , HB272 , HB229 , HB223 , HB201 , HB186 , HB 119 , HB2080 , HB2818 , HB5394 , HB4795 , HB4466 , HB4454 , HB3940 , HB3749 , HB3151 , HB3284 , HB1403 , HB 1106 , HB2844 , HB2851 , HB1500 , HB4488 , HB4264 , HB4 , HB4170 , HB3909 , HB4081 , HB4145 , HB4157 , HB4281 , HB4285 , HB4463 , HB4749 , HB4995 , HB5081 , HB5115 , HB5138 , HB5624 , HB1449 , HB3711 , HB2598 , HB3629 , HB4361 , HB824 , HB1868 , HB4848 , HB2243 , HB40 , HB 117 , HB2313 , HB3686 , HB500 , HB3793 , HB 112 , HB 104 , HB 1056 , HB42 , HB4486 , HB3000 , HB 100 , HB2240 , HB718 , HB27 , HB4904 , HB4202 , HB2853 , HB5129 , HB5093 , HB4765 , HB4748 , HB4559 , HB4350 , HB4214 , HB3388 , HB3112 , HB5196 , HB4211 , HB3516 , HB3092 , HB4233 , HB4687 , HB705 , HB 1094 , HB2037 , HB3005 , HB3848 , HB 1105 , HB 121 , HB3372 , HB367 , HB783 , HB3336 , HB3441 , HB4449 , HB5616 , HB2407 , HB2854 , HB3425 , HB5294 , HB 1178 , HB4623 , HB14 , HB3963 , HB 1211 , HB5646 , HB5629 , HB3783 , HB4236 , HB46 , HB4638 , HB 1052 , HB4070 , HB5509 , HB5435 , HB4134 , HB3923 , HB3520 , HB3320 , HB2517 , HB2488 , HB5663 , HB2731 , HB3073 , HB2655 , HB2399 , HB541 , HB4099 , HB 111 , HB1532 , HB3483 , HB2963 , HB4580 , HB3748 , HB713 , HB632 , HB426 , HB4730 , HCR141 , HCR118 , HCR40 , HCR59 , HCR76 , HCR108 , HB26 , HB 108 , HB144 , HB145 , HB201 , HB272 , HB493 , HB551 , HB621 , HB700 , HB1500 , HB1661 , HB2017 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2516 , HB2593 , HB2761 , HB2818 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3133 , HB3151 , HB3159 , HB3254 , HB3284 , HB3595 , HB3689 , HB3711 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4743 , HB4749 , HB4751 , HB5081 , HB5308 , HB5394 , HB5659 , HB5671 , HB5680 , HB5696 , HB2674 , HB3556 , HB223 , HB1403 , HB3053 , HB5115 , HCR108 , HCR118 , SB20 , SB33 , SB75 , SB213 , SB269 , SB458 , SB528 , SB647 , SB648 , SB681 , SB740 , SB840 , SB843 , SB1061 , SB1120 , SB1121 , SB1150 , SB1202 , SB1253 , SB1423 , SB1535 , SB1574 , SB1709 , SB1789 , SB2037 , SB2078 , SB2268 , SB2544 , SB2570 , SB1198 , SB2601 , SB2778

Keywords: SB 731, Texas, Texas Department of Housing and Community Affairs, TDHCA, low-income housing tax credits, LIHTC, affordable housing, senior housing, 55 and older, elderly housing, multifamily housing, apartment buildings, high-rise, four-story building, water pressure booster, water pressure system, emergency water supply, building safety, housing development regulations, Government Code Chapter 2306

Transcript Highlights:

• methodologies, moving more toward value-based care away from fee-for-service and prospective payment
• methodologies, moving more towards value-based care away from fee-for-service and prospective payment
• So as soon as the money is available to us, what we're envisioning is this will be a reimbursement-based
• So as your folks are out there performing work, invoicing us, we draw the money down from CMS and reimburse
• that's really going to be okay and that they're going to turn around those applications, those reimbursements

Summary: The committee first heard extensive public testimony from youth and advocates urging stronger restrictions on vaping. Speakers described vaping as a youth-targeted public health problem, citing flavored products, social media marketing, nicotine addiction, brain development concerns, school disruption, and exposure to harmful aerosol. They recommended prohibiting vaping in public indoor spaces and aligning vape rules with smoke-free laws. Committee members praised the speakers and encouraged them to continue building support for future legislation. The main presentation was on Arkansas’s Rural Health Transformation Program, administered through DFA. Secretary Jim Hudson and program director Brad Andi explained that Arkansas received about $209 million in the first year under the federal program, with potential for roughly $1 billion over five years if performance is strong. They emphasized that the program is meant for long-term rural health transformation, not general operating support, debt relief, or new construction. The state’s plan centers on four initiatives: HEART for prevention and community health, PACT for access and provider collaboration, RISE for workforce development, and THRIVE for technology and telehealth. Officials said applications will be handled through upcoming notices of funding opportunity, with a focus on local, shovel-ready projects, regional collaboration, and transparency. Committee members asked how the program would work for hospitals, clinics, nonprofits, schools, faith groups, and urban providers serving rural patients. Officials said eligibility is broad if applicants can show a connection to rural health, and that targeted renovations, mobile units, school-based clinics, farm-to-school or garden projects, EMS equipment, residency expansion, and behavioral health initiatives may fit if they align with the plan. They stressed that the program cannot fund working capital, routine maintenance, or new buildings, but can support repurposing space and collaborative networks. Members also raised concerns about protecting existing rural providers from being displaced, and officials said applications would be reviewed by a state committee with technical assistance and a reimbursement-based process. The committee then reviewed and took no objection to several DHS and Health Department rules. DHS presented a Medicaid/CHIP rule implementing federal requirements for incarcerated youth, including pre- and post-release coverage, care coordination, targeted case management, and screening services, with no public comments received. The Health Department also presented a licensing rule for audiology and speech pathology that implements recent acts and changes the renewal deadline; that rule was likewise reviewed without objection. The meeting adjourned after no further business.

Transcript Highlights:

• to an MCO-based health care system, and by doing so, we've given up what's called UPL funds, upper payment
• limit funds, And so we've given up what's called UPL funds, upper payment limit funds, with the hope
• that the direct payments in the big, beautiful bill, Congress would provide those direct payments to
• individuals if they come into one of our hospitals and one of our emergency rooms with no guarantee of reimbursement
• How does that get reimbursed? It doesn't in many cases.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• I just want to hone in on a comment you made about charter reimbursement, and I want to flag for you,
• you're supposed to receive an 80% reimbursement rate.
• Yeah, so I may defer to the mayor on the actual reimbursement rate. Yeah, yeah.
• Reimbursed for charter school costs. This affects our kids in clear and concrete ways.
• It needs to be accurate every year to ensure the school purchase 70 payment formula.

Committee: Joint Joint Committee on Education

Keywords: 995, all

Summary: The Joint Committee on Education opened a hybrid public hearing on a large slate of bills related to school buildings, school finance, technology, data privacy, safety, and related education issues. Chairs Jason Lewis and Ken Gordon outlined procedures for the hearing, including two-minute testimony limits and the plan to group similar bills together. Several bills drew no testimony and were closed without further discussion, while others drew extensive testimony from legislators, school officials, parents, advocates, and educators. A major theme was school safety and student well-being. Lori Al-Hadeth testified in support of bills on alert systems in public schools, describing the loss of her daughter in the Parkland shooting and urging adoption of Alyssa’s Law-style panic alert technology. Representative Gallagher and disability advocates also supported a bill authorizing, but not requiring, airway clearance devices in schools, arguing they could save lives in choking emergencies and provide an option for people who cannot use the Heimlich maneuver. Another bill on reducing cafeteria waste drew support from a legislator and a Lexington sustainability official, who said installing dishwashers during construction would reduce waste and long-term costs. Much of the hearing focused on Chapter 70 school funding and the inflation cap. Senator Pavel Payano, Senator Sal DiDomenico, Representative Senna, and multiple local officials and school committee members from Bridgewater, Chelsea, Groton-Dunstable, and other districts argued that the 4.5% cap on inflation adjustments has left schools underfunded during years of high inflation, forcing layoffs, larger class sizes, and cuts to programs and student supports. They urged bills to eliminate the cap, restore lost funding, increase the Commonwealth’s share of the foundation budget, or create commissions to study reforms. Testimony also highlighted the impact on special education, English learners, and low-income students, with Chelsea witnesses saying the cap has cost their district about $7 million annually. School construction and MSBA reform were the other major topic. AIA Massachusetts, Boston Public Schools, Lynn officials, and AFT Massachusetts described aging facilities, overcrowding, deferred maintenance, and the difficulty of financing new schools under current reimbursement rules. Boston officials said the district has many pre-World War II buildings and has only built a handful of new schools in decades, while Lynn leaders said reimbursement rates have fallen well below the statutory 80% because of caps and ineligible costs. Witnesses urged modernization of the MSBA program, higher reimbursement rates, and more resources for school construction. The committee also heard support for a bill to study the adequacy and equity of the school building program, and chairs indicated some bills would be closed after no one signed up to testify.