Transcript Highlights:

• These codes were not adopted through careful study and analysis.
• Most often they were These codes were not adopted through careful study and analysis.
• The cost of housing affects everyone.
• That drives up land costs and makes it harder to build starter homes.
• Along with taxes and the overall cost of living, the cost of housing is most frequently cited as the

Keywords: 995, all

Summary: The Joint Committee on Housing held a hybrid hearing on zoning, Chapter 40B, and related housing bills. Much of the testimony focused on the “Yes in My Backyard” bill (H. 1572/S. 962), which would expand by-right development of missing middle housing, reduce barriers such as minimum lot sizes and parking mandates, and support duplexes, triplexes, and other small-scale housing. Supporters included housing advocates, developers, local officials, and municipal leaders from places like Cambridge, Salem, and Braintree, who argued that state action is needed because local zoning often blocks needed housing and that the bill would help create more affordable, neighborhood-compatible homes. Several witnesses also backed a companion “Yes in God’s Backyard” bill (H. 2347), which would allow faith-based institutions to build housing on their property by right, with testimony emphasizing the potential for new units, added municipal tax revenue, and partnerships between religious organizations and housing developers. The committee also heard testimony on Senate Bill 1021 to modernize Chapter 40R incentives. Senator Pavel Payano and others said the program’s payments have not kept pace with inflation since 2004 and should be increased to better encourage smart-growth zoning near transit and town centers. Another major topic was H. 2298 on site plan review, which would codify and standardize the process in state law. Rep. Kristin Kassner and witnesses from MAPC and NAIOP said current site plan review practices vary widely across the state, creating confusion, delays, and litigation, while a uniform framework would give municipalities clearer tools to review by-right projects without undermining local oversight. The hearing also included testimony on Chapter 40B reform, including S. 1005 and H. 1537. One witness supported further review of 40B and stronger regional planning, while another backed a proposal to allow certain pre-2010 40B condominium owners to sell at market value under a framework that would recapture some of the subsidy benefits. Committee members asked several questions about local zoning changes, housing goals by county, and how the proposed bills would affect communities. No votes were taken during the hearing, and the chairs indicated that written testimony would be welcomed for technical details and additional comments.

Transcript Highlights:

• 09.200> cost<02:33:09.479> benefit<02:33:09.920> analysis<02:33:10.800> when<
• /c><02:33:11.000> looking do a cost benefit analysis when looking do a cost benefit analysis when
• analysis, and then you provided a bunch of examples where the cost-benefit analysis justifies the investments
• are<02:36:19.960> you cost benefit analysis why are you cost benefit analysis why are you
• But if this is really focused on out-of-pocket costs of compliance, that doesn't preclude further analysis

Keywords: 928, house, all

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• The four potential issues of concern are first, the cost.
• So LFC estimates that the cost to taxpayers would be almost $849.7... ...the cost to taxpayers would
• I looked at the analysis here. It hasn't brought up.
• We're setting our reimbursement rates using cost models that reflect the true cost.
• Not an expert on what it costs per child, right?

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• Two, learn the cost to efficiently deliver needed care.
• The payers of health care shouldering these costs are increasingly unable to do so.
• So Massachusetts costs also grow at a rate that's higher than their peers.
• Our actuarial analysis found that this transition could reduce MassHealth costs, Our actuarial analysis
• found that this transition could reduce MassHealth costs by up to 6% per child served.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• I know that the University of Minnesota Extension does some economic analysis.
• I know that the University of Minnesota Extension does some economic analysis.
• I know that the University of Minnesota Extension does some economic analysis.
• I know that the University of Minnesota Extension does some economic analysis.
• This is asking for a economic analysis.

Keywords: 919, house, all

Summary: The committee took up House File 4949, as amended by the adopted H4949A2 and H4949A3 amendments. The bill would create a sports and events reimbursement program intended to give Minnesota a more reliable funding mechanism to compete for major sporting and entertainment events. Representative Lislegard and supporters argued that events such as the Super Bowl, NFL Draft, Final Four, World Juniors Hockey, and Olympic trials generate substantial economic activity, tax revenue, and statewide visibility, and that Minnesota has lost opportunities because it lacks a standing competitive fund. Testifiers from the Minnesota Business Partnership and Minnesota Sports and Events strongly supported the bill, describing it as a performance-based, closed-loop model that reinvests tax revenue generated by events into securing future events. Jess Graba, Cheryl Lindsey, and Dr. William Campbell emphasized community benefits beyond economics, including youth inspiration, school improvements, inclusion, and positive local engagement tied to events like the Olympic trials, the Women’s Final Four, and WWE appearances. Several testifiers cited specific figures, including roughly $71.5 million in economic impact and $4.7 million in tax revenue for World Juniors, about $74.8 million and $5.7 million for the gymnastics trials, and more than $430 million in lost economic impact from events Minnesota did not secure. Members raised concerns about the funding mechanism, especially the use of revenue that would otherwise go to the general fund or other accounts. Representative Huot said he supported bringing events to Minnesota but was uneasy about diverting general fund money and suggested stronger legislative oversight, possibly through a formal sports committee. Representative Youakim asked how the bill’s revenue capture would work and noted concerns about taking money from transportation-related accounts; staff explained that the amended bill affects seven state taxes and a fee, including motor vehicle rental taxes and the retail delivery fee, with some revenue directed to non-general fund accounts. Members also requested more information on the methodology behind the University of Minnesota Extension economic impact studies, and staff said those studies could be shared. No final vote on the bill was taken in the portion provided.

Transcript Highlights:

• The statewide IEP, our data analysis, reveals that one in three New Mexico students with...
• Our data analysis reveals that one in three New Mexico students with disabilities change schools at least
• It's the House Democratic Leadership Bill Analysis, page two, where it says the SEC amendment to SB 64
• Are there any anticipated costs to this study? Mr.
• allocations to cover any costs.

Bills: HB30, HB120, HJR1, SB210, SB306

Keywords: teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model

Transcript Highlights:

• This creates unnecessary social and economic costs.
• This would create unnecessary social and economic costs, slowing down court proceedings by requiring
• As noted in the committee analysis, these 995 motions effectively require re-litigating the preliminary
• Again, as stated in the excellently written committee analysis, this is likely to have a positive impact
• legal system, but will also fortify judicial economy and resource utilization to address unnecessary costs

Keywords: 988, house, all

Summary: The Assembly Appropriations Committee met on April 15, 2026, to consider 38 bills. The chair announced that AB 2457 was held over to a later hearing, reviewed public testimony procedures, established a quorum, and then took up the consent calendar and suspense calendar. Bills on the consent calendar were approved in two motions: one set for floor consent eligibility and another for bills not eligible for floor consent. The suspense calendar was then deemed approved, covering a large group of bills including ABs 1539, 1602, 1604, 1616, 1618, 1707, 1731, 1737, 1746, 1754, 1787, 1788, 1827, 1861, 1866, 1877, 1941, 1960, 2115, 2462, 2472, 2494, 2593, and 2607. The committee then heard AB 1917 by Mr. Schultz, which would require prosecutors to file a motion to reinstate a felony charge dismissed at the preliminary hearing for lack of probable cause, rather than simply adding the charge back. The author and supporter Tal Clement of the San Francisco Public Defender’s Office argued the bill would improve due process, transparency, and court efficiency by reducing unnecessary litigation and ensuring charges are supported by evidence. Support was also noted from the San Francisco Public Defender’s Office and several allied organizations, while no opposition testimony was presented. After discussion, the committee moved the bill and later completed a roll call vote. AB 1917 passed out of committee with recorded ayes from members including Pacheco and Calderon, and the chair announced the bill was out. The hearing then adjourned.

Transcript Highlights:

• It eliminates credit loss during transfer, creates clear transfer pathways, reduces time and cost to
• I will tell you that we're still in part of this analysis, and we're finding that courses are already
• we're still in in part of this analysis we're still in in part of this analysis and<00:48:43.920
• Um, we've done a lot of work analysis.
• Many students transfer institutions because of life circumstances or change in costs.

Keywords: 958, all

Summary: The House Standing Committee on Postsecondary Education opened its first meeting with roll call, member introductions, and introductions of numerous interns from Kentucky colleges and universities. The chair reviewed committee rules for the 2026 session, including witness oaths, sign-up procedures, limits on testimony, and the deadline for submitting committee substitutes and amendments. The committee then took up House Bill 96, sponsored by Chair Tipton, which would revise the membership and timing of the performance-based funding work group. Tipton said the bill would expand legislative participation from one House and one Senate member to five from each chamber, keep university and KCTCS presidents on the group, make the CPE president a nonvoting chair, and change the work group’s schedule from a fiscal year to a calendar year. He argued the changes would build institutional knowledge, allow university leaders to meet without creating quorum/open-meeting issues, and help the group develop recommendations for the next General Assembly. Members raised concerns about politicization and the even-numbered membership, while Tipton said he wanted consensus rather than a tied vote. The committee approved HB 96 on a roll call vote, with most members voting yes and Representative Willner voting no but saying she might change her vote later on the House floor. The committee also heard House Bill 94 for discussion only, so no vote was taken. Representative Vanessa Gracel and CPE counsel Travis Pal described the bill as a transfer-pathways measure aimed at making two-year-to-four-year and four-year-to-four-year transfers more seamless in high-demand programs. They said the proposal would require CPE, public universities, and KCTCS to collaborate on statewide transfer pathways based on student and workforce demand, with institutions able to opt in or out of specific pathways but required to disclose nontransferable courses for transparency. Gracel argued the bill would reduce credit loss, lower time and cost to degree, improve completion rates, and help students and families understand transfer options; she also criticized some universities for not engaging in the process. No action was taken on HB 94 at this meeting.

Transcript Highlights:

• He added that there is a fiscal note requested and that if there is a cost to the bill, the cost will
• And if there’s a cost to this, the cost will be carried in Human Services, and that’s why we’re sending
• Um so there wouldn't be a cost Okay. Um so there wouldn't be a cost there.<00:34:23.200> Okay.
• we were getting from agencies was that there would be a substantial cost for it.
• Um and we will substantial cost for it.

Bills: HF2233, HF1999, HF1995, HF1614, HF2781, HF1775, HF1316, HF2127, HF2521, HF689, HF2380, HF1273

Keywords: Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money

Transcript Highlights:

• One, the cost of health care in the United States.
• We don't think this will increase Medicaid cost, but we know that this may have a cost for the administrative
• We don't think this will increase Medicaid cost, but we know that this may have a cost for the administrative
• <00:27:17.520> to look at Medicaid's anticipated cost to look at Medicaid's anticipated cost
• <00:33:08.039> of points out that the annual cost of points out that the annual cost of Parkinson's

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• We've done an analysis, I think Dr.
• , great that we have the trend analysis, great that we have the trend analysis, but<00:39:42.640>
• <01:25:37.920> and compare healthcare service cost and compare healthcare service cost and
• These tests cost $1,400.
• These tests cost in education debt.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:17 - Approval of June 18, 2025 Minutes 00:02:33 - Introductions and Discussion on Priorities 00:07:27 - Health Data Discussion-KY Health Information Exchange (KHIE) 00:34:02 - Health Data Discussion-Public Health Data 01:19:24 - Health Data Discussion-Other Health Data Platforms 01:42:40 - Consideration of Referred Administrative Regulations (Except 201 KAR 005:010) 01:44:48 - Discussion of Optometry Regulation 201 KAR 005:010 02:25:29 - Hearing on Unified Community Mental Health and Substance Abuse Prevention and Treatment Block Grant Application for FFY 2026 - 2027 Funds 02:33:40 - Administrative Regulation 201 KAR 005:010 Vote Clarification 02:34:03 - Adjournment, 958, all

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• analysis.
• analysis.
• Not saying y'all engaged in it, but they do a cost-benefit analysis: if I get caught, you know, I get
• Okay, full construction costs, including... that's everything? Yes, it's the construction cost.
• At no insignificant cost.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Summary: The committee heard several bills dealing with local government authority, homeowners associations, hospital district policing, school AED inspections, special district annexation, public contracting penalties, and guaranteed income programs. Senate Bill 2073 by Sen. Zaffirini would clarify that appraisal districts may finance purchases, leases, or construction of real property for appraisal offices without prior approval from taxing units; it was supported by the Texas Association of Appraisal Districts and left pending. Senate Bill 1935 by Sen. Hinojosa would increase homeowner control of property owners association boards, require more transparency, limit fines and assessment increases, and require accessible meeting locations; HOA and builder representatives opposed it, arguing it would hinder maintenance and make dues harder to manage, and the bill was left pending. Senate Bill 434 by Sen. Miles would authorize Harris County Hospital District police officers, was supported by Harris Health, and was left pending. Senate Bill 1177 by Sen. Alvarado, as substituted, would require school AED inspections during fire inspections and reporting to school leadership; it was left pending. Senate Bill 1214 by Sen. Perry would update Concho County Hospital District law to align with current procurement and notice rules; it was left pending. Senate Bill 1965 by Sen. Middleton, for Sen. King, would tighten notice and proximity rules for special district annexations; district witnesses warned the bill could interfere with service to noncontiguous tracts, and the bill was left pending. The committee also took up Senate Bill 2046 by Sen. Bettencourt, which would increase criminal penalties for county purchasing act violations involving unauthorized separate or sequential purchases to evade competitive bidding, and create a tiered penalty structure based on contract amount. Former Harris County DA Kim Ogg, Deputy Attorney General Josh Reno, and James Quintero supported the bill, citing recent Harris County bid-rigging cases and arguing the current Class C misdemeanor penalty is too weak to deter misconduct; some members questioned whether the proposed thresholds were too low and whether stronger oversight, rather than higher penalties alone, would be more effective. The bill was left pending. Finally, Senate Bill 2010 by Sen. Bettencourt would bar counties and other political subdivisions from operating guaranteed income programs and address constitutional gift-clause concerns. Testimony split sharply: Ogg and Quintero argued such programs are unconstitutional, can be used for political data collection, and should not be funded with public money, while Paige Terry Barry defended the bill as protecting taxpayers and discouraging dependency. Senators also debated whether the state can restrict use of federal grant funds and whether local governments should be allowed to run such programs; the bill was left pending.

Transcript Highlights:

• So employees report that AI has been especially helpful and drafting the basic outlines for Bill Analysys
• One of our legislative analysts have recently used AI to prepare an initial outline for a bill analysis
• The end result was a more organized analysis completed in less time.
• I'm sure the Legislature is is so pleased to hear going to be getting the agency and also analysis, pastor
• Are these things that have kind of long-term operational costs associated with them, Mr, going over?

Transcript Highlights:

• New Mexicans cannot afford government mandates stacked on top of rising healthcare costs.
• And I think a cost-benefit ratio comes into play There.
• And then, who's going to actually bear the costs?
• and reducing on-the-job costs.
• And frankly, it probably is more accurate than your analysis to prove current impairment.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Funds cover costs associated with residency programs that may result in higher patient care costs in
• Hospitals are ranked from high to low based on their percentage of charity care costs to commercial costs
• Providers are divided into tiers based on the level of charity care costs to commercial costs and are
• paid a prescribed percentage of their charity care costs based on their tier assignment.
• Why is the cost for this program increasing, and what do you think is driving the cost? Mr.

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:

• Um, these costs are financed at a low interest rate through the utilities' ability to issue low-cost
• through the entire duration of cost through the entire duration of cost recovery<00:03:39.680>
• Unfortunately, at times that does require incurring extraordinary cost.
• , or is traditional rate making a more reasonable way to recover the costs?
• , or is traditional rate making a more reasonable way to recover the costs?

Keywords: 1187, senate, all

Transcript Highlights:

• This includes a conference of analysis of the needs of families within each local area as well as an
• These steps were developed by prioritizing forensic data analysis to pinpoint root causes and develop
• We also don't have an analysis on Medicaid work requirements.
• Senator Polsky: You did not answer about the bill analysis, but I will move on.
• This agency failed to do bill analysis.

Keywords: 999, senate, all

Transcript Highlights:

• And if it works for the state, it is cost neutral, and I want to repeat: it is cost neutral.
• Miles' analysis is succinct and accurate.
• It's cost neutral on paper, but it requires a guaranteed rate.
• So it really is cost neutral.
• I wish to address the cost to California's communities.

Keywords: 987, senate, all

Transcript Highlights:

• This is what we do: we track our cost per job.
• They looked at the opportunity cost of our program.
• So there's an opportunity cost of about four and a half percent that the program is costing the state
• They analyzed the opportunity cost of 4.5% that it's costing the state and the number of new jobs created
• They concluded that the opportunity cost is about $4,700 per job.

Transcript Highlights:

• Usually, the cost isn't a big thing. It's usually the amount of work that's required.
• Oral health reduces medical costs, okay?
• relative to treatment costs?
• What do we know from the five-year analysis?
• So do we want to do an analysis of the reality to a client?

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.