Transcript Highlights:

• Because they're not eligible to collect insurance reimbursement.
• Of the 26 centers in Massachusetts, only four file for reimbursement.
• settings due to cost concerns and lack of clinical reimbursement.
• This was seen to be true when the act of providing reimbursement for licensed individuals...
• and shifts within already existing programs, schools, and other services.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• meals program because schools are reimbursed by the federal government and the state covers the remainder
• The Marion Institute's education program effectively delivers farm-to-school programming to over 12,000
• is getting slashed, including the USDA Farm to School Grant Program and the Local Food for Schools Program
• The existing reimbursement structure disincentivizes districts from billing because reimbursements are
• The school-based mental health program, and specifically H-545, The school-based mental health program

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• Thank you. side of the Medicaid program. On behalf side of the Medicaid program.
• to the fact that this program exists. to the fact that this program exists.
• this program to $1.25 million annually. this program to $1.25 million annually.
• <00:26:20.799> Thank support of the program. Thank support of the program.
• screening programs, Kentucky improved. screening programs, Kentucky improved.

Keywords: 958, all

Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.

Transcript Highlights:

• <00:10:23.120> how<00:10:23.399> to program how to market the program how to program
• , Research, and Innovation Program, or AGRI program.
• , Research, and Innovation Program, or AGRI program.
• student on the free lunch program student on the free lunch program program<00:41:57.680> when
• <01:07:45.079> a<01:07:45.359> program the free School meals program a program the

Keywords: 1187, senate, all

Transcript Highlights:

• for special education programs. for special education programs.
• It's the behavioral health Fast Forward program, the wraparound program.
• It's the behavioral health Fast Forward program, the wraparound program.
• . program. program.
• individual education program. individual education program.

Keywords: 1189, house, all

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• House File 4949 is a sports and events reimbursement program.
• Before I event reimbursement program.
• <01:09:42.480> These and event reimbursement program.
• These and event reimbursement program.
• Events Reimbursement Program, I ask you Events Reimbursement Program, I ask you to<01:14:26.760>

Keywords: 1183, house

Transcript Highlights:

• the state is paying higher reimbursement the state is paying higher reimbursement rates<00:15:28.079
• apply to the MA program. apply to the MA program.
• So this is strengthening the uh program So this is strengthening the uh program integrity<00:54:
• programs are not in statute or in rule. programs are not in statute or in rule.
• With that, the committee is adjourned. we continue to discuss uh program we continue to discuss uh program

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• , along with the reimbursable rate, the hourly rate that was reimbursed.”
• two programs combine what we call in Florida the Florida KidCare program.
• The first is the Florida Reimbursement Assistance for Medical Education Program, which encourages qualified
• Back to the question I started two presentations ago: the dental program and the FRAME program.
• Program.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• The TEACH program.
• , along with the reimbursable rate, the hourly rate that was reimbursed.
• The KidCare program—Title XXI is a CHIP program, Title XIX for Medicaid for children—those two programs
• The first is the Florida Reimbursement Assistance for Medical Education program, which encourages qualified
• And back to the question I started two presentations ago, the dental program and the FRAM program.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• Our seed program, the state education assistance program, we're asking for a little bit more this year
• you are very familiar with that program. you are very familiar with that program.
• 05:15.840> program.
• program, it's a very successful program program, it's a very successful program and<00:15:25.440
• And again, that program, Senator, out of the 34 that are in the United States, that program we have at

Keywords: Appropriations - Room 216, 15 January, 2026; 9:30 AM, 925, all

Summary: The committee heard an update from the Mississippi National Guard leadership on deployments, operations, and the Guard’s budget request. The general described ongoing missions involving Mississippi units at the southern border, the National Capital Region, and Operation Safe and Beautiful, as well as the Guard’s role in Operation Midnight Hammer through the Meridian refueling unit. He also noted continued training of international partners at Camp Shelby and emphasized the Guard’s statewide, national, and global reach. The budget presentation focused on a modest increase over the prior year, including funding for state employees and the Youth Challenge Academy, the Mississippi Armed Forces Museum, the state education assistance program, readiness center maintenance for armories, and an increase in AC escalation authority from $164 million to $225 million to allow spending of federal funds on approved projects. The general said federal investment in Mississippi National Guard activities totaled $784 million in FY25, with $384 million for payroll, and explained that most permanent positions are federally reimbursed. Members discussed the state education assistance program, which the general said has helped stop recruiting losses to neighboring states by making Mississippi more competitive on tuition benefits. He said the program especially helps retain midcareer noncommissioned officers and supports younger service members who may lack health coverage when called to state active duty. Senators also asked about Camp Shelby Youth Challenge facilities and armory projects; the general reported that recent appropriations have improved the campus, that the program remains among the top three nationally, and that armory work is moving forward in Amory, Southaven, Corinth, and Carthage. No votes were taken, and the meeting ended with expressions of appreciation and adjournment.

Transcript Highlights:

• House Bill 3748 simply allows the department to reimburse its employees for lost or damaged property.
• It just gives the agency the authority to reimburse or any legal— Chair: expenses.
• This allows the Family and Protective Services to reimburse certain among its Senator West: employees
• This allows the agency to reimburse. Senator West: Senator Hall, so this mostly—this is civil.
• Three-share is a good program, not Chair: often used, but I think that this is a really good bill.

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas

Transcript Highlights:

• A really large one is called the 340B drug discount program.
• what private insurance reimburses, but just what Medicare reimburses—it’s a Just to what Medicare reimburses—forget
• what private insurance reimburses—but just what Medicare reimburses is substantially less because you
• The Medicare reimbursement number is essentially a fixed pie.
• And we had a couple of programs, 100% results.

Keywords: 1184, house, all

Transcript Highlights:

• for food programs.
• I'm the program coordinator for Hicks. I'm the program coordinator for CCDD. CCDD. CCDD.
• Um, we are a dual program.
• cancer control program.
• Um we are a dual program. So absolutely. Um we are a dual program.

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• We have a program called Voice for Peers.
• I we have a program called Voice doing. I we have a program called Voice for<00:25:16.480> Peers.
• from the people who run these programs from the people who run these programs as<00:37:00.640>
• And in June of '24, we were reimbursing $6 million a month.
• And in June of '24, we were reimbursing $6 million a month.

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on February 24, 2026, with a quorum present and took up one bill, House Bill 470. The bill sponsor and supporters described it as a cleanup measure to House Bill 505 that would extend the deadline for peer support specialists in the substance use field to become registered, because the earlier regulations were not promulgated in time and employers and workers were left in limbo. Supporters said the bill includes an emergency clause to stabilize the workforce and creates a working group to recommend a more effective oversight structure, possibly a new board, by November 1. They argued the extension would preserve access to services, allow providers to continue billing for peer support, and give the state time to address regulatory backlogs and workforce shortages. Several supporters emphasized that peer support is a critical part of recovery services and that the current system needs better infrastructure, accountability, and uniform standards. They said the bill would help prevent fraud and abuse by tightening guardrails while allowing qualified peers to keep working. One supporter said the bill would close the door on higher-level billing abuses and that other Medicaid-related efforts were also underway to address improper billing practices. Another witness said the bill would allow people who completed certification to continue serving and would help providers retain staff and get reimbursed. Senator McDaniel raised concerns that the bill might simply extend the period during which abuse of the peer recovery model could continue, rather than fixing the underlying problems. In response, the sponsors said House Bill 505 already imposed tighter training requirements and that this bill only extends the registration deadline while other efforts, including managed care organization limits and broader Medicaid reforms, are addressing abuse. Senator Howell asked about barriers to registration, and witnesses said the problem was a mix of supply-demand issues, workload, and some applicants’ reluctance to take the test. Senator Berg supported the bill as necessary to ensure proper billing and accountability, while Senator Meredith said the committee was missing key information from the cabinet and suggested it may be premature to act without hearing from the agency. No vote was taken in the portion of the meeting provided.

Transcript Highlights:

• This bill simply allows the department to reimburse its employees for lost or damaged property.
• The agency has the authority to reimburse, but it does not cover any legal expenses, no, not with this
• Unfortunately, members, this bill allows the reimbursement of up to $5,000.
• This allows the agency to reimburse them. So, this is mostly civil, this would be... This is civil.
• Three Share is a good program, not often used, but. I think that this is a really good bill.

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas, 1185, senate, all

Transcript Highlights:

• > one establishment date of the program by one establishment date of the program by one year<00
• all those costs are are being reimbursed all those costs are are being reimbursed in<00:08:55.000
• <00:09:36.240> in these ideas for collection programs in these ideas for collection programs
• the challenges to the existing program the challenges to the existing program thank<00:31:25.559
• in Minnesota to fund the program.

Keywords: 1187, senate, all

Transcript Highlights:

• The redesign of the program was intended to get rid of some of those incentives and restructure the program
• So they redesigned the whole program.
• So the redesign of the program was to get rid of some of those incentives and to restructure the program
• So they've restructured the program that they have.
• So they've restructured the program that they have.

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• Um it's we believe government program.
• It's a reimbursement arrangement.
• They're going to have to apply for the reimbursement, and the state then will be able to reimburse them
• >> Oh, they get reimbursed. >> They will get reimbursed. >> Okay, that's what I was getting at.
• >> I think it's a good program. Thank you. >> I think it's a good program.

Keywords: MS Senate Floor - 25 February, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, opened with prayer by Reverend Max Smith of Jesus Name Tabernacle in Florence, and then led the Pledge of Allegiance. The chamber quickly dispensed with the reading of the journal and committee reports, and then spent much of the morning recognizing guests, including multiple FFA groups, the Mississippi FFA state officer team, the Mississippi Food Bank Collaborative, optometrists visiting for Optometry Day, and representatives from engineering and fire service organizations. On the calendar, the Senate took up several finance-related bills. Senate Bill 2824, extending deadlines related to renewable energy fee-in-lieu agreements and construction start dates, was explained and adopted, then passed by use of the morning roll call with three no votes and one present. Senate Bill 2867, revising the income tax credit for employer-provided dependent child care or child care stipends, was explained as a targeted, capped credit for actual employer spending on licensed child care; it was adopted and passed by morning roll call. Senate Bill 3109, clarifying that a nonprofit leasing and managing LaFleur’s Bluff State Park land is not subject to ad valorem taxes on state-owned park land, was adopted and passed by morning roll call with one no vote. The Senate also considered Senate Bill 2840, which would provide a 75% rebate or sales tax credit related to inventory taxes and eliminate local privilege taxes. After extended discussion, the committee substitute was adopted, a reverse repealer amendment was added, and the bill passed by morning roll call with one no vote. Senators discussed the burden of inventory taxes on retailers and the need for more data before fully implementing the proposal. Finally, Senate Bill 2868, creating a tax credit tied to employer contributions for individual coverage health reimbursement arrangements (ICHRAs), was introduced and explained as a way to encourage employer-supported health coverage for small and midsize businesses; the transcript cuts off during the explanation before final action on that bill.

Transcript Highlights:

• Online 36 is Senator Miller's sports and events reimbursement program. and it shows and it shows uh,<
• And events reimbursement program.
• This article establishes a sports and events reimbursement program and establishes a revenue ruling program
• This article establishes a sports and events reimbursement program and establishes a revenue ruling program
• This article establishes a sports and events reimbursement program and establishes a revenue ruling program

Keywords: 1187, senate, all

Transcript Highlights:

• <00:05:40.120> will strengthening training programs will strengthening training programs will
• Um, but I'm not getting reimbursed for it from your employer's bill reviewer.
• Um, but I'm not getting reimbursed for it from your employer's bill reviewer.
• Um, but I'm not getting reimbursed for it from your employer's bill reviewer.
• Um, but I'm not getting reimbursed for it from your employer's bill reviewer.

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care