Transcript Highlights:

• </c> program to the tune of $1.8 million. program to the tune of $1.8 million.
• </c> received Medicaid funds like a nursing received Medicaid funds like a nursing home<00:15:53.519>
• Is there a program here?
• Is there a program here?
• Is there a program this happening right? Is there a program here?

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud, 1183, house

Transcript Highlights:

• Please recognize Representative Manger to present the nurse of the day.
• Members, today I'd like to honor Michelle Bradshaw as our nurse of the day.
• Members, today I'd like to honor Michelle Bradshaw as our nurse of the day.
• Throughout her career, she served in critical care and post-ICU nursing, as well as nursing education
• As a program that I've been able to watch grow, we never, ever would have dreamed where this program

Summary: The House convened, completed the roll call, prayer, Pledge of Allegiance, and several introductions and recognitions, including guests from a South African refugee program, Weatherford Middle School students, international students, and the 2025 Aviation State Teacher of the Year, Sam Madewell. Representative Ranson also presented remarks for International Student Recognition Day, highlighting the economic and cultural contributions of international students in Oklahoma. The chamber then took up House Bill 4329 on dental insurance claims, with Pro Tem Moore arguing it would restore fairness by preventing insurers from controlling prices for services they do not cover; the bill drew questions about free-market effects, rural dentistry, and premiums, but Moore said it should not raise costs and noted similar laws in other states. HB 4329 passed 91-5. The House also passed House Bill 2730, which ties the interest rate on taxpayer underpayments to market rates rather than a fixed statutory rate, after brief questions about how the rate would fluctuate; it passed 87-11. House Bill 3465, extending the sunset on the emission tax credit program from July 1, 2027 to July 1, 2029, passed 82-16. House Bill 4426, extending the sunset on the strategic industrial development enhancement sales tax credit from December 31, 2027 to December 31, 2032, passed 76-20. During announcements, members noted upcoming committee meetings, a rural caucus with OSU President Hess, a devotional, and a lunch event tied to International Student Recognition Day. The House then recessed until the next day, Wednesday, February 25, 2026, at 1:30 p.m.

Transcript Highlights:

• of Health to provide a 340B program.
• Now, there are some 340B-type programs.
• The bill makes this program permanent.
• The bill makes this program permanent, with a statewide program and expansion into more diverse areas
• We require nurses now as a part of their continuing education program to have a two-hour course in human

Keywords: 999, senate, all

Summary: The Senate Appropriations Committee on Health and Human Services heard public testimony on concerns about changes to the AIDS Drug Assistance Program and the iBudget waiver, including warnings that HIV patients could lose access to medications and that direct support providers need a rate increase. Senators discussed possible alternatives such as medically needy coverage and FQHC/340B access, and a witness urged the legislature to delay implementation of the HIV-related changes and restore funding. Another witness asked for support for a modest increase for iBudget direct care providers. The committee then considered and reported favorably several bills. SB 428, by Sen. Yarborough, expands the state swimming voucher program from ages 0-4 to ages 1-7 to align with drowning-prevention guidance; it passed without opposition. CS/SB 68, by Sen. Harrell, requires hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House version was adopted, and the bill passed favorably. CS/SB 1718, by Sen. Grall, makes the Step Into Success foster youth pilot permanent, adjusts visitor/background screening rules for out-of-home placements, and modifies stipend provisions; it also passed favorably. The committee also approved CS/SB 606, by Sen. Smith, which adds drowning-prevention and safe-bathing education to postpartum materials and requires hospitals and birthing centers to keep compliance records. CS/CS/SB 96, by Sen. Sharief, expands eligibility for the Veterans Dental Care Grant Program up to 400% of the federal poverty level; an amendment removed the $500,000 appropriation so funding can be handled in the budget process, and the bill passed. CS/SB 340, by Sen. Harrell, requires nursing education to include a human trafficking course before licensure, and CS/SB 1480, by Sen. Burton, creates a grandfathering process for certain health care providers in areas of critical need if federal designations change; both were reported favorably. The committee adjourned at the end of the agenda.

Transcript Highlights:

• And at this current level, it's a plus-two program.
• And then the second is to advocate for more programs in underserved areas.
• Ohio State has a formal APRT program, and UNC Charlotte is scheduled to launch its APRT program later
• My name is Marianne Vosconi, and I am a registered nurse.
• And Eliza does go to school, and she has one-on-one nurse, LVN nurse.

Keywords: 988, house, all

Transcript Highlights:

• evaluation of program.
• It has to do the whole program on private duty nursing.
• Several different programs.
• Care Centers Program Safety NET Program and the Sexual Abuse Treatment program Safety NET Program and
• the Sexual Abuse Treatment program and then the title 4 programs, these programs off they under DOH.

Keywords: 999, senate, all

Transcript Highlights:

• care teams and in nursing homes.
• House Bill 1461 seeks to expand this scholarship program to students enrolled in practical nursing programs
• programs.
• So if there... ...where there are no community college practical nursing programs.
• As a college recovery program.

Keywords: 995, all

Summary: The Joint Committee on Higher Education held its fourth public hearing, opening with remarks about the importance of protecting and expanding access to higher education amid federal disinvestment. The chairs also announced future informational hearings on the impact of federal cuts and on ASAP models. The hearing then focused on several bills, beginning with S. 951/H. 1462, An Act to Support College Students in Recovery, which would require recovery-focused housing on public campuses and expand naloxone access and overdose training. Senator Rausch, medical professionals, students, and advocates testified in support, emphasizing the prevalence of overdose risk among college students, the value of recovery housing, and the need for campus naloxone; committee members asked about implementation details and the existing state pilot program. Deb Schmill and Rep. Tarski gave especially personal testimony in favor of the bill, and the committee discussed broadening the naloxone language to opioid reversal agents. The committee also heard testimony on H. 1461, which would expand MassReconnect scholarships to practical nursing students at vocational and technical schools to help address the long-term care workforce shortage. Rep. Stanley argued that vocational schools graduate more practical nursing students than community colleges and serve many low-income students in areas without nearby community college programs. The committee then took up H. 1433, which would require public higher education institutions to accept IEPs and 504 plans as sufficient documentation for disability accommodations. Advocates from the National Center for Learning Disabilities described the high cost and burden of repeat testing, the lifelong nature of disabilities, and the need for more uniform access across campuses; committee members raised questions about documentation freshness, campus autonomy, and how to preserve the integrity of accommodations. Later, the committee heard S. 919/H. 1454 on modernizing the Community College Endowment Match Program so community colleges could receive state matching funds for current-use donations as well as endowments and capital gifts. Community college foundation leaders said the change would help fund immediate student needs such as food pantries, child care, emergency aid, and equipment. The hearing then moved to faculty-related bills: S. 933 on UMass faculty rights and tenure transparency, S. 930/H. 3948 on contingent faculty rights and career advancement, and S. 940/H. 1429 on an Adjunct Bill of Rights. Testimony from faculty and union representatives focused on low pay, lack of benefits, job insecurity, and the need for clearer pathways to full-time positions and fairer treatment for adjuncts who teach large shares of courses. No votes were taken during the hearing; the committee primarily received testimony and asked clarifying questions.

Transcript Highlights:

• . nurses. nurses.
• I'm a family nurse practitioner and the DNP program director at Metro State University.
• Doctor of Nursing Practice program at St.
• Doctor of Nursing Practice program at St.
• of nursing.

Keywords: 1187, senate, all

Transcript Highlights:

• This is for nursing investigations upon request from the Board of Nursing.
• This is for nursing investigations upon request from the Board of Nursing.
• This is for actuarial services for the Medicaid program.
• This is for the Nursing Assistant competency evaluation program.
• investigations requested by the Board of Nursing on nurses.

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• We have had 24-hour nursing care since then. I'll call Jessica's nursing team her dream team.
• Jessica gets better care with her nurses than any local hospital or nursing home.
• skilled nursing homes in Texas.
• How many people does the program keep out of jail? Those participants who were in the program?
• Texas Families Program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• You have assisted living or another supportive living section, nursing care.
• So as Steve mentioned earlier, all of the nursing facility, any licensed nursing facility... ...mentioned
• earlier, all of the nursing facility, any licensed nursing facility that's part of the CCRC is licensed
• And then we have a small 12-bed skilled nursing facility.
• You did it with nursing homes.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• Is the moratorium on assisted living and nursing homes, new nursing homes?
• living and nursing homes, new nursing<00:24:32.080><c> homes.
• I've known nursing home staff.
• I've had customers in my insurance agency in nursing homes. I've known nursing home staff.
• </c> HCBS innovation grants program. HCBS innovation grants program.

Keywords: 1187, senate, all

Transcript Highlights:

• The drug court program has been a really good program. $990,000.
• The Drug Court program has been a really good program, at least in Cass County.
• I also contacted a private nursing home director and asked him if they would actually use the program
• I also contacted a private nursing home director and asked him if they would actually use the program
• It's kind of like a match for the program.

Keywords: 908, all

Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.

Transcript Highlights:

• The whole program is geared to taking care of the children.
• The whole program is geared to taking care of the individual child.
• Every other managed care program is under AHCA.
• AHCA is handling the whole program now.
• Senate Bill 788 is a veterans nursing homes bill.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• I AM EXCITED ABOUT OUR PROGRAM TODAY.
• PARTICULARLY NURSING AND A LOT OF THE ADVANCED MANUFACTURING PROGRAMS.
• IF YOU ARE TECHNICAL PROGRAM OR WELDING OR IN THE NURSING PROGRAM YOU ARE GETTING THE 1.5 WEIGHT.
• YOU KNOW TO HIRE SOMEONE IN THE NURSING PROGRAM AND NURSING IS PERHAPS DIFFERENT IT IS YOU KNOW COMPETING
• PROGRAM.

Keywords: 999, senate, all

Transcript Highlights:

• </c> it has implemented the Casper program it has implemented the Casper program Casper<00:03:18.080>
• </c> Kentucky and sadly I had a nurse Kentucky and sadly I had a nurse practitioner<00:07:07.319><c>
• One broad-range example would be the Footprints program, which is at St.
• </c><00:26:19.640><c> that's</c> like to see kind of a a program that's like to see kind of a a program
• </c><00:27:04.520><c> and</c> aware of these particular programs and aware of these particular programs

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• I mean, programs like the FAME program.
• Their welding program is incredible, and the electrical line worker program, which is very important
• We have seven core programs, and these programs are centered around the needs of Texans and the needs
• , include 232,000 registered nurses in Texas, assisted by nearly 60,000 vocational nurses.
• been a nurse.

Keywords: 1185, senate, all

Transcript Highlights:

• </c> the safe at home program. the safe at home program.
• Nursing services is one of them. Nursing homes is one of them.
• </c> nursing home closes in a community. nursing home closes in a community.
• </c> About how safe standards and nursing homes will go in our nursing homes.
• </c> are no um nurses waiting to go work. are no um nurses waiting to go work.

Keywords: 1187, senate, all

Transcript Highlights:

• It creates a new Year 5 ISSA grant program.
• nurses to every kind of nurse and philosophically, I think that's going way too far.
• Joe Puckett with Florida Association of Nurse Practitioners waiving in support.
• These people are the backbone of this program.
• She understands the program and my family has what we need.

Transcript Highlights:

• So again, a great program.
• So again, a great program.
• Look at the Overwatch program, which is a training program, to help teach people how to be aware, to
• It's not a federal program.
• Federal program for skilled nursing care and domiciliary care, assisted living facilities, but not for

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s outreach, benefits assistance, and state veterans nursing homes. He highlighted Florida’s large and growing veteran population, the decline in World War II and Vietnam-era veterans, and the increase in post-9/11 veterans moving to the state. Hartzell discussed the state veterans nursing home system, including a new Collier County facility that will include skilled nursing, assisted living, adult day health care, and outpatient therapy, and he said the department is also studying future adult day health care expansion and possible additional homes in underserved areas. He also reported on the dental program funded by the Legislature, saying 245 veterans were served in the first quarter of the fiscal year, with 1,631 procedures completed and more than $525,000 in savings, and he credited the added state veterans service officer positions with helping connect more veterans to benefits. Hartzell also noted a 13% year-over-year reduction in homeless veterans, emphasized mental health outreach through SaveFLVets.org and the Overwatch program, and announced a new deputy executive director, retired Colonel D.J. Reyes. Members asked about the need for additional veterans homes in South Florida, the criteria used to site new homes, the homeless veteran reduction, and whether adult day health care could be added at existing facilities. Hartzell explained that federal criteria focus on the availability of private skilled nursing beds for veterans 65 and older, and that adult day health care is state-funded and being studied for broader deployment. He also said the department tracks where homeless veterans are concentrated and works with local partners and organizations like Tunnels to Towers to provide housing and services that reduce recidivism. The committee also discussed Florida’s national reputation for veteran support, including Veterans Month and the state’s culture of veteran awareness. The committee then received a presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster response, recovery, and technology systems. Guthrie described the State Emergency Response Team, the new Florida Central Operations and Coordination Office in Auburndale, and the new State Emergency Operations Center in Tallahassee, which is expected to be fully operational by spring 2026 and will significantly expand capacity and hardening. He reviewed recovery efforts for Hurricanes Helene, Milton, Debbie, Idalia, Ian, Irma, Michael, Dorian, Sally, Nicole, and others, including sheltering, travel trailers, debris removal, and FEMA reimbursement totals. Guthrie said Florida removed more than 31.6 million cubic yards of debris from Helene and Milton in 90 days on a 24/7 basis, and he described Elevate Florida, the Florida Recovery Obligation Calculation (FROC), the DEMES platform, and WebEOC as tools to streamline recovery, mitigation, and intergovernmental coordination. Members asked about flood-response resources for cities, the state’s use of pumps and mutual aid, and lessons learned from inland flooding after Milton. Guthrie said local governments should first use county and city mutual aid, then request state assistance when needed, and he encouraged more partnerships for staging and maintaining flood equipment. He also said future flood mitigation must address outdated development patterns, watershed flow, and the need for better drainage planning, while continuing temporary fixes and homeowner assistance programs. The committee ended with no votes or formal actions beyond adjournment.

Transcript Highlights:

• A real challenge with that program.
• Program within our Department of Veterans Affairs that pays minimum wage.
• trying to get nurses and nurses aides into those positions, and I don't think that that is specific
• So individuals in our independent program pay a program fee, and that's based on a percentage of their
• How much farther are we below the competition in regards to nursing staff?

Keywords: 962, all

Summary: The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display. The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents. The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.