Transcript Highlights:

• Thank you for being here as well.
• And I believe that the public sentiment reflects that as well.
• I'm a business owner from Jessamine and Fayette County as well.
• Well, they just sent me back with a piece of equipment.
• <00:37:32.000> this check it back in we see okay well this check it back in we see okay well

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:03 HB 220: 00:01:49 Discussion in Opposition to HB 220: 00:14:37 HB 136: 00:28:21 HB 201: 00:34:14, 958, all

Summary: The House Judiciary Committee met with a full roll call and first took up House Bill 220, which would strengthen Kentucky DUI penalties. The sponsor and a Commonwealth’s attorney testified that the bill would make a third DUI within 10 years a felony, while keeping first- and second-offense penalties the same, and that the committee substitute also adds escalating fines for under-21 DUI offenses and aligns interlock requirements. Supporters argued the change is needed to protect families and respond to repeat impaired driving, citing a fatal case involving a young victim and a repeat offender with a high blood alcohol level and prior DUI convictions. Members asked about treatment, sentencing, and drafting details. The sponsor explained that the existing mandatory substance-abuse treatment requirement for fourth-or-greater offenses would apply to third-or-greater offenses under the substitute, and that a 120-day minimum remains in place. Questions were also raised about removing redundant statutory language and about whether felony treatment could sometimes result in less actual jail time than a misdemeanor; the sponsor and prosecutor said such cases are rare and that the bill gives prosecutors and juries more tools. Representative Blanton supported the bill but noted it does not address fentanyl, and the sponsor said he has a separate bill for that issue. Opposition testimony came from Scott West of the Kentucky Association of Criminal Defense Lawyers, who said he supported tougher DUI enforcement but opposed felonyizing the third offense. He argued that the current system already imposes mandatory jail and treatment, that felony cases often resolve through plea bargains with parole eligibility that may not increase actual time served, and that the better approach would be stronger mandatory counseling, longer license suspensions, and ignition interlock requirements rather than felony status. After discussion, the committee adopted the committee substitute and passed HB 220 favorably by a 19-0 vote. The committee then began House Bill 136, which would require the Department of Corrections to compile and submit annual reports to the General Assembly on corrections and parole outcomes, including time served and supervision data. The sponsor and a witness from the Georgia Center for Opportunity said the bill is intended to improve transparency and give lawmakers better data for policy decisions. Members voiced support for better post-release data and asked whether DOC could implement the reporting; the witness said DOC had not expressed concerns and already submits some reports. Discussion on HB 136 was underway when the transcript ended.

Transcript Highlights:

• association also supports HB 602 as well association also supports HB 602 as well and<00:46:02.160
• Um, sources within the state as well.
• I'm assigned to state police as well, so I can do state charges as well.
• But to can do state charges as well.
• teaches children cooking classes um etc. teaches children cooking classes um etc.

Keywords: 1191, senate, all

Transcript Highlights:

• Well, there's two things, right?
• Yeah, well...
• Yeah, well... Mr.
• Okay, well, we require it, so... period.
• Well, could I maybe add a little bit of insight here as well?

Keywords: 1182, all

Transcript Highlights:

• Kelvin Frazier, who amazingly is my son's favorite teacher, even if he hates math class.
• Welcome to your House of Representatives. hates math class. hates math class.
• Well, let's, regardless, introduce them to the House of Representatives. Representative Capela.
• <00:33:05.800> as donate treats for the staff, as well as donate treats for the staff, as
• well as organizes<00:33:06.560> all<00:33:06.760> the<00:33:06.880> potlucks<00:

Bills: HR204, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB3320, SB2543, SB3097, SB3096, SB3140, SB2593, SB2567, SB2466, SB2140, SB2088, SB3090, SB608, SB2795, SB3294, SB3263, SB3001, SB2907, SB3251, SB2074, SB2360, SB2354, SB2908, SB2353, SB3045, SB2047, SB3254, SB3246, SB3133, SB2425, SB2671, SB3229, SB2969, SB1166, SB896, SB2391, SB2125, SB3118, SB3325, SB2613, SB2614, SB494, SB2376, SB3326, SB2001, SB2599, SB3048, SB3169, SB2002, SB3247, SB3253, SB2155, SB2192, SB3187, SB2190, SB2398, SB2424, SB3028, SB2338, SB3219, SB2981, HCR14

Keywords: H.R. 204, House Resolution, Hawaii LifeSmarts, LifeSmarts State Competition, student competition, academic recognition, congratulatory resolution, Iolani School, Kalani High School, Waipahu High School, personal finance, consumer rights, health and safety, technology education, environmental education, National Consumers League, Department of Commerce and Consumer Affairs, Hawaii Credit Union League, youth achievement, high school teams

Transcript Highlights:

• And if the kid changes classes, there's a learning gap that occurs because of our teaching style.
• “Well, thank you for that question. I think the missing—” “Well, thank you for that question.
• Well, maybe not seeing you young ones.
• build those programs as well.
• When Florida State or FAMU is not doing well, the economy is hurt.

Summary: The Education Pre-K through 12 Committee heard a presentation from Florida High School Athletic Association Executive Director Craig Damon, joined by student athletes Sydney Daniel and Taylor White. The students spoke about the value of education-based athletics, leadership, and the need for safe, equitable opportunities. Damon then discussed FHSAA issues including rising sportsmanship problems, ejections, violent incidents, recruiting allegations, transfers, mental health pressures on student athletes, and the need for qualified coaches. He said the association tries to be proactive, work with schools on discipline, and emphasize that school changes should be for academic reasons rather than athletics. Senators asked about mental health, transfer rules, and a recent Jacksonville incident; Damon explained the current transfer exceptions and said the association lacked authority over the Jacksonville football game because the schools were not in FHSAA football. The committee then heard a panel on high school coaches’ compensation led by Florida Coaches Coalition Executive Director Dr. Andrew Ramgett, with Coach Mike Hickman, Coach Charlie Ward, and superintendents from Okaloosa and Walton counties. Ramgett argued that coaching supplements are outdated, have not kept pace with the expanding year-round demands of coaching, and amount to very low hourly pay in many sports. He also said Florida’s restrictions on booster club funding and minimal certification requirements contribute to turnover and difficulty retaining qualified coaches. Hickman and Ward described coaching as a demanding, year-round profession that affects students beyond athletics, including academics and mental health. The superintendents said they value coaches but must balance compensation against limited district funds and other staffing needs; one noted Walton County uses a dedicated administrative lane for football coaching and athletic administration. Senators discussed whether booster club funding should be allowed, whether compensation should be tied to performance, and whether any increase in base student allocation would actually reach coaches. Public commenters, including Florida Athletic Coaches Association Executive Director Shelton Cruz and former coach Tyrone McGriff, urged support for coaches and emphasized their broader impact on students’ lives and school safety. At the end of the meeting, the committee took up confirmation hearings for appointments on tabs 3 through 6 and, with no appearance forms filed, voted unanimously to recommend confirmation. Senator Burgess then moved to adjourn, and the committee concluded the meeting.

Transcript Highlights:

• Well, you're familiar with the parable of the vineyard.
• Well, there's several layers to this.
• After this one, so I had a class from Doctor Hamlin.
• Ok, well, thank you. I appreciate that.
• I think getting the right teachers in those K through 4 classes. Move from question.

Bills: HB2987, HB3026, HB3076, HB3288, HB3315, HB3467, HB3711, HB3885, HB4427, HB4359, HB4363

Keywords: kindergarten, military families, education policy, school districts, international military dependents, age eligibility, teacher certification, alternative teacher preparation, education reform, employment opportunities, teacher recruitment, physical education, elementary school, prekindergarten, recess, health and fitness, higher education, bachelor's degree, feasibility study, Oklahoma State Regents

Transcript Highlights:

• Um, we are not serving a big chunk of our young people well.
• make sure with findings that it's well documented.
• Change and it is reflected in the big bill as well.
• Well-earned tears.
• But I think this is an incredibly well-rounded budget.

Keywords: 927, senate, all

Transcript Highlights:

• You were part of the bilingual travel support there in Phoenix as well.
• Well, you're right. We shouldn't tolerate it for any student.
• They're here to go to class.
• They're here to go to class.
• Well, that's correct.

Summary: The Senate met with a quorum, heard an invocation, dispensed with the previous journal, and received a House message. Members also recognized Dr. Namita Bardwaj as doctor of the day. The chamber then adopted Senate Resolution 554 honoring Christopher “Chris” Jake Stone of Santa Fe for his heroism during the 2018 Santa Fe High School shooting, with several senators and the lieutenant governor offering remarks about his sacrifice and the ongoing impact on his family and community. The Senate also signed a number of bills and resolutions and adopted Senate Resolution 533 recognizing the Texas Legislative Internship Program class, with multiple senators highlighting individual interns and the program’s role in developing future public servants. The floor then took up and passed several bills, often by suspending the regular order and the three-day rule. These included HB 1639 on a study of cancer incidence among female firefighters; HB 102 granting early registration for students in military-related programs; HB 4325 increasing civil penalties for barratry; HB 5342 creating a 988 Suicide and Crisis Lifeline trust fund and related funding study; HB 3370 allowing late timberland appraisal applications after an owner’s death; HB 3376 requiring certain guardians to complete dementia/Alzheimer’s training; HB 132 extending confidentiality protections to information about hostile acts by foreign adversaries; and HB 1978, which sought to restrict ERCOT interconnections, but its motion to pass to engrossment failed on a 20-11 vote. Additional measures passed included HB 511 on unsolicited voter registration mailings, HB 2187 on nurse staffing, retaliation, and overtime protections, HB 2510 creating offenses for unlicensed assisted living operations, HB 694 on DFPS notification timelines, HB 1893 making license plates in law-enforcement video nonconfidential for public information requests, HB 2733 updating barratry and solicitation laws for digital communications, HB 4506 allowing opt-in electronic zoning notices, HB 3751 transferring a TxDOT property to DPS, HB 3033 creating a grant program for nonprofits supporting injured or killed DPS employees, HB 4273 on Medicaid fraud prevention and eligibility verification, HB 3211 on vision care benefits, HB 4529 exempting certain DoD-certified child care facilities from state licensure, HB 2522 easing fingerprinting requirements for certain vehicle dealers, HB 4219 tightening public information request response requirements, and HB 4783 requiring a report on opioid antagonist programs. The Senate also received a House message noting passage of SB 9, and a nominations committee report was announced for future consideration.

Transcript Highlights:

• I am going to sort of just also get you set up with your amendment as well. I'm chair.
• I am going to sort of just also get you set up with your amendment as well.
• They would help me to get my classes. They would work with me on a schedule and on extra things.
• You need help getting into class. You got a flat tire, I can help you with that.
• <00:10:20.040> as entering into employment as well as entering into employment as well as

Keywords: 1183, house

Transcript Highlights:

• They are back in class. They're back in class sitting next to the kid that was harmed.
• ><01:24:41.159> class<01:24:42.159> sitting class.
• They're back in class sitting class.
• They have one<01:30:16.800> class<01:30:17.440> per one class per one class per grade.<
• to teach class there.

Keywords: 1183, house

Transcript Highlights:

• <00:39:59.920> Well,<00:40:00.240> there<00:40:00.480> are<00:40:00.720>
• Well, there are things they get?
• Well, there are things that<00:40:03.000> they<00:40:04.000> they<00:40:04.079> they
• you're<01:06:16.799> dealing Well, I mean, anytime you're dealing Well, I mean, anytime you're
• current law, bribery is already a class current law, bribery is already a class B<01:33:44.880><

Keywords: 910, house, all

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

Transcript Highlights:

• Now, granted, the entity could not provide the information as well. That happens as well.
• Now, granted, the entity could not provide the information as well. That happens as well.
• And it includes counties as well,<01:42:21.040> right? well, right? well, right?
• and the committee very well.
• deliberations in our committee as well. deliberations in our committee as well.

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• State as to how to do this well.
• A class action lawsuit was brought against San Juan County, resulting in damages to members of the class
• Each of the members of the class received damages.
• Do you all have a timeline in mind as well?
• Well, Mr. Chairman, if I can just also respond...

Transcript Highlights:

• Shumate, you're well-suited to serve as head of the Civil Division.
• Vindman, and this is in the IG report as well, we heard that Mr.
• Well, I'm not aware of any such incident, no.
• Well, let me ask you this.
• We thank you as well.

Keywords: John Eisenberg, assistant attorney general, national security, China Initiative, Department of Justice, judicial authority, executive actions, nomination hearing

Summary: The committee meeting primarily involved discussions around key nominations and pressing legal issues pertaining to the Department of Justice. Notable discussions included the nomination of John Eisenberg for assistant attorney general for national security, where concerns over the revival of the China Initiative were raised. Senators expressed significant apprehensions regarding previous actions taken under this initiative and its implications for national security. Additionally, there were critiques of the broader implications of executive actions that challenge judicial authority, aligning with ongoing dialogues about the integrity of the judiciary and executive oversight.

Transcript Highlights:

• I went an entire year without getting my wellness appointment.
• No. they're going to break a sweat and go back to class.
• Not enough time to go to the gym and change clothes and get sweaty and go back to class.
• She's asked me to protect that class at all costs. Move for adoption. Yield to questions.
• Well, Mr. Speaker, we don't pass hopes.

Bills: HR1036, HB2975, HB3026, HB3297, HB2981, HB2978, HB4144, HB1322, HB1818, HB3194, HB3767, HB3342, HB3344, HB4170, HB3287, HB3288, HB4454, HB3264, HB3266, HB3268, HB4095, HB4115, HB4316, HB3530, HB3428, HB4272, HB4273, HB4274, HB3405, HB3406, HB3467, HB3469, HB3931

Keywords: poultry waste, nutrient management, environmental regulations, agriculture, water quality, pollution prevention, best management practices, kindergarten, military families, education policy, school districts, international military dependents, age eligibility, towing services, Oklahoma Wrecker and Towing Services Fund, Department of Labor, vehicle storage fees, consumer protection, nonconsensual towing, open meetings

Transcript Highlights:

• The medical school would have class sizes of up to 150.
• We'll consider those, but if we can fill our class with 100% Texans, we're going to fill our class with
• But I understand that, and I would invite you over to the east side as well. Well, we'll be there.
• Well, thank you for your question.
• This past fall, 21% of our students were enrolled in 100% online classes, and 44% took at least one class

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• So then you have a cost to the school as well.
• Have shop classes for every student.
• That sounds odd that you're experimenting, but it is working well.
• with career tech or at a career tech in lieu of two classes.
• Student B takes classes at a K-12 school, but takes a couple of their classes through a career tech.

Keywords: 914, all

Transcript Highlights:

• Corporal Adam Campbell, Deputy First Class Daniel Wharton, and Deputy First Class Peter Gerhard.
• You are recognized, and you may approach the well.
• You are recognized, and you may approach the well.
• I request permission to approach the well. You are recognized and may approach the well.
• Well done, Senator Trumbull.

Summary: The Florida Senate convened for its organizational session with prayer, presentation of colors, the Pledge of Allegiance, and the national anthem, followed by a moment of silence for the mother of Senator Fine. The chamber then received special guests and administered oaths to newly elected senators after reading certificates of election from the Secretary of State. Tracy Campbell Cantella was nominated and unanimously elected Secretary of the Senate, then sworn in. Ben Albritton was nominated, seconded, and elected as President of the Senate for the 2024–2026 term, and Jason Brodeur was later nominated, seconded, and elected President Pro Tempore. Both leaders were sworn in and delivered extended remarks about faith, service, Florida’s economy and education, hurricane recovery, insurance, rural communities, agriculture, water quality, Israel, veterans, and the need for data-driven, accountable government. After the leadership elections, the Senate adopted its rules for the new term and authorized the Secretary to make technical and conforming changes. The chamber also adopted Senate Concurrent Resolution 2-O-RG, which establishes the joint rules of the Florida Legislature for 2024–26. A committee was appointed to notify the House that the Senate had convened for organization, and the committee later reported back that the House had been informed. The Senate then received a communication from the Democratic caucus certifying that Senator Jason Pizzo was elected Democratic leader and Senator Tracie Davis Democratic leader pro tempore for the term. The session included additional remarks recognizing Senate staff and security personnel, as well as tributes to the late John Pasidomo and a moment of silence for him. The meeting concluded with a performance of “Amazing Grace,” brief closing comments, and an attempted motion to adjourn sine die that was briefly tabled until the House confirmed it was convened and ready to transact business. The Senate then adjourned sine die.

Transcript Highlights:

• Rabbi Lipsker, please approach the well. Thank you, Speaker.
• I want to thank—well, this is a historic day.
• I want to thank—well, this is a historic day.
• I am a product of Advanced Placement classes, and it helped me to place out of some classes. ...at Harvard
• My first child, the pregnancy didn't go well.

Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.

Transcript Highlights:

• But we they can be dangerous as well.
• Well, the What is epilepsy in DR?
• give you some comments as well. give you some comments as well.
• <01:04:25.520> Inpatient 17 permissible classes. Inpatient 17 permissible classes.
• They've got to be broadbased, class.

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.