Transcript Highlights:

• You can't just train compliance on providers.
• I would only add that the compliance training is not just for providers.
• We need compassion, but we also need compliance training for both providers and families.
• </c> information people receive and training information people receive and training they<00:19:18.919
• They had gun training class in school and all of those things.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Um, police standards and training. Is there someone here from police standards and training?
• </c> Hampshire Police Standards and Training. Hampshire Police Standards and Training.
• </c><00:12:27.600><c> without</c> significant amount of training without significant amount of training
• This equipment would uh training.
• projects</c><00:27:08.159><c> are</c> reimbursements until the projects are reimbursements until the

Keywords: 928, house, all

Summary: The committee first approved the March 21 minutes and then took up a consent calendar, withdrawing several items before adopting the remainder. It also moved item FIS 25103 to the table by a 6-4 vote after Senator Gray argued the Executive Council had not yet acted on a prior $5 million approval and that the committee should avoid adding to the rainy day fund draw. The committee then approved item 25106 for the Department of Natural and Cultural Resources/State Library after hearing that the department expected about a $400,000 lapse to return to the state. A major discussion centered on New Hampshire Police Standards and Training (item 2577). Senator Gray questioned whether a proposed equipment purchase could be delayed to the next biennium in light of the state’s deficit and rainy day fund use. The agency said the equipment was needed now for scenario training, vendors had already been identified, and delaying would likely increase costs and force continued reliance on unpaid volunteer help. The committee ultimately approved the item. The committee also approved Department of Energy item 2587 after hearing that federal weatherization funds are drawn down on a reimbursement basis, and item 2588 after similar testimony that weatherization work must be completed and inspected before reimbursement, limiting how quickly funds can be expended. Item 250094 had been withdrawn. Later, the committee discussed Senator Carson’s request for an LBA review of the YDC claims settlement fund, with members expressing concern about administrative costs, attorney fees, settlement-loan payoffs, and the need for more detailed reporting. The committee voted to direct LBA to conduct the audit described in Senator Carson’s memo, with the additional request that the review include the term over which attorney fees are paid. The meeting then moved on to an HHS staff item, where members began questioning the timing of dashboard data and reporting delays.

Transcript Highlights:

• We have motor vehicle report checks, we have background checks, and we do training.
• Based on this bill, we're looking at basically a 300% depletion of reimbursement.
• It's a train wreck.
• It's unsustainably low reimbursement.
• Direct the legislation towards better training for drivers.

Bills: HB4806

Committee: House Judiciary & Civil Jurisprudence

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• These insurers only cover injectable PrEP under their medical benefit, meaning they reimburse providers
• So it really... ...be able to put up the funds, wait for reimbursement, and those kind of things.
• And they have nearly four years of training after that specialty.
• And they have nearly four years of training after.
• Most have a doctorate and they have nearly four years of training after that specialty.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• It has to do with school cost reimbursement.
• So Chapter 40S was passed that provides state reimbursement to communities that establish one or more
• Where largely you don't get that many children, they would get school cost reimbursement.
• The formula is found in Chapter 40S, Section 2, payment of smart growth school cost reimbursement.
• Payment of smart growth school cost reimbursement.

Committee: Joint Joint Committee on Community Development and Small Businesses

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Businesses held a brief hearing on several housing and planning bills. Testimony focused on Senate Bill 176 and House Bill 313, which would update Chapter 40R smart growth zoning incentives and double municipal payments for adopting qualifying zoning districts, and Senate Bill 177, a technical correction to Chapter 40S so starter-home districts created under Chapter 40Y would also qualify for school cost reimbursement. Benjamin Fierro, representing the Home Builders and Remodelers Association of Massachusetts, strongly supported the bills, arguing that the current incentives are too modest, that starter homes are needed for young and first-time buyers, and that the school reimbursement fix is necessary to align the statutes. Nally Soto of the Massachusetts Housing Coalition also supported the bills, saying the higher incentives would help municipalities approve more housing and address the housing shortage. Representative Kassner testified on House Bill 303, a remote community development planning bill modeled on Executive Order 418. She said it would restore and expand statewide comprehensive planning for land use, transportation, housing, open space, infrastructure, and climate resilience, with regional planning agencies playing a key role. Committee members asked about how Chapter 40S reimbursement is calculated and how the planning bill would interact with existing regional planning commissions. One member also spoke in support of the housing bills and described local challenges with affordability, land costs, and compliance with the MBTA Communities law. No votes were taken during the hearing. The chair closed testimony after a final call for additional witnesses and announced that the committee would continue working on the bills and hold one more hearing in September on additional measures and late-filed bills. The committee then adjourned by motion and second.

Transcript Highlights:

• Focusing broadly on CYFD, if an individual is in the informal train of—excuse me—if a child is involved
• The informal train of—excuse me—if a child is involved in the informal justice system, what happens is
• Here's one more thing: they're already doing the work, and we're not getting reimbursed for it.
• Some components of the services that we offer are eligible for reimbursement in the future by Medicaid
• Chair, the 90 days before release is only in relation To the Medicaid reimbursement.

Transcript Highlights:

• And if that employee stays and makes it through, you know, their training, their NET training at 6 months
• It included more trauma training and other training for foster families.
• What types of training do they have?
• How many foster parents have gone through that training?
• So they did one training of our staff, and then they did an initial training of the five foster families

Transcript Highlights:

• By training, I hold a bachelor's degree in social work, a master's degree in counselor education and
• By<00:02:19.600><c> training,</c><00:02:20.280><c> I</c><00:02:20.360><c> hold</c><00:02:20.680><c> a
• <c> meals</c><00:42:36.320><c> and</c> provides reimbursements for meals and provides reimbursements
• <00:43:58.960><c> state</c><00:43:59.200><c> agencies,</c> reimburses state agencies, reimburses state
• </c> trainings, cross-division program trainings, cross-division program integrity<01:11:09.600><c> work

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• </c><00:33:49.760><c> once</c> treatment facility reimbursements once treatment facility reimbursements
• training.
• and training.
• training.
• and training.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• Does that mean they take the training or Do they actually go on raids with ICE?
• Right now, we are getting $60 a day in reimbursement.
• Hopefully, the Trump administration makes it so easy with the training, and we have the training facilities
• And we are trained to fix this because this isn't some sort of new idea.
• We will start reimbursing them for some of their work.

Bills: SJR36 , SR8 , SR14 , SR15 , SR17 , HCR54

Keywords: accountants, Texas Society of Certified Public Accountants, advocacy, legislation, business issues, memorial, law enforcement, sacrifice, tribute, community support, service, community, Holocaust, remembrance, antisemitism, human rights, education, Holocaust Remembrance Day, memorialization, sexual assault

Transcript Highlights:

• We can offer training on our treaties, understanding IHS 638 and compact services, because that would
• And so I think that with that, also training legislators, because most of us do not live in a tribal
• I mean, what type of training are you provided?
• Well, I think the training aspect—I represent District 31, so I have Standing Rock in line.
• So awards will be issued on a reimbursement basis.

Committee: Joint Tribal and State Relations Committee

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• of that reimbursement.
• of that reimbursement.
• I'm a family physician by training. I did that for almost two decades. I went to the dark side.
• So, ideally, you want your reimbursement to drive quality. You want it to drive access.
• We're trained to care for people of all ages. We're your primary care doctor.

Bills: SB5877 , SB5967

Committee: Senate Health & Long-Term Care

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, preventive services, state authority, healthcare access, insurance coverage, public health, 904, all

Transcript Highlights:

• Their clinical training. Correct. They Their clinical training. Correct.
• It's that the reimburse services.
• </c> Medicare program because reimbursement Medicare program because reimbursement from<01:15:37.120>
• </c><01:15:48.960><c> So</c> the reimbursements are so different.
• So the reimbursements are so different.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• On line 40, on the next page, page 4, there’s 200 million to the Federal Reimbursement Revolving Fund
• On line 40 to... ...the Federal Reimbursement Revolving Fund, what is our balance in that fund?
• Oh, sorry, I know Federal Reimbursement Rehabilitation Fund. Right, right, sorry.
• I am asking for a clarification on the Federal Reimbursement. Revolving Fund.
• They fly them; they escort them; they're not reimbursed. Mr.

Committee: House House Appropriations & Finance

Keywords: 996, all

Transcript Highlights:

• Foreign countries want to come and train. That's fine.
• Qatar, which was recently announced, is going to train, has the seventh...
• countries, then have them help reimburse the taxpayers of Idaho.
• , foreign country training was going to be a major part of the base.
• We didn't create this water supply so that it wasn't based on expansion or more training.

Committee: House Resources and Conservation

Keywords: 989, all

Transcript Highlights:

• There also are trained family members that provide informal hours above the assessed hours and fill in
• I am not a nurse, but I am trained in all aspects of Colby's care.
• CNA duties are not a Montana Medicaid reimbursable PCCA service.
• We also established high-level training requirements and supervision requirements for the service.
• could be up to 85 hours worth of training.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• the reimbursement of these programs by 10%.
• On the disbursement side, CMS requires that Medicaid reimbursements be reimbursed based on volume.
• As for Medicaid, it hurts us on the Medicare reimbursement rate, but for Medicaid reimbursement on the
• Now, this is a Medicare reimbursement, not a Medicare reimbursement.
• Reimbursement to Chair Solis.

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• House Bill 4329 changes the definition of coverage services from reimbursable to reimbursed.
• But my next question is, how are school nurses trained to do this?
• I mean, what kind of specialized training do they have to undergo to do these exams?
• Through training of the teachers, an issue was detected and encouraged us to check further.
• And so, you know, certain teachers have been trained in this already.

Summary: The committee took up several health-related bills and moved most of them forward. House Bill 4329, by Pro Tem Moore, passed 6-0 after a brief explanation that it changes the definition of coverage services from “reimbursable” to “reimbursed.” House Bill 3016, by Representative Dobrinski, also passed 5-0; it would create a vision screening program tied to early literacy efforts and establish a revolving fund, with members raising questions about funding, training, timing in larger districts, and whether insurance or outside clinics could help cover costs. Representative Dobrinski said he was open to adjustments and noted the bill is intended to identify vision issues that can affect reading and school performance. Representative West’s House Bill 4118 passed 5-0 after the committee adopted a PCS as the working draft. West described it as a fiscally responsible measure supporting family caregivers, maintaining existing safeguards under the Caring for Caregiver Act, and preserving a nonrefundable tax credit capped at $1.5 million. House Bill 366, by Representative Pogemiller, passed 5-0 and would create a revolving fund for the Health Care Workforce Training Commission to support behavioral health professionals in rural Oklahoma under the Rural Health Transformation Program. The committee also considered House Bill 3649, a Department of Mental Health request bill allowing proceeds from certain real estate sales to be placed in a department trust for future property purchases or development. Questions centered on whether the bill aligned with an RFP involving current state facilities, and the bill was sent to oversight on a 4-1 vote. House Bill 3650, a Hospital Association request bill to extend the managed Medicaid rate floor, was also sent to oversight on a 5-0 vote, with Chairman Stinson saying he intended to amend the end date from 2035 down to 2028 before further consideration. House Bill 3644 was laid over until the following week, and the meeting then adjourned.

Transcript Highlights:

• and Education Program, the California Fire and Arson Training Act, and the generation and handling fee
• So we cover the cost initially, and then these costs are reimbursed by the federal government.
• , ...a robust amount of days to making sure that our professionals are getting the training that they
• I wanted to comment on AB 165, which extends the current skilled nursing facility reimbursement rate
• overall intent, but believe that really needs a robust reimbursement mechanism.

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• Is there a system or program that we are investing in that can help demonstrate job training, that could
• working sectors that are going to be hit the hardest by these eligibility requirements and what training
• We recommend that the proposal be structured as a reimbursement program rather than funded through LCFF
• Reimbursement rates are so low that providers can't keep their doors open. ...care deserts grow.
• Reimbursement rates are so low that providers can't keep their doors open.

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all