Transcript Highlights:

• How much does this study cost?
• Senator, this is a study. Both legal and illegal.
• Of course, that's outside of the study.
• I think this is a great piece of legislation.
• Texas Legislative Medal of Honor nominations.

Summary: The Senate opened with an invocation by Pastor Jim Harris of Tilden Baptist Church, followed by remarks from Senator Zaffirini recognizing his service and retirement as an agricultural teacher. The chamber also received a message from the governor on appointments to the Coastal Water Authority Board of Directors. Senators then adopted SR 434 honoring Goodwill Industries of San Antonio’s 80th anniversary, with Senators Gutierrez, Menendez, and Zaffirini praising its workforce training and second-chance employment mission; SR 435 recognizing Dr. Christine Ramos Camacho as Doctor of the Day; and a group of additional resolutions adopted by voice vote. Senator Zaffirini also introduced the McMullen County Day delegation, and Senator Gutierrez introduced the Doctor of the Day. The Senate then took up and passed several bills. SB 1951 addressed penalties for late property rendition filings and removed a financial incentive for appraisal districts; SB 1261 related to financing water supply projects in the state water plan; SB 1620 created a Texas Forensic Analyst Apprenticeship Pilot Program; SB 530 updated higher-education accreditation rules; SB 2183 standardized fireworks sales periods statewide; SB 2368 strengthened the Lone Star Infrastructure Protection Act and added foreign-affiliation safeguards for electricity market participants; SB 1398 limited children without placement (CWOP) practices and added community-based care transparency; and SB 1960 established digital replication rights for voice and visual likenesses. Each of these bills advanced through suspension of the regular order, passage to engrossment, suspension of the three-day rule, and final passage, with recorded votes generally showing strong support and some opposition on a few measures. The chamber also debated SB 825, which would require an annual study of the economic, environmental, and financial impacts of illegal immigration. Senators Middleton, Hinojosa, Gutierrez, and Eckhardt debated whether the study should include positive as well as negative impacts; an amendment to require that broader analysis failed, and the bill was left pending after passage to engrossment. Other measures passed included SB 2010, prohibiting political subdivisions from operating guaranteed income programs; SB 546, requiring reporting and continued implementation of school bus seat belts; SB 586, establishing the Historical Texas Cemetery designation program; SB 1150, requiring inactive oil and gas wells to be plugged or returned to production under a compliance plan; SB 1184, lowering the minimum age of wine eligible for sale by wine collection sellers; SB 2185, clarifying bilingual education allotment funding; SB 1923, making child support follow the child in certain temporary placements; SB 2252, expanding early literacy and numeracy supports and screening tools; SB 1870, barring local decriminalization of drugs; and SB 2405, the major TDCJ sunset bill, which included facility planning, parole and rehabilitation reforms, and an amendment protecting parole board discretion. Most of these bills were adopted after floor amendments and passed with recorded votes, often along party-line or near-party-line divisions.

Transcript Highlights:

• I represent the 5th Legislative District, and it is an especially I represent the Fifth Legislative District
• and led DOR's tax exemption study.
• , including security management and suicide prevention.
• It's unusual to have a legislative auditor's comment.
• This brings us to the legislative auditor's conclusion.

Summary: The committee met on July 15, 2026, but initially lacked a quorum, so it could not adopt prior minutes. Chair Jerry Pollett welcomed new member Senator Victoria Hunt and new JLARC staff, and noted national recognition for recent JLARC reports. The meeting then moved into a series of preliminary audit presentations and an agency strategic management update, with committee members asking questions after each item. JLARC presented a preliminary audit of DCYF’s Juvenile Rehabilitation programs. Staff concluded that crowding, staffing shortages, weak risk assessments, and inconsistent programming combine to create unsafe conditions. The report found that most youth are housed in two large secure facilities operating near or above capacity, incidents rise as population rises, 47% of frontline staff leave within a year, current assessment tools are not valid for the population, and program access depends more on facility than individual need. JLARC made one recommendation to the legislature to address crowding and seven to DCYF, including improving retention, training, incident response procedures, validated assessments, program alignment, and data quality. DCYF Secretary Ross Hunter said the agency agreed overcrowding is a serious problem, described ongoing efforts to improve staffing and safety, and said a detailed response would be provided later. Committee members raised concerns about education access, retaliation against staff or youth who participated in the audit, and whether JR-25 has helped or worsened conditions. JLARC then presented a preliminary audit of Labor and Industries’ enforcement of farm worker labor laws. The audit found that L&I generally meets inspection timelines for health and safety complaints, but not for wage and hour or retaliation complaints, where delays are driven largely by time before assignment to an investigator. Staff said complaint volume exceeds capacity, though the agency has added staff, created screening processes, and reorganized workloads, and 2026 legislation now allows prioritization of complaints and broader investigations. JLARC recommended that L&I report back in December 2026 and December 2027 on backlog reduction and implementation of the new law. An L&I representative said the agency is hiring additional staff and will provide a formal response later. The committee also received a JLARC overview and Department of Health strategic management plan update on hospital data reporting, inspections, complaints, and adverse event reporting. DOH reported measurable progress on inspection compliance, new staffing and licensing systems, translated complaint forms, and plans for future work on language access, adverse event reporting, and financial data dashboards. After lunch, JLARC began its 2026 tax preference performance reviews. The first review covered the Main Street tax credit, which JLARC said has helped increase the number of Main Street communities and businesses, with positive growth near designated districts; JLARC recommended continuing the preference and improving business-count data. The second review covered the equitable access to credit program, which JLARC said appears to support underserved communities by funding loans through CDFIs; JLARC recommended continuing the preference beyond its 2027 expiration. The committee began questions on the program mechanics and the role of the Community Reinvestment Act, and the presentation was still underway when the transcript ended.

Transcript Highlights:

• By lumping all these concerns of better water management together, those completing the study such as
• Management to consider studying water and wetlands regulations and the taxation of inundated lands in
• Management to consider studying water and wetlands regulations and the taxation of inundated lands in
• Management. ...assessment and to provide a report to Legislative Management.
• Section 1.3 requires the department to present its findings and recommendations to Legislative Management

Keywords: 908, all

Summary: The Senate opened with prayer, roll call, and a quorum present, then moved through a series of conference committee appointments and reconsideration motions. Senator Axtman successfully moved to reconsider House Bill 1160, which had previously failed, and the chamber later passed it. HB 1160 creates a statewide bell-to-bell policy restricting personal electronic devices during instructional time; supporters argued it would reduce distractions, improve mental health and academic outcomes, and help teachers, while opponents raised local control concerns. The bill passed 42-4. The Senate also passed several other measures, including HB 1247 on protecting student victims of sexual offenses, HB 1489 consolidating civil protection orders into one chapter, HB 1032 making municipal courts courts of record and updating related procedures, HB 1487 authorizing a Minot facility for the Highway Patrol and Bureau of Criminal Investigation with a line of credit and emergency clause, HB 1469 requiring annual online statements of interest for public officials, HB 1199 creating the Missing and Indigenous People Task Force and related MMIP initiatives, HB 1169 regulating paid veterans benefits claim assistance with consumer protections, HB 1209 directing a foreign adversary threat assessment, and HB 3018 as amended to study water, wetlands, and taxation of inundated lands. Most of these passed with strong bipartisan support, though HB 1169 drew substantial debate over veterans’ service options and HB 1209 passed on a narrower 40-7 vote. The chamber rejected or declined several other measures. HB 1455, which would have required the Indian Affairs Commission to review introduced legislation for tribal implications, failed 7-40 after concerns about an unfunded mandate and duplicative duties. HB 1259, which would have put North Dakota on year-round daylight saving time, was defeated 15-32 after debate over time zones, construction, recreation, and whether the issue should be left to future legislatures. HB 1555, dealing with statements of ownership for foreign organizations of concern, also failed 3-44. The Senate then moved to announcements and committee scheduling for later meetings and conference committees.

Transcript Highlights:

• Because it is a fool's errand to sit here and just manage, manage, manage when you're not impacting the
• That's a good legislative question.
• They can only manage what they can manage.
• So all the management plans coming in after September 1, we should have that included in the management
• legislative session?

Keywords: 1184, house, all

Transcript Highlights:

• for the travel industry management for the travel industry management Daniel<00:17:44.720> so
• So we're going to amend this bill to become a study.
• So we're going to amend this bill to become a study.
• <00:38:36.960> address<00:38:37.920> a a study we will have the study address a a study
• <00:38:58.520> members<00:38:58.880> any study members any study members any questions

Keywords: 910, house, all

Transcript Highlights:

• management study regarding the establishment of a government spending database.
• Management study; to provide a penalty; and to provide an appropriation.
• management study, to provide for a legislative management report, and to provide an effective date.
• management study.
• management study.

Keywords: 908, all

Summary: The Senate met with a quorum present and handled a mix of conference committee appointments, appropriations bills, policy bills, and House amendments. Early in the session, the chamber appointed conference committees for SB 2399 and for House-amended SBs 2213 and 2354, and also named conference committees for HB 103, HB 1308, and HB 1169. The Senate then took up several appropriations measures, including HB 1612, which creates the North Dakota Center for Aerospace Medicine at UND; the Senate adopted an amendment shifting the funding to a one-time $250,000 Community Health Trust Fund appropriation with a required $250,000 match from other sources, and the bill passed 39-7. HB 1193, the “Back the Blue” grant, was amended to make the funding one-time and focus on officer retention, then passed 41-5. HB 1329, a government spending database proposal for school districts, was amended into a legislative study and passed 42-4. HB 1020, the water budget, received extensive amendments reducing and reallocating funding across major water projects, adding studies and oversight changes, and passed 45-0 with the emergency clause. HB 1581, a tribal tourism grant, also passed 40-6. The Senate rejected HB 1330, which would have authorized divestment from direct investments in Chinese companies; after debate over the prudent investor rule, trade impacts, and whether the bill singled out one nation in law, it failed 20-26. HB 1534, limiting property valuation increases, and HB 1266, adjusting the disabled veterans property tax credit, both failed unanimously or nearly so after committee recommendations against them. HB 1566, which would have created a regulatory framework for a product discussed as kratom, was amended on the floor to convert it into a study and then passed 31-15. The chamber also passed HB 2241 on charter schools after a House amendment changed the funding formula to the statewide average from the prior year, and HB 2022, the indigent legal counsel budget, after House changes added funding flexibility, offset lost fee revenue, and included a study on a public defender office. The Senate concurred in several House amendments and then passed a number of Senate bills. SB 2375, allowing joint negotiations between dental providers and insurers under Attorney General oversight, passed 44-2. SB 2251, clarifying that open records requests during state audits should be referred to the audited agency, passed 46-0. SB 2159, related to nuclear energy research, passed 43-3 after House amendments required Industrial Commission approval and consultation with the radioactive waste advisory council. SB 2155, changing gratis antelope license rules, passed 30-16 after debate over landowner rights and tag distribution. SB 251, setting fees and an audit for the Private Investigative and Security Board, passed 44-2. SB 2280, the prior authorization health insurance bill, passed 43-3 with a House-added study and consumer protections. SB 2023, the Racing Commission budget, passed 41-5 after a House change made internship funding one-time. SB 2232, changing prenatal substance exposure reporting requirements and related toxicology rules, passed 44-2. SB 2241, authorizing public charter schools, passed 39-7. The session ended while the Senate was still processing SB 2022’s final passage vote, but the bill had already cleared concurrence on House amendments.

Transcript Highlights:

• And so for this committee, we have statutory studies where we look at energy development and Studies
• Section 1 of Senate Bill 2360 from the 2025 session directed Legislative Management to study the feasibility
• It goes through previous legislative studies and reports that have been received by the Legislative Assembly
• This is not a feasibility study.
• Joe Hoppe, manager of legislative affairs for Otter Tail Power Company, regarding an update on the Abercrombie

Keywords: 908, all

Summary: The Energy Development and Transmission Committee met in interim session and approved the November 6 minutes. Chair Novak outlined the committee’s study agenda, including large energy users such as data centers, geothermal, landowner relations, wind and solar, and other energy topics across the state. The meeting was framed as informational only, with no bills or formal legislative action taken beyond the minutes approval. Testimony focused first on landowner relations. Oliver County Commissioner Dave Berger described the county’s energy history and local support for coal and related development. North Dakota Farmers Union President Matt Perdue emphasized proactive, face-to-face communication with landowners, respect for property rights, and the need for developers to be transparent about tradeoffs; he also discussed insurance and liability concerns tied to easements. Committee members asked about eminent domain, local versus state authority, and how communities can better understand the revenue and infrastructure implications of energy development. Department of Agriculture Deputy Commissioner Tom Bodine then described the department’s ombudsman programs for pipeline restoration and reclamation, wind restoration, and royalty oversight. He said the programs provide confidential, third-party assistance on reclamation and royalty disputes, but do not provide legal advice. Senators raised concerns about post-production deductions in royalty leases and whether the ombudsman can explain them; Bodine said the program can clarify statements and deductions but cannot resolve legal disputes. He also said the department has not received requests related to fiber lines. Representatives from Grid United and One Oak described their project development and landowner engagement practices. Grid United’s Brent Johnson discussed the North Plains Connector transmission project, its route selection process, voluntary acquisition approach, and efforts to avoid eminent domain by working closely with regulators, counties, townships, and landowners. One Oak’s Danette Welsh and Tom Giltner described the company’s midstream operations, extensive North Dakota footprint, and emphasis on direct landowner communication, consistent local regulation, careful construction practices, and post-construction reclamation. Members asked about setbacks, zoning consistency, invasive species prevention, outside advocacy groups, and eminent domain use; One Oak said it has not used eminent domain on its North Dakota projects, largely because most gathering lines are negotiated easements.

Transcript Highlights:

• Even if a state has strong abortion legislation, there is, there are, abortion legislation.
• And when I was looking back at that study from 2015, ...looking back at that study from 2015, at that
• It's been studied before by this body.
• study.
• So if we want to do more than five meetings, we would need approval from Legislative Management.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• She started off as a case manager.
• I haven't seen studies.
• management during the 2029 through 2030 interim and to the 71st Legislative Assembly regarding the status
• would manage it then?
• I know Representative Davis had mentioned the study that was going to be implemented this past legislative

Keywords: 908, all

Transcript Highlights:

• As City Manager Frank had said earlier, that they're working on a job study now to see it'll do job creation
• As City Manager Frank had said earlier, that they're working on a job study now to see what's going to
• We don't go into an area without having fully received the studies, the most recent studies.
• But we don't have the authority to legislate like you do or to enforce any legislation.
• And we again look to you for perhaps being the clearinghouse of the data and managing the studies so

Keywords: 996, all

Transcript Highlights:

• So this requires the study be completed in six months after the signing of this legislation, and then
• That's why there is a study.
• , to provide a study, standard, criteria, and then to implement such study.
• , to provide a study, standard, criteria, and then to implement such study.
• , to provide a study, standard, criteria, and then to implement such study.

Keywords: 993, senate, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several guest introductions, including students from Brooklyn and St. John’s University, followed by adoption of the resolution calendar with exceptions for two items. The chamber then took up a series of previously adopted resolutions recognizing Black Maternal Health Week, Workplace Violence Prevention Month, the one-year anniversary of the Jet Set nightclub tragedy in the Dominican Republic, New York Constitution Day, and the Month of the Military Child. Senators speaking on the maternal health resolution emphasized racial disparities in maternal mortality and the need for culturally competent care; the workplace violence resolution highlighted hospital safety programs; the Jet Set resolution was adopted in memory of the victims; and the Constitution Day speech reviewed New York’s delayed but eventual support for independence in 1776. The military child resolution stressed the sacrifices of military families and support for children of service members. All of these resolutions were adopted, and the resolutions were opened to co-sponsorship. The Senate then moved through the third reading calendar, passing several bills and laying others aside. Measures passed included bills on public health, environmental conservation, executive law, public authorities, and consumer protection. One notable debate involved a bill to require transparency from private arbitration organizations handling consumer cases; supporters argued it would provide basic public data and guard against conflicts of interest, while opponents said it would burden a useful dispute-resolution process and intrude on privacy. The bill passed after debate. Another debated bill would phase out number 4 heating oil statewide; supporters said cleaner alternatives exist and the fuel is harmful to public health, while opponents raised cost and transition concerns, especially for colder regions. That bill also passed. The chamber also considered a bill to create a rebate program for battery-powered landscaping equipment, funded through utility-related mechanisms administered by NYSERDA. Supporters said it would reduce air and noise pollution and help companies transition, while opponents argued ratepayers should not subsidize landscaping equipment. The bill passed after being restored to the non-controversial calendar. Finally, the Senate began discussion of a housing-related bill aimed at preserving manufactured home parks by enabling nonprofits or municipalities to acquire development rights and keep the land dedicated to that use, with the sponsor explaining that the goal is to protect affordable housing and help residents remain in their homes.

Transcript Highlights:

• association management firm.
• I hold the CMCA, which is a certified manager of community associations, AMS, Association Management
• Key legislative updates for community association managers.
• Key legislative updates for community association managers.
• members, managers, and management firms act in the best interest of their communities.

Summary: The Committee on Regulated Industries met for a panel discussion on current issues affecting Florida condominiums. DBPR Secretary Melanie Griffin highlighted the department’s expanded condo education, complaint, and ombudsman services under HB 1021, including new online resources, board member certification, increased outreach, and broader complaint jurisdiction. She said the division has filled most of its new positions and that the new condo website is intended to improve transparency and access to records and information. Other panelists focused on insurance, inspections, and market impacts. Insurance agent Mike Clarkson said the condo insurance market remains difficult, especially for older buildings, and raised concerns about roof replacement demands, Citizens’ depopulation practices, and the mismatch between reserve studies and insurer timelines. Building officials representative Ron Laceca described challenges with phase one and phase two inspections, including incomplete databases, limited contractor capacity, and the need for local flexibility and better recordkeeping. University of Florida researcher Bill Hughes said his data show the condo market has not suffered a major overall decline from the new laws; he argued the rules have made costs more transparent and may strengthen the market over time. Community association manager Jamie Ballard said the biggest pressures on associations are rising insurance costs and early roof replacement requirements, and she supported board certification while opposing the continuing education exemption for long-tenured CAMs. In committee discussion, members pressed witnesses on whether recent condo laws caused insurance and roof-cost problems, and witnesses generally said those issues are driven more by the market than by the legislation. Senators also discussed possible reforms, including better data collection, clearer reporting duties for managers, and possible changes to insurance and reserve practices. No votes were taken, and the meeting ended with adjournment.

Transcript Highlights:

• So basically, it changes section one into a Legislative Management study on 340B transparency reporting
• So then section one, during the 2025-26 interim, the Legislative Management shall consider studying prescription
• The study must include...
• Then the Legislative Management shall report its findings and recommendations, together with any legislation
• And then the last number two, the legislative management shall report its findings and recommendations

Keywords: 908, all

Summary: The committee met with a quorum and took up the final bill on its agenda, Senate Bill 2370, which had been converted into a 340B drug transparency measure tied to insulin and broader prescription drug pricing issues. Representative Hendrix outlined the latest bill draft, explaining that it would require reporting by covered entities, contract pharmacies, federally qualified health centers, drug manufacturers, pharmacy benefit managers, and health insurers, with confidentiality protections, civil penalties, and staggered effective dates. He also noted unresolved questions about the scope of required reporting, possible overlap with federal reporting, and whether the Insurance Department would need a consultant to analyze the data. Representative Dobervich then proposed an alternative amendment that would replace the bill language with a Legislative Management study on 340B transparency reporting during the 2025-26 interim. Her proposal would remove the detailed reporting mandates and instead direct a study of what information should be collected, how it should be used, who should receive it, staffing or contracted support needs, and stakeholder input from hospitals, pharmacies, FQHCs, rural health, state agencies, insurers, and manufacturers. Members discussed germaneness, the late-stage nature of the changes, and whether the issue had been adequately heard, while the Insurance Department testified that it had not previously studied 340B-specific data but supported transparency and could see value in either a study or reporting approach. The committee first adopted the Hendrix amendment by a vote of 8-5, then voted on a do not pass motion on the amended bill, which passed 7-6. Representative Frelich was selected to carry the bill. The chair then adjourned the committee for the last time and reminded members about the committee dinner.

Transcript Highlights:

• House Bill 1582, a Senate amendment, a bill for an act to provide for a legislative management study
• management study relating to the development of advanced technologies.
• management consider this as a study.
• Secretary: House Bill 1566, a bill for an act to provide for a legislative management study relating
• A bill for an act to provide for a legislative management study relating to the implementation of regulations

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• you need uh is our legislative you need uh is our legislative priorities<00:03:07.159> for
• <00:03:25.640> measure you so the first uh legislative measure you so the first uh legislative
• support rates so we did a rate study support rates so we did a rate study then<00:37:39.160>
• <00:37:55.119> it's 22 when you do the rate study it's 22 when you do the rate study it's
• <00:38:03.359> right costing you need the rate study right costing you need the rate study

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• She started off as a case manager.
• I haven’t seen studies.
• “Legislative management during the 2029 through 2030 interim and to the 71st Legislative Assembly regarding
• County currently manages—would they continue to manage that, or how would that work?
• I know Representative Davis had mentioned the study that was going to be implemented this past legislative

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• time where we were doing the rate study time where we were doing the rate study there<00:13:52.079
• <00:15:07.839> um comparison The Benchmark rate study um comparison The Benchmark rate study
• that it would implement the rate study that it would implement the rate study at<00:45:56.480>
• study study report<00:46:38.920> um<00:46:39.200> the<00:46:39.319> rate<00:46:
• statistician um but in the rate study statistician um but in the rate study report<00:46:50.960>

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

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Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• These actions actually disrupted the legislative hearing.
• In 2014, the Legislature passed the Sustainable Groundwater Management Act to manage groundwater by requiring
• UCLA Price did a study on Measure ULA and Los Angeles. but this has already been studied.
• Equitable, sustainable management of open space, and updating outdated provisions regarding land management
• My name is Lisa Baldinger, legislative and policy management analyst with the East Bay Regional Park

Summary: The Assembly Local Government Committee heard a long agenda of housing, water, and local finance bills, with the chair repeatedly reminding attendees about hearing rules and noting that several measures were being heard without a quorum at first. Early items included AB 407, which would broaden eligibility for state-run loan and financing programs to help small businesses fund environmental, seismic, and ADA upgrades, and AB 93, which would require data centers to estimate and report water use and follow state best practices. AB 93 drew support from water advocates and local government groups, while the Data Center Coalition opposed it, arguing the bill could be overly restrictive, difficult to retrofit, and raise trade secret or security concerns. The committee also heard AB 650 on housing element review, AB 1044 on creating a new Tulare County groundwater sustainability agency, and AB 523 on allowing proxy voting for single-representative member agencies on the Metropolitan Water District board; all drew broad support from local agencies and related stakeholders and no recorded opposition in the room. Several housing bills were presented as part of a broader fast-track housing package. AB 507 would streamline adaptive reuse of office buildings into housing, especially in downtowns with high vacancy; supporters said it would revive urban cores and help meet housing and climate goals, while the League of California Cities and a few cities opposed it unless amended, citing concerns about one-size-fits-all by-right approval and fee limitations. AB 1294 would create a universal housing application and limit early application requirements; it drew strong support from housing and business groups, with the American Planning Association and League of California Cities seeking more flexibility and input. AB 610 would require local governments to disclose housing constraints in their housing elements and limit new constraints after certification for three years unless disclosed; supporters said it would improve transparency and certainty, while opponents warned it could chill legitimate local policy choices and inclusionary housing requirements. Both AB 610 and AB 698, which would require analysis of the housing and property tax impacts of proposed transfer taxes, were moved out of committee on 7-0 votes after discussion and amendments. The committee also heard AB 1112, which would repeal an outdated Riverside County property tax provision affecting Rancho Mirage; the city argued it was the only qualifying no-low property tax city not receiving the standard minimum and sought equal treatment. After quorum was established, the bill was passed 6-0 with amendments and sent to Appropriations. AB 1021, heard later, would make it easier for school districts and other local education agencies to build employee housing, with the author citing teacher recruitment and retention problems and support from education stakeholders. Throughout the hearing, members and witnesses repeatedly emphasized the need to balance housing production, local fiscal tools, and infrastructure needs, and several authors accepted committee amendments and committed to continued negotiations with opponents.

Transcript Highlights:

• one program manager said this was one of the biggest barriers the program faced.
• OEDC has six units that manage 16 economic development programs.
• To begin with, strategic planning is a performance management process that...
• And targets, establishing a performance management framework, and developing a process to manage program
• That's JLARC, standing for Joint Legislative Audit Review Committee.

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.