Video & Transcript : 'mortality review' :
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WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Apr 8th, 2026 at 10:00 am
Transcript Highlights:
- And so we are required to do the lodging tax review in 2027.
- And so we are required to do the lodging tax review in 2027.
- Best practices we reviewed for regulatory fee design.
- JLARC is doing a sunset review of the program in 2026.
- So we'll be looking at... ...outside the timeframe of our review.
Summary:
At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review.
The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report.
Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.
MN
Minnesota 2025-2026 Regular Session
Tax Expenditure Review Commission 6/17/26
Minnesota House Floor Meeting
AR
Transcript Highlights:
- Item C is reports from ALC subcommittees concerning the review of rules.
- This rule will be reviewed and approved. E2.
- All right, without objection, the rule is reviewed and approved.
- Without objection, the rule is reviewed and approved.
- Without objection, the rule is reviewed and approved. Next item.
Committee:
All ALC-ADMINISTRATIVE RULES
Summary:
The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services.
Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available.
The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.
WA
Washington 2025-2026 Regular Session
House Education Feb 18th, 2026
Transcript Highlights:
- indicator-based program review and curriculum and instruction review.
- Both review processes include a review by PESB staff and other experts of program data, or other evidence
- Additional review includes indicator-based program review as... Domain areas.
- Additional review includes indicator-based program review, as staff briefed, in which programs annually
- Many of the features of program review detailed in the bill are already in place via these review processes
Summary:
The House Education Committee heard several bills related to special education records, artificial intelligence in schools, financial aid access, educator preparation, school health, and student mobile device use. Substitute Senate Bill 6268 would require OSPI to keep an online public record of final special education community complaint decisions for 20 years; the sponsor and several parents, attorneys, and open-government advocates said the records help families, schools, and researchers understand past decisions and remedies, while no one testified in opposition. Substitute Senate Bill 5956 would limit school use of automated decision systems, school surveillance technology, biometric data, and facial recognition in student discipline and safety contexts; the sponsor and supporters said it would prevent harmful false positives and discriminatory impacts, while an industry witness warned the bill could unintentionally reduce school safety by limiting emergency facial-recognition uses. Committee discussion focused on the bill’s scope, especially whether it affects classroom grading or only discipline-related decisions, and staff noted the bill does not require teacher training.
The committee also heard Substitute Senate Bill 5841, which would add financial-aid application data to the High School and Beyond Plan platform and require students to receive information about the Washington Opportunity Scholarship Program. The sponsor said the bill would make aid status more transparent and easier to track, especially for families facing language or access barriers, and a student advocate testified in support; a committee member raised concerns about privacy for immigrant and DACA students, and the sponsor said the portal would be opt-in and guided by privacy protections. Senate Bill 6278 would codify and update Professional Educator Standards Board review of teacher and principal preparation programs, including program standards, educator role standards, evidence, and input from P-12 partners, while allowing field placement plans to be submitted on a less frequent schedule; PESB staff said the bill largely reflects current practice and adds flexibility. Substitute Senate Bill 5240 would expand who may administer epinephrine in schools and allow use of any available epinephrine when a student with a prescription on file has anaphylaxis; school nurses supported broader access to stock epinephrine but warned against using one student’s medication for another and raised legal and ethical concerns, while the sponsor emphasized faster response in emergencies.
Finally, Substitute Senate Bill 5346 would direct OSPI to study and report on school mobile-device restrictions and update digital citizenship resources to include research and best practices on student phone use. Staff said OSPI already has some guidance, but the bill would create formal legislative reports and expand the state’s digital citizenship materials. The committee began taking testimony on that bill as the hearing time ran short, and the chair noted there were ten people signed in to testify.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Apr 7th, 2025
Transcript Highlights:
- reviews into issues or areas of concern.
- Can you tell me the portion of the reviews that are being done? Reviews of the grievances.
- Review Committee.
- I mentioned post-investigation review, so that's a system where we review cases that have come through
- So it doesn't need to be reviewed by different levels.
Summary:
The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse.
The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- Average processing time for claims that are in the prepayment review process and are manually reviewed
- So, with that background, who reviewed the guide and attested to that?
- I'd like the agency to do a thorough review of each... Thank you.
- Madam Chair, we will do that review. Okay, thank you.
- Federal Inspector General's October 2025 review of ghost networks.
Committee:
Senate Health and Human Services
MN
Minnesota 2025-2026 Regular Session
Minnesota Management and Budget Press Conference 2/27/26
Transcript Highlights:
- </c> implementation of new payment review implementation of new payment review processes<00:20:57.440
- </c> effect of the new prepayment review effect of the new prepayment review process,<00:26:48.080><c
- In this paid if not for the review.
- </c> So the in terms of the prepayment review So the in terms of the prepayment review process process
- </c> prepayment review process in 2026? prepayment review process in 2026?
Summary:
Minnesota Management and Budget officials presented the February 2026 budget and economic forecast, saying the state remains in a strong financial position but faces continued structural imbalance and significant uncertainty. Commissioner Aaron Campbell said the FY 2026-27 balance is now projected at more than $3.7 billion, up about $1.3 billion from November, and the FY 2028-29 planning period is projected to end with a $377 million positive balance. He emphasized that the improvement comes largely from higher projected revenues, especially individual income and corporate franchise taxes, but warned that the state is increasingly reliant on more volatile sources such as capital gains, interest income, and corporate profits.
State Economist Dr. Anthony Becker said the national outlook improved slightly, with stronger projected GDP, consumer spending, and investment, but weaker payroll growth and ongoing trade-policy uncertainty. He noted that the forecast was complicated by missing federal data because of the federal shutdown, and that tariffs, immigration policy, equity markets, and possible AI-related shifts all present risks. Revenue projections were raised for the current biennium, including individual income tax receipts, sales tax revenue, corporate franchise tax revenue, and other revenues, while Becker stressed that federal funding threats, especially involving Medicaid and other entitlement programs, could materially alter the outlook.
State Budget Director Anna Mingi said general fund spending in the current biennium is projected to be $68 million lower than previously estimated, but planning-year spending is up $152 million. The biggest spending changes came from education, where special education costs rose sharply after updated local spending data, and from human services, where a new prepayment review process for certain Medicaid benefits reduced projected spending by $133 million this biennium and $105 million in the next. She also said discretionary inflation is now estimated at $1.04 billion, up $104 million from November.
Campbell closed by saying the state’s reserve remains at a record $3.8 billion and that Minnesota’s AAA bond rating and reserve policy help protect against downturns. He cautioned, however, that the long-term structural imbalance remains about $3.4 billion in the planning years, or $2.3 billion excluding discretionary inflation, and urged policymakers to offset any new spending with reductions. No votes or formal actions were taken; the meeting was a presentation and question-and-answer session on the forecast.
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jun 3rd, 2026
Transcript Highlights:
- All right, seeing none, without objection this rule is reviewed. Okay, item D.
- All right, seeing none, without objection this rule is reviewed. This rule is reviewed. Thank you.
- All right, seeing none, without objection this rule is reviewed. Next item.
- This rule is reviewed.
- Item stands reviewed without objection. Item R.”
Summary:
The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Martin Makary, of Virginia, to be Commissioner of Food and Drugs, Department of Health and Human Services. Mar 6th, 2025 at 09:00 am
Health, Education, Labor, and Pensions Committee
Transcript Highlights:
- It's in a 2018 National Academy of Medicine review.
- I did review that document.
- Now, you've said several times you'll review the data.
- Senator, I want to make sure that the reviewers and the review process is done properly without cutting
- We have an incredible opportunity to use AI to help reviewers in the review process. us, not to replace
Keywords:
nominations, labor, health, veterans, Social Security, Elon Musk, transparency, government accountability
Summary:
The meeting primarily focused on various executive nominations and their implications on labor and health affairs. Significant discussions surrounded the nomination of Mr. Sonderling as the Deputy Secretary of Labor, with members expressing concerns about workforce cuts affecting veterans and Social Security employees. There was also a debate led by a member regarding the authority and influence of private individuals, specifically citing Elon Musk's involvement in government decisions. Such discussions raised questions about transparency and accountability within governmental agencies, leading to a proposal for Mr. Musk to provide testimony before the committee.
MN
Minnesota 2025-2026 Regular Session
House Environment and Natural Resources Finance and Policy Committee 2/13/25 - Part 1
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- </c><00:08:09.960><c> times</c> difference in typical review times difference in typical review times
- </c><00:15:46.319><c> so</c> wetlands and environmental review so wetlands and environmental review so
- </c> environmental review environmental review processes<01:24:08.320><c> so</c><01:24:08.639><c> just
- the environmental review is until the environmental review is complete<01:32:18.520><c> by</c><01:32
- </c><01:32:32.920><c> from</c> to prevent preliminary review from to prevent preliminary review from
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- “In the review.
- for a motion to review.
- Motion to review passes. Next item is the review of the U.S.
- Are we ready for review and approval? Okay.
- I have a motion to pass, or it only requires review, but since you made the motion, motion to review.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- Average processing time for claims that are in the prepayment review process and are manually reviewed
- So, with that background, who reviewed the guide and attested to that?
- Madam Chair, we will do that review. Thank you.
- What Federal Inspector General's October 2025 review of ghost networks.
- In the last 12 months, That are all involved in the review of that. Okay.
Committee:
Senate Senate Health and Human Services COR
Summary:
The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities.
Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope.
The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.
TX
Transcript Highlights:
- Texas law provides property owners with the ability to challenge appraisal review board decisions through
Bills:
HJR1 , HB9 , HB21 , HB26 , HB30 , HB37 , HB 116 , HB630 , HB879 , HB913 , HB 1151 , HB1318 , HB1593 , HB1899 , HB2703 , HB2809 , HB2890 , HB2970 , HB3307 , HB3526 , HB5092 , SB128 , SB203 , SB317 , SB393 , SB397 , SB644 , SB731 , SB801 , SB913 , SB1071 , SB1073 , SB1086 , SB1087 , SB1232 , SB1250 , SB1262 , SB1285 , SB1310 , SB1359 , SB1444 , SB1483 , SB1705 , SB1782 , SB1861 , SB1897 , SB1944 , SB2023 , SB2043 , SB2082 , SB2133 , SB2215 , SB2297 , SB2298 , SB2309 , SB2532 , SB2549 , SB2566 , SB2617 , SB2619 , SB2639 , SB2688 , SB2696 , SB2717 , SB2790 , SB2841 , SB2847 , SB2850 , SB2857 , SB2891 , SB2919 , SB2928 , SB2972 , SB3052 , SB3053 , SB1 , SB260 , SB1506 , SB1637 , HB37 , HB 109 , HB334 , HB 1130 , HB 1238 , HB1327 , HB1610 , HB1615 , HB1620 , HB1689 , HB2081 , HB2809 , HB2884 , HB2890 , HB4215 , HB5092 , HCR7 , HCR75 , HCR86 , HCR92 , HCR93 , HCR126 , SB644 , SB1086 , SB1230 , SB1310 , SB1361 , SB1553 , SB1778 , SB1790 , SB2344 , SB2460 , SB2515 , SB2600 , SB2747 , SB2751 , SB2785 , SB2790 , SB3047 , SB3048 , SB3050 , SB3051 , SB3052 , SB3053 , SB3056 , SB3058 , SB3061 , HJR1 , HB 1130 , HB1689 , HB2884 , HB1393 , HB2559 , HB26 , HB3012 , HB1327 , HB 109 , HB 1238 , HB2890 , HB9 , HB4215 , HB2970 , HB37 , HB1899 , HB1593 , HB2607 , HB3526 , HB3810 , HB5092 , HB388 , HB2809 , HB 1151 , HB913 , HB3307 , HB879 , HB 116 , HB 12 , HB2703 , HB1610 , HB1615 , HB1620 , HB30 , HB21 , HB2712 , HB2692 , HB1633 , HB1318 , HB685 , HB630 , HB4753 , HB2742 , HB303 , HB198 , HB1535 , HB762 , HB148 , HB1520 , HB5061 , HB2286 , HB1606 , HB 1041 , HB132 , HB 11 , HCR7 , HCR75 , HCR86 , HCR92 , HCR93 , HCR126 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB1310 , SB2972 , SB1073 , SB2847 , SB2532 , SB2619 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB511 , SB2309 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1359 , SB1234 , SB2926 , SB2841 , SB1528 , SB2891 , SB1854 , SB317 , SB1250 , SB2082 , SB1285 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB2460 , SB867 , SB640 , SB1698 , SB2680 , SB2994 , SB2747 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1861 , SB2043 , SB1367 , SB2857 , SB128 , SB3058 , SB2044 , SB2363 , SB2565 , SB1888 , SB3048 , SB3052 , SB3053 , SB3036 , SB3057 , SB3056 , SB3043 , SB3050 , SB3063 , SB3035 , SB1790 , SB1778 , SB203 , SB3061 , SB2799 , SB2790 , SB2688 , SB2515 , SB1230 , SB2522 , SB2639 , SB2459 , SB3051 , SB2655 , SB2251 , SB1884 , SB2617 , SB2751 , SB2928 , SB2566 , SB1897 , SB1749 , SB1361 , SB2549 , SB2553 , SB2919 , SB1782 , SB1705 , SB2696 , SB1944 , SB2215 , SB644 , SB1232 , SB2850 , HB45 , HB48 , HB 1261 , HB1465 , HB1778 , HB2596 , HB5238 , HB33 , HB 1188 , HB210 , HB 1022 , HB1458 , HB5560 , HB 1240 , HB1950 , HB2027 , HB2768 , HB2788 , HB2791 , HB3146 , HB3698 , HB3699 , HB1893 , HB3700 , HB4850 , HB4187 , HB1397 , HB4885 , HB4804 , HB3751 , HB3611 , HB2775 , HB2061 , HB2003 , HB1729 , HB 1242 , HB791 , HB2029 , HB647 , HB2522 , HB4738 , HB3033 , HB3594 , HB3474 , HB2563 , HB2802 , HCR90 , SJR87 , SB2969 , SB3073 , SB2497 , SB1798 , SB2603 , SB2607 , SB781
Keywords:
constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, appraisal district, chief appraiser, rendition statement, property tax relief
Summary:
The Senate convened with a quorum, offered an invocation, approved the previous day’s journal, and received a House message announcing passage of HB 4 on public school accountability and assessment. The chamber also recognized the Doctor of the Day, adopted SR 520 honoring Rosser Coke-Newton Sr. for his biography of former Governor Richard Coke, and adopted SR 518 recognizing Texas Moral Injury Awareness Day, with remarks focused on the impact of moral injury on veterans and first responders. The Senate later adopted SR 395 honoring the ninth class of Governor William P. Clements, Jr. Scholars, and several other resolutions were adopted by voice vote, including college savings awareness recognition and other member-sponsored recognitions.
The body then took up several bills and resolutions on the floor. HB 3307, allowing online continuing education for arbitrators in property tax appeals, passed unanimously after suspension of the rules and the three-day rule. HB 913, renaming and reorganizing certain state hospitals, and HB 2970, governing the Gulf Coast Protection District and coastal barrier design, also passed unanimously. HJR 1 and HB 9 advanced a proposed constitutional amendment and statutory change to raise the business personal property tax exemption from $2,500 to $125,000; both measures passed, with HJR 1 receiving one no vote and HB 9 passing unanimously after a clarifying amendment.
The Senate also passed HB 1151, which limits child removals and termination of parental rights based solely on parental medical treatment decisions, and HB 116, which revises grounds for involuntary termination of the parent-child relationship by removing the “O grounds” and requiring support from financially able parents whose rights were terminated. HB 1899 lowered the age for pyrotechnic operator licenses and fireworks display permits from 21 to 18. SB 1285, as amended, passed to protect bats by prohibiting entombment while preserving removal options from unoccupied spaces, and SB 2847 passed to promote innovations in core curriculum for faster bachelor’s degrees.
On criminal justice, SJR 87, a proposed constitutional amendment requiring denial of bail for certain repeat violent felony offenders, passed after two floor amendments clarifying due process and representation language; Senator Eckhardt spoke against it on final passage, arguing it lacked judicial discretion and a clear-and-convincing standard. SB 3073, requiring magistrates to make written findings in certain criminal proceedings, also passed. Later, SB 128, requiring hospitals to report suspected child abuse-related information to HHSC, advanced on a divided vote, and SB 2619 and SB 2972 passed on public school accountability and expressive activities at public colleges, respectively, with Senator Eckhardt opposing SB 2972 as too restrictive on campus protest rights. The chamber also heard extended debate on HB 21, targeting “traveling” housing finance corporations and their use of tax exemptions for apartment projects, with supporters arguing it curbs abuse of the tax code and critics warning about unintended effects on affordable housing; the discussion continued with questions but no final action shown in the excerpt.
HI
Transcript Highlights:
- There's re-review cycle after re-review cycle.
- review.
- </c> part of the building permit review part of the building permit review process.<01:02:53.839><c>
- </c> chance to review it? chance to review it?
- </c> review uh and the process to be done. review uh and the process to be done.
Committee:
House Water & Land
Summary:
The committee heard several bills on water, land, housing, permitting, and historic preservation. For SB 746/SD2/HD1 on invasive species, DLNR and the Department of Agriculture supported the intent but warned that a bounty approach for coconut rhinoceros beetle could have unintended consequences, divert resources from biocontrol research, and be vulnerable to abuse; Hawaii Farm Bureau supported the measure. The committee also heard SB 1541 on the WoE water system, with testimony from ADC, Kunia Village Title Holding Company, and Farm Bureau in support, emphasizing the importance of the system for agriculture and the high cost of water on lands already dedicated to farming.
The most extensive discussion was on SB 66, relating to building permit review and county permitting authority. DPP opposed the bill, saying the problem is not just agency review time but the broader permitting process, including applicant corrections, outside-agency review, staffing shortages, and low pay that make it hard to fill vacancies. DPP said it already meets or beats existing review deadlines for residential permits and is using tools like electronic plans and AI to help applicants submit better plans. Several supporters, including Iron Workers Local 625, an individual witness, and Hawaii Food Industry Association, backed the bill but urged a pilot program or other safeguards; some also asked for broader permit coverage beyond single-family homes. Committee members questioned DPP about whether applicant correction time should count against the clock, whether self-certification could be used, and whether the state should fund any new mandate.
The committee then took up SB 26 on affordable housing, with HHFDC, OPSD, and HCDA in support and no opposition noted. Finally, on SB 1263 relating to historic preservation, HHFDC and DLNR supported the bill, while OHA offered comments and requested amendments, especially on the new risk-based review process for high-, medium-, and low-risk areas. OHA said the new procedure should be implemented carefully and allowed more time, describing it as a pilot that should be done well to be useful while still protecting cultural and historic resources. No votes or final actions were taken in the portion of the meeting provided.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Health Services (2-26-25)
Transcript Highlights:
- This is a bill specifically about prepayment review.
- </c> specifically uh about prepayment review specifically uh about prepayment review and<00:20:22.320
- Prepayment review can be put on a provider with 48 hours' notice.
- Prepayment review can be put on a provider with 48 hours' notice.
- The prepayment review began on October 28, 2024. No date was set for the prepayment review to end.
Summary:
The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression.
The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression.
Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.
WA
Washington 2025-2026 Regular Session
House Local Government Dec 5th, 2025
Transcript Highlights:
- So that's kind of the starting gun when we start all the review.
- Jurisdictions will still review for permit.
- Jurisdictions will still review for permit.
- If there are design review requirements, what those design review requirements are, and your density
- to the city for almost a brand-new review.
Summary:
The committee heard a series of presentations on comprehensive plan updates, permitting reform, special purpose district coordination, and subdivision reform. Pierce County and the City of Redmond described their recent comprehensive plan updates, emphasizing housing production, transit-oriented development, middle housing, preservation of affordable housing, and the need for technical assistance and clearer state guidance. Both jurisdictions said the planning process took years and was complicated by overlapping state requirements, changing legislative mandates, and multiple review authorities. Redmond in particular said mid-course legislative changes forced supplemental environmental review and added significant cost and delay, and both local governments asked for more stability, clearer statutes, and better-aligned timelines.
Presenters from the architecture, building official, and development sectors focused on permitting delays and proposed ways to speed housing delivery. Dave Boucher of AIA Washington argued for a provisional construction permit process for projects stamped by licensed professionals, along with mandatory deadlines and fewer stalled review cycles. Tim Woodard of WABO described existing tools such as pre-application meetings and phased approvals, noting they can improve certainty but also require staff time and careful coordination. Representatives from Master Builders and D.R. Horton said permit and subdivision delays add substantial cost to housing, citing studies showing months of delay and tens of thousands of dollars added per home, and urged administrative approvals, concurrent review, self-certification, and limits on repeated review cycles.
The committee also reviewed a Commerce-led task force report on integrating special purpose districts into Growth Management Act planning. The task force recommended early invitation and notice to water, sewer, school, port, and other service providers during countywide planning policy and comprehensive plan updates, better coordination on grants and capital projects, updated water system coordination plans, and improved school siting and funding alignment in fast-growing areas. Speakers stressed that the recommendations were intended to be light-touch and focused on better communication rather than major statutory overhaul, while also noting that rural and slow-growing areas should not be burdened with the same requirements as rapidly growing jurisdictions.
On subdivision reform, FutureWise and the City of Spokane discussed making more subdivision decisions administrative, preserving vesting, clarifying exemptions, and reducing unnecessary notice and appeal steps. Spokane described local reforms such as smaller minimum lot sizes, unit lot subdivisions, and reduced-process “minor engineering review” for simple plats, while raising concerns about new notice requirements and appeals to city councils for technical plat decisions. Across the hearing, members repeatedly returned to the theme that local governments, builders, and state agencies need clearer, more coordinated rules to reduce delay and uncertainty while still protecting safety and planning goals.
LA
Transcript Highlights:
- Second, it creates a clear structure for that review.
- Physician review panel. What does it do?
- Are you referring to, like, maybe medical review panels? Yes, sir.
- They paid $300 to do the review panel.
- We are now averaging— the law allows 90 days to do preliminary reviews.
Committee:
House Health and Welfare
Summary:
The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes.
The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote.
HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work.
Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/8/26
Human Services Finance and Policy
Transcript Highlights:
- We concluded through this review that most of the decisions we reviewed, the decisions of OIG that we
- As far as the record that we reviewed of the rulemaking record that we reviewed, it does not look like
- Identified in this review.
- We do need to prepare and review.
- Prepayment review and post-payment review is underway for the IDB.
Committee:
House Human Services Finance and Policy
AR
Transcript Highlights:
- A disbursement test was conducted for the review period.
- The sponsored program reviews... Two answers there.
- The sponsored program review process has been strengthened.
- The sponsored program review process has been strengthened.
- It says under review. There's no description of why it's under review.
Committee:
All LEGISLATIVE JOINT AUDITING
AR
Transcript Highlights:
- Item C is reports from ALC subcommittees concerning the review of rules.
- This rule will be reviewed and approved. This rule will be reviewed and approved.
- This rule is reviewed and approved. Moving on to E10.
- This rule is reviewed and approved. Thank you.
- Without objection, the rule is reviewed and approved.
Committee:
All ALC-ADMINISTRATIVE RULES