Transcript Highlights:

• company doing private contracts with privately owned pharmacies.
• Lundy mentioned, we view this as legislation coming in between two private entities and their contracts
• Lundy said, at different rates for different entities.
• It's a private company, private contract.
• And this also does not apply to any private entity. Private entities can do what they want to do.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• Any private property in control of the church would apply in this bill.
• property, private property, and will not leave.
• There was a guy who infiltrated a privately run question Representative Schlegel about this.
• We're just changing the testing entity. Yes. Okay.
• The question is: should a state entity be combined under another state entity?

Bills: HR115, HR116, HR117, HR118, HR112, HR113, HR114, HCR51, HCR52, SCR18, SCR20, SB14, SB76, SB118, SB142, SB156, SB170, SB197, SB234, SB258, SB287, SB288, SB313, SB315, SB393, SB396, SB426, SB427, HCR7, HB76, HB84, HB132, HB181, HB210, HB250, HB265, HB275, HB291, HB322, HB342, HB457, HB475, HB477, HB486, HB616, HB635, HB639, HB690, HB740, HB757, HB761, HB766, HB774, HB808, HB855, HB866, HB872, HB883, HB886, HB903, HB949, HB962, HB996, HB1003, HB1036, HB1054, HB1071, HB1076, HB1078, HB1113, HB1132, HB1146, HB1232, HB1233, HR15, HR20, HCR14, HCR6, HCR19, HCR10, HR74, HCR26, HCR35, HB98, HB108, HB131, HB151, HB161, HB288, HB294, HB305, HB310, HB320, HB336, HB380, HB392, HB403, HB420, HB459, HB476, HB540, HB615, HB631, HB637, HB648, HB665, HB682, HB789, HB813, HB815, HB835, HB870, HB905, HB915, HB933, HB938, HB987, HB1040, HB51, HB82, HB143, HB145, HB160, HB180, HB192, HB393, HB430, HB445, HB506, HB515, HB521, HB565, HB590, HB614, HB638, HB670, HB672, HB685, HB692, HB752, HB773, HB781, HB799, HB860, HB874, HB887, HB917, HB937, HB956, HB965, HB972, HB977, HB982, HB1006, HB1010, HB1044, HB1072, HB1088, HB1179, HB1200, HB81, HB400, HB154, HB410, HB463, HB827, HB868, HB952, HB953, HB140, HB750, HB911, HB52, HB961, HB399, HB401, HB901, HB9, HB58, HB193, HB284, HB570, HB577, HB582, HB605, HB733

Keywords: Kappa Alpha Psi, fraternity, Louisiana, commemoration, community engagement, recognition, state championship, basketball, sports achievement, school commendation, commendation, athletics, team sports, youth, community recognition, water utility, tax credit, excessive rates, residential service, subcommittee

Transcript Highlights:

• I live in Los Lunas; I have a private well...
• Remedying this situation in the area with any either public or private entities. Mr.
• Any remaining lands on private will not be completed.
• It's all these other entities involved.
• Also, I wondered from the DNFSB or any other entity.

Keywords: 996, all

Transcript Highlights:

• entity that has a calendar year program. entity that has a calendar year program.
• assets from one entity to another. Okay. assets from one entity to another. Okay.
• So you feel that the enforcement on both the cases, private insurance company versus public entities
• She just works for the entity. right? She just works for the entity.
• Uh, we're nonprofit entities.

Keywords: 928, house, all

Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.

Transcript Highlights:

• Um, a guardian is a court-appointed individual or person or entity that has the duty and the power to
• For the state guardianship, that's when a family member or a private entity is not available or appropriate
• or person or entity that has the<00:27:12.799> duty<00:27:13.039> and<00:27:13.279>
• <00:27:25.600> or private entity is not available or private entity is not available or appropriate
• So, if they need to go into a nursing home, they need to be eligible for either private insurance or

Keywords: Call to Order and Roll Call – 00:00:24 Discussion of The Center for Courageous Kids – 00:02:46 Discussion of Adult Protective Services and State Guardianship Programs – 00:25:22 Discussion of Annual Report of the External Child Fatality and Near Fatality Review Panel – 01:00:34 Consideration of Referred Administrative Regulations – 01:33:41 Adjournment – 01:42:07, 958, all

Summary: The Interim Joint Committee on Families and Children opened its first meeting with roll call and a reminder about the number of children in out-of-home care with active placements, which the chair said was 8,641 as of June 1, 2025. The committee then heard a presentation from the Center for Courageous Kids, a donor-funded camp in Scottville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s year-round family retreats and summer sessions, its medically safe and inclusive model, and examples of campers gaining confidence and independence. They said the camp has served more than 43,000 campers from Kentucky, other states, and other countries, and that it is seeking legislative support for two capital projects: a new art barn and a medical lodge, with a combined request of $3.2 million. Members praised the program and asked about awareness, staffing, volunteer recruitment, accreditation, and how the projects would expand capacity; the camp said the medical lodge would help increase volunteer housing and allow future growth beyond its current summer cap of 128 campers per session. The committee then moved to adult protective services and state guardianship programs. Jessica Wayne, director of the Division of Guardianship, and Cliff Bryant of DCBS explained the legal framework for guardianship and conservatorship, including state guardianship as a last-resort option when no family member or private entity is available or appropriate. They outlined the court petition process, emergency appointments, and the distinction between full and limited guardianship or conservatorship. They emphasized that guardianship is based on legal incapacity to make decisions, not simply on a medical disability diagnosis, and noted that state guardianship can be arranged for some 17-year-olds aging out of youth services. The presenters said the state currently serves 4,645 individuals under guardianship, with most cases involving developmental intellectual disabilities, supported community living waiver participants, and people in nursing homes or long-term care facilities. They also described the division’s three branches: field services, which handles visits and day-to-day decisions in all 120 counties; a benefits branch that applies for public benefits; and a fiduciary branch that manages funds and pays bills. They reported 89 field workers statewide, an average caseload of 52, and said the agency is hiring to reduce that load. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• The bill states, "By centralizing public and private sector immunization procurement, and leveraging
• bulk purchasing power through federal or state consortium contracts, this measure lowers private sector
• The bill states, "By centralizing public and private sector immunization procurement, and leveraging
• The bill states, "By centralizing public and private sector immunization procurement, and leveraging
• sector for students and recent private sector for students and recent graduates<01:20:45.760> to<

Keywords: 910, house, all

Transcript Highlights:

• And so the remainder of the document has the descriptions of every budget entity within our departments
• Within each budget entity, there's a line-by-line of the starting fiscal year base budget for all of
• information, staff has provided a brief explanation for each of the categories within each budget entity
• We've seen over the years there's a lot of funding going to a lot of different entities, a lot through
• This public reporting platform is coordinated across multiple entities, and when a report is received

Summary: The committee meeting began with quorum, member introductions, and an overview of the Agriculture, Environment, and General Government budget process. The chair emphasized using the committee resource book and performance metrics to review the base budget and invited members to identify areas of interest for later discussion. Members were also reminded about appearance forms and speaking procedures. Wes Gregory of the Department of Agriculture and Consumer Services presented on agricultural best management practices and water policy. He said the office had updated all nine commodity BMP manuals and added a manual for small farms and livestock, expanded enrollment by 742 producers covering 677,000 acres, and used GIS and data analysis to target areas such as the Indian River Lagoon. He also described cost-share projects, a new field application for enrollment and inspections, cross-training staff, and a request for $20 million for regional water quality projects. Members asked about BMP enrollment, compliance, and enforcement; Gregory said noncompliance is uncommon and cases can be referred to DEP. Adam Blaylock of DEP reviewed environmental grant programs, saying the state has appropriated $2.9 billion since 2018 for water quality projects, with about 1,100 projects reducing nitrogen and phosphorus statewide. He described the Water Quality Improvement Grant, Indian River Lagoon, Biscayne Bay, Springs, Alternative Water Supply, and Resilient Florida programs, including a planned public dashboard and a water-quality monitoring portal. Senators asked about the application window, award timing, and the high cost of septic-to-sewer conversions, with Blaylock estimating a blended average of about $35,000 per home. Chief Conservation Officer George Worthing of the Fish and Wildlife Conservation Commission then presented on invasive animal control. He discussed prevention, risk screening, law enforcement at ports, public outreach programs such as the Python Challenge, Lionfish Challenge, and Exotic Pet Amnesty Program, and early detection tools like the Ive Got One reporting system. He also described control efforts for Burmese pythons, tegus, and lionfish, along with research and partner coordination. Members asked about the most harmful invasive species and whether iguanas may be taken; Worthing said iguanas are open for take, subject to other laws. The meeting ended after members briefly identified priorities such as water quality, recreation water quality, sustainability, sea level rise, and septic-to-sewer infrastructure, and the committee adjourned without any formal votes.

Transcript Highlights:

• Changes in the years to come may result in costs being passed through to people on private insurance.
• And so we're also the flow-through entity for FEMA dollars as well.
• entity, we can work with those entities in eligibility as far as FEMA goes.
• Here's ten entities. They're XYZ years behind.
• There may have to be some sort of public-private investment.

Transcript Highlights:

• Private insurance and Medicare provide higher fees for immunization.
• Take a look at how funds are going to outside entities, namely not the safety net providers that are
• “Minnesota took a look at these payments to these external entities and found that, in general, 16 of
• every $100 of 340B revenue was going to these entities.
• So looking at the sort of top 10% of folks that are paying to these entities, all covered entities lost

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• We will not delve into the content that these entities are providing their youth.
• One of the biggest entities out there who set up teen accounts just set those up in September 2024.
• Because right now, as this is currently drafted, it does not include private insurance mandates.
• I also am concerned about this being a mandate for Medicaid and private insurers.
• They're the sovereign entity; they can pick. The state was satisfied with those changes.

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• Jeopardy um we do see certain private Jeopardy um we do see certain private businesses<00:12:11.560
• would be administered by private would be administered by private nonprofits<01:15:43.280> um
• <03:16:46.600> all drug data and therefore uh entities all drug data and therefore uh entities
• on our behalf and then have that entity on our behalf and then have that entity once<03:21:53.640
• with but there are third-party entities with but there are third-party entities that<03:28:28.439

Keywords: 1189, house, all

Transcript Highlights:

• that previously expired due to failure to reinstate or to renew that business entity on time.
• <00:49:14.160> that reinstate a business entity that reinstate a business entity that previously
• <00:49:21.280> That<00:49:21.520> would that business entity on time.
• That would that business entity on time.
• It seems as if no one entity is responsible for planning and coordination.

Keywords: 1183, house

Transcript Highlights:

• the operations of this panel entity the operations of this panel entity community<00:43:39.720><
• And a grant is when the department gives money to a private company, the private company receives it,
• And a grant is when the department gives money to a private company, the private company receives it,
• company, the private company receives company, the private company receives it,<01:08:07.920> but<
• brought up that deals with private brought up that deals with private companies<02:00:51.960>

Keywords: House streaming session for Friday, March 20, 2026, 957, house, all

Summary: The House met with 125 members present and began with the pledge, prayer, and opening formalities. Two House resolutions were presented and adopted by voice vote: one honoring the pioneering women of the Maryland State Police and State Fire Marshal’s Office during Women’s History Month, and another recognizing the University of Maryland School of Medicine Center for Infant and Childhood Loss on its 50th anniversary. Both resolutions highlighted the honorees’ service and contributions, and the clerk read each resolution into the record. The chamber then received Senate bills introduced in the House, including Senate Bill 6 and Senate Bill 551, which were read the first time and referred to committee without objection. The House also took up multiple committee reports, largely adopting favorable reports and ordering bills printed for third reading. Measures advanced included bills on residential real estate contract contingencies, Maryland data privacy, local alcoholic beverages licenses and fees in several counties, county salary study commission membership, sheriff and municipal enforcement matters, estates, health occupations background checks, school book fair tax exemptions, school board compensation and voting, and a Calvert County medical center bill. Several bills were amended before advancing. House Bill 443 on Prince George’s County small event center alcohol licensing received a capacity-related amendment; House Bill 348 on Baltimore City alcohol license extension received a technical amendment and a change expanding coverage to transfers of ownership before July 1, 2029; House Bill 682 changed a license classification from Class C to Class GC; House Bill 405 on EV recharging equipment in condo/HOA documents was amended to clarify budget treatment; and House Bill 895 on dynamic pricing and predatory pricing received amendments clarifying definitions, disclosures, and enforcement. After extended discussion of HB 895, including questions about whether it bans dynamic pricing for food, how it treats discounts and loyalty programs, and whether supply-and-demand pricing changes are affected, the House agreed to special order the bill until later in the day.

Transcript Highlights:

• patient charts and treatment plans, hospital policies and procedures, and contracts with outside entities
• So here is just a list of the entities that are currently regulated by the Certificate of Need Program
• The next recommendation here was to create a planning entity.
• You know, the next recommendation here was to create a planning entity.
• I think most of you are pretty familiar with who we are and what we do: a public-private partnership.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• We typically acquired them from another government entity.
• We typically acquired them from another government entity.
• We typically acquired them from another government entity.
• > um them from another government entity um them from another government entity um this<01:16:
• to use taxpayer money to buy private to use taxpayer money to buy private Landes<01:31:32.199>

Keywords: 1187, senate, all

Transcript Highlights:

• It also requires that local government entities, that local government entities who have requested a
• It's a line in the sand between public trust and private power.
• On the right-hand side of that box was private property I cannot walk through.
• Private property I cannot walk through. I was one person.
• Listen, my goal is to not try to take anyone's private property.

Summary: The committee first took up CS/SB 1606 on patient access to records. The sponsor explained that the bill, as amended, would align Florida law more closely with HIPAA by defining “designated record set,” requiring providers to furnish requested records within set timeframes, allowing a limited extension with notice, and requiring records to be produced in the requested form if readily producible. Several members asked about patient portals, legal representatives, and whether the bill affected meaningful-use rules or post-mortem access. Multiple witnesses opposed the bill, arguing it could create cybersecurity risks, conflict with existing privacy rules, and burden providers; supporters said it would improve patient access and consistency. The committee adopted the amendment and then reported the bill favorably. The committee then considered CS/SB 712 on construction regulations. The bill would direct DEP to establish rules for synthetic turf and limit local governments from banning it if state rules are followed, while also addressing change orders, public works bidding, elevator rails, alarm contractor work, building code updates, spaceport exemptions, permit document limits, and single-trade inspections. Amendments removed the pool and spa contractor provisions and the tall mass timber language. Testimony on the bill centered heavily on the pool industry, with contractors and the Florida Swimming Pool Association opposing expansion of scope to general and building contractors, while some speakers supported other parts of the bill. After adopting the amendments, the committee reported the bill favorably. Finally, the committee heard CS/SB 1288 on parental rights. The bill would allow minors to be tested for STDs without parental consent but require parental consent for treatment, expand parents’ rights to access records and control certain health decisions, and restrict health care services, medical procedures, and biofeedback devices for minors absent consent or an exception. An amendment moved survey and questionnaire provisions into the education code, added an explicit court-order exception, clarified DNA and biofeedback provisions, and added emergency behavioral health exceptions. The committee heard extensive public testimony both for and against the bill, with supporters emphasizing parental authority and opponents warning it could delay STI treatment, mental health care, and other services for vulnerable minors. The transcript ends during public testimony on the bill, before any final committee action is shown.

Transcript Highlights:

• Um, this is just trying to get them on par with what they would be able to earn as a private court reporter
• or closer to what they would be able to earn as a private court reporter.
• court reporter or closer to a private court reporter or closer to what<00:04:31.040> they<00:
• <00:04:33.600> Um,<00:04:34.080> that's<00:04:34.320> a private court reporter
• Um, that's a private court reporter.

Keywords: Accountability, Efficiency, Transparency - Room 210; 28 January, 2026: 10:30 AM, 925, all

Summary: The committee first nominated and elected Senator Lane Taylor as secretary by voice vote, with no opposition. It then took up several bills and reported each one out after brief explanations and no recorded opposition. Senate Bill 2372, from the Department of Archives and History, would allow county filing-fee revenues now used only for preservation of historic records to also support records management, historic preservation, and museum services in counties. Barry White said the money is not for capital projects, but could fund services such as building assessments and recommendations. The committee also heard Senate Bill 2378, which would raise court reporter transcript fees from $2.40 to $4.00 per page; the sponsor said most costs are paid by litigants, while county funds are mainly affected in indigent criminal appeals. Both bills were advanced. The committee next considered Senate Bill 2401, relating to Accelerate Mississippi. Senator Sparks said it would extend the repealer to 2029, update procurement and reporting provisions, change some federal terminology, move the annual report deadline from October 1 to November 1, and repeal obsolete workforce-area references. It was reported out after a brief question about the obsolete sections. The committee also advanced Senate Bill 2402, the Amy Act, which removes the five-day grace period for lobbyist registration so registration must occur before a person begins lobbying; sponsors said the goal is transparency and tracking misinformation, not changing the definition of lobbyist. Finally, the committee heard Senate Bill 2445 on community mental health centers. Department of Mental Health Executive Director Wendy Bailey said the bill would create a formal performance audit process, with standards developed by June 30, 2027 and audits beginning in FY28 every two years. Centers failing standards would be placed on probation, and continued failure could lead to temporary replacement of leadership by DMH-selected contractors until compliance is restored. Members asked about current probation and decertification procedures, the number of struggling centers, and whether consolidation would be preferable; Bailey said the department wants to preserve local centers and use the process only as a temporary intervention. The bill was discussed but the transcript cuts off before a final vote is shown.

Transcript Highlights:

• None of us work for corporate entities.
• states they have a much higher private insurance group.
• It's called *Bad Company: Private Equity and the Death of the American Dream*.
• So we've done things to drive people out of private practice, to drive doctors out of private practice
• She helps us credential, and she takes care of both corporate and private.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• ONCE WE EXHAUST THAT IS A GOOD EXAMPLE WE GO TO PRIVATE AMBULANCE CONTRACTS.
• IF WE WOULD HAVE ASKED FOR THOSE RESOURCES FOR THE PRIVATE SECTOR BECAUSE THERE ARE PRIVATE-SECTOR URGENT
• TO GO TO THE PRIVATE SECTOR TO GET SO THIS IS OUR LOWEST PRICE POINT.
• Guthrie: WE DO NOT HAVE THE ABILITY TODAY TO HAVE A CITY CONTRACT WITH A PRIVATE ENTITY.
• THAT $365 MILLION AS LEVERAGED $2 BILLION OF PRIVATE INVESTMENT.

Transcript Highlights:

• I think public-private partnership.
• <00:10:33.360> sector and a need to engage the private sector and a need to engage the private
• Um<00:10:49.800> private,<00:10:50.480> nonprofit. Um private, nonprofit.
• Um private, nonprofit.
• that's<00:18:26.120> very If a private project that's very If a private project that's very

Keywords: 912, senate, all

Summary: The Committee on Housing heard and acted on three measures related to the Hawaii Housing Finance and Development Corporation (HHFDC) and affordable housing policy. First, it considered GM 681, the nomination of Garth Yamanaka to the HHFDC Board of Directors. Yamanaka testified that he supports using all available tools to increase housing production, including open space and park dedication where feasible, more revenue-neutral and workforce housing, and a broad mix of housing types. Senators questioned him on priorities such as perpetual affordability, state- and county-owned projects, and whether HHFDC should focus more on revenue-neutral housing; he generally supported greater flexibility and more options, while emphasizing the need to consider feasibility and local market needs. The committee recommended GM 681 for advise and consent and adopted that recommendation unanimously, with Senator Fevella excused. The committee then heard GM 764, the nomination of Susan Coons to the HHFDC Board. Coons said she supports prioritizing state and government lands for affordable housing but stressed that the government cannot solve the housing shortage alone and should continue to engage private and nonprofit partners. In response to questions, she said HHFDC should give greater priority to perpetual affordability and could potentially devote more resources to revenue-neutral, income-blind housing, but she cautioned against blanket policies and said decisions should be guided by data, community needs, and project readiness. She also supported the idea of a 100,000-unit housing plan and said HHFDC should focus on more specific policies and projects. The committee recommended GM 764 for advise and consent and adopted the recommendation. Finally, the committee considered HCR 83, which supports using the dwelling unit revolving fund for pre-development costs through interim loans for government affordable housing projects. HHFDC testified in support and explained that it already has authority to make pre-development loans, but the resolution would provide policy support and comfort to the board. Members asked about loan security and default; HHFDC said such loans would typically be secured by land collateral and that it would not expect to forgive the loans. The committee agreed to pass the resolution with amendments, including adding committee report language about default and collateral and noting HHFDC’s existing authority. In a joint portion with the Committee on Energy and Intergovernmental Affairs, the committees also took up HCR 98 HD1 and recommended it pass with amendments to clarify that the countywide housing pattern book applies only to the City and County of Honolulu and involves collaboration between Honolulu housing and planning agencies. All recommendations were adopted, and the hearing adjourned.