Transcript Highlights:

• <00:13:54.600> set<00:13:54.840> of<00:13:55.000> written<00:13:55.680> procedures
• <00:13:56.920> The<00:13:57.040> Senate a set of written procedures.
• The Senate a set of written procedures.
• not have employees from establishing written<00:14:02.560> supervisory<00:14:03.280> procedures
• <00:14:03.880> required written supervisory procedures required written supervisory procedures

Keywords: 918, senate, all

Summary: The committee met to walk through nonpartisan side-by-side comparisons of House File 4188, focusing on differences between House and Senate language across consumer protection, insurance, financial services, health, and technical provisions. Staff highlighted numerous Senate-only items, including rules for financial providers communicating through trusted contacts, virtual currency requirements for banks and credit unions, a prohibition on virtual currency kiosks beginning in 2026, mortgage servicing and student loan servicing changes, the Rental Home Marketplace Guarantees Act, insurance and travel-related provisions, scrap metal licensing changes, protections related to minors accessing chatbots and AI companions, and several technical or conforming repealers. Staff also noted that some provisions were identical or substantially similar between the chambers, including mortgage originator standards, student loan borrower protections, securities-related changes, unclaimed property provisions, and technical updates in the bill’s miscellaneous articles. The Senate-only health-related articles were also summarized, including repeal of the prescription drug affordability advisory council, technical changes to the reinsurance program, and a series of health insurance provisions on enrollment-growth notices, limits on officer and director salary increases under certain capital conditions, guaranteed issue rights for certain Medicare supplement enrollees, data-sharing between Commerce and Health, restrictions on using artificial intelligence alone to deny claims, reimbursement for clinical trainees, home care nursing coverage, and PBM transparency. The Senate’s telecommunications article was described as largely technical and conforming, with repeals of obsolete statutes. Staff also noted that some standalone bills had already passed and would be removed from the comparison report. Public testimony followed. Thomas Elness of AARP Minnesota supported inclusion of the cryptocurrency kiosk bill, expressed support for guaranteed issue protections for a narrow group of consumers affected by discontinued plans, and urged adoption of changes to the consumer protection restitution account, including raising the cap to $10 million per fiscal year. Representative Lee testified that the restitution account proposal should be treated as policy rather than finance because it has a zero fiscal note, and said the House would accept the Senate’s $10 million cap. Robin Rowan, representing the Minnesota Insurance and Financial Services Council and the U.S. Travel Insurance Association, urged adoption of Senate travel insurance language, requested a House-style change to lead-generation recordkeeping language, and supported a Senate provision allowing employers and insurers to coordinate notice to employees when group policies are cancelled. The Department of Commerce then responded to questions, explaining that the prescription drug affordability council would be sunset because the board already has other avenues for public input, that the reinsurance changes were technical and did not alter the prior agreement, and that the abandoned cryptocurrency provisions rely on statutory definitions of inactivity and known examples such as keys stored in safes or deposit boxes.

Transcript Highlights:

• He said he does not see any reference to procedural mistakes in the existing statute.
• quote procedural mistakes. quote procedural mistakes.
• I don't see any reference to procedural<00:09:44.360> mistakes.
• 45.000> Again,<00:09:45.360> I<00:09:45.440> will<00:09:45.640> read procedural
• Again, I will read procedural mistakes.

Keywords: 1183, house

Transcript Highlights:

• balanced approach to supporting adolescent victims of sexual abuse while maintaining essential procedural
• maintaining essential procedural maintaining essential procedural protections.<00:16:15.440>
• <01:02:10.559> which<01:02:10.720> is<01:02:10.880> court<01:02:11.119> procedures
• ,<01:02:12.240> when<01:02:12.559> we VSA, which is court procedures, when we VSA,
• which is court procedures, when we passed<01:02:13.119> that<01:02:13.440> statute,<01:

Keywords: 926, house, all

Summary: The House convened, suspended its rules to introduce 18 bills by number only, and referred the bills to the appropriate committees. House Bill 647, relating to the Vermont Sister State Program and carrying an appropriation, was referred to Appropriations under House Rule 35A. The chamber also read several resolutions: HR13, concerning support for the people of Palestine and Israel and the end of apartheid, was treated as a bill and referred to Government Operations and Military Affairs; JR88, condemning a U.S. military incursion in Venezuela and calling for withdrawal of U.S. forces, was likewise referred to Government Operations and Military Affairs; and JRS37, supporting gender equality in Nordic combined Olympic competition, was referred to Commerce and Economic Development. JRS39, a weekend adjournment resolution, was adopted in concurrence. On the action calendar, the House passed H541, relating to interference with voters and election officials. It then took up H5, which expands Vermont’s existing hearsay exception for child victims from age 12 and under to age 15 in specified abuse and sexual assault proceedings, with judicial safeguards and a July 1, 2026 effective date. The Judiciary Committee reported the bill favorably 10-1, and the House adopted the committee amendment and ordered third reading. The House also considered H626, a major Judiciary Committee bill on voyeurism, non-consensual disclosure of explicit images, and sexual extortion. Committee members described the bill as updating criminal and civil remedies for image-based abuse, creating a separate sextortion offense, extending criminal statutes of limitation, and clarifying civil recovery for trauma-related harm. During floor debate, members questioned the distinction between the voyeurism and disclosure provisions and the meaning of “reasonable expectation of privacy”; the committee responded with examples and statutory explanations, including that voyeurism covers unlawful recording while the disclosure offense covers later dissemination of images. The bill remained under consideration as the discussion continued.

Transcript Highlights:

• Um, but also, uh, delighted that we are able to look at our policies and procedures and use that as a
• Per closed meeting procedures, they will need to elect a secretary before doing that.
• Um per closed meeting<00:06:23.039> procedures,<00:06:23.759> we<00:06:24.000> will<
• /c><00:06:24.240> in<00:06:24.479> fact<00:06:24.639> need meeting procedures, we
• will in fact need meeting procedures, we will in fact need to<00:06:24.960> elect<00:06:25.280

Keywords: 1183, house

Transcript Highlights:

• I did a procedural error. I'm gonna back up just for a second. You have a committee.
• I put that same place, put that same procedure in place for election TROs where they would notify the
• All it does is create a procedural, uh, um.
• Maintenance procedures that exist already.
• So what is the procedure?

Bills: HB304

Keywords: franchise tax credit, food desert, grocery store, healthy corner store, nutrition assistance, economic development, public health

Transcript Highlights:

• the prescription or administration of any drug or medication for a cosmetic service or elective procedure
• Okay, uh, and this is an elective procedure? Yes, sir. Thank you. Senator, thank you.
• 08:10.280> elective for a cosmetic service or elective for a cosmetic service or elective procedure
• which those are and the health procedure which those are and the health care<00:08:14.000> provider
• yes sir thank you procedure yes sir thank you Senator<00:09:48.640> thank<00:09:48.800> you

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:04 SB 02: 00:01:37 Discussion in Opposition to SB 02: 00:09:49 SB 84: 00:22:19 SB 111: 00:30:35, 958, all

Summary: The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception. Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty. The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.

Transcript Highlights:

• <01:10:12.640> they voting by using the same procedure they voting by using the same procedure
• This bill applies to all surgical procedures.
• child and have an procedure unknown to child and have an procedure unknown to me<06:39:46.718> and
• child for a scheduled medical procedure child for a scheduled medical procedure and<06:40:10.878
• Voting stations are open for 30 seconds. procedures without my permission, would procedures without my

Keywords: 1189, house, all

Transcript Highlights:

• The legislature would set the uniform procedure for this provision.
• Again, that would be within the processes and procedures that those future Legislatures would put in
• Processes and procedures that those future Legislatures would put in place. Okay, moving on.
• The bill passes, the next Legislature would get together to produce those policies and procedures as
• And this goes back to the procedure, the uniform procedure that the Legislature would put together for

Keywords: 999, senate, all

Transcript Highlights:

• And it requires all hospitals who have emergency departments to have evidence-based policies and procedures
• It requires emergency departments to conduct training on policies and procedures, including, at a minimum
• It requires emergency departments to conduct training on policies and procedures, including at a minimum
• This gives us one individual responsible to make sure that all the policies and procedures are in place
• There is a procedure under current law under which they would inquire to the voter, and if they don't

Summary: The Florida Senate convened with a quorum, opened with a prayer and Pledge of Allegiance, and heard several member introductions recognizing guests, interns, public servants, and a resolution honoring Indiana University quarterback Fernando Mendoza for winning the Heisman Trophy. The chamber then moved to the special order calendar and took up a series of bills, with some measures temporarily postponed and others advanced after brief debate and, in several cases, substitution of House companions for Senate bills. The first major bill passed was CS/CS/HB 355 on health care patient protection, which requires hospitals with emergency departments to have pediatric emergency care policies, training, equipment, and a designated pediatric coordinator; it passed 36-0. The Senate also passed CS/HB 1113 on public records, expanding confidentiality protections for victims and temporarily protecting the name of a law enforcement officer who becomes a victim in the line of duty; it passed 33-4. CS/CS/HB 1085 on local government cybersecurity was amended to place the program under the Florida Digital Service and to adjust grant timing, then passed 37-0. CS/CS/HB 925 on clerks of court passed 38-0 after amendments affecting revenue retention, legal notices, traffic citation distributions, and municipal fee sharing. CS/CS/HB 679 on trademark registration modernization and CS/CS/HB 589 on septic permit timing also passed unanimously. The most extensive debate centered on CS/CS/HB 991 / SB 1334, an elections bill that would use Real ID data to verify citizenship, change voter ID rules, alter candidate qualifying requirements, and revise election administration procedures. Senators offered and debated numerous amendments on documentation fees, senior exemptions, human review versus automated systems, student and retirement-center IDs, and effective dates; most were defeated, though one amendment adding stock-trading disclosure language for candidates was adopted. The bill’s sponsor cited election-crimes reports and specific prosecutions involving non-citizens as justification for the measure, while opponents argued it could disenfranchise eligible voters, especially students and seniors. The transcript ends during continued questioning and debate on that elections bill, before final disposition is shown.

Transcript Highlights:

• This measure establishes, for a city with a population greater than 300,000, enforcement procedures to
• <00:22:06.080> to<00:22:06.320> prevent enforcement procedures to prevent enforcement
• procedures to prevent doiciling<00:22:07.360> or<00:22:07.760> storing<00:22:08.159>
• > of<00:35:37.760> alternative conditions and procedures of alternative conditions and
• procedures of alternative dispute<00:35:38.800> resolution<00:35:39.280> methods<00:35:

Keywords: 910, house, all

Summary: The committee heard testimony on several measures. HB 1957, relating to safe entryways, would create enforcement procedures in large cities to prevent personal property from blocking private doorways or entrances. The Department of the Attorney General supported the concept but recommended moving the offense to the criminal code, adding clearer definitions to avoid vagueness, and including notice, inventory, storage, and property-disposition procedures to address constitutional concerns. No other testimony was offered and no questions were raised. HB 25003/HB 253, relating to fireworks, would expand civil asset forfeiture for certain fireworks offenses, revise the definition of aerial device, and clarify air-delivery offenses. The Attorney General supported the bill but suggested removing the 25-pound weight threshold to avoid unequal treatment of similar offenses. The Department of Law Enforcement also supported the measure, saying it would improve clarity for evolving fireworks investigations and prosecutions. The committee took no action during testimony. HB 2137, relating to artificial intelligence, would prohibit certain harmful uses of realistic AI-generated digital imitations, require disclosures, and create civil remedies and fines. The Commission on the Status of Women supported the bill, while the Hawaiian Islands Republican Women opposed it on First Amendment grounds. The Motion Picture Association, Recording Industry Association of America, and SAG-AFTRA also opposed the bill but said they preferred a different framework, the federal “No Fakes” model, and were willing to work with the committee on amendments. The Attorney General had suggested constitutional amendments, which the chair said would be considered later. The committee also heard HB 2198 on prediction markets, with the Honolulu prosecutor strongly supporting inclusion of prediction markets in the gambling definition because of concerns about speculative betting on events and national security-related outcomes. HB 1511 on consumer protection drew support from the Office of Consumer Protection and the Insurance Division, with OCP proposing clearer disclosure for license and registration renewal solicitations. HB 1897 on condominium alternative dispute resolution received supportive comments from the Real Estate Commission and CI. HB 1642 on crypto kiosks drew strong support from OCP and AARP Hawaii for a ban on kiosks accepting U.S. currency, but opposition from Hill Ventures, which argued for regulation and guardrails instead of a ban. HB 1753 on social media account deletion received supportive comments from DCCA on clarifying deletion of unique identifiers and inferences. HB 1654 on anonymous complaints against public employees drew strong opposition from the Attorney General over implementation and due process concerns, while the Government Employees Association supported it as a way to screen baseless complaints; the committee then moved on to HB 1659 on collective bargaining, with testimony beginning as the transcript ended.

Transcript Highlights:

• projects that are large scale, are done with proper permits and done according to proper laws and procedures
• 00:09:07.200> proper<00:09:08.240> laws<00:09:08.800> and<00:09:09.120> procedures
• <00:09:10.560> And to proper laws and procedures. And to proper laws and procedures.
• I do understand also that there are elements of procedural things that need to happen.
• I do understand also that there are elements of procedural things that need to happen.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 2294, which would require condominium associations, boards, and managing agents to comply with declarations, bylaws, county ordinances, and state and federal laws, including mortgage lending requirements. The Community Associations Institute opposed the bill as redundant, arguing existing law already requires compliance and provides penalties. Supporters, including condominium owners and board members, said the measure would clarify that associations are not “self-governing” in a way that exempts them from outside laws, and cited examples where local officials or police told residents to take issues back to their boards. Several supporters said the bill would reinforce board responsibility for permits, safety, and legal compliance. The committee noted 27 pieces of testimony, with 10 in support and 17 in opposition, and then moved on without taking a vote on the measure in the transcript provided. The committee also took up SB 2298, which would require common interest community proxy forms to include additional language explaining proxy selection options. The Community Associations Institute opposed the bill, saying the proposed language was inaccurate and would not improve consumer clarity unless significantly revised. Supporters argued that proxy forms are confusing and that clearer instructions would help homeowners understand how their votes are being used. Opponents said the added language would make the forms longer and more confusing, and suggested a separate instruction sheet or other educational material instead. Testimony also raised broader concerns about proxy voting being misused in some associations, with one witness urging that proxy voting be eliminated altogether. The committee reported 29 written testimonies, including seven in support, 19 in opposition, and three with comments, and again did not record a final vote in the excerpt. For SB 2300, which would shorten condominium reserve cash-flow projections from 30 years to 25 years, the Community Associations Institute opposed the bill, saying it would not make housing more affordable, would reduce transparency, and would increase the annual burden by giving associations less time to save for long-life components. The group suggested that if affordability is the goal, lawmakers should consider allowing future loans or special assessments with guardrails. Supporters of the bill said the shorter projection period would better reflect practical budgeting and help associations plan more realistically, though some supporters also warned against relying too heavily on loans and emphasized accountability and fiduciary responsibility. Other testimony stressed that the impact of changing the projection period would vary by association and that many owners are already struggling with rising fees. The discussion remained focused on testimony and policy concerns, with no final action on SB 2300 shown in the transcript.

Transcript Highlights:

• There are special processing procedures to really get that permit issued very, very quickly.
• Speaker and gentlelady; this is very limited to the target one set of procedures. Mr.
• That were combined with abortion procedures, Mr. Speaker and gentlelady. Mr.
• not that all abortions are elective procedures—but not just for elective procedures. for necessary health
• procedures, Mr.

Transcript Highlights:

• Clerk, will follow that procedure. Introductions. Any objection to this? Hearing none, Mr.
• Clerk, will follow that procedure. Resolutions, petitions, memorials, and other papers.

Keywords: MS House Floor - 30 January, 2026; 9:00 AM, 925, all

Summary: The House convened with prayer and the Pledge of Allegiance, with the prayer focusing on support for linemen, first responders, and families affected by severe weather in Mississippi. A quorum was established, the journal reading was dispensed with, and there were no select committee reports or resolutions/petitions/memorials presented. Standing committee reports were noted as being on the counter, and introductions of constitutional amendment bills and other introductions were handled by unanimous consent without reading. During introductions of guests, Representative McMillan recognized Madison County Sheriff Randy Tucker in the North Gallery. The clerk then announced several committee meetings scheduled for Monday, including Corrections, Judd B., Wildlife, Ports and Harbors, Youth and Family, and Gaming, with times and rooms specified. No legislation was debated or voted on beyond routine procedural motions. The House adopted the motion to adjourn and stood adjourned until 2 p.m. Monday.

Transcript Highlights:

• the Feeding Our Future cases, and then also information on how many cases have been processed, procedures
• , investigation procedures, investigation procedures, um<00:53:41.520> including<00:53:42.240
• There is a suspension procedure, which is rarely used.
• <01:20:49.520> It's procedure which is rarely used. It's procedure which is rarely used.
• <01:30:01.840> move And and and welcomed a procedural move And and and welcomed a procedural

Transcript Highlights:

• It also requires these companies to have procedures to ensure both compliance with the law and accuracy
• This is about individualized data on individualized people. companies to have procedures to ensure companies
• to have procedures to ensure for<00:55:42.120> both<00:55:42.400> compliance<00:55:43.000
• primary concern regarding the wage and the prices is the requirements around disclosure and dispute procedures
• Both the wage and the prices is the requirements around disclosure and dispute procedures.

Bills: HF3878, HF4131, HF3796, HF4097

Keywords: airport workers, wage standards, labor rights, minimum wage, economic equity, surveillance, price discrimination, wage discrimination, consumer rights, automated decision systems, Minnesota Statutes, suitable seating, employee seating, workplace seating, occupational safety, workplace safety, labor standards, employer requirements, chair, stool

Transcript Highlights:

• , social services agencies processes and procedures, workforce development and retention, and funding
• child well-being, court<00:07:14.840> processes<00:07:15.640> and<00:07:15.800> procedures
• , court processes and procedures, court processes and procedures, social<00:07:17.720> services
• , procedures, procedures, workforce<00:07:21.680> development<00:07:22.400> and<00:07:22.560
• rejection procedures with life-altering consequences,<01:19:35.480> such<01:19:35.720> as<

Bills: HF3877, HF3714, HF3750, HF3024

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• So parents do not have to comply with the standard government claims notice procedure before filing suit
• notice procedure before filing suit. suit. suit.
• This page addresses two procedural issues under the governmental claims act.
• It removes<00:09:29.920> procedural<00:09:30.880> procedural<00:09:31.519> barriers<
• /c> removes procedural procedural barriers removes procedural procedural barriers that<00:09:32.160><

Bills: SF0035, SF0090, SF0072

Keywords: education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse

Transcript Highlights:

• They don't have time to go through those procedures, and so this allows for that option to be available
• They don't have time to go through those procedures, and so this allows for that option to be available
• They don't have time to go through those procedures, and so this allows for that option to be available
• They don't have time to go through those procedures, and so this allows for that option to be available
• and how they what policies or procedures and how they what policies or procedures they<01:46:45.160

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• And really what we're looking to do in this bill is to establish policies and procedures around sickle
• And really what we're looking to do in this bill is to establish policies and procedures around sickle
• <01:04:44.240> around establish policies and procedures around establish policies and procedures
• And what that is, is basically a 33-state agreement where they're using an outcomes-based procedure to
• There's no established procedure for dose escalation or titration or decreasing the doses when someone

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• Streamlining procedure is another important area that is right for state reform.
• Streamlining procedure is another important area that is right for state reform.
• Streamlining procedure is another important area that is right for state reform.
• Streamlining procedure is another important area that is right for state reform.
• <01:10:37.920> maze zoning barriers but a procedural maze zoning barriers but a procedural

Keywords: 1183, house