Transcript Highlights:

• and is referred to the Committee on Health Care.
• Now, the bill has been read the first time and is referred to the Committee on Health Care.
• The bill ought to pass when amended as recommended by the Committee on Health Care.
• [clears throat] Care Advocate, Vermont [clears throat] Care Advocate, Vermont Legal<00:18:38.080>
• Healthc Care Advocate, Vermont Legal Healthc Care Advocate, Vermont Legal Aid.<00:19:12.720> Madam

Keywords: 926, house, all

Summary: The House opened with a devotional by Reverend Kemp Randolph, who reflected on the idea that simpler solutions often require letting go of existing assumptions and urged lawmakers to consider what they may need to give up to achieve the greatest good. After the prayer, the chamber introduced House Bill 889, exempting disability-related income on candidate disclosure forms, and House Bill 890, aimed at reducing barriers for nonprofit religious organizations providing preventive health care services. Both bills were read the first time and referred to committee. The House also referred three bills to money committees under House Rule 35A: H.548 to Appropriations, and H.557 and H.567 to Ways and Means. Members then offered several announcements, including welcoming the guest pastor Kemp Randolph and visiting European Parliament member Maria Walsh, along with her mother and aunt. There were also notices about caucus meetings and a correction to a prior vote explanation regarding H.70. The House then took up H.611, a technical and housekeeping bill affecting the Department of Vermont Health Access. Committee testimony and floor remarks described provisions to reduce administrative burdens, update advisory committee membership, remove outdated references tied to the individual/small group market split, adjust the VARMM prescription drug assistance program, increase the allowable amount in Medicaid-related prepaid funeral arrangements, and delay Medicaid coverage for doula services by one year while federal approval is sought. The Health Care and Appropriations committees both recommended the bill, with Appropriations noting no fiscal impact and correcting a prior vote tally. The House adopted the Health Care Committee amendment to H.611 and ordered the bill to third reading. It then passed H.540, relating to recommendations of the post-adjudication reparative program working group. Finally, the House concurred in the Senate proposal of amendment with further amendment on H.50, concerning identification of underutilized state buildings and land; the committee explained changes restoring annual reporting, removing leased buildings from the inventory, and directing annual reports to the Department of Housing and Community Development through 2030. The chamber concluded with announcements about a Joint Fiscal Committee meeting on a rural health transformation grant and then adjourned until February 10, 2026.

Transcript Highlights:

• However, you know, we are very attuned to that, and we do care deeply about it.”
• “We are very attuned to that, and we do care deeply about it, and we work with those businesses along
• Our promotions team collaborates... ...of scale in purchasing power.
• You might say, why do we care so much about international?
• , collaborating, and effectively using our resources.

Summary: The committee met to receive a base budget overview for agencies under its jurisdiction, which include the Division of Emergency Management, Department of Commerce, Department of State, Department of Transportation, Department of Military Affairs, and Department of Highway Safety and Motor Vehicles. Staff explained the budget format and noted that the Legislature appropriated more than $20.2 billion to these agencies in the current fiscal year, a 66.7% increase over 10 years. The Department of Transportation then presented on the Moving Florida Forward initiative, describing it as a $7 billion effort to advance 20 major congestion-relief projects statewide. Secretary Jared Perdue said the department is ahead of schedule, with 14 of 20 projects expected to be underway by the end of the calendar year. He highlighted major projects including I-4 in Polk and Osceola counties, I-75 improvements, Southwest 10th Street in Broward County, Fruitville Road, Capital Circle in Tallahassee, and I-275, and discussed innovations such as aggregate supply grants, modified phase design-build, workforce hiring events, and voluntary acceleration. Senators asked about business impacts from construction, tourism-related transit funding, aggregate sourcing, and labor shortages; the secretary said FDOT works with local businesses and that additional revenue sources for transit would require legislative action. The Department of Highway Safety and Motor Vehicles reviewed motorist services, revenue collection, licensing, vehicle titling, specialty plates, insurance compliance, driver safety, and commercial driver licensing. Officials said the department collected about $2.9 billion in revenue in fiscal year 2023-24 and described modernization efforts, including electronic verification systems, Real ID compliance, mobile licensing units, and a planned digital driver license. Members asked about the driver license backlog in Miami-Dade and Broward, and the department said service delays were driven by growth and staffing constraints but should improve with $7.5 million in recent funding and the eventual transition of services to county tax collectors. Questions also addressed temporary paper licenses and birth certificate fraud prevention. The Department of Commerce presented on the Job Growth Grant Fund and Visit Florida. Commerce said the grant fund, created in 2017, has awarded $257 million to 70 projects in 37 counties since 2019, with demand exceeding supply about four to one. Officials emphasized that the program supports targeted industries and workforce and infrastructure projects, and they highlighted examples in CDL training, semiconductors, advanced manufacturing, and health care. Senators raised concerns about small businesses affected by transportation construction, and Commerce said it has an Office of Small Business Innovation and other tools, though the grant fund is limited by statute to targeted industries. Visit Florida then described its public-private tourism marketing role, saying the state’s $80 million appropriation is matched by private investment and that the latest EDR review found a $3.30 return in tax revenue for every state dollar spent. Visit Florida reported record visitation and tourism spending, along with hurricane recovery marketing and rural promotion efforts.

Transcript Highlights:

• , a number of permanent initiative and other services that are needed to take care of the kids in care
• So we ended up with 10 groups care.
• Meaning I had more kids going to group care.
• But I think doing prevention in keeping kids out of care.
• If you do so you will get more kids in care.

Keywords: 999, senate, all

Transcript Highlights:

• With the goals in mind, we will collaborate and make it happen. Thank you.
• taking care of.
• So we focus on both and we put care plans together for both. ...put care plans together for both people
• We get called about law clinics all the time, right, because we care about important papers.
• People don't even understand the basics of what the levels of care are.

Keywords: 1136, house, all

Transcript Highlights:

• We support family child care.
• We support family child care. A field. We support family child care.
• family child care fil fills that niche. family child care fil fills that niche.
• So it's like my family can't afford child care, so we're going to apply for child care.
• So, the as the access to care.

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• Remember word we care about the whole state but we really care about just it today. >> Thank you, Madam
• I mean it. >> Yeah, I got to be careful because all these things for a long time.
• We have to put up Ross Core so we may put we don't care how much it costs.
• In our case, it's been much more of that collaborative nature, which I think as a vendor.
• And so I think it's more of that collaborative relationship working through more.

Transcript Highlights:

• Care Solace is not going to be—does not provide the services.
• Number two is the State Insurance Department with Arkansas Foundation for Medical Care.
• Number six is DHS with Collaborative Counseling Associates.
• Number 19, DHS with Arkansas Foundation for Medical Care, is an original contract.
• DHS with Arkansas Foundation for Medical Care. This is an original contract.

Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.

Transcript Highlights:

• And I do appreciate the chair and the committee and all the work that's been done and how collaborative
• AB1931 is the product of months of genuine ongoing collaboration between HomeServe and the California
• I can basically lie to the doctor and just say that it's not occupational and use my own health care
• and pay for it myself or forego care, which is what most of our members wind up doing, which doesn't
• They know they'll be taken care of and that they have the right to go get this care and get better and

Summary: The Assembly Insurance Committee met as a subcommittee at first because a quorum was not initially present, then later established a quorum and heard several bills. The main special-order item was AB 1795 (Gibson), which would create statewide standards for testing, inspection, and remediation of wildfire smoke damage in homes, with CalEPA and public health agencies developing science-based standards and insurers required to follow new claims-handling timelines. Supporters, including Insurance Commissioner Ricardo Lara and wildfire survivors, said the bill would bring consistency and safety; insurers and consumer groups generally supported the concept but sought further amendments on scope, standards, and claim handling. The committee voted do pass as amended and refer AB 1795 to Appropriations, with the roll held open for later additions. The committee also considered AB 1576 (Ortega) on the Subsequent Injury Benefit Trust Fund, which would make changes intended to reduce litigation and employer assessments while preserving the program’s purpose of encouraging hiring of workers with prior disabilities. Labor-side witnesses supported the bill as a reform step, while business, public entity, and insurance groups opposed it, arguing it did not address the core structural problems and that a trailer bill was a better vehicle for broader reform. AB 1576 was voted do pass to Appropriations, with the roll held open. AB 1931 (Papan) would create an optional limited-lines license for utilities to offer home protection products for repairs to appliances and utility service lines. Support came from HomeServe, utilities, and industry groups, who said the bill would clarify current law and add consumer protections such as training, disclosures, and a free-look period; there was no opposition in the room. The committee passed AB 1931 to Appropriations. AB 2361 (Pacheco) would limit vicarious liability for peer-to-peer vehicle-sharing platforms like Turo while preserving insurance coverage requirements; supporters said it would align California with other states, while consumer attorneys opposed it as reducing accountability and consumer recovery. The committee passed AB 2361 as amended to Appropriations. AB 2098 (Kalra), heard later, would require employers to allow leave for workers to attend treatment for occupational injuries during work hours, subject to notice and business-necessity limits; labor groups supported it and business and insurance groups sought narrower standards. It was also voted do pass to Appropriations. The committee then completed roll-call add-ons and adjourned.

Transcript Highlights:

• Moving on to the collaborative efforts: state, local, and federal agencies.
• We are defending California's voting rights and access to health care.
• We are defending California's voting rights, access to health care.
• We have challenged the dismantling of the federal age. access to health care.
• And so that provides a strong basis for us to collaborate with those cities as well.

Summary: The hearing focused on the Missing and Murdered Indigenous People (MMIP) grant program under the Board of State and Community Corrections and related Department of Justice efforts. BSCC reported that it now administers 36 MMIP grants across three cohorts, with awards ranging from $436,000 to $1 million, plus five collaborative grants at $2 million each, totaling $35.4 million awarded to federally recognized tribes. Testimony from tribal leaders and grantees described how the funding supports prevention, family advocacy, domestic violence services, law enforcement coordination, youth programming, culturally grounded healing, and new tribal public safety positions such as investigators, social workers, and drone operators. Speakers repeatedly emphasized that the crisis is longstanding, tied to generational trauma, and that the grant has helped build trust and infrastructure in tribal communities. Several witnesses and committee members urged continued and preferably ongoing funding, noting that demand now exceeds available one-time money. BSCC and tribal representatives described outreach efforts that increased participation from four applicants in cohort one to 20 in cohort two and more applicants than funding in cohort three. Tribes also raised implementation concerns, especially the burden of quarterly narrative reporting, limited staff capacity, and the need for flexible administration. BSCC said it uses steering committees, separate small- and large-project categories, orientations, monitoring visits, and technical assistance to support grantees. Tribal leaders and advocates stressed that the program should remain accessible without requiring a waiver of tribal sovereignty. The second major topic was DOJ’s update on AB 3099, the Tribal Assistance Program, and the tribal police pilot under AB 134. DOJ officials said the Office of Native American Affairs and the Division of Law Enforcement have been conducting outreach, trainings, listening sessions, and coordination with tribal, local, state, and federal partners to address Public Law 280 jurisdictional issues, improve reporting and data, and support Feather Alert and MMIP-related resources. DOJ said the AB 3099 report is in internal review and that the tribal police pilot is moving forward with the Yurok Tribe as a participant, with a July 1, 2026 start date. DOJ and tribal witnesses said the pilot’s main barriers are cost and, for some tribes, the waiver of sovereign immunity. No votes were taken, and the hearing ended with broad support for expanding and sustaining MMIP-related funding and infrastructure.

Transcript Highlights:

• Both divisions in out-of-home care.
• And so, they are cross-collaboration<00:27:44.600> collaborating<00:27:45.320> with cross-collaboration
• collaborating with cross-collaboration collaborating with the<00:27:45.520> people<00:27:45.880
• So we were very careful.
• So we were very careful that. Once have. So we were very careful that.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary received an update from the Administrative Office of the Courts on implementation of House Bill 504, the judicial branch budget, and court facility projects. AOC leaders said they do not anticipate problems balancing the outgoing biennium or fiscal year 2026, and explained that the budget changes were driven by the need to reduce costs while preserving required constitutional, court-rule, and statutory services. They also said the new filing fee increases authorized by HB 504 took effect that day and are expected to generate up to $5 million, while the reorganization is projected to save about $3 million in general fund dollars. The bulk of the presentation focused on a major reorganization of the Office of Statewide Programs, which includes specialty courts, family and juvenile services, and pretrial services. AOC said the plan eliminates 170 positions and creates 109 new ones, mainly by reducing middle-management layers, expanding regional service delivery, and cross-training staff. Officials said 110 employees had already been offered or accepted placements, 24 had chosen voluntary separation, and the final number of employees leaving remains fluid until the process concludes around August 1. They emphasized that specialty court programs were not eliminated, but state-funded treatment court contracts and behavioral health liaison positions were removed, with treatment costs shifted to Medicaid or participants where appropriate. Members asked about the process, staffing impacts, specialty court participation, juvenile services, and how AOC will monitor the changes. AOC said the reorganization was developed by leadership, HR, and legal staff under direction of the Chief Justice and approved by the Supreme Court, and that it is intended to improve efficiency and frontline support rather than reduce services. They said specialty court participant levels are being watched closely, that CDW services will continue to use outside providers for programming, and that the agency will keep judges and stakeholders informed as the new structure goes into effect. No votes were taken, and the committee did not approve minutes because a quorum was not present.

Transcript Highlights:

• So, collaboration and cooperation.
• So, collaboration and cooperation.
• At um, collaboration and cooperation.
• work is our commitment to collaboration work is our commitment to collaboration and<00:08:55.120
• care for these most special places. care for these most special places.

Keywords: 1183, house

Transcript Highlights:

• But I did want to say to all of you that the time I spent with you working collaboratively together to
• We come up with something that's better. >> Collaboration. I agree with that.
• We don't collaborative<01:51:21.679> we<01:51:21.840> don't<01:51:22.000> come<01
• :51:22.159> up<01:51:22.320> with collaborative we don't come up with collaborative we
• >> collaboration. I I agree with that. Yes. >> collaboration. I I agree with that.

Keywords: 1189, house, all

Transcript Highlights:

• But personally, I'm interested in any of the health care legislation regarding health care, being that
• um of the health care um of the health care um um um uh<00:03:44.680> legislation<00:03:45.280
• regarding health care uh uh legislation regarding health care uh being<00:03:47.400> that<00:
• :04:09.720> be health care legislation would be health care legislation would be personally<00
• , I have found her to be collaborative, I have found her to be collaborative, engaging,<00:05:03.400

Keywords: 912, senate, all

Summary: The Judiciary Committee held a Governor’s Message hearing on two nominations. For GM 750, Tracy Fujita was nominated to the Commission to Promote Uniform Legislation for a term ending June 30, 2030. Testimony in support came from several officials and commission members, including the Deputy Attorney General, Maui Behavioral Health Resources CEO Nicole Hokoana, Maui Council Chair Alice Lee, and Uniform Law Commission members. Fujita said her county-level legislative law background at the Department of Corporation Counsel and Office of Council Services would help her serve, and she expressed particular interest in health care legislation. For GM 778, Jessica Schafer was nominated to the Commission on the Status of Women for a term ending June 30, 2030. Support testimony came from Commission Executive Director Yasmin Chaney and multiple others. Schafer said her background includes prosecuting domestic violence cases, working in a human trafficking clinic, investigating sexual misconduct in higher education, and leading gender-based violence programming at the University of Hawaii; she said she is especially interested in sexual and gender-based violence issues but is open to broader commission work. After questioning, the committee moved to decision-making on both nominations. The chair recommended advise and consent for each, and the committee adopted both measures without any no votes or reservations. The meeting then adjourned.

Transcript Highlights:

• Kickbacks in public health care programs can lead to overuse of health care services as well as increased
• I value our collaborative partnerships with chairs and legislators from both parties.
• I value our collaborative partnerships with chairs and legislators from both parties.
• I value our collaborative partnerships with chairs and legislators from both parties.
• I value our collaborative partnerships with chairs and legislators from both parties.

Transcript Highlights:

• These negotiated compacts are the culmination of a lengthy negotiation process, compromises, and careful
• These negotiated compacts are the culmination of a lengthy negotiation process, compromises, and careful
• some of that additional background, anytime we're in any of these negotiations, we are very, very careful
• So we were able to, very grateful to the tribe for coming together with us in a collaborative spirit,
• In addition to that, as part of our collaborative resolution of this potential dispute, the tribe agreed

Summary: The Assembly Governmental Organization Committee held an informational hearing on four Tribal-State Gaming Compacts and amendments negotiated between Governor Newsom and federally recognized tribes. Chair Blanca Rubio emphasized that no formal vote would be taken because the Legislature cannot amend the compacts; the ratification bills are AB 1527 and SB 864. Matthew Lee, Senior Advisor for Tribal Negotiations, explained that the compacts were negotiated under the Indian Gaming Regulatory Act and were structured to stay within the permissible subjects identified and clarified by the Ninth Circuit’s Chicken Ranch decision. Lee first described the Trinidad Rancheria compact, which would allow up to 1,200 gaming devices at up to three facilities and includes labor protections, minimum wage requirements, anti-harassment and anti-retaliation provisions, state regulatory cost recovery, and revenue-sharing terms for operations above 350 devices. He then discussed the Picayune Rancheria of Chukchansi Indians amendment, which extends the existing compact while the tribe and state remain in federal court, preserving the status quo and adding the state’s standard off-track wagering appendix. For the Pinoleville-Pomo Nation amendment, Lee said the compact was updated to reflect current law and more recent state compacts by removing environmental review and family law provisions, narrowing tort protections, revising revenue-sharing and impact mitigation terms, and updating financial disclosure language. For the Sycuan Band of the Kumeyaay Nation, Lee said the amendment similarly removed Chicken Ranch-related provisions, narrowed tort and facility definitions, added a commitment to bargain in good faith over any future new forms of class III gaming, and extended the compact through 2036. Sycuan Chairman Cody Martinez testified in support, noting the tribe’s long history in gaming, its employment of more than 3,000 people, and its desire to continue operating its casino resort. No opposition was voiced, and the committee took no vote.

Transcript Highlights:

• Again, collaborate. And again, because Kind of touching on that definition again: collaborate.
• That collaboration is critical to the process.
• We also do survey work for the child care system.
• We collaborate with Extension on various projects, but, yeah, that would be an easy collaboration for
• You're free to attend virtually if you care to. Actually, if you care to.

Summary: The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability. Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts. North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.

Bills: SB2969, SB3263, SB2602, SB3229, SB3199, SB2550, SB2877, SB3325, SB2024, SB2614, SB2613, SB3063, SB2319, SB2800, SB2892, SB2321, SB2407, SB2805, SB2153, SB2595, SB2781, SB3233, SB2360, SB1432, SB2543, SB2599, SB3053, SB2001, SB2041, SB3247, SB3253, SB2401, SB2673, SB3067, SB411, SB2934, SB3219, SB2919, SB2239, SB2532, SB2601, SB1032, SB2446, SB2152, SB2721, SB3076, SB3140, SB2671, SB2338, SB2268, SB99, SB2930, SB3069, SB3096, SB3097, SB3090, SB2060, SB3028, SB2544, SB2069, SB2552, SB3218, SB3022, SB148, SB2259, SB2578, SB2928, SB2816, SB2580

Keywords: SB2969, Maui wildfire, Maui wildfires, wildfire exposure, Maui Health Registry, University of Hawaii, public health, biomonitoring, medical screening, mental health services, trauma recovery, disaster recovery, first responders, kupuna, children's health, medically vulnerable, environmental exposure, toxic exposure, respiratory illness, community health

Transcript Highlights:

• So thank you, Madam Chair. collaboration with DHS. Yes, Madam collaboration with DHS.
• and self-directed home care.
• senior care in every part of Minnesota. senior care in every part of Minnesota.
• Care Imperative.
• know I understand this care it's hard. know I understand this care it's hard.

Keywords: 1187, senate, all

Transcript Highlights:

• We must nurture and care for it and for each other.
• This important bill reflects collaboration and partnership.
• The people who care for our children deserve the time and support to care for their own. Thank you.
• Getting care in the setting including in your home, is the most cost effective way to deliver care.
• But the long-term care system in our state is broken, and the promise of delivering long-term care in

Keywords: 988, house, all

Transcript Highlights:

• So in collaboration with a majority leader in the House, we set out to identify So in collaboration with
• You know, sober living homes are essentially the lowest level of care that we license.
• Which providers are being terminated for fraud versus quality-of-care concerns?
• Versus quality-of-care concerns?
• The quality-of-care referral source is not tracked.

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.