Transcript Highlights:

• Um and doing of in process right now.
• We're in the process currently of dealing with that.
• I think if you hire my 14-year-old grandson..."
• I think if you hire my 14-year-old grandson..."
• I think if you hire my to find.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• This morning we are joined by some of our consultants that we have hired to work with us on this one-door
• , and we sometimes neglect to talk about the demand side of the equation, which is the employer's hiring
• And this is what we ask employers to do if they want to just find somebody they can hire.
• It allowed for an executive director to be hired, and Bob Gross was hired in May of '96, out of the private
• that DHS and workforce services has to go through just to do what we want to do, it's not an easy process

Summary: The committee met to hear consultants Mason Bishop and Cameron Christie discuss Arkansas’s “one door/no wrong door” workforce and social services modernization effort. Bishop argued that the current system is fragmented across multiple agencies, offices, and portals, making it hard for job seekers and employers to access services efficiently. He said the goal is to create a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and other economic disruptions. Bishop repeatedly pointed to Utah as a model, describing how that state combined workforce and public assistance functions into a single agency, used statewide cost allocation to blend funding streams, and improved customer service and outcomes after reform. He said Arkansas should consider integrating governance, service delivery, and financing, including possible waivers, a statewide cost allocation plan, and a benefits-cliff pilot. He also said Arkansas’s current local workforce board structure creates duplication and weak coordination, and that Launch is a useful tool but not a full service-delivery system. Committee members asked how the proposal would work in practice, including whether TANF could be used to cross-train DHS workers, how federal waivers might be obtained, how local boards would be affected, and how disabled clients would be handled. Bishop said TANF should be treated as part of a workforce strategy, that federal pilot authority for workforce reform nearly passed but did not, and that waivers are now the practical path. He also said Arkansas could either merge functions more fully or at minimum co-locate workforce staff in DHS offices statewide. No votes were taken; the meeting ended with plans to continue the discussion in August, including a focus on case management and whether the state is managing programs or people.

Transcript Highlights:

• And so there will be a period of hiring staff, developing training programs, developing the information
• It goes from Midland Odessa to El Paso to Lubbock to New Mexico and all the way, and then this process
• When the department um DFPS learned that they didn't have to hire additional people to get this done.
• There was no need for additional monies to be given them to hire folks.
• Yes, they don't, they don't have, they don't have to hire additional staff to get this done. OK.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• we support small businesses and accessing state contracts, and we often counsel them through the process
• we support small businesses and accessing state contracts, and we often counsel them through the process
• There is a multi-part process where there is a process laid out by the Massachusetts Cultural Council
• business improvement district, and then there are certain entities or fellows or something that are hired
• They don't have to go through hiring a professional auditing firm, which can be very expensive and take

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Business held its second hearing of the session, with Chairs Gómez and Vargas opening by emphasizing the committee’s focus on equity, small business growth, and support for communities that have historically been overlooked. Several members noted the historic nature of having two Latino chairs. The hearing covered a package of bills centered on access to capital, transparency in state assistance, commercial tenant protections, downtown revitalization, and business improvement district administration. Testimony was largely supportive of bills aimed at helping micro-businesses, small businesses, and disadvantaged entrepreneurs. Beckma, the Asian Business Empowerment Council, a minority- and woman-owned business owner, and a worker-owned Springfield business all backed measures including S. 179 and H. 312/S. 184, which would prioritize capital assistance and require reporting on where state business aid goes. Witnesses said transparency, upfront payments on state contracts, and better data collection could help businesses that struggle with delayed reimbursements, limited reserves, and difficulty accessing traditional financing. The Metropolitan Area Planning Council supported S. 173, which would dedicate a portion of sales tax revenue to a downtown vitality fund for district management, cultural districts, and downtown infrastructure, and said the bill could help sustain downtowns and prevent cultural displacement. There was also testimony on H. 306, a commercial tenant first right of refusal bill, with Beckma supporting it as a way to help small tenants stay in their locations, while the Greater Boston Real Estate Board opposed it, arguing it would add cost, delay, uncertainty, and could reduce property values and the commercial tax base. The board supported H. 305, a housing bill that would expand by-right multifamily and open-space residential development while preserving local zoning protections. Andre Leroux of MassINC also supported S. 173 and H. 299, the latter proposing longer BID renewal periods and audit requirements aligned with nonprofit standards. No votes were taken; the hearing concluded after public testimony and questions, with the chair closing testimony.

Transcript Highlights:

• It's a big, long process.
• It took two years to complete the process.
• And all through that process, he called this a monopoly.
• And I think that has happened with the waterworks where they hire multiple lobbyists.
• We want to use this process to usurp the law and the legislative process and the will of the people.

Bills: SB330

Keywords: water management, regional boards, municipal governance, ethics compliance, public utility, 923, senate, all

Transcript Highlights:

• process.
• <02:04:35.840> take process and that process can take process and that process can take several
• >> Oh I and how is that process? >> Oh I and how is that process?
• a vital part of our budgetary process. a vital part of our budgetary process.
• hiring firing process but again with the hiring firing process but they're<04:46:18.718> part

Keywords: 1189, house, all

Transcript Highlights:

• department is in processing department is in processing applications,<00:28:25.200> how<00
• <00:53:43.520> simply network and appeals process simply network and appeals process simply
• I think that a number of... that hire them. All of this information that hire them.
• So we hired the what has to happen.
• the the people that hire the PBMs. the the people that hire the PBMs.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:15:18.639> to inclusive, and expert-led process to inclusive, and expert-led process to
• this structured and open process this structured and open process provides<00:15:30.959> the<
• <00:53:45.119> to a school board to adopt a process to a school board to adopt a process to
• Section 17 is the review process.
• Section 19 is makes the processes.

Keywords: 1187, senate, all

Transcript Highlights:

• We can improve our processes. controls. We can improve our processes.
• Um we have had our processes over time.
• And I look forward to you processing.
• They hire a lot of seasonal workers.
• external search process. external search process.

Keywords: 1183, house

Transcript Highlights:

• We have hired at least two new people in that office, which we did.
• I've hired those two people to help cut down on the workload.
• We are in the process of creating some logic models.
• We will keep that process going.
• They are working through the process to initiate or to start.

Transcript Highlights:

• A revision of licensing standards is currently in process.
• of the depth involved in this process.
• of the depth involved in this process.
• of the depth involved in this process.
• going through a very uh thorough process going through a very uh thorough process um<00:50:13.319

Keywords: 1183, house

Transcript Highlights:

• And when you look at the City of Santa Fe, for example, Chair, they're even doing hiring bonuses.
• These are hired every year across the state of New Mexico.
• Process and into treatment.
• , through the healing process, and through the treatment process.
• capital outlay process, the first two sessions take over a year.

Transcript Highlights:

• Every summer, Mary Liz would hire nursing staff.
• But that was a harrowing process.
• The death notification process was Somewhat in this process.
• And, you know, several of them have hired lawyers.
• And it's an honor to be part of this process.

Keywords: 1184, house, all

Transcript Highlights:

• Um, we do not hire, you know, anyone that is not able to speak English. classes that are necessary.
• Um, we do not hire, you know, anyone that is not able to speak English. to simply provide the option
• changed the way you uh process changed the way you uh process transactions.<00:11:19.839> Well
• know,<00:11:26.560> anyone<00:11:26.959> that<00:11:27.279> is we do not hire
• , you know, anyone that is we do not hire, you know, anyone that is not<00:11:27.760> able<00:

Keywords: 912, senate, all

Summary: The Senate Committees on Economic Development and Tourism and on Transportation, Culture, and the Arts heard HCR 142, which urges the Hawaii Tourism Authority and Department of Transportation to expand the airport greetings program to display art in all neighbor island airports. Testimony from CARES supported the measure, emphasizing that public art and youth art competitions help educate keiki, strengthen cultural understanding, and support economic development through Hawaii’s creative industries. No one testified in opposition, and members raised no questions. Both committees recommended passage of HCR 142 unamended. The measure was adopted by voice vote in each committee, with some members excused. Later, the Senate Committee on Economic Development and Tourism heard HTR 102, which concerns translating the real estate salesperson exam into Japanese for timeshare-related sales. Supporters, including DBEDT and ARDA Hawaii, argued the change would help Japanese-speaking applicants, improve workforce recruitment, and support Hawaii’s timeshare industry and Japanese visitor market. A representative from APAC Hawaii supported the idea but suggested considering additional languages such as Korean, Chinese, and Filipino. Some senators questioned whether the proposal adequately addressed continuing education and long-term English proficiency, and the Real Estate Commission explained it does not currently issue a limited timeshare salesperson license and that the proposal would not restrict licensees from selling other real estate products. The committee also heard HCR 156, which asks the Hawaii Technology Development Corporation to increase its focus on advanced manufacturing and cybersecurity to support economic diversification, high-wage jobs, innovation, and national security. HTDC and the Hawaii Military Affairs Council supported the resolution, citing the recent federal discontinuation of the local Manufacturing Extension Partnership program, Innovate Hawaii, and the loss of related staff positions as reasons to reinforce state support. Testimony and discussion stressed cybersecurity, supply-chain resilience, automation, and the need to sustain manufacturing momentum in Hawaii. Both HTR 102 and HCR 156 were recommended for passage as is and were adopted by the committee, with some members excused.

Transcript Highlights:

• The effect of an OSHA violation on a business is a disincentive to hiring persons with autism.
• The effect of an OSHA violation on a business is a disincentive to hiring persons with autism.
• So this bill... ...processes, it's very difficult to get them served.
• And it's really important for the integrity of our election process.
• People have to have faith in the process, and what we've done to put teeth in this and form and process

Summary: The Senate convened with a quorum present, opened with prayer and the Pledge of Allegiance, and heard several member introductions and recognitions, including awareness resolutions and visiting groups in the galleries. The chamber then moved to special order bills. Senate Bill 88 on utility terrain vehicles passed 32-5 after debate over allowing local governments to opt in to street use of UTVs under safety restrictions; Senator Smith opposed it over safety concerns. Senate Bill 102 on exceptional student education passed 36-0, creating a workforce credential/badge program for students with autism or on modified curricula; supporters emphasized employment opportunities and safety training, while Senator Davis raised concerns about added costs to school districts. Senate Bill 106 on exploitation of vulnerable adults passed 37-0, allowing alternative service on scammers through the same apps used to contact victims. Senate Bill 130 on compensation for victims of wrongful incarceration passed 38-0, extending filing deadlines and removing restrictive barriers; supporters called it a long-overdue justice fix. Senate Bill 158 on diagnostic and supplemental breast examinations passed 38-0, eliminating cost sharing for follow-up breast tests in the state employee health plan to encourage early detection. The most contentious measure was Senate Bill 234 on criminal offenses against law enforcement officers. The bill sought to clarify that violent resistance to officers is not justified by claims about the legality of the detention and to add manslaughter of a law enforcement officer to offenses carrying life imprisonment without release. An amendment by Senator Jones to restore “in good faith” language failed, after debate centered on due process, racial profiling, and the role of juries and suppression motions. Several senators spoke in support of law enforcement but objected to the bill’s breadth and mandatory life penalty; Senator Leek ultimately postponed the bill temporarily rather than taking a final vote. Senate Bill 262 on trust code technical changes passed 36-0. Senate Bill 274 designating roads for Harris Rosen and Geraldine Thompson passed 38-0, followed by a successful co-sponsorship motion and remarks honoring Thompson’s legacy. Senate Bill 280 on candidate qualification passed 38-0, creating an enforcement mechanism for party-affiliation filing requirements. Senate Bill 296 on middle and high school start times passed 38-0, repealing the statewide start-time mandate and shifting implementation decisions to local districts while requiring public reporting and discussion. Senate Bill 356 designating January 27 as Holocaust Remembrance Day also passed unanimously, with senators emphasizing remembrance, anti-Semitism, and the educational value of the memorial and observance.

Transcript Highlights:

• Uh, our phone bill because I process<01:01:08.319> those process those process those is<01:01:
• process. Correct. process. Correct. >> Yes.
• ongoing operating budget process. ongoing operating budget process. >> Okay.
• in the summer, but because of we hire in the summer, but because of the<04:21:45.199> hiring<
• then have a redistribution process then have a redistribution process whereby<04:53:40.160> we

Keywords: 928, house, all

Summary: The Joint Committee on Dedicated Funds met to review inactive and dedicated accounts, note prior legislation that had passed, and begin its annual review of agency funds. Members discussed several inactive funds, including some HHS-related accounts, a law enforcement memorial fund, and possible cleanup of accounting references where funds had been reorganized or merged. Staff noted that some newer funds may simply not have started receiving revenue yet, and the committee agreed to follow up on specific accounts later rather than address everything immediately. The committee then heard from Fish and Game on its dedicated funds. Topics included the statewide public boat access account, which is used for boat ramp and access-site maintenance and is supported by boat registration fees and federal funds; the ORV education, training, and enforcement account, which has declined over time and may need attention because revenue depends heavily on weather and snowmobile use; and the search and rescue account, which is funded by Hike Safe cards, a $1 fee from boat and OHRV registrations, and court-ordered fees. Fish and Game also explained that the conservation license plate fund had been merged into the non-game species management account, which is supported by donations, federal funds, and a statutory general fund transfer, and that pheasants are treated as game species under a separate program. The committee spent considerable time on the lifetime license account, an off-book Treasury-held account that collects lifetime license sales and returns funds to Fish and Game based on annual sales plus 9% of the fund balance. Members questioned why the account’s presentation did not clearly show the transfer as a revenue reduction and suggested the reporting format needed cleanup so the flow of money would be easier to understand. Fish and Game said the account is operating properly and that the transfer to the unrestricted Fish and Game fund exceeded $400,000 in the most recent year. The committee also reviewed the publications and fundraising revolving fund, which keeps a $100,000 balance for inventory purchases and transfers excess year-end funds to the unrestricted Fish and Game fund; members again raised concerns that the reporting format did not clearly show the transfer, and staff said they could add a note or other clarification.

Transcript Highlights:

• What happened in those circumstances, exactly who was, how that process all came about. Thank you.
• I think... what happened in those circumstances exactly who was how that that process all came about
• I appreciate this being included in the budget process.
• I appreciate this being included in the budget process.
• My concerns with it, it would be easily overlooked during that process.

Summary: The executive committee approved the May minutes by roll call vote, then received an actuarial update from Sarah Baker of the State Actuary’s Office. Baker explained the office’s annual work, including the DRS pension actuarial evaluation, support for state financial reporting, cash flow analysis, a six-year pension contribution outlook, interim support for GIT and WAL CARES, and an upcoming actuarial evaluation of the volunteer firefighters pension plan. She also responded to questions about bills allowing members to transfer into PERS, noting that such transfers have historically increased PERS costs and that any added cost would be borne by PERS members and employers depending on bill structure and affected demographics. Kate Adams of the Attorney General’s office reported no new developments in the cases the committee is monitoring. She said the Dawson case is still in its early stages, with a judge assigned and a discovery plan due at the end of July. The committee asked for continued updates on that litigation. The committee then discussed interim work planning, focusing first on animal control officers’ eligibility for PERS and asking staff to continue researching definitions, comparable treatment in nearby states, and the cost and service-credit implications for affected employees. Members also discussed Plan 3 issues, including comparisons of Plan 2 and Plan 3 membership and data, and possible future briefing topics. The largest discussion centered on Plan 1 COLAs: members and retiree representatives debated whether to pursue a permanent COLA or an ad hoc COLA, and whether budget language should require future budget writers to consider a COLA. Retiree groups said they preferred a permanent COLA but were open to further discussion; staff was asked to continue work on possible language and policy options. The committee reviewed correspondence on four topics: Plan 1 COLA requests, a request to study LEOFF 2-style medical reimbursements for Washington State Patrol survivors, and a request to allow certain members to change survivor option elections after the federal Social Security Fairness Act. The committee agreed to bring the State Patrol medical reimbursement issue and the Social Security Fairness Act issue back for July, with staff to gather more information and provide an informational briefing. The July agenda was approved and includes the OSA annual update, the LEOFF 2 Board annual update, a PERS/TRS Plan 1 ad hoc COLA item, and the two survivor-related topics.

Transcript Highlights:

• process disability cases.
• And due to federal hiring constraints, they...
• Was this a competitive process and how many vendors applied? Mr. Meyer.
• It was a competitive process.
• But yes, that’s how that process would work. Thank you.”

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• Of the process.
• So you could be hired around the world to take these opportunities, and those who are hiring musicians
• can go to one spot, one platform, and hire them.
• There's something to the process that I believe...
• I know it's got to go back through the process.

Keywords: 964, all

Transcript Highlights:

• I'm sure we'll have more conversations as the process moves on.
• The process. We went through the pathways to licensure.
• The board has stated that this process is difficult and costly.
• As far as the fee increase, we are currently in the process.
• If an individual is denied certification, what is the review process or the appeal process?

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.