Transcript Highlights:

• services.
• Legal defense services for indigent individuals.
• Thank you. through the Department of Social Services.
• services support for immigrants.
• Services.

Committee: House Budget

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• committee is convened to examine the performance of Access, and specifically its division of fee-for-service
• Access under state law recommended reimbursement providers $295 for critical intensive outpatient service
• Arizona Medicaid members, particularly those seeking behavioral health treatment, recovery services,
• For example, there are multiple iterations of service types.

Committee: Senate Senate Health and Human Services COR

Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities. Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope. The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.

Transcript Highlights:

• , health care provider charges, eligibility for services, and questions for Department of Human Services
• The United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
• Services, you are recognized.
• Primarily, we are a fee-for-service state, which is we cover, Primarily, we are a fee-for-service state
• DMS, Division of Medical Services, is covering the bulk of our fee-for-service population.

Committee: All LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.

Transcript Highlights:

• . $77 million to maintain crime victim services and offset federal revenue losses, and $69.4 million
• years of ERS and TRS state service.
• , and staff layoffs are imminent in local service areas across the state.
• but we aren't sure what this means for people currently enrolled in services.
• Thank you all so much for your time today and your service to the people of Texas. Thank you, Mr.

Bills: SB1 , HB500 , SB 1

Committee: House Appropriations

Transcript Highlights:

• appropriates $3 million from the State General Fund in fiscal year 2027 to the Department of Health Services
• Appropriates $3 million from the state general fund in fiscal year 2027 to the Department of Health Services
• State General Fund in fiscal year 2027 to access provider increases for home and community-based services
• to provide ambulance services if they demonstrate the ability to provide all services a certificate
• to provide ambulance services if they demonstrate the ability to provide all services a certificate

Summary: The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules. Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements. No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.

Transcript Highlights:

• </c> Medicaid Services. Medicaid Services.
• </c> program and who are receiving services. program and who are receiving services.
• </c> Service population.
• What's funded is our fee-for-service mandatory and optional services.
• </c> services that they do for our members. services that they do for our members.

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• They're sellers of services.
• service and the money is back here in the background of it.
• "So we offer guarantees on all of our professional services.
• Fagan-Bome is with the Department of State Health Services.
• Again, David Kostron, and I am the chief regulatory services officer at the Health and Human Services

Committee: Senate Health & Human Services

Transcript Highlights:

• </c><00:09:33.000><c> that</c> referred to other County Services that referred to other County Services
• </c> low number of families accepting service low number of families accepting service the<00:20:45.159
• agency service meaning our overall agency service referral<00:21:21.840><c> rates</c><00:21:22.159><c
• </c><00:26:56.039><c> no</c><00:26:56.279><c> Services</c> family declines Services no Services family
• declines Services no Services provided<00:26:57.720><c> okay</c><00:26:58.600><c> well</c><00:26:58.840

Committee: Senate Education Policy

Transcript Highlights:

• </c> duplicate billing services. duplicate billing services.
• . service. service.
• </c> those wrap-around services. those wrap-around services. &gt;&gt; Okay.<00:53:48.960><c> Good.
• Well, we have waivers and regular services. We just don't have service providers.
• </c><01:13:27.320><c> We</c> Services Block Grant. We Services Block Grant.

Committee: Joint Health Services

Transcript Highlights:

• Milton, within its borders, has the Mattapan trolley service and bus line service.
• So each community pays into the service. that have MUTA service are assessed a fee.
• Milton within its borders has the manned trolley service and bus line service.
• Bus service, subway and the red line, commuter rail, and ferry service.
• those contracted services.

Summary: The Senate took up Senate House No. 4010, a fiscal year 2025 supplemental appropriations bill funded largely by surplus Fair Share revenues. The Ways and Means chair described the bill as a $1.28 billion package, with major investments in education and transportation, including special education circuit breaker aid, higher education deferred maintenance, career technical education capital grants, school construction relief, high-dosage tutoring, English language learning grants, MBTA reserve replenishment and safety training, commuter rail maintenance, Chapter 90 local road aid, regional transit authority support, ferry and micro-transit funding, and a small World Cup transportation appropriation. Members from both parties generally praised the bill’s one-time, regionally balanced approach while emphasizing fiscal discipline and the limited, surplus-based funding source. The minority leader and others questioned the fund balances and the use of the education and transportation innovation and capital fund, the Student Opportunity Act trust fund, and the transitional escrow account; the chair said the bill would zero out the innovation and capital fund, leave about $430 million in the SOA trust, and about $200 million in the escrow account. Several members highlighted specific priorities. Senator Cronin and Senator Feeney strongly supported the $100 million career technical education investment, arguing it would expand vocational opportunities in comprehensive high schools and help meet workforce needs. Senator Feeney also emphasized MBTA funding, special education, local road repairs, English language learning tied to workforce needs, and World Cup preparations in Foxborough. Senator Comerford praised the bill’s regional equity, higher education maintenance funding, special education support, and transportation investments, while also noting the need for broader future work on Chapter 70 and school finance. Senator Tarr supported the bill but repeatedly stressed that the spending was a unique one-time opportunity and that the Commonwealth should preserve fiscal reserves and continue to address school funding inequities and MBTA finances more broadly. The chamber then considered numerous amendments. Amendment 1 on tariff pricing transparency was withdrawn after brief remarks, and Amendment 14, proposing a DESE study on educational outcomes for young men and boys, was rejected. Amendment 182, funding Worcester Regional Transit Authority capital expenses, was adopted. Amendment 228, adding $500,000 for Free Period to expand access to menstrual products in schools, was adopted. Amendment 257, funding Springfield Public Schools communication and safety systems, was also adopted. Other amendments, including Tarr amendments on supplemental district aid, MBTA reporting, and the Foundation Budget Review Commission, were rejected. Amendment 308 concerning MBTA Communities and Milton was withdrawn, after which Senator Driscoll began a presentation arguing Milton was being misclassified under the MBTA Communities Act and should be treated fairly under the law.

Transcript Highlights:

• The first one was in 2017 relating to telehealth services.
• We also went to the Job Service database and did the same thing.
• or payment for specified providers of services.
• an option to apply for prior service credit for volunteers.
• This is a length-of-service plan established for volunteers.

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• It allows a person who was providing earned wage access services to continue to provide such services
• access to a service.
• I mean, there is some support services; the military has some support services for things like this.
• I mean, there are some support services; the military has some support services for things like this.
• to provide ambulance services if they can demonstrate the ability to provide all services required in

Committee: House House Commerce Committee of Reference

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• Senate Health and Human Services for the Senate Health and Human Services for the record<00:40:29.640
• and hospice services.
• I offer that the New... bolster access to these Services thank bolster access to these Services thank
• </c> co-payment for ground Ambulance Service co-payment for ground Ambulance Service provided<01:26:14.320
• </c><01:26:51.239><c> provider</c> emergency ambulance service provider emergency ambulance service provider

Committee: Senate Health and Human Services

Transcript Highlights:

• , Bureau of Child Support Services.
• , Bureau of Child Support Services.
• </c> stakeholders and community services stakeholders and community services within<00:23:36.799><c>
• </c><00:39:23.040><c> Center</c><00:39:24.040><c> is</c> services the cun you Services Center is services
• Services.

Summary: The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1. The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families. Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.

Transcript Highlights:

• Mitzie oversees some of our critical areas for re-entry, programmatic services, as well as clinical services
• For re-entry, programmatic services, as well as clinical services.
• The services that they need and the services that they should be provided are vastly different than most
• on the transition of MassHealth to health and human services.
• Because of the services that they need to provide, they are different.

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• It's just you're not the service charge.
• </c> I want to say it was $80,000 of service I want to say it was $80,000 of service fees<00:17:56.120
• It was just a service provided by us.
• </c> but we appreciate appreciate her service but we appreciate appreciate her service very<00:25:04.960
• We stand your service so much. We stand adjourned.

Bills: SB59 , SB221 , SB59 , SB221

Committee: House Ways and Means Education

Keywords: military families, immunization, education, public health, school enrollment, Mobile County, judge of probate, compensation, salary, expense allowance, higher education, funding, annual report, state funds, federal funds, budget oversight, sales tax, credit card fees, tax exemption, merchants

Transcript Highlights:

• OTP providers highly valued DOH's service and have expressed concern that removing these services would
• I often compare health centers to the Postal Service.
• The 340B program keeps these services open. Thank you.
• long-term care services.
• They're facing a tremendous loss in service.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• for that primary services, really.
• for that primary services really.
• Again, HIE is just one service, an avenue that hospitals...
• So CHRIS Shared Services is our new HIE.
• Twenty-five hours of volunteer service is now required for FRAM participants, and our volunteer service

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• It recognizes Waypoint as a vital service provider for homeless services for 18- to 24-year-olds.
• It recognizes Waypoint as a vital service provider for homeless services for 18- to 24-year-olds.
• It recognizes Waypoint as a vital service provider for homeless services for 18- to 24-year-olds.
• It recognizes Waypoint as a vital service provider for homeless services for 18- to 24-year-olds.
• ><c> neurology</c> Psychiatric Services and neurology Psychiatric Services and neurology services<01:

Summary: The Finance Committee held a hearing on House Bill 619, which would appropriate $1 million to the Solid Waste Management Fund for matching grants to municipalities and businesses for waste diversion projects, with 50% of the money prioritized for food waste diversion. Representative Karen Ebel, the sponsor, said the fund would help New Hampshire meet its solid waste diversion goals, preserve landfill capacity, and support composting, recycling, and related local business activity. She cited New London’s composting program as an example, saying 172 families participated and 32 tons of food waste were diverted in 2024, reducing tipping and trucking costs. Committee members asked about possible alternative funding sources, including a surcharge on landfill tipping fees. Ebel said many other states use such surcharges to fund recycling and solid waste programs, while New Hampshire relies on general funds. She also said the current fund balance was about $900,000 because some money had been used for staffing, and that the grant program was still in rulemaking. Questions also focused on how household composting works and whether municipalities could generate revenue from compost; Ebel said participation is optional, most programs use buckets and transfer stations, and the main benefit is cost savings from reduced disposal rather than compost sales. Testimony in support came from the New Hampshire Municipal Association and the Northeast Resource Recovery Association. Both said municipalities are interested in food waste diversion and composting, that these programs can reduce long-term disposal costs and property tax pressure, and that there is growing demand for technical assistance and grant support. The Northeast Resource Recovery Association said food waste makes up about 24% of municipal and business waste, that fewer than two dozen communities and fewer than two dozen businesses currently offer such services, and that a City of Lebanon pilot program saw about 30% savings by composting on site. The Department of Environmental Services said it was not taking a position but is working on rulemaking for the grant program and expects strong interest from municipalities, private composters, farmers, and anaerobic digester operators. No vote or final action was taken at the hearing.

Transcript Highlights:

• And I thank you for your service this fiscal session.
• It is time to fund supported living services for all the Hunters.
• services, investments.
• There is no cut in services based on this tax cut.
• But again, no cuts in the services. Any other discussion?

Committee: All REVENUE & TAX - SENATE

Summary: The Senate Revenue and Tax Committee considered Senate Bill 1, sponsored by Senator Jonathan Dismang, which would continue Arkansas’s phased income tax reductions, lowering the personal income tax rate to 3.7% and delaying the corporate income tax change until the following January. Dismang said the bill was part of a long-running effort begun in 2013 to reduce rates using conservative budgeting and surplus revenue, and he estimated the change would reduce the effective tax burden for a person making $65,000 by about 45%. Committee members supporting the bill emphasized that the measure would not cut state services and argued Arkansas should balance competitiveness with funding essential programs. Several speakers opposed the bill, including a clergy member/social worker, a parent advocating for disability services, representatives from Arkansas Appleseed and Arkansas Advocates for Children and Families, and a community advocate from the Arkansas Coalition of Marshallese. They argued the state should preserve revenue for public schools, health care, housing, food assistance, early childhood education, and supported living services, citing underfunded schools, a waitlist for pre-K, hospital and child care pressures, and the needs of low-income and vulnerable residents. Some speakers said the tax cuts would disproportionately benefit higher-income taxpayers while providing little relief to working families. In closing, Dismang said Arkansas could be both compassionate and competitive and that no essential services would be cut because the state is operating with a surplus. After discussion, Senator Dismang moved do pass, Senator Petty seconded, and the committee approved SB 1 by voice vote. The committee then adjourned.