Transcript Highlights:

• The legislative management study was required to include input from HHS, a Child Care Services Advisory
• “The Child Care Services Advisory Committee was selected by legislative management and met jointly with
• So, we are at our Legislative Council program evaluation of the Department of Health, Human Services.
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• So total funds appropriated for direct services this last legislative session was $7.3 million.

Keywords: 908, all

Transcript Highlights:

• So when I start to think about myself as a legislator and an appropriator on human services, I'm—we appropriate
• The legislative management study was required to include input from HHS, a child care services advisory
• The Child Care Services Advisory Committee was selected by Legislative Management and met jointly with
• So, we are at our Legislative Council program evaluation of Department Health, Human Services.
• So total funds appropriated for direct services this last legislative session was $7.3 million.

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• The legislative management study was required to include input from HHS, a child care services advisory
• The Child Care Services Advisory Committee was selected by Legislative Management and met jointly with
• So, we are at our Legislative Council program evaluation of Department Health, Human Services.
• So total funds appropriated for direct services this last legislative session was $7.3 million.
• So total funds appropriated for direct services, this last legislative session was $7.3 million.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• Maybe other legislators can chime in, but it was my impression that many legislators thought that some
• In our student services, we employ five positions: we have a dean of student services, a registrar, an
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• To coverage of IMD services.

Keywords: 908, all

Transcript Highlights:

• It's a report from the Office of Legislative Auditor.
• Catherine Tyson, deputy legislative auditor from the Office of the Legislative Auditor, introduced herself
• Sometimes they're called legislative auditors.
• Next, we have the Department of Human Services.
• With chairs and legislators from both parties, I also want to thank the Legislative Auditor for the important

Transcript Highlights:

• E7, Department of Human Services.
• , orthodontic dental services, and the services of oral surgeons.
• We can raise rates without legislative statutory—not without legislative approval, obviously we have
• The problem we have is that it says oral surgeons' service, dental services.
• It does not include the oral surgeon services for adults, the dental services provided by dentists.

Keywords: 1204, all

Transcript Highlights:

• the services.
• Will not allow individuals who need services but aren't on services until July 2026.
• So, for fee-for-service, of course, fee-for-service is our smaller program, largely served by Native
• and substance use services, and how we can access those services.
• Services.

Transcript Highlights:

• We must ensure service this legislation.
• In practice, this legislation would likely apply to service members in rare circumstances, such as when
• Ranking Member Takano for working with the majority on this piece of legislation, the Service Members
• ,<04:04:56.399> the<04:04:56.560> Service piece of legislation, the Service piece of
• legislation, the Service Members<04:04:57.840> Residents<04:04:58.399> Protection<04:04

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 15, 2025, 1012, house, all

Transcript Highlights:

• into an invaluable legislative research service, with full-time research staff providing daily floor
• Andy Benton Garcia helped every area of our office from constituent services to legislative operations
• a damn fine legislator.
• Legislative Session.
• Chief Clerk's Office for their service during the 89th Legislative Session. Chair, recognize Ms.

Summary: The House met on sine die and began with prayer, pledges, quorum verification, and a series of announcements and recognitions. The chamber received Senate messages reporting adoption of conference committee reports on SB 268 and SB 2972, and Senate concurrence in House amendments to SB 1637. Members also referred several resolutions and announced the signing of numerous House and Senate measures by the presence of the House. Technical correction resolutions were adopted: HCR 171, authorizing corrections to HB 46, passed 138-0, and SCR 55, making a wording correction in SB 1964, passed 126-12. A large portion of the meeting was devoted to memorials and recognitions. The House honored Pastor Dave Welch, with several members offering condolences and reflections on his work organizing pastors and engaging in civic life, followed by a moment of silence. Members also recognized the Ganado High School Maidens for winning the 2025 UIL 2A Division I softball state championship, Waco police K-9 Andor after being shot in the line of duty, Region 7 DPS for Capitol Complex security, and various restaurants, staff members, interns, caucus staff, and caucus freshmen of the year across Republican, Democratic, Black, Progressive, LGBTQ, IT, Energy and Climate, and Mexican American Legislative Caucuses. The chamber also heard a retirement-style address from Rep. Tony Tinderholt, who reflected on his six sessions in the House, his military service, and his decision to step aside to focus on family, while colleagues from both parties praised his service, discipline, and willingness to work across differences. The House then continued with additional staff and caucus recognitions, including committee staff, district office staff, and interns, with members repeatedly thanking their teams for their work during the session.

Transcript Highlights:

• and legal services provide legislative and legal services to<00:15:55.600> members<00:15:55.839
• The first of those is legislative drafting services, and that's exactly what you would think it is: we
• Representative Anderson, our rule drafting services are provided much in the same way our legislative
• We do not provide that service as frequently during the legislative session, so legislative work takes
• the same way our legislative drafting the same way our legislative drafting services<00:24:11.480>

Keywords: 1183, house

Summary: The committee met briefly to approve the January 16 minutes, then heard a series of informational presentations from legislative joint offices and commissions that fall under its jurisdiction. Michelle Urick of the Legislative Coordinating Commission explained the LCC’s governance structure, including its leadership-based membership and role overseeing joint offices such as the Legislative Auditor, Legislative Budget Office, Legislative Reference Library, Revisor of Statutes, and the LCC staff office itself. Christian Larson of the Legislative Budget Office described the office’s nonpartisan fiscal note work, local impact notes, and support for the Tax Expenditure Review Commission, noting the volume of requests it handles and that the office currently has 18 budgeted FTE. He also explained the LBO Oversight Commission’s role in setting standards and appointing the director. Elizabeth Lincoln of the Legislative Reference Library outlined the library’s services, including answering thousands of reference questions, maintaining state policy and legislative collections, archiving state documents, supporting the legislative website and search tools, and preserving House and Senate audio, video, and committee minutes. She also noted the library’s staffing levels and its move to the Capitol. In response to a question, she said copies of the book Minnesota Standoff were in constant circulation, that the title is out of print, and that the library had digitized it for use by legislators and staff. Ryan Inman, the Revisor of Statutes, described the office’s drafting, legal review, publication, IT, and other services. He said every bill introduced is reviewed by a Revisor attorney, the office publishes Laws of Minnesota, Minnesota Statutes, and Minnesota Rules, and it maintains the legislative drafting system now being replaced. He also discussed rule drafting for agencies, legal counsel, the claims subcommittee, court opinions reports, and the annual technical Revisor bill. Members asked about bill volume, amendment drafting, and the history of administrative rules review; Inman said the office is handling over 2,500 active bill requests and that a prior commission on administrative rules existed in the past. No votes were taken beyond approving the minutes.

Transcript Highlights:

• Passage of this legislation to require insurance coverage of CHW service is key to realizing the associated
• Former legislator Guy Glodis.
• The most frustrating part of this is that many of these services were labeled essential services by the
• Yet I've watched services deteriorate and services close over the years.
• Of wasteful hospital services.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• 2026 legislative se session a success. 2026 legislative se session a success.
• I hope your legislative family.
• service for purposes of the statute. service for purposes of the statute.
• , department of public service, department of public service, legislative<00:29:52.000> counsel
• service. And we ask for your support. service. And we ask for your support.

Keywords: 926, house, all

Summary: The House opened with devotional remarks from Representative Mark Higley, who read poems about maple sugaring and Groundhog Day and offered a Valentine’s Day reminder to give maple sugar candy. The chamber then recognized the first class of legislative pages for their service during the 2026 session, presented them with pins, and took photos. Several guests and groups were welcomed, including representatives from Vermont’s natural resources conservation districts, members of the St. Albinstown Fire Department for its 50th anniversary, and the Vermont Housing and Conservation Coalition, which highlighted housing, land conservation, and historic preservation work supported by the Housing and Conservation Board. The House also recognized former legislators in the gallery and several members’ birthdays. On the legislative calendar, H.900, relating to exempting Social Security benefits from Vermont income tax, was introduced and referred to the Committee on Ways and Means. HCR 164, congratulating the St. Albinstown Fire Department on 50 years of service, was read and adopted. The House also voted to relieve the Committee on Education of H.750, relating to school districts pursuing construction projects during the moratorium on state aid, and commit it to Ways and Means. Later, H.527, extending the sunset of 30 V.S.A. § 248A, passed third reading, and J.R.S. 37, supporting gender equality in Nordic combined Olympic competition and urging gender-equal new Olympic sports, was adopted in concurrence. The House then took up H.898, concerning copper-to-fiber telecommunications network transitions and consumer protections. The committee explained that the bill requires advance written notice to customers and state agencies, reporting on backup power and E911 issues, public safety coordination, consumer education, and ongoing monitoring by the Department of Public Service. The committee reported an 8-0-1 vote, and after a question about whether the bill would affect provider-of-last-resort obligations, the House ordered the bill to third reading. The session ended with announcements about an upcoming report on Women, Work, and Wages and a motion to adjourn until the next meeting day, which was agreed to.

Transcript Highlights:

• And as usual, we take legislators out of turn.
• I'm the executive director for Mystic Valley Elder Services.
• Home care services and those individuals who provide those services.
• The Secretary of Health and Human Services.
• So I needed those services, right?

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.

Transcript Highlights:

• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• <00:08:37.839> is existence of a state legislator is existence of a state legislator is terrible
• If he wants more of what he state legislator, right? I don't know if state legislator, right?

Keywords: 1187, senate, all

Summary: The discussion focused on fraud in Minnesota public assistance and human services programs, with an emphasis on the harm done to vulnerable recipients rather than just the dollar amounts. The senator described cases involving childcare, PCA, adult daycare, autism, housing support, and food programs, arguing that fraud and poor oversight leave children, disabled people, nursing home residents, and others in neglect or unsafe conditions. He said many of the programs are Medicaid-related or state-funded entitlements intended to address social needs, and that stolen funds directly worsen outcomes for those they are meant to help. He traced the problem to weak state oversight and agency inaction, citing the creation of the DHS Office of Inspector General after earlier childcare fraud concerns, whistleblower reports, and alleged failures by agency leadership to pursue larger, organized schemes. He pointed to the Feeding Our Future case as a major example, saying federal investigators uncovered broader fraud patterns across multiple programs and that state agencies failed to act despite warning signs. He also said recent audits, including one involving DHS Behavioral Health Administration, showed inadequate site visits and other serious deficiencies. The senator said he recently met with federal officials in Washington, D.C., because a large share of Minnesota spending includes federal dollars and federal partners have a stake in preventing misuse. He argued that federal action is necessary but not sufficient, and that Minnesota also needs stronger internal controls, standardized eligibility verification, identity and residency checks, site visits, and better use of data tools. He supported creating an independent Office of Inspector General passed last session, but said it is only a partial solution and that agencies themselves must be retrained and held accountable. No formal votes were taken in the exchange, but the senator described ongoing legislative efforts and said he was pessimistic about the governor’s willingness to act.

Transcript Highlights:

• hearing of the Joint Committee on Public Service.
• The legislation would amend the 1984 legislation that established the MWRA by striking... ...1984 legislation
• Schobe has been working with various legislative sessions over the last 10 years to get legislation passed
• This legislation would amend the MWRA enabling legislation to provide their employees with the same workplace
• This legislation is very straightforward.

Keywords: 995, all

Summary: The Joint Committee on Public Service heard testimony on a wide range of retirement, municipal workforce, and public employee labor bills. Early testimony focused on H. 2749, a Plymouth home rule petition to classify Plymouth harbormaster employees as Group 4 for retirement purposes. Supporters, including local officials and retirement board representatives, argued the employees perform law-enforcement and rescue duties comparable to police and fire personnel, that the change would be fair, and that it would have little or no fiscal impact on the town. A separate harbormaster-related bill, H. 2743, was also introduced later in the hearing. The committee also heard testimony on provisions of the Municipal Empowerment Act (H. 56), including a temporary critical-shortage exemption allowing retired state or municipal employees to return to work in hard-to-fill positions, and a renewed OPEB commission to study retiree health care costs. Administration and municipal officials said the measures were needed to address staffing shortages and rising benefit liabilities, while emphasizing the shortage exemption would be time-limited and require proof of recruitment efforts. Related retirement bills drew support and caution: advocates for higher COLA bases and enhanced COLA benefits urged relief for retirees, but some asked the committee to wait for recommendations from the special COLA commission before acting. A major portion of the hearing concerned labor rights at the Massachusetts Water Resources Authority and the Committee for Public Counsel Services. Union representatives and employees backed bills to extend just-cause protections, promotional rights, and collective bargaining rights to MWRA and CPCS workers, arguing they currently lack protections available to most other public employees. Testimony described unfair discipline, delayed promotions, and high turnover, and committee members indicated prior favorable action on similar MWRA bills and expressed support for addressing CPCS labor rights. The committee also heard from representatives of the Massachusetts Municipal Association and public higher education employees in support of H. 2820, which would require timely funding of ratified state employee contracts, with witnesses describing long delays in receiving negotiated raises and back pay. No votes were taken during the hearing, and the chair repeatedly invited written testimony and closed each panel after questions.

Transcript Highlights:

• service. And above all, a dear friend. service. And above all, a dear friend.
• Importantly, this legislation has been endorsed by Action Ohio, Public Children Services Association
• legislation within this this one bill. legislation within this this one bill.
• . legislation. legislation.
• service relationship. service relationship.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 19, 2026, 1012, house, all

Transcript Highlights:

• We want to hear about why you're here to support certain legislation or oppose certain legislation, but
• So the fee-for-service models are arranged between the hospital and the private ambulance services.
• We offer comprehensive services at five community health centers, including services at Dorchester House
• insurance plans to cover doula services.
• This is why the legislation is also crucial.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• government, known for her expertise in legislative affairs, advocacy, constituent services, and organizational
• In these positions, she led the Department of Human Services' legislative strategy, managed high-level
• And whereas in addition to her legislative leadership, Lori McDonald oversees constituent services, provides
• internal training on legislative processes, and serves as a key advisor to the Department of Human Services
• That's legislative council recognizes and honors Lori McDonald for her service to the state of Arkansas

Keywords: 1204, all

Transcript Highlights:

• But when you've got 4,000 mothers using services, the services are needed.
• This was not about abortion services. This was not about abortion services. This was a...
• This was not about abortion services. This was not about abortion services.
• The first piece of legislation that ran off this floor was actually an opt-in piece of legislation.
• So 11:30, Health and Human Services today.

Keywords: 914, all

Transcript Highlights:

• , and the services of oral surgeons, the dental services of oral surgeons.
• , and the services of oral surgeons, the dental services of oral surgeons.
• The problem we have is that it says oral surgeons’ services, dental services.
• I was one of those people who delivered services, oral surgery services,” “who delivered services, oral
• Special needs services for adults and oral surgeons' dental services for adults.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.