Transcript Highlights:

• being made by the nursing home workforce being made by the nursing home workforce standards<00:21
• nursing home workforce standard board. nursing home workforce standard board.
• We want them to continue to work in the nursing home in the face of workforce shortage.
• We want them to continue to work in the nursing home in the face of workforce shortage.
• We want them to continue to work in the nursing home in the face of workforce shortage.

Keywords: 1183, house

Transcript Highlights:

• <01:25:10.360> will in the case management Workforce will in the case management Workforce
• a more inclusive and effective Workforce a more inclusive and effective Workforce provide<01:39:
• approach will help address Workforce approach will help address Workforce shortages<01:39:58.199
• We have a workforce challenge, we know that, right?
• We have a workforce challenge, we know that, right?

Keywords: 1187, senate, all

Transcript Highlights:

• This section has six requests from the Division of Workforce Services.
• Most of the positions are coming out of the Division of Workforce Services and Workforce Policy and Innovation
• Most of the positions are coming out of the Division of Workforce Services and Workforce Policy and Innovation
• Most of the positions are coming out of the Division of Workforce Services and Workforce Policy and Innovation
• Most of the positions are coming out of the Division of Workforce Services and Workforce Policy and Innovation

Summary: The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies. Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options. The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.

Transcript Highlights:

• only represented but also leading the efforts to establish professional standards for their own workforce
• I urge this committee to pass workforce.
• <00:32:40.559> I<00:32:40.960> urge<00:32:41.200> the uh for their workforce
• I urge the uh for their workforce.
• <00:32:51.200> who professionalizing the CHW workforce who professionalizing the CHW workforce

Keywords: 910, house, all

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• This has created new opportunities to support workforce and population prevention programs.
• Identified workforce programs aid the overall behavioral health workforce continuum and allow flexible
• Maintaining workforce investments is especially important.
• Siscu's IHSS workforce has never had a bargaining agreement.
• They're currently in Pass Aover. workforce has never had a bargaining agreement.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.

Transcript Highlights:

• So hopefully they stay here and they feel that workforce need that we know is out here.
• So we've hired a workforce development officer who has been fantastic.
• So we've hired a workforce development officer who has been fantastic.
• Workforce expectations, and then that total cost of ownership.
• To get a feel of what's going on next session on that workforce initiative. Thank you.

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• um access to previously of workforce um access to services<00:47:03.280> is<00:47:03.680>
• Um, the other thing that I think is a great concern for many of us is the workforce question.
• <00:52:15.440> Um, workforce question. You raised that. Um, workforce question.
• <01:10:14.640> It's talking about the workforce issue.
• It's talking about the workforce issue.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• , to provide legislative intent and to provide for workforce system planning process.
• Title 23, relative to workforce development, to provide legislative intent, to provide for workforce
• This is part of a workforce development set of bills that has been working through.
• stakeholders appointed by the Louisiana Workforce Secretary.
• Workforce Secretary. See no question. Move adoption of the amendment.

Bills: SB525, SR112, SR109, SCR61, SCR62, SCR12, HB175, HB276, HB437, HB456, HB457, HB459, HB488, HB579, HB656, HB804, HB818, HB841, HB981, HB1052, HB1089, HB1101, HB1154, HB1166, HB1193, HB1194, HB1203, HB1209, HB1244, HB1249, HB221, HCR69, HCR58, SB57, SB405, SB414, HB62, HB193, HB203, HB205, HB210, HB220, HB222, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB799, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1236, HB1241, SB106, SB206, SB248, SB441, SR86, SCR30, SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB276, SB295, SB388, SB450, SB465, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: unclaimed property, abandoned property, escheat, state treasurer, administrator, claimant, purchase agreement, assignment, property recovery, owner verification, documentation requirements, fraud prevention, bankruptcy, bankruptcy court, court order, Uniform Unclaimed Property Act, Louisiana Revised Statutes, R.S. 9:167.1, Chennault International Airport, 40th anniversary

Summary: The Senate convened with 27 members present, heard a guest minister’s prayer for the National Day of Prayer, and adopted the pledge. The chamber then dispensed with the journal and received a legislative bureau report on numerous House bills. It also received House messages on several Senate bills and joint resolutions, including concurrence on multiple Senate measures with amendments, and introduced Senate Concurrent Resolution 63, which would request an audit of the fiscal note process. The Senate adopted Senate Resolution 86, which would prohibit eyeglasses with video or audio recording capability on the Senate floor without approval from the President. Several Senate bills were advanced, including measures on human trafficking training in schools (SB 83), bulletproof vests for peace officers (SB 143), dental care for cancer patients (SB 155), parental leave for educators (SB 157), election board compensation days (SB 202), child welfare and the state child ombudsman (SB 237), brain injury treatment coverage (SB 295), foreign-adversary contract review and homeland security (SB 388), school safety reporting (SB 450), and prompt-pay standards for health care claims (SB 465). Most of these bills passed the Senate unanimously or near-unanimously and were moved to reconsider, while SB 513 on public works average-bid contracting was amended and returned to the calendar. The Senate also took up many House bills, passing measures on voluntary portable benefits for independent contractors (HB 301), memorial highway and terminal designations (HB 358, HB 384, HB 428, HB 657, HB 675, HB 716, HB 972), insurance and health-related changes (HB 413, HB 450, HB 631, HB 680), workforce development (HB 680), and a seafood research authorization near Grand Isle (HB 669). Several bills were amended before passage, including HB 359 on election qualifying rules and HB 675 with an added memorial corridor for crossing guard Katie Wells. Other House bills were received but not acted on or were returned to the calendar. The session ended with committee announcements, a brief recognition of mothers in the chamber, and adjournment until Monday, May 11 at 2 p.m.

Transcript Highlights:

• the pathways that we identified over a year ago that are in high demand and high demand for the workforce
• In high demand for the workforce, like teaching and nursing, and to issue a report to this committee
• When we look at education programs in particular, and we know we need teachers out into the workforce
• ,<00:09:08.120> there's<00:09:08.400> a out into the workforce, there's a out into
• the workforce, there's a significant<00:09:09.200> transfer<00:09:09.880> penalty<00:09

Keywords: Call to Order and Roll Call: 0:00 Bills for Consideration: 26RS HB 94 – 2:40 26RS HB 307 – 15:00 Adjournment: 20:15, 958, all

Summary: The House Standing Committee on Postsecondary Education met with a quorum, welcomed new member Representative Beverly Chester-Burton, and recognized interns in attendance. The committee then took up House Bill 94, which would require the Council on Postsecondary Education to host an online transfer portal for students, require annual university updates to transfer data, and convene academic officers to study and report on streamlining high-demand pathways such as teaching and nursing. Representative Vanessa Grossl said the bill was revised in response to prior concerns and emphasized that the goal was to improve transparency, reduce time to degree, and lower student debt. Travis Powell of CPE supported the measure, saying the portal and study would improve transparency and help identify barriers to transfer. The committee adopted the committee substitute for House Bill 94 and then passed the bill out favorably by roll call vote, sending it to the House floor. The committee also reconsidered House Bill 307, dealing with proactive postsecondary admissions, after earlier discussion and additional meetings. Chair James Tipton explained that the new substitute made several changes, including addressing a FERPA concern by having KDE share student information directly with universities, limiting social security number use to the last four digits plus date of birth, and adding provisions for KIA to include a link or QR code to the common online application in KEYS scholarship notifications. Members adopted House Committee Substitute 3 for House Bill 307, with Representative Stalker noting support for the social security number change. The committee then passed House Bill 307 as amended with a favorable recommendation to the House floor. No other substantive actions were taken.

Transcript Highlights:

• And data from The Quantum Insider suggests a future workforce of 840,000 jobs, with approximately 250,000
• Four things are on this front page: a sustained center, sustained workforce, cost-effective ecosystem
• To win, we must rapidly grow and sustain this workforce. The industry needs it. So does academia.
• But if we can't provide them with the workforce, they're not going to want to stay here. Mr.
• This is a statewide story where 80% of the workforce... ...to Artesia, from Taos to Las Cruces.

Bills: SB145, SB143

Keywords: auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, agriculture, New Mexico Department of Agriculture, fee update, regulatory fees, egg inspection, egg grading, egg dealer, pesticide control, pesticide registration, pesticide applicator, pest management consultant, plant protection, nursery license

Transcript Highlights:

• Investing in capacity and workforce: staff are on the front lines.
• They already know what housing needs are present, what workforce training is needed for businesses to
• They already know what housing needs are present, what workforce training is needed for businesses to
• Department of Labor as Native American grantees providing services under the Workforce Innovation and
• Department of Labor as Native American grantees providing services under the Workforce Innovation and

Summary: The Senate and Assembly Human Services Committees held a special oversight hearing on California’s 2026-27 Community Services Block Grant (CSBG) state plan, a federal anti-poverty funding stream. Committee members opened by citing statewide poverty and homelessness data and said the hearing was meant to review how CSBG dollars are used, how local agencies respond to community needs, and how the state is preparing for possible federal funding cuts. Jason Wimbley of the Department of Community Services and Development (CSD) explained that California’s CSBG network works through 60 organizations in 58 counties, serving about 1.5 million low-income Californians in 2023, and that the state received $68.4 million in federal CSBG funds in fiscal year 2025. He described the program as flexible funding used for housing, employment, education, food, health, transportation, and emergency response, and noted that the federal administration had proposed eliminating CSBG, though the Senate Appropriations Committee had voted to fully fund it for the coming year. Representatives from the California Community Action Partnership Association and several CSBG-funded agencies described how the program supports local anti-poverty work and leverages other funding. CalCAPA emphasized local flexibility, workforce development, partnerships, and data systems such as ROMA, while also warning that agencies are preparing for possible reductions by tightening budgets, planning staffing contingencies, and seeking private foundation support. Agency witnesses from Contra Costa County, Northern California Indian Development Council, Proteus, and Sacred Heart Community Service described services including housing assistance, food distribution, utility help, employment training, youth programs, and culturally specific services for Native communities and migrant farmworkers. They repeatedly said CSBG is essential because it funds staffing and infrastructure that allow them to braid other grants and serve people who do not qualify for standard safety-net programs. Members also asked about the impact of federal staffing changes and the Los Angeles fires. Wimbley said federal layoffs had affected some CSD programs but not CSBG administration, and that the department coordinated disaster response with state agencies and used CSBG-funded supply distribution, food, water, clothing, and documentation support during the fires. Witnesses said they were preparing for possible future cuts by diversifying funding, reducing expenses, and considering service changes, while county officials warned that state and federal reductions could not be backfilled locally. During public comment, one speaker urged stronger oversight of community action agencies and raised concerns about transparency and compliance with state law. The chair then thanked the witnesses, emphasized the importance of CSBG for low-income seniors, youth, and people with disabilities, and adjourned the hearing without any votes or formal action taken.

Transcript Highlights:

• of the statutes to consider requests from the Department of Administration and the Department of Workforce
• Next item on the agenda is the request from the Department of Workforce Development.
• Next item on the agenda is the request from the Department of Workforce Development. Fiscal Bureau.
• Yeah, the Department of Workforce Development requests supplemental funding of $4.6 million in fiscal
• this program is, it is a great program that is helping people who have disabilities get into the workforce

Keywords: 970, all

Transcript Highlights:

• By the workforce, for example, the Department of Workforce Solutions.
• So, we really want to boost the local workforce.
• Is it to build a workforce? Mr. Speaker and gentlelady, you Seem focused on building a workforce.
• Opportunities for a highly skilled STEM workforce. Mr.
• Speaker, gentlelady, is related to the workforce.

Transcript Highlights:

• /c><00:02:13.520> of<00:02:13.680> a<00:02:13.920> diverse<00:02:14.480> workforce
• <00:02:15.840> I see the value of a diverse workforce.
• I see the value of a diverse workforce.
• counselors and recently was able to um to give some um information to help clarify some things on workforce
• well as special education and workforce well as special education and workforce development.<00:

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard a series of gubernatorial nominations, primarily to the State Rehabilitation Council, the Policy Advisory Board for Elder Affairs (PABEA), the Hawaii State LGBTQ+ Commission, and the Center for Nursing Advisory Board. Nominees included Patrick Gartside, Judith Daniels, James Montgomery (not present), Christine Park, Tammy Napoleon, Scott Spelina, Roy Katsuda, and Dr. Sylvia Rom. Each nominee described their background and why they wanted to serve, with recurring themes of disability advocacy, vocational rehabilitation, nursing workforce development, elder issues, and LGBTQ+ health and community support. Department of Human Services and Executive Office on Aging representatives generally testified in strong support of the nominees and emphasized their qualifications and relevance to the boards’ missions. Members and agency witnesses also discussed substantive policy issues during the nominations. For PABEA nominee Scott Spelina, the committee asked about a bill involving strict liability and elder abuse-related criminal penalties; Spelina supported the approach, saying it would be easier to enforce and better protect seniors. For other nominees, testimony highlighted the need for stronger rehabilitation services, qualified vocational rehabilitation counselors, adult education partnerships, and nursing recruitment and retention, especially on Kauaʻi. Dr. Sylvia Rom’s nomination drew broad support from commission members and community supporters, with testimony focusing on LGBTQ+ health, gender-expansive youth, and intersectional advocacy. No final votes were taken during the hearing. The chair repeatedly stated that decision-making would be deferred until later in the calendar, and in some cases until the nominee was present or quorum was available. One nomination, James Montgomery, was skipped because he was not present on Zoom, and Kevin Nakamura’s nomination was also deferred to a later date. The committee accepted written and oral testimony and generally moved through the nominations without questions from members.

Transcript Highlights:

• This impacts our entire workforce.
• This impacts our entire workforce.
• This impacts our entire workforce.
• This impacts our entire workforce.
• This impacts our entire workforce.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• I think it gives a better representation of the state in our workforce.
• who are now reversing those Workforce who are now reversing those Workforce habits<01:17:58.480>
• to have now completely virtual Workforce to have now completely virtual Workforce which<01:18:26.320
• to full remote workforce?
• <01:51:40.520> oh get the question about my Workforce oh get the question about my Workforce

Keywords: 1187, senate, all

Transcript Highlights:

• Delaware's service industry relies on a dedicated workforce that faces real affordability challenges.
• Delaware's service industry relies on a dedicated workforce that faces real affordability challenges.
• As far as workforce readiness, we know that we are prepared on day one to offer value to the citizens
• And so that is easily adaptable to the workforce, a skilled workforce that we either don't have to train
• And I think that when we look at the skilled workforce, the return on investment for a small cost to

Summary: The House Revenue and Finance Committee met to consider two tax-related measures sponsored by Representative Holofsky. The first was House Substitute 1 for House Bill 386, the Tipped Worker Tax Relief Act of 2026, which would allow a temporary Delaware income tax deduction of up to $15,000 for qualified tips for tax years 2027 through 2029, with phaseouts at higher incomes and a refundable credit for lower-income workers. Committee discussion focused on whether the bill applied to residents and non-residents, whether credit-card tips were included, the need for an updated substitute, and the expected fiscal impact. The Office of the Comptroller General said the bill would likely reduce general revenue and that the fiscal note had not yet been fully reviewed, while Deputy Secretary Goldsmith said the Department of Finance could administer it and that implementation costs would be modest. After public comment, the committee voted on a motion to release the bill, but it did not receive enough votes, so the chair said she would walk it for additional signatures. The committee then heard Senate Bill 219, which would phase in an increase in the military pension income exemption from $12,500 to $25,000 by tax year 2029. Representative Holofsky argued the measure would help attract and retain military retirees, support the economy, and provide a strong return on investment through spending, taxes, and community participation. Members raised concerns about whether the benefit should be income-based, with one member arguing that higher-income retirees may not need the tax break, while supporters emphasized the multiplier effect and the value of veterans to the state. Public testimony from Veterans of Foreign Wars representatives strongly supported the bill and described how the exemption could influence retirement decisions and local economic activity. A motion to release the bill also failed to get enough votes, and the chair said she would walk it for signatures before adjourning the meeting.

Transcript Highlights:

• of ways to get from point A to point B, but it's just a fact that a lot of people are not in the workforce
• And there's interest in increasing the size of the workforce. So, that's a matter before us.
• lot of people are not in the workforce lot of people are not in the workforce because<00:08:12.160
• 17.599> the interest in increasing the size of the interest in increasing the size of the workforce
• So, that's a matter before workforce.

Keywords: Public Health and Welfare - Room 216, 14 January, 2026; 3:15 PM, 925, all

Summary: The committee met with a quorum and briefly treated the session as an organizational meeting after an earlier hearing that had been difficult to manage. The chair thanked witnesses for their efforts, noting that some had traveled long distances, including nursing students from Mississippi University for Women, a witness from Los Angeles, and another who had come after working overnight in the emergency room at the University of Mississippi Medical Center. The chair also announced committee changes: Senator England and Senator Boyd were new members, Senator Boyd was absent, and Senator Parks was the new vice chair. The main policy discussion focused on anticipated committee work for the year. The chair said a previously passed certificate-of-need bill, vetoed by the governor over one provision, would likely be reintroduced without the objectionable section and sent to the governor early in the session. He also said he was cautious about co-legislation because of unintended consequences, but identified several areas that seemed likely to receive attention, including rural and small hospitals, dialysis, mental health care, and daycare availability as a workforce issue. On hospitals, the chair said small and rural hospitals were struggling because shorter stays and outpatient procedures had shifted revenue away from hospitals, and he suggested looking for ways to capture some of that revenue to support hospital operations. He expressed doubt that outpatient dialysis at small hospitals would be practical, but said the committee would likely consider it. He also said the committee was likely to look at mental health care and public welfare issues, especially daycare affordability and availability. No substantive votes were taken beyond a motion to rise and report, which passed.

Transcript Highlights:

• ONE THING WE STARTED DOING IS EVEN THOUGH WE ARE FULL, WE HAVE DEVELOPED AT FDLEA EFFECTIVE WORKFORCE
• YOU ARE AT 60 – 70% EFFECTIVE WORKFORCE IN ORDER TO CONTINUE TO DO WHAT WE WERE DOING.
• WE HAVE A GREAT WORKFORCE OF CRIMINAL JUSTICE PROFESSIONALS.
• BUT WE WANT TO GIVE AN ENVIRONMENT WHERE THEY CAN EXCEL IN WORKFORCE DEVELOPMENT KIND OF ASK WHAT YOU
• OUR VACANCIES REPRESENT WORKFORCE CHALLENGES, NOT INEFFICIENCY.

Transcript Highlights:

• regarding the Department of Workforce. regarding the Department of Workforce.
• successful in the workforce. successful in the workforce. >> Mhm. >> Mhm.
• workforce training certificate, right? workforce training certificate, right?
• to the workforce. to the workforce.
• into the workforce. into the workforce. >> Okay. >> Okay. >> Okay.

Keywords: 920, all

Summary: The Senate first recognized the Montgomery Academy boys basketball team for winning the 2026 Class 3A state championship, their second straight title. Senator Barfoot introduced the team and read a resolution commending the players, coaches, and school community for the 66-39 win over Southside Selma, noting standout performances by Braden Gordon, Mason Ellis, and Jarrett Friendley. Coach Jeremy Aant and school head John Williams thanked the Senate and emphasized the team’s selflessness, teamwork, academic standards, service, and leadership development. The Senate applauded the team, added all senators to the resolution, and arranged for a picture and challenge coins for the players. After the recognition, the Senate came to order, established a quorum, excused absent senators, and adopted the previous day’s journal. Committee reports followed. The Committee on State Government Affairs reported House Bill 541 favorably with one amendment; the bill would create the Safeguard Alabama Voter Engagement Act, requiring party registration for primary voting, restricting crossover voting, retaining voter history as a public record, revising voter registration forms, and requiring parties to publish candidate qualifications. The bill was ordered to a second reading and placed on the calendar. The Committee on Local Legislation reported House Bills 630, 631, and 632 favorably, all relating to Etowah County, including changes to tax exemptions and personnel board membership. These bills were also sent to second reading and the calendar. The Senate then took up Senate Joint Resolution 117, commending Dylan Nut for winning the 2026 Bass Pro Shops Bassmaster Classic, and added all members as co-sponsors. During discussion, one senator used the opportunity to speak at length about a separate concern involving alleged unlicensed real estate solicitation and the need for legislation to protect citizens from property-related scams; he also discussed the calendar process and other bills. The floor later included extended informal remarks about fishing and a separate discussion of a proposal to designate Miss America as an official state ambassador, with support expressed for a possible stipend amendment.