Transcript Highlights:

• Um, and so what is network adequacy?
• Um, and so what is network adequacy?
• Um, and so what is network adequacy?
• Um, and so what is network adequacy?
• Um, and so what is network adequacy?

Keywords: 958, all

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

Transcript Highlights:

• It is on the site of Florida Memorial University.
• Johns, but I'm ecstatic about the relationship with Florida Memorial College.
• So now to have Florida Memorial own this land and create this partnership with St.
• My church has been actively involved with Florida Memorial most of my life.
• You want to not have to have memorial services? Let's say... To save lives?

Summary: The Committee on Rules took up a long agenda of bills and reported several measures favorably. Early action included CS for SB 678, allowing pawnbroker transaction forms to be printed or digital, and SB 466, which designates St. Johns County as the site for the Florida Museum of Black History and creates a board to work with the supporting foundation and county officials. Senators and public speakers largely supported the museum bill, though some members asked about feasibility studies and long-term planning. The committee also approved CS for SB 578 on wine containers, SB 582 on penalties for unlawful demolition of historic buildings, CS for SB 1168 creating an aggravated offense for unlawful tracking-device use in furtherance of crimes, CS for SB 806 clarifying that only the Florida Attorney General may represent beneficiaries of Florida charitable trusts as a public official, and SB 1228 to support spring restoration efforts for Ichetucknee and Santa Fe springs. The committee then heard and favorably reported CS for CS for SB 304, which addresses child protective investigations involving infants and young children with genetic or other pre-existing medical conditions. The bill requires a qualified medical opinion before permanent removal in cases where injuries may be explained by an underlying condition, and it drew strong support from the sponsor and several speakers. Members also approved SB 1286 clarifying that ordinary unsupervised childhood activities, such as biking or playing outside, do not by themselves constitute neglect unless reckless, and SB 1318, a hands-free driving bill that renames the texting-while-driving law, expands the handheld-device prohibition, and adds penalties for handheld use in work and school zones and for certain serious crashes. The hands-free bill prompted the most debate, with supporters citing crash and fatality data and families sharing personal losses, while opponents raised concerns about enforcement, civil liberties, and potential disparate impacts on lower-income and minority drivers; the bill was still reported favorably after amendments. Additional measures reported favorably included SB 14 and SB 20, two claims bills for injuries and deaths involving local governments, and CS for SB 68, which updates health facilities authority financing rules to reflect modern hospital structures. The committee also approved CS for SB 172 on health care practitioner specialty titles and designations after adopting an amendment protecting CRNA titles; the bill generated questions about whether licensed practitioners with doctoral degrees may still use the title doctor under their practice acts. Throughout the meeting, most bills were adopted without opposition, and the committee repeatedly voted to report them favorably.

Transcript Highlights:

• That is a a middle entity that is as part of the provider network.
• And then when I explained this was still maybe he wasn't a network.
• He's been in network since 2015 Clinton, Christopher Pittman. Please look a month.
• But retention rate and and adequate network inadequate network of providers for the people that need
• You know those those the with a lower rate, there's those networks of our BT's.

Transcript Highlights:

• In memory of the former State Representative, Jody Ann Oppenberg. Ms.
• Schatzlein for a memorial recognition. Thank you, Mr. Speaker.
• To present a resolution in memory of Mr.
• The following memorial resolutions have been previously adopted.
• The chair lays before the House the following memorial resolutions.

Bills: SB 1, HCR 20, HR 131, HR 133, HR 135, HR 136, HR 137, HR 144, HR 145, HR 146, HR 149, HR 150, HR 151, HR 152, HR 158, HR 161, HR 162, HR 163, HR 165, HR 166, HR 168, HR 169, HR 170, HR 175, HR 178, HR 127, HR 129, HR 130, HR 132, HR 134, HR 138, HR 139, HR 140, HR 141, HR 142, HR 143, HR 153, HR 154, HR 155, HR 156, HR 159, HR 160, HR 164, HR 167, HR 172, HR 173, HR 176, SB 1, HB 8, HB 15, HB 27, SB 5

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, memorial, remembrance, legacy, condolences, community, higher education, university merger, research, public health, economic impact, healthcare, insurance, affordability, medical coverage, state regulations

Transcript Highlights:

• <00:37:32.880> and Island, I have found memories of Mr. and Island, I have found memories
• May his memory be a blessing.
• <01:12:23.840> will missed, I am confident his memory will missed, I am confident his memory
• May his memory be a blessing. May his memory be a blessing.
• >> may her memory be a blessing. >> may her memory be a blessing.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, July 22, 2025, 1012, house, all

Transcript Highlights:

• The Massachusetts State Senate will adjourn today in memory of Sherry S. Mattel.
• Creem, requested that when the Senate adjourns today, it do so in memory of Sherry S. Mattel.
• Creem, requested that when the Senate adjourns today, it do so in memory of Sherry S.
• The ayes have it, and the Senate stands adjourned in memory of Sherry S.

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance and several ceremonial recognitions, including a tribute to the Oliver Ames boys cross country team and girls volleyball team for winning state championships, and a resolution honoring the 175th anniversary of the YMCA in Massachusetts. The chamber also observed a memorial adjournment for Sherry S. Mattel of Brookline, with remarks highlighting her long record of public service, including work with the League of Women Voters, Brookline Town Meeting, and local school and civic organizations. On legislative business, the Senate gave final passage to several local measures, including bills waiving maximum age requirements for two Boston police officer applicants, setting an annual stipend for Bridgewater town council members, addressing temporary absence and appointment powers for the Bridgewater town manager, and establishing the Cambridge Employment and Job Training Trust. The Senate also passed to be enacted a bill on maintenance of private roads in Gloucester, a bill expanding financial eligibility for Williamstown’s senior property tax exemption, and a bill allowing Rochester to continue employing Fire Chief Scott Weigel. The chamber also took up a petition to designate the Marion-Started Riverwalk in Groton, suspending Senate Rule 36 and Joint Rule 12 before referring the matter to the Committee on Environment and Natural Resources. Additional House petitions were referred to committees under suspension of Joint Rule 12. The Senate adopted an order to meet again on Thursday at 11:00 a.m. in formal session with the calendar, and then adjourned.

Transcript Highlights:

• Chair, Senator Edwards, and Senator Fatman move that when the Senate adjourns today, it do so in memory
• I'd ask now for a moment of silence in memory of Ms. Teresa Basil. Mrs. Teresa Basil. Of Ms.
• The Senate stands adjourned in memory of Mrs.
• Almost in favor, say, I oppose, no, the ayes have it, and the Senate stands adjourned in memory of Mrs

Keywords: 995, all

Summary: The Senate took up several local and special legislation items and adopted them without recorded opposition. Bills were passed to be enacted directing the Boston Police Department to waive maximum age requirements for three individuals, and resolutions were adopted congratulating several Eagle Scouts and recognizing Dr. Linda Saris’s retirement. The chamber also adopted a Rules Committee order extending the Judiciary Committee’s reporting deadline to June 30, 2026, and advanced Senate No. 2120, which removes the term “hearing impaired” from the General Laws, to third reading. The Senate then considered a series of bills on the Orders of the Day and passed them to be engrossed, including a bill regulating petitions for special town meetings in Andover, several Haverhill public safety age-waiver bills for firefighter and police positions, a bill changing Williamsburg’s Board of Selectmen to Select Board, and a bill making the Chicopee city charter gender neutral. Senators also briefly discussed the Judiciary Committee extension order, with Senator Edwards explaining it was needed to continue working through pending bills and negotiations. The chamber adopted a motion to adjourn in memory of Teresa Basil of East Boston, with senators offering remarks about her life, family, faith, and community impact. The Senate then adopted an order to reconvene the following Wednesday at 10:00 a.m. in a formal session and adjourned.

Transcript Highlights:

• Resolutions, petitions, memorials, and other papers. We have none, Mr. Speaker.
• Hines. >> Journ in memory, Mr.
• Speaker. >> Yes, sir. >> I'd like to join in memory of one of Greenville High's greatest running backs
• Join in memory. >> Yes, ma'am. >> Dr.

Keywords: MS House Floor - 13 February, 2026; 9:00 AM, 925, all

Summary: The House opened with a guest-led prayer and the Pledge of Allegiance, then confirmed a quorum and dispensed with reading the journal. There were no select committee reports, and standing committee reports were noted as being on the calendar. The chamber also welcomed visitors, including Florence Middle School student council members, school administrators and teachers, and longtime sports writer Jeff Bird. On the calendar, the House considered motions to reconsider and tabled House Bills 1441 and 1442. The rules calendar then took up House Resolutions 4 through 14 in a block, and the House gave them final passage. Immediate release was requested and granted for those resolutions. During announcements, a member changed a prior vote on House Bill 1314 from nay to yea. Members also offered memorials for Jerry Montgomery and Dr. Mary Washington of Humphreys County. The Speaker thanked members for a productive week, and the House adopted a motion to adjourn until 4:00 p.m. Monday.

Transcript Highlights:

• Ladies and gentlemen, this is the same memorial, basically, that I've been bringing forth every year.
• This is Senate Memorial 1186, which urges Congress to impel the United States National Guard Bureau to
• And that is a memorial, Mr. Chair. To appropriately respond when called upon.
• And that is a memorial, Mr. Chair. Thank you for your explanation. Questions on the bill?

Bills: S1512, S1602, S1604, S1656

Keywords: Space Florida, tax exemption, governmental purpose, aviation, defense industry, space exploration, semiconductor technology, veterans, housing, property management, incentives, Florida Housing Finance Corporation, vacancy relief, risk mitigation, housing finance, trust fund, Homes for Veterans, S1656, SB 1656, official state flagship

Summary: The Committee on Military Veterans Affairs, Space, and Domestic Security met with a quorum and considered several memorials and bills. It first passed Senate Memorial 1714, urging Congress to support the “No Tax Dollars for Terrorist Acts” measure to prevent U.S. funds from benefiting the Taliban in Afghanistan. The committee then favorably reported SB 1512, which expands tax exemptions and procurement flexibility for Space Florida, and SB 1656, which designates the SS American Victory as Florida’s official state flagship in place of the Western Union. The committee also favorably reported SM 1186, which urges Congress to increase the Florida National Guard’s force structure, with supporters citing Florida’s large population and disaster response needs. Senator Sharif voiced support for the effort. Next, the committee took up SB 1602, creating a Homes for Veterans Property Management Incentive Pilot Program in selected counties to help landlords house veterans through vacancy relief and risk mitigation funds; two amendments were adopted, and the bill was reported favorably as committee substitute. SB 1604, which creates the associated trust funds within the Florida Housing Finance Corporation, also received one technical amendment and was reported favorably as committee substitute. Throughout the meeting, several measures drew supportive testimony or comments, including representatives from Space Florida and the Florida Chamber on SB 1512 and a supporter on SB 1602. Multiple members offered to co-sponsor or support veterans-related measures. No bills were opposed in debate, all amendments were adopted without objection, and each item was reported favorably before the committee adjourned.

Transcript Highlights:

• Who will honor his memory by faithfully attending and being dedicated to these values and issues that
• I want to finish with a memory most of us lawmakers will forever associate with Congressman Turner, his
• A life lived to the fullest potential whose memory lives on here today.
• privilege came with a responsibility and an obligation, and he gave it his best shot, but the best memories
• isn't enough time to list all of his accomplishments, but let me highlight the African American memorial

Transcript Highlights:

• And did you have further discussions about memorializing that in an updated contract?
• Now, in regard to those notes, are you referencing exhibits or notes to refresh your memory?
• Yeah, so I have a harder time with long-term memory.
• I have a very good short-term memory, which has served me well.
• But long-term memory can be impacted.

Keywords: 904, all

Summary: The hearing resumed on day two of the Legislative Ethics Board fact-finding matter involving Representative Tara Simmons. After opening remarks and confirmation that board members had not engaged in outside research or ex parte communications, Simmons’s counsel moved to dismiss two allegations at the close of the board staff’s case: that Simmons pressured the Administrative Office of the Courts to alter a contract in favor of her employer, and that she improperly combined a legislative proviso for AEJG with a personal donation to the organization. Board staff opposed the motion, arguing the evidence showed Simmons’s legislative and private conduct were intertwined and that the board had enough evidence to require a defense. After deliberation, the board denied the motion to dismiss and proceeded to hear defense testimony. The first defense witness, Sharon Navas, testified that she met Simmons through advocacy work, later hired her at the Equity and Education Coalition (EEC), and maintained written employment policies intended to separate Simmons’s legislative role from her work for EEC. Navas said Simmons was never compensated for lobbying or legislative acts, that EEC paid her from unrestricted funds, and that Simmons did not work on the AEJG dashboard project or participate in the contract dispute with Anthony Powers and Chris Stanley. Navas described the proviso request and later contract issues as separate from Simmons’s legislative duties, and said she continued to pay invoices while the project was being completed. Simmons then testified about her background, legislative career, disability accommodations, and extensive efforts to seek ethics advice before taking outside employment or pursuing provisos. She said she repeatedly consulted House ethics counsel and reviewed prior board decisions to ensure her outside work and legislative actions were separated. Simmons described her relationship with Anthony Powers, the dashboard project, the proviso process, and her understanding that the work was distinct from her legislative role. The hearing paused for lunch after part of Simmons’s direct examination, with testimony set to continue after the break.

Transcript Highlights:

• It's a great day to celebrate Law Enforcement Memorial Day and Week, and today we have... ...to celebrate
• Law Enforcement Memorial Day and Week.
• in Washington, D.C., and... ...Law Enforcement Officers Memorial in Washington, D.C.
• HJR 79 by Representative Butler to memorialize Congress and the U.S.
• Highway 425 as the Assistant Chief Bill Jewel Putt Linder Memorial Highway.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• Senator Gruders, you're recognized to explain the memorial. Thank you, Mr. Chairman.
• Senate Memorial 6C is a memorial to the Secretary of the United States Department of Homeland Security
• Senate Memorial 6C is a memorial to the Secretary of the United States Department of Homeland Security
• That is the memorial. Are there questions of the sponsor on the memorial? Questions?
• We're in debate on the memorial. Is there a debate? You're recognized, Leader Pizzo.

Summary: The Senate Appropriations Committee took up SB 2-C, a major immigration enforcement bill sponsored by Senator Gruters and co-introduced by Senator Fine. Gruters described the measure as a broad crackdown on illegal immigration that would replace a single immigration officer with a State Board of Immigration Enforcement, create a $250 million grant program for local law enforcement, fund additional Department of Agriculture interdiction staff and facilities, expand pretrial detention for certain unauthorized immigrants, increase criminal penalties, require more cooperation with ICE, and eliminate in-state tuition eligibility for undocumented students. He and supporters framed the bill as a way to support law enforcement, deter illegal immigration, and align Florida with federal enforcement efforts. Committee questioning focused heavily on the bill’s education, detention, and enforcement provisions. Senators pressed Gruters and Fine on why the bill did not address employer sanctions or E-Verify, whether the tuition changes would affect students who had grown up in Florida, how sanctuary-policy enforcement would work, and whether the bill would create practical burdens for prosecutors, jails, and local officials. Gruters said he was open to working on E-Verify in regular session but not to amending this bill, and Fine argued the tuition repeal would apply to undocumented students who had qualified under existing law. Sheriff Bob Gualtieri testified in support, saying ICE bed capacity was still insufficient and that county jails needed more resources to honor detainers. Mark Schlachman of FSU Law offered historical context, noting prior state-federal cooperation efforts and warning of unintended consequences, while several public witnesses opposed the bill as unconstitutional, costly, and harmful to immigrant families and the economy. Opponents from the Southern Poverty Law Center, ACLU of Florida, Florida Center for Fiscal and Economic Policy, Florida Policy Institute, AFL-CIO, and immigrant advocacy groups argued the bill would invite litigation, encourage racial profiling, harm the workforce and higher education, and punish law-abiding immigrants and their families. They emphasized that immigration is a federal matter, that K-12 education must be provided regardless of status, and that removing in-state tuition would reduce access to college and hurt Florida’s economy. Some speakers urged the committee to grandfather current students if the tuition waiver is repealed. The meeting ended with continued public testimony and no final vote reflected in the transcript provided.

Transcript Highlights:

• This is the provider network change. So as I'll restate this...
• This is where you have conversations about what's called sometimes a zombie network or a shadow network
• So we've moved from who's in the network to who's seeing patients in the network and how long does it
• We also have the network access report that is a deeper dive.
• We need to stabilize the network, right? That is pretty clear.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• the ambulance service is in network the ambulance service is in network with<00:12:30.639> the
• party are fine if it's out of network party are fine if it's out of network and<00:13:29.120>
• That's what in network does, right?
• Being in network does nothing for us except get us less money. insurance company is offering in network
• patients to them that's what in network patients to them that's what in network does<00:14:06.800

Keywords: 928, house, all

Summary: The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option. Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels. A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.

Transcript Highlights:

• In distant memory, that change could take place readily.
• In<01:34:05.440> distant<01:34:05.840> memory,<01:34:06.239> that<01:34:06.560><
• c> change<01:34:07.120> could In distant memory, that change could In distant memory, that
• engagement for the<02:01:31.280> election<02:01:31.760> integrity<02:01:32.320> network
• <02:01:33.280> The the election integrity network. The the election integrity network.

Keywords: 916, all

Transcript Highlights:

• at the way we had the role configured several years ago, maybe three or four years ago now, if my memory
• if I'm<01:12:57.320> if<01:12:57.520> I'm<01:12:57.960> my<01:12:58.080> memory
• <01:12:58.360> serves<01:12:58.760> correctly I'm if I'm my memory serves correctly
• I'm if I'm my memory serves correctly and<01:12:59.679> we<01:12:59.800> did<01:13:00.159
• I'm here as an individual, but as a member of the New Hampshire Immigrants Rights Network.

Keywords: 1189, house, all

Transcript Highlights:

• It's a two-dominant payment card network system, and they control 80% to 85% of the credit card network
• To other network opportunities or other companies that would provide networks.
• They're the network. Okay, network. So it's between the network and the financial institution.
• Okay, so the interchange rate is what the network charges; that's the network charge from MasterCard.
• That's because card networks link all of these institutions together. ...and an enormous network that

Bills: HB245, HB700, HB2783, HB3526, HB3900, HB4061, HB4124, HB4166, HB4395, HB4534, HB4609, HB4641, HB4736, HB4738, HB4739, HB4945, HB5015, HJR175, HB245

Keywords: military service, retirement, law enforcement, custodial officer, Employees Retirement System, commercial financing, brokers, registration, disclosures, finance, consumer protection, fees, deferred compensation, automatic participation, county employees, payroll deductions, retirement plans, fiscal transparency, local government, bond issuance

Transcript Highlights:

• It is a great day to celebrate Law Enforcement Memorial Day and Week, and today we have... ...to celebrate
• Law Enforcement Memorial Day and Week.
• H.J.R. 79 by Representative Butler to memorialize Congress and the U.S.
• Highway 425 as the Assistant Chief Bill Jewel Putt Linder Memorial Highway.
• House Bill 657 provides for designation of certain highways as Memorial Highway.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Summary: The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments. A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study. The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar. The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.

Transcript Highlights:

• Uh Uh Uh and<00:31:00.480> it's<00:31:00.720> more<00:31:00.920> Memorial<00:31:
• and and it's more Memorial Day weekend and Representative<00:31:02.800> Yin.
• we're still on our morning agenda and four people here have to drive hundreds of miles and it's Memorial
• <00:56:59.280> it's drive hundreds of miles and it's drive hundreds of miles and it's Memorial
• So, please help us Memorial Day weekend.

Keywords: 916, all