Transcript Highlights:

• <00:12:08.320> centers<00:12:08.720> of<00:12:08.880> excellence<00:12:09.920
• <00:12:15.040> data<00:12:15.440> is<00:12:15.680> sort<00:12:15.839> of<
• <00:12:18.959> And<00:12:19.120> so<00:12:19.279> how<00:12:19.440> do
• > how<00:12:32.399> do<00:12:32.480> we<00:12:32.639> think<00:12:32.800>
• January 2022. January 2022.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• I was 12 years old when I lost all trust in peers, friendships, adults, and good intentions.
• I am a parent of a K through 12 child and I am on the Executive Board of the Jewish Community Relations
• Bring something forward in January with an urgency clause.
• January, February, so as soon as we can get with an urgency clause.
• Do you know the law, if it's signed, would start January 1st of next year? Do we have an idea yet?

Keywords: 988, house, all

Transcript Highlights:

• We're seeing a little bit better, uh, uh, we have before um January, but um again, we'll continue to
• >> The<00:12:55.280> idea<00:12:55.600> of<00:12:55.680> the<00:12:55.800>
• state<00:12:56.160> health<00:12:56.480> plan,<00:12:56.839> I >>
• Senator<00:12:57.480> Marty<00:12:57.839> had<00:12:58.040> something<00
• .<00:12:58.920> So<00:12:59.360> this<00:12:59.520> thing<00:12:59.800> seemed

Keywords: 918, senate, all

Summary: A Minnesota senator discussed recent education gains, including the state’s all-time high graduation rate of nearly 85%, and credited bipartisan work on education policy and finance, along with targeted investments in classroom funding, student and staff mental health, and overall student well-being. She said those efforts have especially helped groups that have historically lagged behind, including American Indian, African-American, and Asian students. A major topic was Senate File 3593, a bipartisan proposal for a constitutional amendment to modernize the state’s school trust fund. The senator explained that Minnesota’s school trust lands and related fund, now about $2.3 billion, currently distribute roughly $74 per student through interest and dividends. The amendment would allow more flexible investment and increase the distribution from 2% to 4.5%, which supporters estimate would raise per-student funding to about $122 without increasing taxes. She said the proposal is intended to preserve the fund’s corpus while generating more money for schools now, with a three-year lookback to review results. She also highlighted school safety funding in the session’s public safety bills, including money for school security and the first-ever grants to non-public schools. She said those dollars can support not only building security but also mental health and social-emotional needs. In the education omnibus bill, she pointed to changes to compensatory aid formulas, a report on how districts use dollars for teacher and staff health insurance, and interest in a possible statewide health plan to improve efficiency and services. No votes were taken in the interview, but she urged voters to approve the constitutional amendment in November and noted that blank ballots would count as no votes.

Transcript Highlights:

• No, because we had just received the award notice in January.
• There was actually an executive order on January 21st.
• Since January, as well as along the Mass Pike, other park-and-ride and service plazas.
• On January 30th, 2025, the district court issued a temporary restraint.
• On January 21st, after reading the executive order, On January 21st, after reading the executive order

Keywords: 995, all

Summary: The committee held a hearing on the impact of the Trump administration’s federal climate policy changes on Massachusetts, with a focus on threatened grants, regulatory rollbacks, and state options to continue climate work. Chair Creem and other senators emphasized that Massachusetts still has a 2050 net-zero mandate and needs contingency plans for clean energy, transportation electrification, offshore wind, resilience, and financing if federal support is reduced or withdrawn. Executive branch witnesses said Massachusetts has already experienced disruptions to more than $1 billion in climate-related federal funds, though many suspended grants were restored after litigation by the Attorney General’s office. EEA reported continued uncertainty around a $389 million Grid Innovation Program award and a FEMA dam-safety reimbursement, while MassDOT said its NEVI fast-charging program remains on track with about $50 million obligated, but a $14.4 million competitive charging grant is on hold and future unobligated NEVI funds remain uncertain. Senators also discussed EV rebates, charging infrastructure, the role of the Community Climate Bank, and whether the state can expand independent financing and support for municipalities, higher education, and nonprofits. The Attorney General’s office described successful multi-state litigation that won a temporary restraining order and preliminary injunction against the federal funding freeze, restoring access to many EPA, DOE, USDA, and Interior funds, while noting continued enforcement actions over FEMA manual reviews and other barriers. The office said it is also preparing to defend the endangerment finding, California vehicle-emissions waivers, offshore wind permits, and other federal climate protections. Outside advocates warned that federal tax-credit rollbacks, tariffs, and possible repeal of IRA and infrastructure funding could slow EV adoption and raise costs, while offshore wind testimony said federal permitting pauses and legal challenges are delaying projects and could leave Massachusetts far short of its 2030 offshore wind goals. Nonprofit witnesses also described canceled or delayed grants for wetland restoration and urban heat mitigation, and urged the Legislature to increase state funding, including for the environmental bond bill and municipal vulnerability preparedness work.

Transcript Highlights:

• And we added children under 12 becomes a child in need of care looking into because under 12 is statutory
• rape, no matter who did it. ...because under 12 is statutory rape, no matter who did it or when it was
• And just for the record, January 2019 is the period that we looked at, January 2019 through June of..
• And just for the record, January 2019 is the period that we looked at, January 2019 through June of I
• January 2019 is the period that we looked at.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• But it's also going<02:12:00.639> to<02:12:00.800> take<02:12:00.960> a<02:12:01.119
• <05:12:24.320> While<05:12:24.560> I<05:12:24.798> find<05:12:25.040> the
• terms<05:12:28.718> of<05:12:28.958> the<05:12:29.280> time<05:12:29.600
• do<05:12:34.400> agree<05:12:34.798> with<05:12:35.040> my<05:12:35.200>
• > the<05:12:46.958> bill<05:12:47.280> before<05:12:47.760> markup<05:12:

Keywords: U.S. House of Representatives Floor Proceedings on Monday, May 19, 2025, 1012, house, all

Transcript Highlights:

• Without the passage of SB 86, the STE program will sunset on January 1, 2026.
• If you are preparing a 2024 return, you need to use federal law as it read January 1, 2015.
• That's why it is so important to update, as Senator McNerney's bill does, from January 1, 2015 to January
• The provisions effective starting January 1, 2026, apply a five-year sunset.
• File item number 12, SB 419, Cabrero. The chair is recommending an aye vote. May I have a motion?

Summary: The Assembly Committee on Revenue and Taxation heard several bills focused on transit funding, veterans’ tax relief, clean energy incentives, housing development costs, and tax conformity. SB 63 would authorize a Bay Area regional sales tax measure for transit agencies facing fiscal shortfalls; supporters said it was needed to avoid major service cuts, while the California Taxpayers Association opposed it on Proposition 13/218 concerns. SB 56 would exclude veterans’ disability compensation from income calculations for the disabled veterans’ property tax exemption, and SB 296 would expand property tax relief for 100% disabled veterans and certain surviving spouses; both drew broad veterans’ support. SB 86 would extend and expand the California Alternative Energy and Advanced Transportation Financing Authority sales and use tax exemption program, including fusion energy, and SB 302 would conform state tax law to federal clean energy credit monetization provisions; both were backed by industry, labor, and clean energy advocates. SB 328 would cap Department of Toxic Substances Control fees on contaminated-soil remediation for infill and master-planned housing projects, with housing groups arguing the current fee structure can make projects infeasible. SB 711 would update California’s tax conformity date to January 1, 2025 to reduce complexity and inconsistencies with federal law, and was supported by tax professionals and business groups. Several bills were held or sent to suspense, while others advanced with amendments. After quorum was established, SB 63 passed the committee 4-2 and SB 86, SB 302, SB 328, and SB 711 were referred to suspense, with SB 86 and SB 302 later approved out of suspense with amendments. SB 56 was held in committee, SB 296 was made a two-year bill, and SB 284 and SB 723 were held. The committee also approved a number of additional suspense-file bills, including SB 293, SB 359, SB 419, SB 587, SB 603, SB 663, SB 710, and SB 785, while SB 591 was approved with amendments and SB 353 was made a two-year bill. The hearing concluded with the committee adjournment after final roll calls and bill actions.

Transcript Highlights:

• I should have brought<00:12:29.040> this<00:12:29.160> up<00:12:29.240> at<00:12
• The finding<00:12:30.640> there<00:12:30.800> was<00:12:30.960> the<00:12:31.040
• That was<00:12:37.600> 2<00:12:37.720> years<00:12:37.920> ago,<00:12:38.120>
• and<00:12:38.200> we've<00:12:38.320> made<00:12:38.440> a<00:12:38.480>
• <00:12:39.760> more<00:12:39.920> to<00:12:40.040> do,<00:12:40.400> and

Keywords: 1183, house

Summary: The Workforce, Labor, and Economic Development Finance and Policy Committee met to discuss worker misclassification, beginning with approval of the March 4, 2026 minutes and a note that a late-posted bill would not be heard at this time. Chair Pinto opened the hearing by framing misclassification as timely and invited Lea Takapu of the Attorney General’s office to explain the issue. Takapu described misclassification as labeling workers as independent contractors when they are really employees, which can deprive workers of minimum wage, overtime, unemployment insurance, workers’ compensation, and other protections while also reducing tax revenue. She said the Attorney General’s office and the MEAP partnership have been working on the issue and cited estimates that Minnesota workers lose billions annually and the state loses hundreds of millions to over a billion dollars in revenue, while noting that legitimate independent contracting is not the target. Members questioned how the committee could rely on estimates when the exact number of misclassified workers is unknown. Takapu responded that the figures were based on studies and complaint data, and that underground or undocumented work makes exact counts difficult. Chair Pinto noted the numbers were estimates and referenced a 2024 Legislative Auditor finding that Minnesota lacked an adequate, coordinated approach to proper worker classification, while saying progress had been made since then. Several industry witnesses then testified in support of stronger enforcement. Kevin Pranis of LiUNA said misclassification remains rampant in parts of construction, especially drywall, stucco, thin stone, and broadband installation, and argued it is tax, unemployment insurance, and workers’ compensation fraud that harms law-abiding contractors and taxpayers. Matt Wollers of Braxton and Sons said his company loses bids to competitors that misclassify workers, creating a labor-cost advantage of 30% or more, and asked for meaningful enforcement rather than new legislation, including regular unannounced jobsite visits. Jesse Madison of Purple Tally Productions said misclassification is anti-competition and described examples from live events and entertainment, urging front-end checks on workers’ compensation, unemployment coverage, and W-2 versus 1099 status before work begins. The next testifier, Ben Ballou of the Minnesota Nurses Association, began his remarks as the transcript ended.

Transcript Highlights:

• :44.400> use<01:12:44.640> the<01:12:44.960> current<01:12:45.679> the<01
• <01:12:47.920> trust<01:12:48.239> fund.
• We expanded<01:12:49.360> from<01:12:49.679> 5<01:12:49.920> a.5%<01:12:50.560><
• <01:12:53.440> We<01:12:53.679> didn't<01:12:53.920> promise<01:12:54.400>
• We didn't promise puppy dogs<01:12:55.199> but<01:12:55.360> it<01:12:55.600> was

Keywords: 1187, senate, all

Transcript Highlights:

• <01:12:37.920> it's<01:12:38.239> not<01:12:38.400> as<01:12:38.560> vetted
• <01:12:39.040> as<01:12:39.120> as<01:12:39.600> this and uh it's not as vetted
• <01:12:44.400> Thank<01:12:44.560> you<01:12:44.800> both. >> Okay.
• <01:12:45.760> Let's<01:12:46.000> get<01:12:46.159> to<01:12:46.320> the
• <01:12:47.840> Let's<01:12:48.080> hear<01:12:48.239> from the public testimony

Bills: HB0022, HB0052, HB0076

Keywords: municipal officers, recall election, petition requirements, local governance, voter participation, elections, hand counting, recounts, vote auditing, Wyoming legislature, electoral process, annexation, landowner rights, municipal law, city planning, property, local government, 916, all

Transcript Highlights:

• With that, we will go to our first order of business, which is approval of the January 9th, 2025 JLARC
• All in favor of approval of the meeting minutes from January 9th, 2025, please say aye. Aye.
• RAND estimated that existing producers had roughly 12 million square feet of canopy in 2023.
• For example, if the first inspection ended on January 15, 2015, and the next inspection began July 18
• Okay, and my second question is on slide 12.

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• > they<00:12:03.600> do<00:12:03.680> it<00:12:03.920> because<00:12:04.079
• they love their<00:12:04.720> loved<00:12:04.880> ones<00:12:05.519> and<00:12:
• <00:12:07.519> be<00:12:07.680> a<00:12:07.920> great<00:12:08.079> help.
• <00:12:47.120> who<00:12:47.279> spend<00:12:47.600> about<00:12:48.079>
• 26% of their<00:12:49.279> income<00:12:50.000> on<00:12:50.320> caregiver<00:12

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• <00:12:16.399> And<00:12:16.560> one<00:12:16.720> of<00:12:16.800> the
• <00:12:25.279> And<00:12:25.440> I<00:12:25.680> think<00:12:25.839> maybe
• And I think maybe um<00:12:27.920> we<00:12:28.240> need<00:12:28.480> to<00:12:
• ><00:12:49.360> think<00:12:49.440> that<00:12:49.600> could<00:12:49.760> go
• that<00:12:51.760> we<00:12:51.920> see<00:12:52.079> within<00:12:52.320

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• We own and operate the stores, and we have about 12 employees working at the store.
• I move the two-page Kavanaugh amendment dated 2/12/26, 8:35, be adopted.
• This other one is from 85, about 12 miles, that's going west toward Gillespie Dam. Mr.
• I removed the 14-line amendment in my name, dated 2/12/26 at 9:50 a.m., be adopted.
• And I move the 10-line Werner amendment dated 2/12/26, 8:28 a.m., be adopted.

Bills: SB1088, SB1156, SB1157, SB1169, SB1245, SB1273, SB1330, SB1332, SB1391, SB1498, SB1531, SB1550, SB1598, SB1677, SB1707, SB1811, SB1818

Keywords: cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, appropriation, public safety, detention, unauthorized aliens, local government funding, border security, fencing, appropriations, southern border, local government, medical education, physician shortage, healthcare funding, Arizona health care

Summary: The committee heard and acted on several appropriation and policy bills, beginning with SB 1550, which would provide $1.255 million to Queen Creek for a three-year police pilot focused on runaway youth prevention, at-risk youth protection, and anti-trafficking investigations. Supporters said the program would dedicate trained officers to prevention and rapid response and could serve as a statewide model. Some members objected to funding a single locality without a local cost share, but the bill received a do pass recommendation, 7-2-1. Members then considered SB 1156 and SB 1157, both sponsored as reimbursements to local governments for border-related costs. SB 1156 would appropriate $20 million to reimburse cities, towns, and counties for short-term detention holds for unauthorized non-citizens, while SB 1157 would appropriate $20 million for supplemental fencing or bollard walls in high-crossing border areas. The sponsor described both as backfilling local expenses already incurred, while opponents argued the measures would subsidize detention and border enforcement rather than Arizona priorities. Both bills drew extensive public opposition and were advanced on party-line-leaning votes: SB 1156 passed 5-3-2 and SB 1157 passed 5-3-2. The committee also approved SB 1245, which would provide $2.457 million for Rodeo Road pavement replacement in Williams, after the sponsor said the request had been reduced from the original amount. Members raised concerns about limited HIRF funding and the need for local participation, but the bill passed 6-3-1. SB 1707, a $5 million appropriation for DPS artificial intelligence tools related to border security, also passed 6-4-0 after testimony split between supporters who saw AI as a useful border tool and opponents who said the bill was too vague or unnecessary. SB 1811, which would change school cell-phone policy language from allowing use “during” an emergency to “in the case of” an emergency, passed 8-1-1 with supporters saying it would give schools more flexibility and avoid logistical problems during lockdowns. Later, the committee approved SB 1088, a $2.5 million cybersecurity appropriation for the Department of Homeland Security, including funding for generative AI security and modernization of the statewide VPN, despite objections that the department had not requested the money and that other cybersecurity needs were already pending. It then advanced SB 1332, as amended, to require ADOT to study light rail expansion in Maricopa County and compare it with autonomous or semi-autonomous transit options; the hearing featured strong testimony from small business owners along the Indian School corridor who said light rail construction would hurt access and sales, and opposition from Phoenix/Valley Metro representatives who argued transit decisions are local and that ADOT is not the right entity to conduct the study. The bill was discussed at length as a neutral feasibility review rather than a prohibition after the amendment removed the state-participation ban.

Transcript Highlights:

• <00:12:54.560> While<00:12:54.880> we<00:12:55.120> were<00:12:55.279> away
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• to<02:12:18.239> the<02:12:18.400> pilots,<02:12:18.719> but<02:12:18.960>
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Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 2, 2025, 1012, house, all

Transcript Highlights:

• This is only from January 1st to March 31st, the number of... And it's still early.
• This is only from January 1st to March 31st.
• We had 103 engaged PCMH practices, which was an increase of 12 practices from 2024.
• We had 103 engaged PCMH practices, which was an increase of 12 practices from 2024.
• Prior to January 1, we had no way of knowing where that care was taking place because most school-based

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.