Transcript Highlights:

• Dental services, as you know, are required by CMS to be covered by the Medicaid program. Dr.
• You said CMS, then you said something else. Sounded like it started with an N. I'm not sure.
• I was saying that dental services are required by CMS, and that's just part of the Medicaid program.
• You said CMS, then you said something You said CMS, then you said something else.<00:30:34.440> Sound
• that's just required by CMS and that's just >> It's<00:30:42.280> part<00:30:42.600>

Keywords: 924, joint, all

Transcript Highlights:

• response was that, in order to receive the $204 million, the department had to submit an application to CMS
• New Hampshire wants to do, with input from New Hampshire, partner providers, and constituents, and CMS
• The department had to submit an application to CMS that basically said, “Hey, this is what New Hampshire
• That was all of our partner providers and constituents weighing in, and then CMS approves that plan.
• And Go North would do that with CMS.

Keywords: 1189, house, all

Summary: The Fiscal Committee met on February 20, 2026, first approving the minutes and then adopting the consent calendar as amended, with item 26045 removed for separate consideration. The committee then heard item 26045 from the Department of Health and Human Services on the Real Health Transformation Grant for Go North. HHS explained that the first-year award is $204 million, with most funds passed through to Go North and only limited administrative and audit costs retained by HHS. Members asked about staffing, procurement, the program’s spending plan, and whether future grant amounts would be fixed. HHS said Go North will administer the grants, staffing is expected to be about 20 positions, procurements will be competitive, and future awards will depend on federal review of performance and spending. The commissioner said the money is intended to create transformative changes that must be sustainable after the grant period. The committee then approved the item. The committee next took up regular calendar item 26041 from HHS and adopted it without discussion. It also approved two adjusted items on tab 11, FIS26028 and FIS26029. Item 26027 from the Department of Transportation was adopted as well. Item 26034 from the Department of Corrections was withdrawn, and members noted that any request for new overtime money would be closely scrutinized, especially given the tight budget and the need to explain how existing salary funds were being used. Committee staff said they would follow up with Corrections on vacancy rates, available funds, and other class lines and provide answers to the committee. The committee then received audit presentations on the state’s college savings plans, including the Unique College Investing Plan and the Fidelity Advisor 529 Plan. Auditors reported clean opinions, no material weaknesses, no audit adjustments, and no unadjusted items requiring reporting. The State Treasurer said the plans are performing well, now total more than $32 billion in assets under management, and are expected to generate about $20 million in revenue this year, with the proceeds supporting scholarship programs for low-income students. The committee placed the audits on file and released them in the usual manner. In other business, members set the next Fiscal Committee meeting for Friday, March 20, 2026, at 11:00 a.m., and then adjourned.

Transcript Highlights:

• And, as Clerk Burke mentioned, sometimes when there were different names within the CMS at the local
• level, that was... ...different names within the CMS at the local level, that was creating duplications
• The problem will be not all clerks identify in their CMS the registration number for each guardian.
• us to really start cleaning and scrubbing some of the data and having the clerks go back into their CMS
• and update the guardians. ...into their CMS and update the guardian's profile so that we knew which,

Summary: The Human Services Subcommittee met to receive updates on implementation of House Bill 1349, which created guardianship transparency measures, and on the Department of Elder Affairs’ Office of Public and Professional Guardians (OPPG). The Clerk of Courts Operations Corporation described the statewide guardianship database for judges and a public-facing website, noting the system went live in March 2025 after a soft launch in 2024. Officials said the database now includes information from all 67 clerks, with 388 users, about 6,400 wards, and 518 professional guardians. Members asked about unique identifiers, data duplication, training, and how the system is being used; CCOC said it is working to use registration numbers as identifiers, improve search functions, expand training, and seek continued funding. Secretary Michelle Branham then outlined OPPG’s implementation of HB 1349 and its broader oversight role. She said the department has doubled education requirements, expanded transparency through the Sentry system, and brought investigations fully in-house in August 2024. She described the complaint and investigation process, including legal sufficiency review, regional investigators, mandatory in-person interviews, and possible outcomes ranging from corrective training and fines to suspension or revocation. Members asked about complaint categories, disciplinary actions, whether guardians can be suspended during investigations, and how older cases are handled; the secretary said most complaints are administrative/technical, serious allegations are referred to law enforcement, and one older case discussed remained ongoing. The Auditor General’s office presented its operational audit of OPPG, covering July 2022 through January 2024 and follow-up on prior findings. The audit identified problems with monitoring private professional guardians and public guardian offices, complaint processing timeliness, incomplete public profile information, late registration renewals, failure to assess contract penalties, weak collection safeguards, missing follow-up on required public guardian reports, lack of needed rules, and Sentry system access/security controls. In response, Secretary Branham said the department does not dispute the findings and has already taken corrective steps, including launching Sentry, hiring additional monitors, moving investigations in-house, adding automated renewal reminders, updating forms, and drafting new rules. She also said the department plans to seek subpoena power and stronger fines in the next legislative session. The subcommittee took no formal vote and adjourned after members’ questions were completed.

Transcript Highlights:

• which the National Pediatric Readiness Assessment is not conducted, and it requires them to work with CMS
• There are major functions that CMS does, and they will remain.
• Because I think you're saying AHCA is just administering or taking over the managed care plan solely, CMS
• That DOH will continue to do the child abuse death review unit, the child protection teams, the CMS,
• The only thing that is moved is the administration of the managed care plan that CMS children are under

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• California Air Resources Board and the California Public Utilities Commission to adjust the current CMS
• SB 739 fills that gap and makes reasonable adjustments to the CMS program supported by a two-year review
• But the current CMS framework is no longer technically or economically feasible.
• public charging infrastructure led CPUC staff just last week to recommend a three-year pause on the CMS
• It provides CARB with the authority to recalibrate the CMS targets in light of existing market conditions

Summary: The Assembly Communications and Conveyance Committee met with several bills on the agenda, beginning with SB 739 (Arreguín) on the Clean Miles Standard and Incentive Program for transportation network companies. The author and supporters from Lyft, Uber, and TechNet said the bill would update EV miles traveled and greenhouse gas targets to reflect current market conditions, add flexibility for CARB and the CPUC, and protect drivers from losing platform access while also creating a path for future electrification. Opponents including the American Lung Association, Sierra Club California, and NRDC argued the bill would weaken a program meant to accelerate EV adoption and should retain stronger targets. Members discussed affordability, charging infrastructure, and the need to balance climate goals with feasibility. The committee approved SB 739 as amended and re-referred it to Appropriations, later recording a 9-0 vote when the roll was completed. The committee then heard SB 1190 (Grove), the “Safe Passage for Youth Act,” which would regulate private youth transport services used for out-of-state residential placements. The author and sponsor testimony described abusive practices such as nighttime pickups, blindfolds, restraints, and emotional trauma, and said the bill would require CPUC permitting, TrustLine background checks, training, parental consent, and bans on certain practices. Support came from youth and disability advocates, with no opposition testimony. The bill was moved on a due pass as amended recommendation and later passed 9-0. SB 1191 (Ochoa Bogh) would extend the sunset for California High Cost Fund A and B universal service programs that help provide affordable telephone service in rural and high-cost areas. Supporters from rural telecom companies and industry groups said the funds are essential for maintaining service, 911 access, and emergency communications in remote communities. There was no opposition, and the committee advanced the bill on a due pass recommendation; it later passed 9-0. The consent item, SB 985 (Strickland) on the 911 emergency system, was also approved. Finally, the committee heard SB 1246 (Cortese) on autonomous vehicles and emergency response. The author and supporters from SEIU California and the California Professional Firefighters said the bill would require AV companies to provide incident response, notify local jurisdictions during system failures, ensure U.S.-based remote drivers, and prevent public safety workers from having to manage AV breakdowns. Industry opponents argued the bill intrudes on federal vehicle standards, gives local governments enforcement authority they should not have, and could create overly broad notification and response requirements. Members raised questions about local control, response times, and whether the bill was premature given existing DMV regulations. Despite those concerns, the committee passed SB 1246 on a due pass as amended recommendation, later recording a 7-1 vote. The committee then recessed and returned to complete roll calls before adjourning.

Transcript Highlights:

• a little concerned that if we put that topic in and it's not in now, we're going to jeopardize the CMS
• including it in this bill just because of the hazard that it might raise for negative feedback from CMS
• a little concerned that if we put that topic in and it's not in now, we're going to jeopardize the CMS
• I think that's something that teachers and coaches..." "...to jeopardize the CMS approval with it.
• CMS, while also finding some middle ground between the two opposing groups.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• To graduate from a CM program, a candidate would have to complete the same science prerequisites and
• To graduate from a CM program, a candidate would have to complete the same science prerequisites and
• To graduate from a CM program, a candidate would have to complete the same science prerequisites and
• The CM legislation would not only expand access to midwifery care in our state but also diversify it.
• The CM legislation would not only expand access to midwifery care in our state but also diversify it.

Keywords: 1187, senate, all

Transcript Highlights:

• This is a model that we are participating in through CMS that allows us to enter into value-based payment
• We did not receive any comments on this, and these are going through approval with CMS now.
• Medicaid-assisted medication-assisted treatment coverage rule is simply an administrative change required by CMS
• However, CMS is removing an expiration date from their federal rule and extending that out permanently

Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture moved to repeal rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify that pregnant women may still be referred to child support enforcement but will not be sanctioned during pregnancy and the 60-day postpartum period, removed the word “forcible” from rape/incest good-cause language, and eliminated a 90-day waiting period for ARKids B when group health coverage ends. DHS also received approval for a CMS cell and gene therapy model for sickle cell disease and a technical Medicaid medication-assisted treatment update that does not change coverage. The Department of Labor and Licensing presented several rules. One created procedures for the department to issue interpretations in local construction plan disputes under Act 591 of 2025. The Contractors Licensing Board and Residential Contractors Committee amended rules to raise the restricted commercial license threshold and light building project limit from $750,000 to $1.5 million, and to allow deferral of owner-complaint investigations while related civil litigation is pending. The HVACR Licensing Board presented broader cleanup and policy changes under Act 746 of 2025, including eliminating the Class C license by moving those holders into Class B, expanding work limits for Class A and B licensees, changing continuing education to eight hours per three-year code cycle, and keeping annual license renewal. Members asked detailed questions about impacts on businesses, training, youth working with parents, and whether any unintended burdens were created; the board said it had notified licensees and had received little pushback. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting for Act 473 of 2025, concluding that the statute was sufficiently detailed and did not require additional rules. In addition, the Arkansas State Library’s report was accepted, with the Department of Education stating that the library’s three existing rules should remain in effect. During the update on outstanding 2023-session rulemaking, Education explained that many delayed rules were held back because they were likely to be amended again in 2025, and members expressed concern about the length of time some rules have remained unfinished. The meeting ended after written 2025 rulemaking updates were noted, with no further action taken.

Transcript Highlights:

• Also, HCA has informed us that they are still working with CMS or Medicaid to finalize the reporting
• Gonzalez:** CMS refers to a paragraph that outlines innovative strategies to try new things in the space
• States, if they identify areas for improving health services, can write a proposal... ...to CMS, and
• We are collecting data and we will provide... ...CMS is still to approve the data points that they want

Transcript Highlights:

• CMS issued a new template last year.
• It's just a form change by CMS and a removal of the federal end date.
• But under CMS, they issued a new template, and we had to go in and put the coverage on that new template

Summary: The meeting opened with approval of the prior minutes and then took up two Department of Human Services rules. Mary Franklin of DHS’s Division of County Operations presented a Medicaid/CHIP rule that removes the 90-day waiting period for certain ARKids B children who lose other coverage, clarifies child support enforcement procedures for pregnant women, and updates good-cause language to say “rape or incest” rather than “forcible rape.” Members asked about how child support referrals and sanctions work during pregnancy and the postpartum period; Franklin explained that sanctions would not be imposed until after the 60-day postpartum period and that good-cause determinations can prevent sanctions in appropriate cases. The rule had no public comments and a small fiscal impact, and it was reviewed without objection. Elizabeth Pittman of DHS’s Division of Medical Services then presented a medication-assisted treatment rule. She explained that the change simply removes an expired federal end date from the state plan and updates the CMS template, while leaving existing coverage for counseling and lab services tied to substance use disorder treatment unchanged. In response to questions, she said the rule does not add new benefits or costs because the coverage was already required by federal and state law. The committee reviewed the rule without objection. The meeting also included an informational presentation from Jenna Goldman of UAMS about a culinary medicine experience for legislators, scheduled for March 16 for the Senate and March 17 for the House at the Institute on Aging in Little Rock. She described it as a food-is-medicine program where participants would learn about healthy cooking and how to apply it in communities with limited food options. Members discussed its connection to rural health and potential grant opportunities. The meeting ended with a brief visit from a Monticello sixth-grade class, who asked Capitol trivia questions before the committee adjourned.

Transcript Highlights:

• CMS issued a new template last year.
• It's just a form change by CMS and a removal of the federal end date.
• But under CMS, they issued a new template, and we had to go in and put the coverage on that new template

Summary: The committee met briefly to approve prior minutes and then reviewed two Department of Human Services rules. The first, from the Division of County Operations, would remove the 90-day waiting period for certain ARKids B children who lose other coverage, clarify child support enforcement procedures for pregnant women and postpartum sanctions, and change the good-cause language from “forcible rape” to “rape or incest.” DHS said there were no public comments and only a small fiscal impact for system changes. The second rule, from the Division of Medical Services, updates the Medicaid state plan for medication-assisted treatment by removing an expired federal end date and adopting a new CMS template; officials said coverage does not change and there is no financial impact. Both rules were reviewed without objection. Members also heard an informational presentation from UAMS about a culinary medicine experience planned for March 16 for the Senate and March 17 for the House at the Institute on Aging in Little Rock. The program is intended to show how food can be used as medicine and to connect with the state’s rural health transformation priorities and possible grant opportunities. Members were encouraged to attend, wear comfortable shoes, and participate in the kitchen-based activity. The meeting ended with special recognition of a Monticello sixth-grade class visiting the Capitol for a scavenger hunt. A student asked several questions about the Capitol building’s materials and architecture, and members responded informally before the committee adjourned with no further business.

Transcript Highlights:

• after a immediate jeopardy tag<00:19:00.559> from<00:19:00.720> the<00:19:00.880> CMS
• This<00:19:02.559> proposal<00:19:03.039> adds<00:19:03.280> a tag from the CMS
• This proposal adds a tag from the CMS.
• update came out through the course of our regular cadence of Centers for Medicare and Medicaid Services CMS
• update came out through the course of our regular cadence of Centers for Medicare and Medicaid Services CMS

Bills: HF3540, HF3522, HF3544

Keywords: veterans rights, employment discrimination, human rights, Minnesota laws, protected classes, veterans, Minnesota Department of Veterans Affairs, veterans affairs, Secret War in Laos, SGU veteran, Hmong veterans, Laotian veterans, honor guard, military funeral honors, state veterans cemetery, burial eligibility, veterans home, temporary closure, state active service, National Guard

Transcript Highlights:

• We set the rates between that range, and that's established by CMS.
• They are required to provide a certain benefit package based on our requirements and CMS requirements
• However, each year, CMS adjusts Medicare payment rates, so the new upper payment limit will grow over
• It's actually dictated by the program that's approved by CMS within their requirements.
• That has been approved by CMS, and in fact, our rural hospitals get a preferential benefit out of this

Transcript Highlights:

• And typically those have more details, more policy details, when they are actually submitted to CMS to
• And typically those have more details, more policy details when they are actually submitted to CMS to
• This is this is directing the Department of Health to ask for a waiver from CMS and that's where those
• But they would still have to ask CMS for permission on their plan.
• CMS is not a hard, fast rule. We don't have the authority to do that.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Again, these are things that CMS has said repeatedly verbally.
• that CMS has said repeatedly verbally. that CMS has said repeatedly verbally.
• And CMS itself has said repeatedly, "Do not try just to maximize points.
• But additionally, CMS just put months.
• They want CMS going to cross compare.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• Currently, it's 14 days unless a shorter time frame applies under the CMS rule.
• The language also allows us to automatically adopt shorter timeframes if required by CMS.
• To automatically adopt shorter timeframes if required by CMS.
• Is it for DIFI to compile its own report or just post the report that has been provided to CMS?
• It's a report that health care insurers already provide to CMS about prior authorizations.

Keywords: 1182, all

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• be one of the most critical partners in the potential for the state's success governed by specific CmS
• criteria this program aims to fundamentally transform rural healthcare delivery per CMs these funds
• Matter of fact, I think you told me we had to send it back to CMS because we got more money.
• When do you think that will come back from CMS to us. So we are in the 30-day window.
• CMS has to review that. We've got about another three weeks of that.

Keywords: 914, all

Transcript Highlights:

• And all this is subject, of course, to CMS approval.
• And when I it's subject to CMS approval.
• the bill that says subject to CMS the bill that says subject to CMS approval<00:23:04.559> is
• CMS approval. CMS approval.
• CMS...

Keywords: 1189, house, all

Transcript Highlights:

• of ACNM nor state standards established for APRNs and CNMs, which is how it is in Hawaii, because a CM
• So, for example, a CM could go to an institution and apply for a bylaw revision that added a CM side
• 54.639> to<00:13:54.839> a<00:13:55.079> CNM<00:13:56.079> so because a cm
• side by side revision that added a CM side by side with<00:14:42.560> an<00:14:42.759> APR
• Hawaii not as a CNM not as a CM not as a Hawaii not as a CNM not as a CM not as a CPM<02:00:20.239>

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• So in terms of how we're defining Medicaid LTSS in the TMSIS data, we're following the CMS methodology
• And so that is kind of the CMS standard approach.
• our understanding is that the T-MSIS data is still going to be collected and made available, and that CMS
• is still working with states to try to improve data quality,” “...available and that CMS is still working

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.