Bills: HR206, SB3083, SB2377, SB2816, SB3248, SB2436, SB2259, SB2928, SB2577, SB2697, SB2399, SB2665, SB2851, SB3102, SB2521, SB3157, SB3255, SB3016, SB2765, SB1432, SB17, SB2401, SB2972, SB3014, SB3032, SB3137, SB847, SB2261, SB2271, SB2272, SB2804, SB3007, SB3019, SB3250, SB2603, SB3022, SB2256, SB2147, SB2014, SB2114, SB2115, SB2117, SB2246, SB2519, SB3055, SB3095, SB3144, SB3264, SB2325, SB2211, SB3245, SB2090, SB2803, SB2866, SB2250, SB2497, SB2032, SB2487, SB3136, SB2756, SB2615, SB3262, SB2024, SB2177, SB2552, SB2319, SB2407, SB2153, SB2321, SB2805, SB3010, SB2892, SB2781, SB2489, SB2174, SB2169, SB3123

Keywords: Robert Bob Toyofuku, Hawaii legal community, House Resolution, commendation, honorary resolution, legal education, continuing legal education, CLE, William S. Richardson School of Law, University of Hawaii law school, Pacific Law Institute, attorney training, legal ethics, professional responsibility, legal mentorship, legal profession, court-annexed arbitration, alternative dispute resolution, appellate decisions, Hawaii Supreme Court

Transcript Highlights:

• And then we also have a provision where we're clarifying that employees in the evaluation system won't
• be able to appeal an evaluation that is satisfactory or above, which seems again kind of common sense
• And then we also have a provision where we're clarifying that employees in the evaluation system won't
• be able to appeal an evaluation that is satisfactory or above, which seems again kind of common sense
• And then we also have a provision where we're clarifying that employees in the evaluation system won't

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:08 Senate Bill 79 (Sen. McDaniel): 00:48 Senate Bill 67 (Sen. Nemes): 08:09 Adjournment: 12:43, 958, all

Summary: The Senate State and Local Government Committee met and first took up Senate Bill 79, sponsored by Senator McDaniel, with testimony from McDaniel and Deputy Secretary Robert Long of the Personnel Cabinet. They described the bill as a cleanup measure for personnel law that would, among other things, add interns to the definition of employee while excluding them from full-time employee status, remove the Personnel Cabinet secretary as an ex officio member of the KERS Board, clarify personnel board membership and grievance rights, limit appeals of satisfactory-or-above evaluations, address layoffs and reemployment rights, allow leave donation in certain resignations or retirements, restrict remote work from outside Kentucky without approval, permit deductions for unreturned state equipment, and make DJJ facility supervisors non-merit positions. The committee voted on SB 79 and passed it with favorable expression. The committee then heard Senate Bill 67, presented by Chair Nemes, an elder property tax bill. The bill would freeze the assessed value of a primary residence for homeowners age 65 or older until the property is no longer their primary residence, while still taxing at the current rate. Nemes said the measure was intended to help seniors on fixed incomes and noted a fiscal analysis showing little to no direct revenue loss, though it could reduce projected budgeted growth in property tax revenue. Committee discussion noted a local impact and a statewide budget impact estimate of about $4 million for the first two fiscal years. SB 67 also passed with favorable expression, and the committee adjourned.

Transcript Highlights:

• And now when you talk about backlog, that's a backlog waiting for an evaluation.
• Waiting for an evaluation, yes, sir.
• So, you know, we're responsible for completing the forensic evaluation for somebody who's in jail and
• So we do those forensic evaluations. ...situations. ...condition, and those need to be treated.
• So we do those forensic evaluations. There had been a backlog of forensic evaluations.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• These CPT services range from medical evaluations, consultations, psychosocial, and social, and health
• CPT services range from medical evaluations, consultations, psychosocial and clinical interviews, and
• We also offer psychological evaluations, and most of our...
• These are the staff that provide the medical evaluations and consultations.
• I guess assessment or evaluation could have taken place and that child could have been discharged from

Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.

Transcript Highlights:

• evaluative mediation and arbitration. evaluative mediation and arbitration.
• > versus How many evaluative mediations versus How many evaluative mediations versus facilitative
• So 65 evaluative about 10 facil. Okay. So 65 evaluative about 10 facil.
• was evaluative and there was no report. was evaluative and there was no report.
• <01:10:30.800> summary We didn't have an evaluative summary We didn't have an evaluative summary

Bills: HB1991, HB1776, HB1897, HB1900

Keywords: liquor tax, alcohol, inflation adjustment, small craft breweries, public health, tenant rights, housing stability, landlord-tenant code, eviction prevention, multilingual resources, condominium, dispute resolution, mediation, arbitration, attorneys' fees, common expenses, construction defects, building code, statute of repose, statute of limitations

Summary: The committee heard testimony on HB 1991, which would change Hawaii’s liquor excise tax structure to an ABV-based system. The Department of Taxation and the Tax Foundation of Hawaii took no position and stood on written comments. Supporters, including the Hawaii Public Health Institute and an individual testifier who described surviving a drunk-driving crash, argued that higher alcohol taxes reduce alcohol-related harms, save lives, and generate additional state revenue. The public health witness cited alcohol-related harms as a major preventable cause of death and said the tax increase would have only a small annual cost for most consumers. Most industry testimony was in opposition. Representatives of Lanikai Brewing Company, Maui Brewing Company, the Wine Institute, and the Hawaii Food Industry Association said the bill would sharply raise taxes on beer and wine, squeeze already thin margins, and threaten local jobs and businesses. They argued Hawaii producers already face high costs for labor, energy, shipping, and compliance, and said an ABV-based tax would be difficult to administer, would require additional testing and labeling work, and could reduce consumer choice. Several industry witnesses urged lawmakers to instead adopt a small-producer or class 18 carveout, with one suggesting a cap tied to 60,000 barrels. Committee members questioned the brewers about alcohol content testing, labeling, and whether smaller producers already measure ABV. Witnesses said many local producers do not certify ABV for in-state sales, that yeast and fermentation can vary by batch, and that an ABV-based system could require more testing than current practice. No vote or final action on the bill was taken during the portion of the meeting provided.

Transcript Highlights:

• And to your point, in these evaluations increasing most of the time, someone who's over 65, it doesn't
• And to your point, in these evaluations increasing most of the time, someone who's over 65, it doesn't
• And to your point, in these evaluations increasing most of the time, someone who's over 65, it doesn't
• property tax as we've seen evaluations property tax as we've seen evaluations of<00:14:18.480>
• your point of in these evaluations your point of in these evaluations increasing<00:14:35.839>

Keywords: Meeting Start: 00:02 Attendance Roll Call: 00:06 SB 10 (Sen. McDaniel): 00:56 SB 51 (Sen. Nemes): 08:30 Adjournment: 17:23, 958, all

Summary: The Senate State and Local Government Committee met and first considered Senate Bill 10, a proposed constitutional amendment to restrict the governor’s pardon power during the 60 days before a gubernatorial election and until a new governor is sworn in, effectively limiting pardons for 90 days in a four-year term. Sponsor Senator McDaniel argued the measure was a response to abuses of the pardon power and said it would force accountability before voters. Senator Herron raised a concern about a possible chilling effect on pardons but supported the bill after asking about the historical example cited. The committee voted unanimously 11-0 to pass the bill with favorable expression. The committee then took up Senate Bill 51, which would freeze property tax assessment increases for homeowners age 65 and older who reside in their homes, with the assessment resuming if the home is sold, vacated, or the owner moves to a nursing home or with family. Senator Neis described the bill as relief for seniors on fixed incomes facing rising property taxes, and he walked through the fiscal impact as a budgeted-revenue issue rather than an actual loss of current revenue. Several members spoke in support, saying constituents frequently raise concerns about being priced out of their homes and that the bill would help seniors remain in their communities. During the roll call on SB 51, Senator Chambers Armstrong said he wished the bill were means-tested but supported it because of its importance to low-income seniors; Senator Bledsoe also explained his support, citing senior homeowners in Fayette County; and Senator McDaniel said it complemented broader housing efforts and should go to the people for a vote. The committee reported SB 51 with favorable expression, then adjourned.

Transcript Highlights:

• We'll cover that in Jennifer's evaluation in the excellent.
• We'll cover that in Jennifer's evaluation in the exact. Excellent. I think I should be fired.
• There's another evaluation. Okay. Moving on in this public forum, advisory opinions.
• I assume you still meant we will always evaluate it based on these.
• So my question is, do you need to unretire... ...always evaluate it based on these.

Summary: The meeting opened with attendance and technical setup, including bringing a remote member into the session. The chair also made brief remarks about public service in light of recent violence against public officials, and a member shared condolences related to a colleague’s death. The committee then approved the minutes and noted no employment disclosure forms were filed. The main business was an update on digitizing committee files. Staff reported that the archival scanning estimate had been reduced and that a DocuSign contract would be sent for the chair’s signature. Members also discussed whether the work could be completed before the end of the biennium and whether existing funds could be used or prepaid. The committee then reviewed a long list of remaining advisory opinions and, on motion, approved staff recommendations to retain some opinions and retire or partially retire others based on changes in law or usefulness of the opinions. Topics included special privileges, frequent flyer miles, state contracts involving legislators, tours sponsored by lobbying entities, conflicts of interest, confidentiality of drafting requests, election-year brochures, and recusal/firewall issues. After a separate discussion about an older election-related outreach opinion, members agreed they likely still intended to apply the same factors outside the election-year context and asked staff to revisit whether that opinion should be unretired or revised. The public portion of the meeting was then adjourned, with the committee preparing to move into executive session.

Transcript Highlights:

• >> evaluators >> evaluators >> or<01:04:10.319> evaluators,<01:04:10.880>
• know, skilled in evaluating able, you know, skilled in evaluating for<01:04:21.920> these<01:04
• So the evaluators are not challenge.
• > been<01:04:51.839> um They're evaluators that have been um They're evaluators that have
• evaluators. Um and I I don't know Mr. evaluators. Um and I I don't know Mr.

Keywords: 919, house, all

Summary: The task force approved the minutes from the previous meeting and then reviewed the structure and statutory requirements for its final report. Staff explained that the report must go to the commissioners of commerce, housing finance, and economic development, as well as relevant legislative leaders, and must include a summary of task force activities, adopted findings and recommendations, tort reform recommendations to reduce insurance costs, any draft legislation, and other necessary information. A draft report, likely excluding recommendations and draft legislation, is expected to be circulated before the first January meeting. Most of the meeting focused on the Fair Plan and whether it could be expanded to help homeowners associations, affordable housing, and common interest communities that are struggling to obtain coverage. Supporters said these groups are facing availability problems and often end up in the surplus lines market, which lacks the consumer protections of the admitted market. They argued the Fair Plan could serve as a third-market option with stronger protections and better access, especially for properties that are having difficulty getting quotes. Several members and witnesses raised concerns that the Fair Plan was never intended to be a broad affordability solution and warned against using it to artificially lower prices below risk-based levels. They said doing so could shift losses onto other policyholders through assessments and potentially weaken the broader insurance market. The Fair Plan administrator explained that any expansion would require substantial research, staffing, actuarial and underwriting expertise, reinsurance planning, IT changes, and likely assessments or other capitalization decisions, and that the plan would need to focus on a limited subset of properties rather than the entire market. No votes were taken on policy recommendations, and the discussion ended with agreement that more information and scoping work are needed before any formal recommendation is made.

Transcript Highlights:

• Plan Valuation Report presented by Mitch DeCamp, then have a presentation on the 2025 actuarial evaluation
• We will have a presentation on the 2025 actuarial evaluation report from the state actuary, possible
• And the state actuary's office is required to complete an actuarial evaluation of the supplemental benefits
• The first is the consideration of possibly directing an actuarial evaluation of the higher education
• heard earlier about the evaluation report that OSA conducted.

Summary: The Pension Funding Council met on June 23, 2026, for a work session that began with an overview of the Higher Education Supplemental Retirement Plan (SRP) and a 2025 accounting valuation of that plan. Staff explained that the SRP is a closed defined benefit supplement for higher education employees hired before the 2011 closure, with employer contributions currently pre-funding benefits in institution-specific trusts while institutions still pay benefits on a pay-as-you-go basis. The State Actuary’s office reported that the plan’s accounting position has improved, with combined market assets of about $245 million against $377 million in accrued liability, and that strong market performance since 2022 has increased the asset-to-liability ratio. The office emphasized that this was an educational accounting valuation, not a funding valuation for rate-setting. The council then received the 2025 actuarial valuation report for the state retirement systems. Actuaries reviewed the recent demographic experience study, noting updated assumptions for mortality, retirement, termination, and salary growth, and said the net impact on most plans was small. They reported that most plans’ funded ratios improved, with all plans at least 94% funded and several at or above 100%, and that contribution rates for the 2027–2029 biennium are generally lower than current rates. They also noted that future rates could be affected by market volatility as deferred gains are recognized over the next few years. During public comment, a representative of the Association of Washington Cities urged the council to consider rate reductions to help local governments facing budget pressures. In executive session, the council first approved a motion directing the Office of the State Actuary to perform an actuarial evaluation and analysis of each institution’s Higher Education Supplemental Retirement Plan, including institution-specific contribution rates, asset sufficiency, and funding policy options, due by July 1, 2028. The council then adopted the 2027–2029 pension contribution rates based on the 2025 actuarial valuation report. Both motions passed 5-0, with one member excused. The meeting concluded with no further business.

Transcript Highlights:

• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• Those reports are analyzed, sent to our evaluator. We also conduct annual site visits.
• It amends an existing contract for evaluation support for the statewide stroke program.

Keywords: 1204, all

Transcript Highlights:

• Evaluation committee process determined that there was a relevant interest for the Consumer Advocate
• body, and expanding the OCA's role in these proceedings would also expand the SEC's authority to evaluate
• But as the site evaluation committee, I've really been trying to dial in the focus of what it is we do
• But as the site evaluation committee, I've really been trying to dial in the focus of what it is we do
• But as the site evaluation committee, I've really been trying to dial in the focus of what it is we do

Keywords: 1191, senate, all

Transcript Highlights:

• information, it is difficult to evaluate information, it is difficult to evaluate the<00:30:47.279
• of evaluating more of the of evaluating of evaluating more of the of evaluating more<00:49:20.079
• Um why can't we um evaluate<00:49:52.240> them<00:49:52.400> for<00:49:52.640> some<
• /c><00:49:52.960> lower<00:49:53.280> level evaluate them for some lower level evaluate
• I don't use the word literally very often, and you could evaluate them and see if something needs to

Keywords: 910, house, all

Summary: The working group convened with all members present, approved the minutes from its October 16, 2025 meeting and its October 28, 2025 Halawa Correctional Facility site visit by unanimous consent, and received no public testimony on the agenda or minutes. The chair then reviewed the statutory timeline under Act 292/SB 104, noting the group continues until January 8, 2027, and discussed required reporting dates and the need to develop a work plan for the remaining meetings. The chair also said the October 16 DCR presentation would be treated as satisfying the group’s interim-report purpose, though the legal reporting obligations to the Legislature and oversight commission still needed to be sorted out. The main discussion focused on DCR’s proposed amendments to Act 292 and the department’s interim report. Director Johnson said the department’s October 16 presentation included recommended statutory amendments because the law, as written, could not be fully complied with; the proposals were described as section-by-section changes intended to address implementation problems. Members discussed several specific issues, including transfer language for higher levels of care, the 2010 MOA with the Department of Health, and replacing “physician” with “clinician” to reflect staffing realities. DCR explained that the change would allow licensed clinicians, including APRNs and doctors of osteopathy, to make decisions when physicians are not on duty, and that the MOA is being updated so transfers can occur from any DCR facility to the state hospital. An OHA staff member gave a detailed critique of the proposed amendments, saying they would weaken Act 292’s intent by reducing procedural protections, expanding exceptions, and relying on aspirational language such as “strive” and “if practicable.” OHA also raised concerns about the lack of baseline data on restrictive housing use and said the department’s report showed serious operational problems, including overcrowded and outdated facilities, limited space for private medical or mental health exams, and the use of suicide/safety cells for people who may not need mental health treatment. DCR responded that it had requested 35 new medical positions in the budget, supported by the governor, and said those positions are needed to meet basic care obligations for people in custody. The group did not take a vote on the proposed amendments. Instead, members agreed to continue the discussion, with the chair saying the reports, settlement tracker, 2010 MOA, and comparison guidelines would be distributed and used as the basis for future work. In the final discussion on work-plan priorities, members identified staffing shortages, physical plant limitations, and the need to examine humane alternatives and implementation challenges as key topics for upcoming meetings.

Transcript Highlights:

• , or a special audit, program evaluation, or a special review.<00:02:03.160> So,<00:02:03.240>
• uh review and our program evaluation uh review and our program evaluation review.<00:02:46.080><
• And these tend to be more in our program evaluations.
• And we identify where evaluations.
• OLA's Program Evaluation Division. OLA's Program Evaluation Division.

Transcript Highlights:

• We didn't have these devices that had been type evaluated. They are now being type evaluated.
• We didn't have these devices that had been type evaluated. They are now being type evaluated.
• We didn't have these devices that had been type evaluated. They are now being type evaluated.
• We didn't have these devices that had been type evaluated. They are now being type evaluated.
• We didn't have test evaluated.

Keywords: 1189, house, all

Summary: The committee met in a transportation work session and executive session, with the chair explaining the format change to allow fuller discussion and possible expert input before votes. The committee first took up House Bill 209, which would have allowed a new vehicle purchased in the model year or before to be inspected in the second year after purchase. Members said the bill was rendered unnecessary by the broader repeal of vehicle inspections, and the committee voted 16-0 to deem it inexpedient to legislate (ITL), with consent. The same outcome followed for House Bill 212, which would have allowed a 180-day operation waiver when a motor vehicle failed an emissions control test, and House Bill 533, which concerned civilian employees and commercial truck inspections. In both cases, members said the inspection repeal made the bills unnecessary, and in the commercial truck bill there were also concerns that the language did not fit federal requirements and referenced state inspection laws rather than federal ones. Both bills were voted ITL 16-0 and adopted by consent. House Bill 298, dealing with vehicle identification number-related issues and antique vehicle authenticity, also received an ITL recommendation 16-0. Members said the proposal raised fraud concerns and could affect the value and authenticity of antique vehicles, and several said the bill needed more work before any future consideration. The committee then moved to Senate Bill 150, which would define electric vehicle charging stations and establish annual testing fees for the Division of Weights and Measures. That bill drew the most discussion: Representative Sykes described a personal experience with a malfunctioning charging station and a large, unclear bill, arguing that consumer protection regulation is needed. Representative Miller said the fee structure seemed high compared with other inspections and that third-party inspectors were not allowed, though he acknowledged some need for consumer protection. Senator David Watters, the sponsor, said the bill should be improved and suggested a lower annual fee and a fund-based approach to build an inspection program over time. Cheryl, the director of Weights and Measures, testified that the division needs authority, staffing, licensing categories, and expensive test equipment to oversee EV chargers, and that current rules do not adequately cover this emerging technology.

Transcript Highlights:

• It expands on a report card that our State Department of Education is putting out, but it's to evaluate
• All the tests that they take would be evaluated.
• There's a few other tests that they have to... that they'll evaluate and they'll do.
• It was much so I think for sort of self-evaluation as well from the individual teacher prep programs
• They should have got two toes. for sort of self-evaluation as well from for sort of self-evaluation as

Keywords: 1136, house, all

Transcript Highlights:

• We believe that putting the new process in place with very strict evaluation forms... ...with very strict
• evaluation forms and prescription forms for physicians and PCP offices will significantly assist us
• They will then need to discuss with their PCP and have the PCP complete the evaluation referral.
• And that evaluation referral, it goes back...”
• “And that evaluation referral, it goes back to the provider like it does for the ADET, and then that

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• for a private neuropsych evaluation to get answers.
• That evaluation confirmed she had dyslexia. She's here with me today.
• pay for a private neurosych evaluation pay for a private neurosych evaluation to<00:06:46.560>
• <00:06:47.840> That<00:06:48.080> evaluation to get answers.
• That evaluation to get answers.

Bills: HF60, HF3067, HF3730, HF3638, HF3401

Keywords: interchange, bond issuance, transportation, infrastructure funding, Sherburne County, paraprofessional, paraprofessional qualifications, education support staff, teacher aide, teacher assistant, special education, Title I, federal personnel qualifications, Minnesota Department of Education, school district, charter school, cooperative unit, Read Act, reading instruction, math instruction

Transcript Highlights:

• Blue is children who receive an oral evaluation.
• But nonetheless, this is where we're evaluated across other states.
• Think about pregnancy and oral evaluation outcomes?
• It's the pro fee or cleaning and the oral evaluation, periodic oral evaluation.
• And so we can evaluate that way.

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:

• Our mission is to provide evaluation and treatment in a safe and responsible manner by leading innovation
• Our primary tools are data and policy research, program evaluation, grant making, technical assistance
• Finding the time and capacity to design, test, and evaluate new approaches is genuinely difficult.
• to get enough data to evaluate and produce the final report for us next year, next spring.
• To evaluate and produce the final report for us next year, next spring. Great.

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• <00:12:20.560> 902<00:12:21.160> 8070 once per evaluation year. 902 8070 once per evaluation
• provisions to establish a evaluation provisions to establish a limiting<00:12:45.600> date<00
• :12:45.920> for<00:12:46.040> the<00:12:46.160> current<00:12:46.520> evaluation
• limiting date for the current evaluation limiting date for the current evaluation process,<00:12
• and delete evaluation procedures and delete material<00:13:13.560> incorporated<00:13:14.240>

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.