Transcript Highlights:

• , which is a community health worker program, and also the East Kentucky Family Medicine Residency Program
• , among many other outreach programs.
• Uh, state directed programs.
• integrity function.
• <00:53:19.119> integrity and abuse, that program integrity and abuse, that program integrity

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• But at the center of the Human Space Flight program here in this country, we flow 9 successful massacre
• So we're full steam ahead on our march program to we're developing a larger cut by the name of starship
• We have a much, much spaceport improvement program.
• And this We have a much, much spaceport improvement program.
• And I'm excited about this program and what it offers for the state and for the industry.

Keywords: 999, senate, all

Transcript Highlights:

• Airline loyalty and credit card programs are an integral part of our business because they are so popular
• Loyalty and credit card programs are an integral part of our business because they are so popular with
• These programs are a win-win for consumers, airlines, and the economy.
• travel perks, but the cost of those programs is borne by the small business owner.
• These programs are a tool that card issuers use to win cardholder business.

Keywords: 995, all

Summary: The commission met for its second hearing to study the future of credit card payments and sales transactions and their impacts on small businesses. Members heard extensive testimony from credit unions, retailers, restaurants, and payment-industry representatives on interchange fees, processing fees, fraud, chargebacks, rewards programs, and the ability of businesses to pass fees on to customers. Several witnesses argued that swipe fees have risen sharply, are especially burdensome for restaurants and other small businesses, and are charged on taxes and tips that are merely pass-through amounts. They urged state action to prohibit fees on tax and tip portions, improve transparency, and allow surcharging or convenience fees, while opponents warned that state regulation could reduce fraud protections, increase compliance costs, and threaten consumer rewards programs. Business owners and trade groups described thin margins, rising costs, and the difficulty of understanding merchant statements or negotiating with processors. Restaurant witnesses said card-not-present and online transactions create the greatest fraud and chargeback risk, with money often removed immediately from merchants’ accounts and disputes rarely resolved in their favor. Retail witnesses gave examples of rising effective rates, higher fees on rewards cards, and the burden of processing fees on low-value transactions. A representative from the Massachusetts Restaurant Association and others said restaurants are effectively paying fees on meals tax and gratuities, which they argued should not be subject to interchange charges. On the other side, the Cooperative Credit Union Association said interchange revenue helps credit unions fund fraud prevention, rapid card replacement, and member protections, and warned that state limits on interchange could weaken those safeguards and lead to higher consumer costs or reduced services. Airlines for America testified that airline credit card rewards are popular, support travel and jobs in Massachusetts, and could be harmed by interchange reform. The National Restaurant Association and a payments-policy attorney countered that interchange fees are set by card networks rather than competitive markets, that banks remain highly profitable even with rewards, and that states can act after recent court decisions. No votes were taken; the hearing consisted of testimony and questions from commissioners.

Transcript Highlights:

• Since 1935, the motto of the FBI has been "Fidelity, Bravery, Integrity."
• Do you know how much was paid to him from your program?
• The men and women of the FBI, their mission, fidelity, bravery, integrity.
• Cater protesting for election integrity? Yes or no? I don't know who that is.
• Policies and programs are in place for a reason.

Transcript Highlights:

• The LFC recommended the Community Solar Program.
• Oh, and the River Stewardship Program on Line 164.
• The previous Iteration of the program didn't do that, so we threw it out and we wrote a program that
• Well, our adult education system also supports our integrated education and training programs, as Secretary
• Programs with nearly 800 individuals enrolled in FY25.

Keywords: 996, all

Transcript Highlights:

• , all these great programs, all these great programs, but<00:09:25.839> then<00:09:26.040>
• We have to identify these program.
• program? program?
• So, the HANDS program is the HANDS program. It's one piece of a mosaic, right?
• What kind of programs fall under that? What kind of programs fall under that?

Keywords: 958, all

Transcript Highlights:

• We've talked about bringing some of those programs to WEA, so some of their, you know, OSET programs
• <00:08:58.320> to know bringing some of those programs to know bringing some of those programs
• They have a really robust drone program. We want that on Kauaʻi.
• Apparently, it's not been so well integrated into the overall program, so we hope that's something that
• so well you know integrated into to the<00:13:59.480> overall<00:13:59.959> program<00:

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard confirmations for two Hawaii Technology Development Corporation board nominees, Jaclyn Ka and Gregory Oara. Testimony for both was overwhelmingly in support. Supporters for Ka emphasized her Kauaʻi roots, work in workforce development and digital equity, and ability to connect schools, industry, and community needs. In her own remarks, Ka said she wants to bring resources to Kauaʻi and the neighbor islands, strengthen local workforce pathways, and use the HTDC board to help local residents access technology jobs and training. Members questioned Ka about how to reduce reliance on mainland hires for jobs at PMRF and other technology employers, how to better align training with local needs, and how to connect Kauaʻi schools, community college programs, and creative media/digital technology efforts. Ka described KDB’s role in building islandwide digital media and drone clubs, professional development for teachers, and partnerships intended to create a pipeline from school to workforce. She also said the legislature can help mainly by listening and staying informed about local needs. For Oara, supporters highlighted his engineering and semiconductor background, his experience in academia, industry, and startups, and his potential to help HTDC with technology commercialization, IP, and exportable services. Oara said he wants HTDC to better support early-stage companies, improve coordination among universities, government, and the private sector, and create a directory of technical skill sets to connect startups with needed expertise. He also discussed AI, saying Hawaii can contribute by developing smaller, locally relevant models rather than only relying on large-scale data-center infrastructure. The hearing focused on these nominations and testimony; no vote or final committee action was stated in the transcript.

Transcript Highlights:

• It's an extension of a program that we do have now, the transportation benefit program.
• There are elements that we we program.
• <00:47:52.079> that's Honolulu already has a program that's Honolulu already has a program
• <00:50:56.559> retirees 5-year pilot program allowing retirees 5-year pilot program allowing
• For hotel to integrate or any hospitality service to integrate something similar to that.

Keywords: 912, senate, all

Summary: The committees heard testimony on several personnel and employment bills. SB 2119 would require the state or counties to reimburse public officers and employees for approved work-related travel costs within 30 days; testifiers from the State Procurement Office, UPW, HGA, the University of Hawaii Professional Assembly, and others supported the measure, citing delayed reimbursements. SB 3131 would update state position titles by changing “private secretary” to “executive assistant” and “secretary” to “administrative assistant” where applicable, and it drew support from DEED and comments from the State Librarian. SB 3069 would permanently exempt a limited number of specialized positions in DAGS Public Works and the Comptroller’s office from civil service; DAGS, HCDA, and DEED supported it, while UPW opposed it. Committee members questioned whether the exemption should be narrower and whether the positions should be consultants or actual employees, and DAGS said the roles were narrowly tailored, highly specialized, and intended to help manage complex projects such as Aloha Stadium, the convention center, and other major redevelopment work. The committee then heard SB 3180, which would repeal the limit on temporary employment in a single position for two 89-day terms. Testimony included support from the Procurement Office, DOE, DHRD, the State Librarian in opposition, UPW written comments, HGA, the Grassroots Institute of Hawaii, and others. Discussion focused on whether the bill was needed to address abuse of repeated 89-day hires and whether it would affect recruitment and career pathways. Finally, SB 2137 would allow departments, divisions, and agencies to assume hiring and recruitment functions from DHRD under certain conditions. DHRD opposed the bill, saying existing law already allows delegation and that agency-level recruitment often lacks the expertise and staffing to do the work; UHPA supported it, and UPW submitted written support. In questioning, DHRD said it had reduced backlog and was now current on screening, while also offering programs like Operation Hire Hawaii for faster agency-led recruitment.

Transcript Highlights:

• in administering the Medicaid program. in administering the Medicaid program.
• integrity.
• accuracy and efficiency. with program integrity and policy with program integrity and policy consolidation
• on our accuracy and program integrity. on our accuracy and program integrity.
• Counties are committed to program integrity and to serving the people of Minnesota, but we can't meet

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• So it's, in a way, a technical movement of the program over there.
• It has to do with the whole program on private duty nursing.
• Multifaceted bill that addresses several different programs.
• care centers program, safety net program, and the sexual abuse treatment program, and the Title IV program
• These programs all stay under DOH.

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:

• these programs know how to do the work. these programs know how to do the work.
• integrity they get 104.
• integrity they get 104.
• integrity they get 104.
• integrity they get 104.

Keywords: 919, house, all

Summary: House Fraud Prevention and State Agency Oversight Committee Chair Kristen Robbins opened by criticizing the governor’s fraud package as too focused on new spending and staffing, and not enough on culture change, accountability, eligibility rules, and an enterprise-wide IT/data strategy. She said the committee had heard a good overview from multiple commissioners, but she remained concerned that piecemeal technology investments and added staff would not address the root causes of fraud. Robbins also said she would introduce a bill based on issues raised in committee, including requiring grants management staff to complete Office of Grants Management training and certification. A major action announced was the launch of a new whistleblower portal at mnfraud.com, which legislators said will let people submit basic fraud allegations, after which staff will follow up and forward matters to the Office of the Legislative Auditor, BCA, law enforcement, or the attorney general as appropriate. Members noted that the Office of the Legislative Auditor already has a separate reporting portal, and there was a question about why the new site does not allow anonymous reporting; Robbins said contact information is needed so staff can follow up. She also said the portal is intended to centralize and triage reports from agency workers, service recipients, and providers. Republican members said the governor’s proposal still misses key pieces. Vice Chair Anderson argued the package mostly adds staff to agencies that failed to catch or act on fraud, and said Minnesota needs a statewide independent inspector general with authority outside agencies and a stronger whistleblower system. Representative Marion Rarick said the proposed criminal penalty increases are too small compared with federal penalties and criticized the package for adding only one forensic auditor at the BCA while DHS receives many more positions. She also argued that agency managers should face sanctions when fraud occurs under their watch and said the state needs a culture where employees can be rewarded for good work but also held accountable for failures. Members discussed several other ideas, including creating new crimes for kickbacks and theft of public funds, requiring fraud fiscal notes, improving data sharing and eligibility verification, and using better IT so systems can talk to each other. There was also discussion of whether government services should rely less on nonprofits and private contractors; one member said fraud often follows a particular business model rather than the sector itself, while another suggested capping salaries of top nonprofit executives receiving government funds. The committee also noted that the governor’s fraud package is being presented as a package but will likely move as separate provisions through different omnibus bills.

Transcript Highlights:

• But last week, the uh Walls administration's own program director of program integrity, Tim Ali, released
• But last week, the uh Walls administration's own program director of program integrity, Tim Ali, released
• The roadmap to program integrity finally admits what Republicans have been saying all along.
• The roadmap to program integrity finally admits what Republicans have been saying all along.
• of the programs and its oversight. of the programs and its oversight.

Keywords: 1183, house

Transcript Highlights:

• AI programs are able benefits as well.
• Um, program called Do the Right Thing.
• > in<01:22:30.000> WNI she piloted this program in WNI she piloted this program in WNI
• So, let me clarify, because the program that I run, the state distance learning program, our students
• Um and Access and Deployment Program.

Keywords: 912, senate, all

Transcript Highlights:

• The software solution will integrate existing sensors.
• Get them programmed. Yes, yeah, just get them reprogrammed.
• Are y'all part of the TCHAT program? We are not. You are not. Do you know about the TCHAT program?
• Yes, this is a voluntary and free program provided by TASV.
• Like the National Mesonet Program, of which Texas Mesonet is a member, we have designed our program to

Keywords: 1185, senate, all

Transcript Highlights:

• terms of this in terms of their program terms of this in terms of their program they<00:20:30.360
• scoring highly in school or integrating scoring highly in school or integrating ourselves<00:36:
• It can be integrated right into that program, where the state has a video where employees can watch the
• It can be integrated right into that program, where the state has a video where employees can watch the
• it can be integrated right into that<00:59:31.680> program<00:59:32.640> where<00:59:32.920

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1462 on crisis services. Testimony from the Department of Law Enforcement, the Community Alliance on Prisons, and the Department of Health supported expanding behavioral health crisis services as an alternative to arrest or incarceration. Witnesses said additional crisis sites would help divert people in mental health crisis to appropriate care, and the Department of Health described its current crisis center in Ewa, including the need for renovations such as a padded room and the time required to get the facility operational. In response to questions, the department estimated the Ewa center’s budgeted cost at about $4.3 million, not including rent or startup repairs, and said a second site’s cost would depend on whether it was freestanding or attached to an existing facility. The committee then heard House Bill 700 on cognitive assessments. The Executive Office on Aging supported the bill’s intent but asked that it be amended to make assessments optional rather than mandated, to pilot the program first, and to allow flexibility in handling HIPAA-protected data. SHPDA also supported the measure but said it should not be mandatory and suggested that payers reimburse for assessments when requested by patients, families, or physicians. The Alzheimer’s Association and caregivers strongly supported standardizing cognitive assessments to improve early detection and access to newer treatments, while noting the existing opt-out provision. The Hawaii State Council on Developmental Disabilities supported the bill but asked that the age 65 threshold be removed because cognitive decline can begin much earlier for people with Down syndrome, autism, traumatic brain injury, stroke, and related conditions. In response to a question, the Office on Aging said a pilot project could likely be done for about $150,000, with data security being the main added cost. The final bill discussed was House Bill 237 on peer support programs. Testimony from Family Hui Hawaii, Early Childhood Action Strategy, peer support workers, and families described peer-to-peer programs as a cost-effective way to reduce isolation, strengthen families, and provide long-term community support. Speakers said these programs help parents and caregivers navigate crises, child welfare involvement, addiction recovery, and other challenges, and can have lasting benefits for children’s development and family stability. Several witnesses tied the bill to broader state goals, including infant and early childhood mental health, trauma-informed care, and child welfare reform. Written testimony from about a dozen organizations and individuals was also noted in support.

Transcript Highlights:

• deficits are in any of the any programs deficits are in any of the any programs including<00:08:
• report showed the football program report showed the football program earned<00:09:28.000> more
• How do you get a surplus if the football program raises the money and the football program is having
• No. about the evolution of that uh the about the evolution of that uh the program program program expansion
• I mean, that one program probably could be a four-year degree program.

Keywords: 912, senate, all

Transcript Highlights:

• It does not apply to any other portions of the law that authorize numerous programs, benefits, and services
• We, the Public Health Service Commissioned Corps, often integrate with members of primarily the Army,
• They are unlikely to be aware of these two invisible corps and the integration of highly specialized
• and... ...cause and the integration of highly specialized and critical support functions each brings
• Integrated uniformed services training is conducted both domestically and internationally. The U.S.

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its fourth public hearing of the 2025-26 session on recognitions, definitions, and designations related to veterans. Chairs John Velis and Joseph McGonagle opened the hybrid hearing with housekeeping rules and noted the committee’s reporting deadlines. The hearing focused on several bills honoring veterans and military-related service, including H. 3825 to include reserve components in flag half-staff recognition for service members killed in action, S. 2499 to place a State House marker honoring three Medal of Honor recipients from the war on terror, S. 2498 to add Merchant Marine recognition at veterans cemeteries and the State House and create a Massachusetts merchant mariner medal, and H. 2500/S. 2500 to have Massachusetts fly the Honor and Remember flag for Gold Star families and fallen service members. A major portion of the hearing centered on H. 3871 and S. 2467, which would update the Commonwealth’s definition of “veteran.” Testimony came from the Office of Veterans Services, veterans organizations, Public Health Service and NOAA representatives, National Guard and Reserve veterans, and Gold Star advocates. Witnesses argued the current state definition is inconsistent with federal law and excludes some service members who should be recognized, especially members of the U.S. Public Health Service Commissioned Corps, NOAA Commissioned Officer Corps, reservists, and some National Guard members. Supporters said the bills would improve fairness, consistency, and access to benefits and services, while several speakers emphasized that service in uniform should be honored regardless of branch. Some testimony also urged a broader moral recognition of all who raised their right hand, while others focused on aligning state law with federal definitions and closing gaps in eligibility. Committee members asked questions about the practical and fiscal effects of broadening the definition, including how the proposed language would interact with existing federal standards and state benefit programs. Witnesses explained that the bills would remove the current 180-day and 90-day active-service calculations and instead recognize certain active service and six-year reserve or Guard commitments, though some members noted that this could create a broader state standard than the federal one. No votes or formal actions were taken during the hearing, and the committee concluded after hearing from the final witness and adjourning.

Transcript Highlights:

• <01:16:10.159> that an excellent um sports program that an excellent um sports program that
• :24:26.880> by<01:24:27.199> state program that's been vetted by state program that's been
• would require the state Medicaid program would require the state Medicaid program to<02:08:34.480
• into<02:13:54.880> our is integrating acupuncture into our is integrating acupuncture into
• patients<02:14:18.800> utilizing programs found that patients utilizing programs found

Keywords: 1191, senate, all

Transcript Highlights:

• So it's, in a way, a technical movement of the program over there.
• So it's, in a way, a technical movement of the program over there.
• It has to do with the whole program on private duty nursing.
• care centers program, safety net program, the sexual abuse treatment program, and the Title IV program
• These programs all stay under DOH.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported 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 testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• , cut all these teachers and cut programs, cut all these teachers and cut programs, cut cut cut paras
• <00:05:00.960> this teachers, payers, and programs this teachers, payers, and programs this
• What are you looking for, just to be clear, a full cut to school meals program or?
• What are you looking for, just to be clear, a full cut to school meals program or?
• What are you looking for, just to be clear, a full cut to school meals program or?

Keywords: 1183, house