Transcript Highlights:

• So it was a direct contract.
• This is a state-directed payment, meaning the money has to flow through the managed care organizations
• The difference between that and the managed care organizations is very much a network.
• Those managed care organizations have multiple staff.
• direct care that they may need, from your everyday type of service to very specific, like DBT, which

Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities. Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope. The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.

Transcript Highlights:

• </c> counties that are desert Dental Care counties that are desert Dental Care deserts<00:42:59.040><
• Last Friday, the Care Mobile Dental Vans came to our school.
• </c> long-term success as healthc Care long-term success as healthc Care Professionals<00:47:46.760><
• , or difficult access to care.
• , or difficult access to care.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• Let's at least let people know the direction and let businesses know the direction we want to go.
• Um I think setting the a direction.
• That shows direction. 0.55. That's good. That shows direction.
• </c> again this is this is our direction. again this is this is our direction.
• House. >> No. >> So, the motion fails. taxpayers will be taken care of. taxpayers will be taken care

Keywords: 1189, house, all

Summary: The committee of conference on HB 155 continued discussion of a compromise over business tax relief, small-business filing thresholds, and nursing home funding. Representative Sweeney proposed raising the filing threshold to $400,000 and creating a trigger for future Business Enterprise Tax reductions if business tax revenues produce a $200 million biennial surplus, with the Department of Revenue Administration commissioner able to exclude one-time or non-sustainable funds. Supporters said the proposal would provide a clear policy direction, immediate relief to about 4,500 small and micro businesses, and a future path back to the BET’s original 0.25% rate. Opponents, led by the Senate side, argued the trigger language was premature, better handled in a budget year with more revenue data, and inappropriate to decide in a short conference committee meeting. The Senate also emphasized that the tax policy should not be locked in without a fuller public process, while House members argued the trigger would not take effect until a future biennium and was therefore a prudent way to signal New Hampshire’s direction on taxes. A separate point of discussion involved nursing homes: the House said its report would include $2.5 million for nursing homes with non-lapsing language, and senators stressed the importance of that funding for the health care system and county property taxpayers. One senator warned that triggers could encourage revenue underestimation and noted bond rating concerns about a structural deficit. Several motions were made to accept the Senate position with the $400,000 threshold and related amendments, but the first motion failed on a party-line style split, with the Senate voting yes and the House voting no. A second House motion to accede to the Senate position while also including the nursing home funding, the threshold increase, and the future trigger language was also rejected by the Senate. The meeting ended with the report filed without agreement on the trigger language, and the transcript then notes a separate reconvened committee of conference on HB 751 being postponed until 12:30 the next day.

Transcript Highlights:

• I care about children and learn so much from them.
• advance living wages for child care workers and affordable access to child care for families.
• to outpatient medication-based care.
• health care and 16 times higher for inpatient care.
• Eligible workers include firefighters, law enforcement officers, 911 operators, and direct care registered

Bills: HB1316, HB2401, HB2557, HB2720, HB1073, HB2685, HB2640, HB2403

Keywords: postsecondary education, homelessness, foster youth, education access, support programs, commission, gender equity, boys, men, advocacy, state policy, special education, parental rights, educational access, evaluation reports, disability services, behavioral health, emergency services, health insurance, provider access

Transcript Highlights:

• form of care.
• form of care.
• </c> factor only applies to to the direct factor only applies to to the direct support<01:04:04.799><
• support care hours, and they're essentially a direct support staff and could be making less than the
• </c><01:08:37.679><c> they're</c> direct support care hours and they're direct support care hours and

Keywords: 1183, house

Transcript Highlights:

• Chair, and the CFO for the Health Care Authority.
• , in-home care, or TANF—would be in this area.
• Be directed in the budget or other legislation.
• But the health care inflation or projected health care inflation is not included.
• I'm going to direct my question to you, Rep.

Keywords: 904, all

Transcript Highlights:

• Subcommittee members, we have, I printed out for everybody, we have two potential directions we can go
• And on page 6, this act applies to health care facilities.
• The two big pieces are that federally qualified health care centers who also participate in the 340B
• You know, with, I know a lot of... ...them direction like you're suggesting.
• Um, Like I'm just pointing in different directions.

Keywords: 908, all

Summary: The subcommittee met on SB 2370 with a quorum present and focused on how to handle proposed 340B-related reporting language. Members discussed three main paths: adopt the LC draft with reporting requirements for covered entities, PBMs, insurers, and manufacturers; convert only the PBM/insurer/manufacturer portions into a study; or turn the entire proposal into a study. Representative Dobervich explained that the study version would keep the same subject areas but delay initial reporting so the data could be analyzed more thoughtfully, and she noted gaps in the original amendments, including federally qualified health centers participating in 340B, 340B contract pharmacies, and a clearer plan for data analysis and administration. Testimony from HHS and the Insurance Department emphasized that collecting data is different from analyzing it and that any version would need clear authority, confidentiality protections, and a designated agency willing to collect, analyze, and publish the information. The Insurance Department said it could potentially collect data but would likely need additional budget resources for analysis, and it noted that the pending PBM bill, SB 1584, could affect what information is already available through regulation. A representative of the North Dakota Pharmacists Association said SB 1584 contains some reporting but is not as comprehensive as the proposal under discussion. Members also discussed whether the proposal belonged in an insulin bill at all, with concerns raised about germaneness and the possibility of sending the matter to the Delayed Bills Committee or placing study language elsewhere. No vote was taken. The subcommittee adjourned after members agreed to continue refining the language over the weekend and bring options back to the full committee, with several members expressing a preference for a combined version that includes both reporting and study elements.

Transcript Highlights:

• Research, support for our students, and patient care.
• These changes may put millions of Californians at risk of losing health care coverage and the care that
• So we are not, you know, a heavy private care provider, we are a heavy public care provider.
• You want an unequal health care system. You want people to be excluded.
• We must meet it head on with care.

Keywords: 988, house, all

Transcript Highlights:

• of care.
• That includes direct care workers and support staff across both fee-for-service and managed care delivery
• Again, funds may not be used for routine operating subsidies, direct patient care reimbursement, or to
• Again, funds may not be used for routine operating subsidies, direct patient care reimbursement, or to
• care, including care integrated into OBGYN or primary care visits.

Keywords: 987, senate, all

Transcript Highlights:

• are enrolled for care at participating child care centers and child care homes.
• Presentation: DHS direct payments made to licensed child care providers. Thank you. Hi. Welcome.
• providers caring for 978 children and 167 non-child care assistance providers caring for 2,297 children
• So it's the non-child care assistance providers could also be caring for child care and non-child care
• Yeah, if we go back to the actual bill, it's direct payments to licensed child care providers to support

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• Our Department of Managed Health Care issues guidance to health plans with directions for reimbursement
• And this is direct...
• And this is direct.
• Because again, both are needed at various times to provide true whole-person care or crisis care on that
• So if we could redirect them to the right care or maybe even a safer level of care, but having clinicians

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• I want the doctors focused on care.
• I want the doctors focused on care. We should all want the doctors focused on care.
• I'm directing you to 18 facilities, E, line 602, 610.
• I want to direct you to 603 to 604. You're right.
• care program, Obstetric response and education program, rural access to primary care and preventative

Summary: The House convened with prayer, the Pledge of Allegiance, quorum established, and several recognitions, including a legislative intern, a guest in the gallery, and Representative Bruce Antone’s upcoming induction into the Tuskegee Athletic Hall of Fame. The Speaker also gave brief remarks about the end of session and the freshman class. The chamber then took up a series of Senate-returned messages and concurred or insisted on several amendments while moving bills toward final passage. The House unanimously approved CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after adopting a House amendment to remove the IOTA-related provision, and CS/CS/SB 768 on foreign ties and business interests after a House concurrence motion. It also insisted on its amendment to CS/CS/CS/SB 184 on housing. CS/CS/HB 875 on educator preparation was amended to restore House provisions on teacher-prep courses, the Florida Center for Teaching Excellence at Miami-Dade College, and related testing and mentor-qualification changes; it passed 91-22 after debate over teacher certification, testing, and “identity politics” language. HB 1101 on out-of-network providers was amended to keep the House’s original notice and referral framework with a good-cause exemption; it passed 87-27 despite objections that it placed too much responsibility on doctors. After recess, the House took up CS/CS/SB 180 on emergency preparedness and response. Members described changes including removal of some homestead-assessment and debris-removal provisions, a study requirement for a post-hurricane county restriction concept, and a Florida Keys evacuation-time change paired with a 10-year cap of 900 permit allocations; the bill passed 116-0. The House also refused to concur in a Senate amendment to HB 1609 on waste incineration and requested the Senate recede. Later, the House returned to HB 1101 and insisted on its amendment after the Senate refused to concur. The longest debate came on CS/CS/HB 1115 on education, where the House amendment replaced the Senate version with the substance of HB 1267, including Schools of Hope, higher education governance, and course transparency. Members questioned provisions expanding Schools of Hope co-location and sponsorship authority beyond traditional opportunity zones, the role of the Department of Education versus school districts, transportation and facility-cost issues, and performance-based agreements. Supporters said the changes would expand options for students and use vacant or underutilized facilities; opponents argued the language was added late, lacked transportation funding, and could allow charter operators to enter high-performing schools. The bill remained under debate at the end of the transcript, with no final vote shown.

Transcript Highlights:

• The witness said it was a direct allocation, like an NGO direct allocation, and not payment for medical
• care industry?
• Thank you for bringing be trauma-informed care.
• When we're talking about patient safety and them understanding who's giving them care and what that care
• The proposed name change does not improve quality of patient care, reduce costs, increase access to care

Summary: The committee first took up House Bill 611 by Rep. Freeman, which would require pregnancy-related service centers that provide health care services to be licensed or, as amended, to clearly disclose that they are not a licensed medical facility regulated by the Louisiana Department of Health. Rep. Freeman and supporting witnesses argued the bill was prompted by a legislative auditor report and concerns that some centers provide ultrasounds, STI testing, pregnancy tests, and related services without clear medical oversight. The Louisiana State Board of Medical Examiners’ executive director testified that interpreting ultrasounds and performing certain tests can constitute the practice of medicine, while opponents argued the centers already operate under medical directors and that the disclosure requirement was unconstitutional under the NIFLA case. The committee adopted an amendment, but after debate on the amended bill, a motion to report favorably failed on a roll call vote, and the bill was voluntarily deferred. The committee then heard House Bill 902 by Rep. Marcelle, which directs the Louisiana Department of Health to develop trauma-informed training. Supporters said the bill grew out of a task force on student behavior, mental health, and discipline, and that educators need a more consistent, evidence-based trauma-informed curriculum than what is currently available online. Some members raised concerns about cost and whether the bill would mandate new school obligations, while a witness from the Louisiana Baptist Convention opposed the measure as mission creep and argued trauma-informed care is too specialized for general teacher training. Other members supported the bill as a way to help educators identify and respond to children facing trauma. The bill was amended with technical changes and then discussed further, but the transcript ends before a final vote on HB 902 is shown.

Transcript Highlights:

• care.
• "With regard to emergency authority and continuity of care, it authorizes DOEA to provide temporary direct
• "With regard to emergency authority and continuity of care, it authorizes DOEA to provide temporary direct
• for seniors in long-term care.
• Family care councils do two things for us.

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Transcript Highlights:

• care setting or maybe in urgent care as well.
• care setting or maybe in urgent care as well.
• Those were things that you may want to go to your primary care physician for are seek an urgent care
• managed care plan, establishing that relationship between that patient and a primary care setting as
• Again, managed care—that coordination with the managed care organization—is just one key component of

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• wrong direction.
• wrong direction.
• Every additional minute spent on administrative tasks is a minute taken away from direct patient care
• , human health care practitioner, we were flooded. an actual health care practitioner, human health care
• And let me be clear: reproductive health care is essential health care, and access to this care should

Keywords: 988, house, all

Transcript Highlights:

• And moving this direction, Vice Chair Cortes? The name is Mr.
• and communities needing care.
• We need robust care in all settings, and it's my hope that we all want a robust continuum of care where
• It directs JLARC to conduct a retrospective review of the last four years, It directs JLARC to conduct
• It directs J-LARC to conduct a retrospective review of the last four years, It directs JLARC to conduct

Summary: The Early Learning and Human Services Committee opened its 2026 session with member and staff introductions, then took up four bills. HB 2185 would expand the Homeless Youth Advisory Committee to include more members with lived experience of homelessness or involvement in public systems, broaden youth representation up to age 25, and allow members who turn 25 to finish their terms. The prime sponsor and testifiers from homeless youth advocacy organizations supported the bill, saying it would improve representation and the quality of advice to the Office of Homeless Youth. The hearing on HB 2185 was then closed. The committee next heard HB 2319, which renames Washington’s residential habilitation centers by removing the word “school” from their titles and updating related statutory references. The sponsor said the change is meant to reflect current services and reduce confusion, and advocates from The Arc of Washington, Disability Rights Washington, and self-advocates supported the bill as a needed terminology update that would better describe the facilities and avoid misleading the public. No opposition was heard. HB 2230 would limit DSHS to one annual routine review in specified subject areas for community residential service providers and require more document-sharing across divisions to reduce duplicate oversight. The sponsor and provider witnesses said the bill is intended to cut redundant audits and site visits so staff can spend more time on client care, while still preserving investigations and required oversight. HB 2200 would direct JLARC to review safety and stability outcomes across developmental disability residential settings and require a public dashboard comparing data such as 911 calls, ER boarding, placement terminations, and staff retention. The sponsor and several witnesses supported greater transparency, while provider representatives raised concerns about raw data being misleading without per-client or percentage-based context and about possible fiscal impacts. The committee did not take final votes on the bills in the transcript and adjourned after public hearings and caucus time were announced.

Transcript Highlights:

• the Agency for Health Care Administration to seek federal approval and update managed care and fee-for-service
• of small children at home, who don't take care of an elderly person at home, who don't take care of
• To the Agency for Health Care Administration.
• They're going to be using the emergency room for regular care.
• Under tab 21, we have HB 5301 by Health Care.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• Madam Chair and members, HB 2239 establishes the child care grant program to assist families in the state
• with child care.
• a hospital, emergency department, or locked unit of a behavioral health facility to another health care
• instruction fund that may be used only on direct instructional expenses and which is funded through
• instruction fund that may be used only on direct instructional expenses and which is funded through

Summary: The meeting was a caucus review of a long list of bills on Minority Caucus Calendars 8 and 9, with members briefly noting whether measures were unanimous, on consent, or had split votes. Topics included appropriations for homeless veteran shelter services (HB 2620), the Veterans Court Program grant fund (HB 2960), municipal improvement districts (HB 4064), a memorial measure (HB 2079), child care grants (HB 2239), midwife medication administration and advisory committee changes (HB 2251), home and community-based service provider funding (HB 2403), EMS reciprocity (HB 2437), prescription monitoring (HB 2434), electronic monitoring in health care facilities (HB 2914), pregnancy resource center funding and restrictions (HB 2229), limits on police transport of mental health patients (HB 2404), Access coverage for mild obstructive sleep apnea treatment (HB 2726), school district spending and teacher pay requirements referred to the ballot (HCR 2007), mobile home park operator training (HB 2199), local government investment pool oversight (HB 2344), task order contract website posting (HB 2445), tourism improvement areas (HB 2950), ambulance certificate reporting (HB 2402), short-term rental occupancy rules (HB 2429), ASRS retirement rules for elected officials (HB 2505), trespass penalties after eviction (HB 2047), post-nuptial agreement enforcement (HB 2861), civil rights board continuation (HB 2931), and utility replacement plant siting (HB 2389). Members also discussed child welfare and family law bills on Calendar 9, including kinship foster placement (HB 2035), neglect standards based on financial resources (HB 2041), family court evidence (HB 2968), DCS response to abuse reports (HB 4004), prostate cancer insurance cost-sharing (HB 2617), mental health hearing technology (SB 1242), optometrist prescriptions (SB 1023), behavior analyst regulation (SB 1145), assisted living occupants (SB 1247), manufactured home installer licensing and fingerprinting (HB 2868), supervised parenting time (HB 2615), unlawful entry involving vulnerable adults (HB 4136), uranium contamination monitoring funding (HB 2889), a gas and petroleum refinery study committee (HB 4025), and veteran state park fee exemptions (HB 2165). Several members raised policy concerns on bills involving privacy, rural transportation capacity, environmental review, pregnancy centers, and funding priorities, while others noted support or that amendments had addressed earlier issues. No formal roll-call votes were taken in the transcript itself; the chair mainly recorded whether bills were unanimous, consent, or split and whether any should be taken off consent or discussed further. The meeting ended with announcements about an upcoming CAP breakfast, a Latino Caucus meeting, and an Affordability Award presented to Representative Volk before adjournment.

Transcript Highlights:

• And then if the error rate is above 10 percent, that will be 15 percent direct state costs for direct
• In primary care, behavioral health, and/or dental care, on average, New Mexico needs at least 5,000 additional
• health care workers to address current shortages.
• While primary care awards largely support routine and preventative care and integrated services like
• The Health Care Authority has indicated that Managed Care Organization (MCO) access measures are considered

Keywords: 996, all