Transcript Highlights:

• <00:09:28.040> go to receive those Services as they go to receive those Services as they go
• their youth um that often the services their youth um that often the services that<00:21:30.200>
• and prepetition legal legal services and prepetition legal services<01:20:55.440> in services
• State investment and prevention services aimed at increasing service array and service access is critically
• Services aimed at increasing service Services aimed at increasing service array<02:11:35.199> and<

Keywords: 1187, senate, all

Transcript Highlights:

• That is specific to food services only.
• And it is specific to food services, food purchases, delivery of food for seniors in the senior service
• The reimbursement covers services such as targeted case management, psychological services, speech-language
• It's the Department of Human Services, Division of Children and Family Services.
• It's the Department of Human Services, Division of Children and Family Services.

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• THIS ENABLES DEPARTMENT AND PARTNERS TO PROVIDE SERVICES AND PLACEMENT SERVICES AND ALSO ALLOWING FOR
• WE KNOW IN PROVIDING SERVICES TO THESE YOUTH THEY DO REQUIRE A LOT OF OTHER SERVICES.
• INTENSIVE SERVICES BEING DONE. EARLY OUTCOMES FOR THOSE SERVICES WHICH IS GREAT.
• LOOKING AT ALL OF THE SERVICES AND MAKING SURE THEY ARE QUALITY SERVICES.
• DATA COLLECTION AND SERVICE GAPS.

Keywords: 999, senate, all

Transcript Highlights:

• services.
• Social media provides free services. Social media provides free services.
• sales tax on consumer legal services sales tax on consumer legal services which<00:29:07.560>
• professional services. professional services.
• <00:32:08.240> will brokerage, and legal services will brokerage, and legal services will

Keywords: 919, house, all

Summary: The committee heard testimony on House File 5055, the governor’s supplemental tax budget. Commissioner of Revenue Paul Marquart outlined the proposal as a balanced budget package that would leave a positive bottom line in the current biennium and beyond. He emphasized family-focused tax relief, especially a new refundable young child credit for children ages 0 to 4, which would provide up to $3,000 for one child or $6,000 for two or more, benefit about 104,000 families, and phase out at higher incomes. He also described federal conformity changes, including updates to business interest deductions, dependent care credits, and Section 179 expensing, along with omitted federal items such as research expensing and opportunity zones due to cost and policy concerns. Marquart also defended broader tax modernization proposals, including expanding the sales tax to selected consumer services such as accounting, banking, brokerage, and legal services while lowering the statewide sales tax rate, and creating a social media tax on consumer data collection that would fund an AI readiness special revenue fund rather than the general fund. He said these changes would make the sales tax less regressive and better aligned with the modern economy. Additional provisions mentioned included a gun-related gross receipts tax on firearms and ammunition, cannabis tax technical changes, historic structure rehabilitation conformity, and added auditors for tax compliance. Testimony from outside groups was mixed. Nan Madden of the Minnesota Budget Project supported the governor’s approach as a response to federal tax and spending changes, praised the decision not to conform to opportunity zones or federal no-tax-on-tips/overtime provisions, and urged even stronger revenue measures. Brian Lake of the Minnesota State Bar Association strongly opposed the proposed sales tax on consumer legal services, arguing it would burden low- and middle-income people in sensitive cases and create unfairness when individuals litigate against the state. Tanner Fritsinger of the Minnesota Association of Professional Employees supported the sales tax base expansion and the social media tax as ways to broaden revenue without raising the base rate. The committee chair thanked the commissioner and then began hearing public testimony, with additional testifiers queued up.

Transcript Highlights:

• True service involves duty without ego, making service to humanity service to God.
• Thank you for your service. Thank you. Detective, thank you for your service. Thank you.
• He was proud of his service, and he was a dedicated husband and father.
• For his service, his commitment, and the life he gave in service to our nation, we are forever grateful
• Rubio, for your service to our country.

Summary: The Assembly convened, established a quorum after a roll call, and opened with a prayer and the Pledge of Allegiance. Routine procedural motions followed, including unanimous-consent actions to suspend rules for adjournment-in-memory remarks, guest introductions, and expedited floor processing of certain bills and committee reports. The chamber also recognized several guests, including Sacramento Police Detective Jason Collins, student musician Ethan Shue, and Glendale Councilmember Artie Kasakian. On the floor file, AB 1184 by Assembly Member Patterson, the Homeowner Association Accountability and Transparency Act of 2026, was presented as a measure to add basic transparency requirements for HOAs; it passed 56-0. AB 871 by Assembly Member Stephanie, addressing financial elder abuse and scam reporting/training for financial institutions, also passed 56-0. On the Senate side, SB 25 by Senator Umberg, which would give the California Attorney General earlier access to federal merger-notification filings to streamline merger review, passed 43-14 after the Majority Leader presented it. The Assembly then held several adjournment-in-memory tributes, including Paul R. Ignatius, former U.S. Secretary of the Navy and Glendale native; Oxnard Police Commander Scott Aaron; Private First Class Tanner F. Rubio of the U.S. Marine Corps; and former Yolo County Supervisor Betsy Marchand. Members and family guests offered remarks honoring their service and legacies, followed by a moment of silence for PFC Rubio. The session concluded with announcements about upcoming floor and committee deadlines and adjourned until Monday, January 26 at 1 p.m.

Transcript Highlights:

• Child care services.
• Legislative Management Program Evaluation, DHS Services, Child Care Services.
• DHS services, child care services. It's just the title? How does it read to you?
• And then Human Services. Human, DHS, Child Care Services.
• It seems like it should say services of child care services. I mean, human services of child care.

Bills: HB1220

Keywords: accelerated degree, high-demand occupations, education reform, North Dakota, licensing, 908, all

Summary: The Workforce Development Committee reconvened to discuss House Bill 1119, which would create a child care advisory committee and authorize a Legislative Council program evaluation of child care services. Senator Hogan explained that the bill is intended to review child care licensing rules, child care assistance, and related laws and policies, while also giving child care providers a stronger voice in the rulemaking process. He described the proposal as a new model for legislative program evaluation and noted that leadership had been briefed and was supportive. Committee members raised concerns about the bill’s wording, scope, and structure. Senator Larson questioned the title and several sections, and multiple members suggested making the response language less directive and more collaborative, including changing “shall” to “may” in the section requiring a written response from the Department of Health and Human Services. Members also discussed limiting the advisory committee to the interim, clarifying that the evaluation would focus on child care services rather than broader early childhood programs, and adjusting language about enacted legislation to sound more neutral. The committee also discussed fiscal impact, with Hogan saying the evaluation would be done by Legislative Council staff and that any costs would likely be limited to meetings and existing DHS rulemaking activities. Members compared the proposal to other oversight models, including audit-style reviews and a possible DOGE process, and Hogan emphasized that the bill is meant to evaluate why child care issues keep recurring and why some laws are not fully implemented. No vote was taken; the committee agreed to continue refining the bill and planned to meet again the following Thursday.

Transcript Highlights:

• We then reverted to PCA services.
• We then reverted to PCA services.
• The district controls the services.
• to adult services.
• Our FY26 budget is over $2 million below level services.

Keywords: 995, all

Summary: The Joint Committee on Education held a hearing focused primarily on special education-related bills, with testimony centered on two major themes: transition planning for students aging out of school-based services at age 22, and the fiscal strain special education costs place on districts. Committee members explained hearing procedures, noted the House was in formal session, and periodically stepped out for votes while staff recorded testimony. A separate bill on special education due process was also taken up briefly, along with a bill on special education finance and another on equitable access/data reporting. On House Bill 752 and Senate Bill 313, witnesses from the Arc of Massachusetts, the Massachusetts Down Syndrome Congress, the Developmental Disabilities Council, families, self-advocates, and Senator Comerford described the “Turning 22” transition as a crisis point that often leaves families without adult placements, services, or clear communication. Testimony emphasized earlier planning, more accountability, better data collection, and a commission to improve coordination and residential placement. Several parents and advocates shared personal accounts of traumatic transitions, delayed placements, and the need for plans to begin at least a year before age 22. The committee later closed testimony on these bills after hearing from all signed-up speakers. House Bill 4217, on special education due process, drew support from Representative Sullivan-Almeida, parents, and advocates who argued that the burden of proof should shift from families to school districts. Testimony described costly legal battles, delays, and parents having to become experts in reading instruction or hire advocates and attorneys to secure services. Brody Dwyer, a 10-year-old student with dyslexia, and his mother described how evidence-based instruction helped him after years of struggle. The committee also heard testimony on House Bill 546/Senate Bill 317, which would require DESE to publish cross-tabulated data on race, disability, gender, income, and other factors; advocates said this would better expose disparities and help address the school-to-prison pipeline. Finally, on House Bill 691/Senate Bill 430, school leaders, educators, and union representatives testified that special education costs are outpacing district budgets and that increasing circuit breaker reimbursement and creating a commission to study long-term sustainability would help prevent staffing cuts and service reductions. No votes were taken during the hearing; the committee repeatedly closed testimony on individual bills as speakers finished and moved through the agenda.

Transcript Highlights:

• House Bill 1246, an act requiring the Department of Veterans Services to conduct a study on veteran services
• House Bill 1246, an act requiring the Department of Veterans Services to conduct a study on veteran services
• So, in addition, they would not be on the site of the religious service.
• That's not a religious service. That's a political protest. That's not a religious service.
• Senate Bill 1235 amends statutes relating to emergency medical services.

Summary: The Senate met in floor session, began with prayer and the Pledge, approved the journal, received communications, and handled a return of Senate Bill 1456 from the House for reconsideration. Members then moved through several Committee of the Whole calendars, considering and amending bills on court fees, information technology, environmental quality, agricultural property inspections, property tax notices, veterans services, zoning and electric generation siting, fuel and gas resilience, and disturbing religious services. Several amendments were adopted, including changes to HB 2265 on criminal court fees, HB 2311 on conversational AI disclosures and privacy limits, HB 2986 on environmental quality/fuel resilience, HB 2104 and HB 2105 on agricultural property inspection rules, HB 2406 on veterans services, HB 2494 on electric generation siting and environmental compatibility, HB 2696 on fuel and gas prices, and HB 4117 on interference with religious services. Most of these bills were reported out of committee with do pass recommendations, though members raised concerns on HB 2311 and HB 4117 about privacy, free speech, and prosecutorial discretion. The chamber then took up a long series of third readings and final votes. Bills passed included HB 2015 on single-audit compliance, HB 2041 on child neglect and poverty factors, HB 2048 on AHCCCS prescription drug coverage, HB 2417 on excessive speed, HB 2611 on child welfare, HB 2793 on annexation, HB 2950 on special districts, HB 2995 on family law, HB 4018 on county officers, HB 2404 on mental health services, HB 2279 on limitations of actions, HB 2502 on the state retirement system, HB 2733 and HB 2953 on pharmacy regulation, HB 2979 on credit unions, HB 4042 on parent-child relationship determinations, HB 4010 on health professional regulatory boards, HB 4043 on public schools, HB 4049 on the Attorney General, HB 2265 on court fees, HB 2311 on information technology, and HB 2986 on environmental quality. HB 2601 on state highways and routes failed. Several members explained votes on bills involving fiscal impacts, child welfare, road safety, annexation, and criminal justice concerns. The Senate also adopted a group concurrence motion on several conference committee reports, including HB 2003, HB 2010, HB 2133, and HB 2874, and then voted on those measures. HB 2003 on driver’s license instruction permits, HB 2010 on advertising, HB 2133 on disclosure of sexual material and synthetic depictions, and HB 2874 on campaign committees and termination statements were all advanced after conference committee action, with debate on HB 2133 focusing on First Amendment and content-moderation concerns. The session ended with introduction of a large package of transportation-related appropriations bills and a motion to suspend certain committee notice rules for Appropriations to hear legislation and strike-everything amendments on short notice.

Transcript Highlights:

• , or families in need of services.
• To address mental health and medical services.
• It helps us to determine whether that youth needs intensive substance abuse services, mental health services
• Now, our forensic services encompass a multitude of scientists.
• Office of Statewide Services.

Summary: The Justice Budget Subcommittee met for an introductory overview of the justice budget and the major agencies within it. Chair Maney explained that the committee would hear broad presentations rather than detailed budget questions, and the first panel included the Department of Juvenile Justice, Department of Corrections, Commission on Offender Review, Department of Law Enforcement, Office of the State Courts Administrator, and the Attorney General’s Office. Each agency described its mission, staffing, budget, and major responsibilities, with repeated emphasis on public safety, rehabilitation, staffing shortages, technology needs, and the importance of mental health services and education in reducing recidivism. Secretary Hall described DJJ’s prevention-to-aftercare continuum, including civil citation, detention, probation, and residential commitment programs, and highlighted reductions in juvenile arrests and commitments. Secretary Dixon said DOC’s biggest issues are staffing, overtime, and inflation, while noting progress in education, reentry, and a low recidivism rate. FDLE Commissioner Glass outlined the agency’s investigative, forensic, intelligence, and protective functions, including work on fentanyl enforcement and crime reporting systems. The State Courts Administrator emphasized the judiciary’s constitutional role, case volume, and challenges in providing interpreters, experts, and technology support. Chief Deputy Attorney General Guard described the office’s litigation, criminal appeals, consumer protection, and opioid recovery work, especially defending state laws and recovering opioid settlement funds. Members then asked questions about prison conditions, immigration enforcement, court filing fees, crime reporting, staffing ratios, and transnational gangs. Agency leaders responded that they were not aware of ICE contracts in some cases, that FDLE works with immigration authorities and detention facilities under existing authority, and that filing fees are a legislative policy decision. The committee also heard from the Justice Administrative Commission, prosecutors, public defenders, guardian ad litem, regional conflict counsel, and capital collateral regional counsel, who focused on indigent representation, dependency and death penalty cases, and persistent staffing and retention problems. No votes were taken, and the meeting concluded after the presentations and questions.

Transcript Highlights:

• Veteran services, the normal clerk services, tax assessor, the three courts.
• Veteran services, the normal clerk services, tax assessor, the three courts.
• Veteran services, the normal clerk services, tax assessor, the three courts.
• The National Weather Service. The National Weather Service is in charge of the upper-air station.
• So the combination of services to provide the manpower here to service the Hill Country?

Summary: The joint Senate and House disaster preparedness hearing convened in Kerrville with quorum, public testimony limited to three minutes and invited testimony to 10 minutes. Leaders from both chambers, along with the lieutenant governor and speaker, framed the hearing as an unprecedented joint effort focused on learning from the July 4 flood, honoring victims, and identifying actions to reduce future loss of life. The committee also heard opening remarks about decorum, logistics, and the intent to continue work in future sessions. The first panel included Kerr County Judge Rob Kelly, Sheriff Larry Leitha, Emergency Management Coordinator William B. Thomas IV, Kerrville Mayor Joe Herring Jr., Kerrville City Manager Dalton Rice, Upper Guadalupe River Authority representative William Rector, Kendall County Judge Shane Stolarczyk, and Real County Judge Bella Rubio. They described the flood as sudden and catastrophic, with Kerr County reporting 108 deaths and two missing. Local officials emphasized that they received no timely warning of the scale of the event, that responders and volunteers acted heroically under extreme conditions, and that communications, cell coverage, and rural emergency resources were strained. Several witnesses said the county’s existing alert systems were limited by geography, sparse broadband, and the speed of the flood. Testimony focused on possible improvements, including real-time flood gauges and predictive monitoring, stronger rural emergency management staffing and training, better interoperability and alerting tools such as IPAWS, CodeRED, WENS, and sirens, and expanded broadband and radio coverage. Kerrville asked for a flood warning system before next summer and state help for stormwater, floodplain, and disaster recovery funding. UGRA described its past and current flood-warning and mitigation efforts, including gauge funding, a new software-based flood prediction project, and consideration of additional retention dams. Kendall and Real counties highlighted successful or needed alerting and evacuation practices, while also stressing the difficulty of funding and maintaining such systems in small rural counties. Members asked detailed questions about the timeline of the flood response, low-water crossings, communications failures, sirens, bridges, and whether regional consolidation or additional infrastructure could improve future preparedness.

Transcript Highlights:

• and services.
• and services.
• and services.
• and services.
• and services.

Keywords: 1187, senate, all

Transcript Highlights:

• CRNAs and physician anesthesiologists provide the same services at the same standard of care.
• CRNAs and physician anesthesiologists provide the same services at the same standard of care.
• It also would require that all claims are submitted for payment to identify who provides the service.
• and stipulate that CRNAs cannot be reimbursed less than physicians that provide the same service.
• approval for certain outpatient specialty care, procedures, services, and supplies.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• services, investments.
• There is no cut in services based on this tax cut.
• Again, no essential services are being cut by what we're doing here today.
• But again, no cuts in the services. Any other discussion?
• But again, no cuts in the services. Any other discussion?

Keywords: 1204, all

Transcript Highlights:

• , Bureau of Child Support Services.
• , Bureau of Child Support Services.
• stakeholders and community services stakeholders and community services within<00:23:36.799>
• <00:39:23.040> Center<00:39:24.040> is services the cun you Services Center is services
• Services.

Keywords: 928, house, all

Summary: The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1. The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families. Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.

Transcript Highlights:

• use treatment services, forensic services, community-based services in our outpatient services, which
• <00:03:58.599> forensic<00:03:59.200> services Treatment Services forensic services
• Treatment Services forensic services Community<00:04:00.400> Based<00:04:00.680> Services<
• Services in our outpatient<00:04:02.280> services<00:04:02.840> which<00:04:03.040>
• <00:04:25.880> our operation support services our operation support services our Behavioral

Keywords: 1183, house

Transcript Highlights:

• residential services, that Medicaid reimburses.
• We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
• A specific provider type for substance use disorder services for adolescents, for residential services
• We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
• It is a way in which we verify the services, the start date, start time, end time, date, place of service

Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling. The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor. No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.

Transcript Highlights:

• The our military service members. The our military service members.
• And I say service service members. And I say service service members.
• Thank you for your service. Hey, here. Thank you for your service.
• a service connected veteran and you're 40% service veteran and you're 40% service veteran and you're
• delivery of 911 services throughout the state. of 911 services throughout the state. of 911 services

Bills: HB 10, HB 12, HB 147, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• right now are are Medicaid or services right now are are Medicaid or services that<00:02:22.879>
• Transportation, translation services, housing support services—and all of those were the same group.
• which<00:07:25.039> is<00:07:25.120> a services, um autism services, which is a services
• translation services, h uh housing support<00:07:33.440> services,<00:07:34.319> and<00
• the Department of Human Services the Department of Human Services Behavioral<00:13:14.720> Health

Keywords: 1187, senate, all

Summary: The program focused first on Minnesota Republicans’ efforts to combat fraud and improve government accountability, featuring Sen. Mark Koran. He argued that fraud in programs such as Medicaid, childcare assistance, PCA, autism services, housing support, and food aid harms both taxpayers and vulnerable recipients, and he cited cases where people in need were left without services. Koran said the problem stems from weak agency oversight, overreliance on self-attestation, and poor use of available data and site visits. He described a bill and related work to strengthen an independent inspector general structure, standardize eligibility checks, require better verification and external data use, and improve agency accountability; he also said federal involvement is necessary because many programs include federal dollars. No vote was taken in the interview, but he said the Senate had already passed an inspector general-related measure and that broader reform is still needed. The second major topic was the Senate DFL’s “ICE accountability agenda” in response to federal immigration enforcement activity in Minnesota. The package includes bills to protect sensitive spaces such as schools and hospitals, ban law enforcement officers from wearing masks while on duty, and allow Minnesotans to sue the federal government in state court. DFL members framed the issue as one of constitutional enforcement tactics rather than immigration policy, and said the measures are intended to prepare the state if ICE returns. No committee vote or final action was described. The final segment covered school seclusion policy. Sen. Judy Seeberger explained that seclusion is intended as an emergency safety tool, not discipline, but said the 2023 law banning it through grade 3 removed a resource without replacing it. She said supporters of the ban point to misuse and trauma, while she and a working group sought a compromise with tighter safeguards: extending the policy through grade 12, requiring explicit parental consent and access to the room, interpreter services when needed, and reporting if seclusion is used repeatedly. She said the working group’s recommendations were largely reached by consensus, but the issue remains unresolved and it is unclear whether further legislation will advance this session.

Transcript Highlights:

• And as we know, it's an important service to allow people to age in place and receive their services
• For those who don't know, Indian Health Services individuals who are enrolled in Indian Health Services
• services, SUD services, and lower-level preventative behavioral health clinical services, are all really
• , particularly crisis services, SUD services, lower level kind of preventative based like behavioral
• for a critical life-saving service.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• Food service managers and food service staff across the state welcomed us into their school kitchens
• In contrast with food service... management companies.
• We’ve doubled our services again.
• CCBHCs provide an array of outpatient services that include crisis care, peer support, veteran services
• They're one of the most impactful services that we offer.