Transcript Highlights:

• This is meant to be how do we think and use this as an opportunity to create a blueprint and a road map
• blueprint<00:09:49.760><c> and</c><00:09:49.920><c> a</c><00:09:49.960><c> road</c><00:09:50.360><c> map
• </c><00:09:51.040><c> for</c><00:09:51.240><c> moving</c> blueprint and a road map for moving blueprint
• and a road map for moving forward<00:09:52.360><c> and</c><00:09:52.560><c> continually</c><00:09:53.440

Keywords: 958, all

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

Transcript Highlights:

• they will openly tell you stories of dentists that are 20, 25 miles away across an arbitrary line on a map
• miles away across an arbitrary line<00:20:02.240><c> on</c><00:20:02.400><c> a</c><00:20:02.640><c> map
• that</c><00:20:03.600><c> sometimes</c><00:20:04.000><c> re</c><00:20:04.320><c> get</c> line on a map
• that sometimes re get line on a map that sometimes re get reimbursed<00:20:05.200><c> as</c><00:20:05.360

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Our 10-year capital highway investment plan is already available online with an interactive map to view
• 01:21:18.960><c> with</c><01:21:19.199><c> an</c><01:21:19.440><c> interactive</c><01:21:20.080><c> map
• </c><01:21:20.400><c> to</c><01:21:20.640><c> view</c> online with an interactive map to view online
• with an interactive map to view projects<01:21:21.920><c> under</c><01:21:22.280><c> development.

Keywords: 1187, senate, all

Transcript Highlights:

• Drivers that are routed by GPS mapping to this highway have a reasonable expectation that any state highway
• /c><00:59:19.440><c> routed</c><00:59:19.760><c> by</c><00:59:19.920><c> GPS</c><00:59:20.400><c> mapping
• </c> Drivers that are routed by GPS mapping Drivers that are routed by GPS mapping to<00:59:20.960><c

Bills: HF1569, HF460, HF850, HF707, HF798, HF852, HF366, HF365, HF836, HF866, HF885, HF959, HF1196, HF1788, HF1349, HF2272, HF2652, HF1251, HF607

Keywords: transportation, bond issuance, capital investment, infrastructure, road improvements, HF460, Sibley County, Highway 21, County State-Aid Highway, bonding bill, state bonds, bond proceeds fund, transportation grant, infrastructure improvements, sanitary sewer, water main, storm sewer, stormwater, public works, local infrastructure

Transcript Highlights:

• de Pineda, Spanish explorer Alonzo Alvarez de Panita named the Gulf of Mexico in 1519 during his mapping
• panic alert system provided for the bill and also ensures that panic alert systems and digital school maps
• panic alert system provided for the bill and also ensures that panic alert systems and digital school maps
• Senator Collins had our school mapping bill a couple of years ago, and so incorporating this along with

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• This could lead to companies to limit or scale back free widely used services like Gmail, Google Maps
• free widely used services like Gmail, free widely used services like Gmail, Google<00:25:23.679><c> Maps
• YouTube</c><00:25:24.880><c> and</c><00:25:25.200><c> Facebook</c><00:25:26.000><c> tools</c> Google Maps
• , YouTube and Facebook tools Google Maps, YouTube and Facebook tools motans<00:25:27.039><c> rely</c>

Keywords: 1187, senate, all

Transcript Highlights:

• Not only do they have many folks on Medicaid, as demonstrated by the coverage maps that we've provided
• c><00:47:36.920><c> by</c><00:47:37.079><c> the</c><00:47:37.240><c> coverage</c><00:47:37.640><c> maps
• </c> as demonstrated by the coverage maps as demonstrated by the coverage maps that<00:47:38.160><c>

Keywords: 1183, house

Transcript Highlights:

• more and it needs to be had louder because if we continue down this path of anything that's inside the map
• that's<00:46:20.480><c> inside</c><00:46:21.680><c> um</c><00:46:22.079><c> the</c><00:46:22.319><c> map
• </c><00:46:22.560><c> of</c><00:46:22.720><c> Minnesota,</c> that's inside um the map of Minnesota, that's
• inside um the map of Minnesota, we're<00:46:23.599><c> going</c><00:46:23.680><c> to</c><00:46:23.839

Keywords: 1183, house

Transcript Highlights:

• Geological Survey released its first-ever map identifying potential geological hydrogen deposits, and
• Geological Survey released its first Geological Survey released its first ever<00:01:40.320><c> map</
• c><00:01:40.799><c> identifying</c><00:01:41.280><c> potential</c> ever map identifying potential ever
• map identifying potential geological<00:01:42.720><c> hydrogen</c><00:01:43.360><c> deposits,</c><00

Keywords: 1187, senate, all

Transcript Highlights:

• It shows on the map where the district is, as well as some general rules.
• it</c><00:08:34.159><c> shows</c><00:08:34.399><c> on</c><00:08:34.519><c> the</c><00:08:34.719><c> map
• </c><00:08:35.440><c> where</c> District uh it shows on the map where District uh it shows on the map

Keywords: 1183, house

Transcript Highlights:

• We have bills from all over the liquor map on this, from local regulations to some things about social
• have bills from all over the the the we have bills from all over the the the liquor<00:15:46.920><c> map
• 47.480><c> this</c><00:15:47.959><c> um</c><00:15:48.279><c> from</c><00:15:48.880><c> local</c> liquor map
• on this um from local liquor map on this um from local regulations<00:15:50.040><c> to</c><00:15:50.600

Bills: HF747, HF1014, HF320, HF400

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, Minnesota Insurance Guaranty Association, MIGA, insurance guaranty fund, insurer insolvency, covered claim, net worth threshold, high-net-worth insured, financial information request, insurance claims, self-insured retention, deductible, commercial insurance, insurance regulation, Minnesota Statutes 60C.09, guaranty association

Transcript Highlights:

• This serves low-income Minnesotans, and there's a map here that shows all of the public housing that
• Uh, Miss Tapor, did you have— Madam Chair, just to wrap us all up, the map here is where the POP funds
• grants have been allocated up through 2020, so add additional 20 dots to this map for 2024's grant awards
• There's a map that Minnesota Housing has that just has the last couple years, and this one was a little

Keywords: 1187, senate, all

Transcript Highlights:

• So I'll start today by providing a quick road map of my comments.
• providing<00:03:09.959><c> a</c><00:03:10.159><c> quick</c><00:03:10.360><c> road</c><00:03:10.760><c> map
• </c><00:03:11.000><c> of</c><00:03:11.159><c> my</c> providing a quick road map of my providing a quick
• road map of my comments<00:03:12.319><c> I'll</c><00:03:12.519><c> first</c><00:03:12.799><c> highlight

Keywords: 1183, house

Transcript Highlights:

• On the website, there is a pretty useful map with all of the vendor locations across the state.
• On the website, there is a pretty useful map with all of the vendor locations across the state.
• On the website, there is a pretty useful map with all of the vendor locations across the state.
• On the website, there is a pretty useful map with all of the vendor locations across the state.

Keywords: 1183, house

Transcript Highlights:

• That math ain't mapping and it doesn't make sense.
• That math ain't mapping and it doesn't make sense.
• That math ain't mapping and it doesn't make sense.
• That math ain't mapping and it doesn't make sense.
• That math ain't mapping and it doesn't make sense.

Keywords: 1136, house, all

Transcript Highlights:

• ,</c> consistency in references to laws, maps, consistency in references to laws, maps, regulations,<
• will do is waste time and your taxpayer dollars to stroke the ego of a guy who sharpied a hurricane map
• will do is waste time and your taxpayer dollars to stroke the ego of a guy who sharpied a hurricane map
• Republicans worry about 400-year-old words on a map.
• I don't need to invade Greenland. 400year old words on a map. I worry 400year old words on a map.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 8, 2025, 1012, house, all

Transcript Highlights:

• have to be the fire department because they're the ones who are actually enforcing that you put the map
• have to be the fire department because they're the ones who are actually enforcing that you put the map
• We chose that definition because we thought it would be easy to just figure out on a map, because you
• :48.480><c> a</c> it would be easy to just figure out on a it would be easy to just figure out on a map
• But I do have this map. You can see this map from last June by the New York Post.

Keywords: 928, house, all

Summary: The committee first discussed a budget-related issue involving liquor commission enforcement staff and tobacco enforcement funding. A member explained that proposed cuts to “group two” enforcement positions at the liquor commission could jeopardize the tobacco enforcement money that flows to Health and Human Services, and expressed confidence that the enforcement division would ultimately be preserved. The main hearing was on Senate Bill 19, which would modernize hotel and motel statutes by repealing outdated requirements. The sponsor and the New Hampshire Lodging and Restaurant Association said the bill would remove obsolete rules such as the old guest book/card system and antiquated posting requirements for room rates and motel signs. Members questioned whether the bill would eliminate the requirement to record guest departure dates or affect inspection rights, and the witnesses said the intent was only to remove the book-and-card reference while leaving the rest of the recordkeeping requirement in place. Supporters argued the rate-posting rules are widely ignored, hard to enforce, and outdated in an era of digital reservations and variable pricing; the committee also discussed whether any consumer-protection purpose remained. The public hearing on SB 19 was then closed. The committee then heard Senate Bill 280FN, which would require food delivery services to have an agreement with a restaurant or food retail store before offering delivery from that business. The sponsor said the bill restores a prior law that had sunset and was intended to prevent third-party platforms from listing restaurants without consent. Restaurant industry testimony strongly supported the bill, describing problems with unauthorized listings, delayed deliveries, and reimbursement disputes, and saying the agreement requirement protects restaurant brands and consumer expectations. Members shared examples of delivery problems and voiced support for reinstating the safeguard.

Transcript Highlights:

• And we've seen, we use NWA, which is map testing, as kind of our internal measure of our students throughout
• Just a different way of mapping that gap that's growing.
• And it's all going to be all over the map as far as how much school districts are paying extra.

Keywords: 908, all

Transcript Highlights:

• And we've seen—we use NWA, which is MAP testing, as kind of our internal measure of our students throughout
• Just a different way of mapping that gap that's growing.
• And it's all going to be all over the map as far as how much school districts are paying.

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• And we've seen, we use NWA, which is MAP testing, as kind of our internal measure of our students throughout
• Just a different way of mapping that gap that's growing.
• And it's all going to be all over the map as far as how much extra school districts are paying.

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.