Transcript Highlights:

• opioid treatment programs, and to provide for related matters.
• It puts high logistical demand on the MDs doing it, on the nurse practitioners.
• It puts higher logistical demand on the MDs doing it, on the nurse practitioners.
• We compare that to LSU as well as nurse practitioners in the handout. Thank you.
• But as we know, there are far more hours than what's on paper in a program.

Committee: House Health and Welfare

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• The ombuds program? I think we had it. Go ahead, Jim.
• But that older Washingtonian may not know how to access that program.
• The current long-term care ombuds program is funded out of Commerce.
• And we historically have used a lot of volunteers in our program.
• Nothing of what they pay in their fees comes to our program.

Summary: The committee held a public hearing on House Bill 2299, which would create a state senior independent living ombuds program. Staff explained that the bill would direct the Department of Commerce to contract with a nonprofit to provide ombuds services for residents of senior independent living facilities, including complaint handling, data collection, referrals, training, and protections against retaliation and disclosure. The bill also sets qualifications and conflict-of-interest rules for ombuds staff and requires facilities to post notice of the services. The chair noted that, although executive session was on the agenda, the bills would not be voted out that day because amendments were still being worked on. Representative Christine Reeves, the bill’s sponsor, said the measure was intended to address gaps in protections for seniors in independent living settings, which are often treated under multifamily housing law rather than senior housing or long-term care statutes. She described constituent concerns about poor communication, delayed maintenance, safety issues, and a lack of a clear place for residents to seek help. Committee members asked about the bill’s scope, including whether it would apply to 55-plus communities, condominiums, and rented versus owned units, and staff clarified that the bill defines covered facilities as age-restricted apartment buildings, condominiums, or residential neighborhoods where residents rent the unit or land, plus certain portions of CCRCs and assisted living buildings not actively used for assisted living. Testimony was mixed. The Washington Health Care Association and LeadingAge Washington said they support the goal but raised concerns about the bill’s structure, funding, overlap with existing landlord-tenant and long-term care ombuds systems, and the need for a broader stakeholder process and a resident bill of rights first. The Washington State Long-Term Care Ombuds Program supported the concept and said it could potentially absorb the work, but emphasized that current funding is already below recommended staffing levels and that additional resources would likely be needed. Residents and advocates testified in support, saying the bill would provide a neutral outside authority and help address real problems in senior communities. No vote was taken, and the hearing was closed without further action.

Transcript Highlights:

• </c> vendor to manage the statewide program. vendor to manage the statewide program.
• . program. program.
• </c> program 3 years. program 3 years.
• </c> this program. this program.
• </c> in the name of program integrity." in the name of program integrity."

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• But we still have some work to do within that program.
• Do we want to put Minnesota nursing facilities first?
• But uh that that idea that that program.
• So do we want to put uh programming.
• Minnesota nursing uh facilities first?

Keywords: 1187, senate, all

Transcript Highlights:

• Support Program.
• in the state's sheep program, the state home energy assistance program.
• program.
• For school nurses, I would urge you to reject the $1 million cut to the BEST program, which is the Beginning
• Nurses are not often trained to work in a school setting, and this program is a lifeline often for school

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• And if you would please recognize Senator Standridge to introduce the Nurse of the Day.
• Senator Standridge, you are recognized to introduce the Nurse of the Day.
• From there she enrolled in a master's program to complete her degree in nursing.
• Yeah, this is a program that's sponsored by the Oklahoma Department of Transportation.
• You cannot do that with this federal program. Follow up. Thank you, Madam President. We can't.

Bills: SR31 , SB2060 , SB2184 , HB1371 , HB1411 , HB1933 , HB2361 , HB2398 , HB2893 , HB3006 , HB3044 , HB3127 , HB3322 , HB3147 , HB1276 , HB3472 , HB3522 , HB3704 , HB4303 , HB4319

Keywords: military, children, resilience, Purple Up!, military families, master development district, improvement district, public improvements, infrastructure financing, special assessments, statutory revision, consolidation, law amendment, emergency legislation, legal clarity, oil and gas, mineral rights, proceeds, royalties, escrow account

Transcript Highlights:

• Public service retirement programs are different than private.
• Public service retirement programs are different than private.
• During my stay in Plymouth, the doctors, nurses, and staff never gave up on me.
• to contract nursing services, but none were available.
• to contract nursing services, but none were available.

Committee: Joint Joint Committee on Public Service

Keywords: 995, all

Summary: The Joint Committee on Public Service held a hearing on May 7, chaired by Senators Mike Brady and Dan Ryan, and heard testimony on a wide range of retirement and benefits bills for public employees and their families. Several bills focused on line-of-duty death or disability benefits for police and firefighters, including Senate Bill 1831 for Joanne Sanji, widow of Rutland Detective John Sanji, whose COVID-19 death was described by family, counsel, and the police chief as a line-of-duty death already recognized by local, state, and federal memorials. Similar support was offered for bills involving the surviving spouse of a State Police officer injured in the line of duty, a Springfield officer injured by a hammer attack during a mental health call, and a bill for a former police officer seeking an increased disability retirement due to PTSD after a traumatic incident. Testimony repeatedly emphasized that these cases had been recognized locally or had already moved through prior sessions, but legislative action was still needed to secure benefits. The committee also heard multiple firefighter-related retirement bills. Representatives and union advocates supported a bill for retired Attleboro Fire Captain Walter Gerton, arguing that an audit and recalculation improperly reduced his pension after retirement and that the correction was requested by the local retirement board. Another bill sought disability retirement for former Westfield firefighter Greg Heath, who testified that Parkinson’s disease has made daily life and family care increasingly difficult; supporters cited studies linking firefighting exposures to Parkinson’s and said the city, retirement board, and local officials backed the measure. The committee also heard testimony for retired Quincy Fire Deputy Chief Kevin Bithrow, who described a Parkinson’s diagnosis following years of exposure at major toxic fires, including the Home Depot and MWRA incidents, and for a related Quincy bill that would treat his retirement as line-of-duty for survivor protection. Additional bills included a proposal to provide flags to next of kin of police officers and firefighters killed in the line of duty, a bill to resolve employer contribution obligations for the Neshoba Associated Boards of Health in the state retirement system, and several individual retirement or service-credit measures. These included a bill for former State Police gang unit officer David Patterson, a school nurse seeking additional credible service credit for a temporary staffing emergency, and a former Suffolk County sheriff’s deputy seeking an increased disability retirement after a violent inmate assault left him with lasting injuries. Testimony generally came from the affected individuals, family members, municipal officials, retirement boards, and public safety unions, with most speakers urging favorable action and noting that many of the bills had already passed one chamber or had been filed in prior sessions. At the end of the hearing, the committee took no recorded votes on the bills and then adjourned.

Transcript Highlights:

• I also represent the Nursing Home Association.
• Nursing home associations always advocated for nursing homes, whether you're for-profit, not-for-profit
• , or licensed practical nurse, or a person who holds a multi-state privilege to practice such nursing
• under the Nurse Licensure Compact. ...who holds a multi-state privilege to practice such nursing under
• the Nurse Licensure Compact.

Committee: House Courts of Justice

Keywords: House Committee Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• </c> behalf of the Minnesota Nurses behalf of the Minnesota Nurses Association<00:59:16.079><c> in</c
• </c> But we our members also include nurses But we our members also include nurses that<00:59:29.440>
• ><c> in</c><00:59:30.720><c> local</c> that work in nursing homes, in local that work in nursing homes
• </c> And in addition to those 23,000 nurse And in addition to those 23,000 nurse members,<00:59:41.920
• </c><01:07:04.799><c> maintain</c> ensuring state programs maintain ensuring state programs maintain

Committee: Senate Taxes

Keywords: 1187, senate, all

Transcript Highlights:

• Cody College here for nursing. Let's give Addison a big round of applause, please.
• Please recognize Representative Townley to present the Nurse of the Day.
• from Langston University in 2022, earning her Bachelor of Science in Nursing.
• Please welcome Nurse of the Day, Robin George. ...children.
• Please welcome Nurse of the Day, Robin George. ...children.

Summary: The House convened, the roll was called, and members proceeded through the day’s order of business, including prayer, the Pledge of Allegiance, introductions, and routine floor announcements. Chaplain Ronnie Wilson delivered the invocation, and Chief Master Sergeant Walter Kula Jr., U.S. Air Force retired, was recognized as Veteran of the Day for more than 26 years of service and continued civic leadership. The House also welcomed student pilots from multiple countries training at Vance Air Force Base, social workers and social work students for Legislative, Education, and Advocacy Day, and a group of pages introduced by the Majority Leader. Several honorees were presented to the chamber, including Doctor of the Day Chanel Gray of Tallahena Hospital/Choctaw Nation Hospital, Psychologist of the Day Dr. Mary Shepard, and Nurse of the Day Robin George. Members also recognized the Edmond Memorial Bulldogs palm squad for a fifth consecutive 6A large mixed state championship and the Dover Longhorns basketball team for winning the Class B-2 state title. Additional floor remarks included birthday greetings and a poem directed at Representative Anthony Moore. The transcript does not show debate on substantive legislation or recorded votes. The only formal action reflected at the end was a motion to adjourn, and the House agreed to stand adjourned until Tuesday, March 31, 2026, at 9:30 a.m.

Transcript Highlights:

• The other thing, of course, is CTE and apprenticeship programs, always, uh, and as far as locations go
• We have a community college it's been real successful and we train a lot of nurses.
• Uh, we do have some issues in the nursing program where it's gotten to a point now where.
• The flow of nurses going.
• driver license program.

Committee: House Economic & Rural Development & Policy Committee

Transcript Highlights:

• And House Bill by Representative Miller, Title 37, administration of medication by a nurse House Bill
• And House Bill by Representative Miller, Title 37, administration of medication by a nurse, provides
• And House bill by Representative Miller, Title 37, administration of medication by a nurse, provides
• and the State Civil Service Commission on the feasibility of creating a housing rental assistance program
• So how can we determine if these PILOT programs are doing what they should do if we don't know what the

Summary: The House met with a quorum present, opened with prayer and the Pledge of Allegiance, and then took up introductions of several resolutions and bills. Resolutions introduced included measures to recognize Funeral Directors’ Day, commend the crew of Eve, recognize Crime Stoppers of Greater New Orleans, honor Nurse Practitioner Day, and express condolences for several deceased public figures and former members. Several resolutions were adopted immediately by suspension of the rules, including condolences resolutions and commendations for Bernardo de Gálvez, Codafield Day, Drew Brees, the American Shore and Beach Preservation Association, and support for continued National Guard operations at Camp Beauregard. The House also received multiple bills and committee reports. Introduced bills included appropriations measures to pay consent judgments, a property tax exemption bill for certain trusts involving property owners age 65 or older, a nursing medication administration bill, and a prisoner transfer notification bill referred to the Committee on Justice. Committee reports were read showing numerous House bills reported favorably or with amendments from Civil Law and Transportation. No floor votes on those bills were taken in the transcript, and many items were noted as lying over. During personal privilege remarks, members discussed PILOT (payments in lieu of taxes) data and transparency, with concerns about foregone revenue and local taxing authorities. The chamber also recognized visiting 7th grade students from Trinity Episcopal School and held a moment of silence honoring the life and legacy of Reverend Jesse Jackson. Announcements were made for upcoming committee meetings, an ethics training after adjournment, and a Bible study event. The House then agreed to adjourn until 2:00 p.m. the next day.

Transcript Highlights:

• It requires certified nursing assistants serving in a nursing home to receive training on recognizing
• So the CNAs in the nursing homes, that's unique to the nursing homes, not the ALFs, because again, we
• It establishes a grant program for the critical infrastructure mapping grant program, very similar to
• program that is more consistent with the needs of the program, with the needs of the child.
• program that is more consistent with the needs of the program, with the needs of the child.

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• The New Mexico State Veterans Home is a long-term skilled nursing facility.
• They have nursing staff, so each unit is meant to feel like its own home.
• We also have a contract for the podiatrist, the dentist, and the wound nurse.
• CYS program, our Child Youth Service Program, so all that money goes back to service members.
• There’s a program; it’s on the slide. Yeah, I saw that.

Transcript Highlights:

• Because we can call the nurse. Okay.
• </c> Because we can call the nurse. Because we can call the nurse.
• and other staff members where nurses and other staff members could<00:24:07.679><c> afford</c><00:24
• I mean, a million, two million, something that's signal that we understand this program works.
• I mean, a million, two million, something that signals that we understand this program works.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• Those programs continue as we go forward.
• at 565, the third year to implement that program.
• Those are important programs.
• We created more winners and more losers in these programs.
• give them two different types of programs that would actually be able to recruit nurses, just nurses,

Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.

Transcript Highlights:

• their great program.
• These programs are as important as our education programs, and Central is one of few four-year public
• The cost and benefits from an academic program can differ significantly across academic programs.
• in the courses composing the program, and not simply the enrollment in the program itself.
• , ending a program...

Summary: The Workforce Development Committee heard public testimony on several higher education bills. Senate Bill 5954 would expand veteran survivor tuition waiver eligibility to better align state law with federal DEA benefits, allowing eligible children and surviving spouses/domestic partners to use the waiver outside current age and time limits. The sponsor and veteran advocates said the change would help families access earned benefits; no opposition was heard, and the public hearing was closed. The committee then heard Senate Bill 5826, which would require public postsecondary institutions to provide access to medication abortion through student health centers or referrals and web-based information by the 2027-28 academic year. Supporters, including students and reproductive health advocates, said the bill would reduce barriers, travel burdens, and stigma and help students stay enrolled. Opponents, including clergy, Catholic Conference representatives, and other individuals, argued the bill promoted abortion, raised safety and moral concerns, and was outside the mission of colleges. The public hearing was closed after extensive testimony. Senate Bill 5828 would restore and adjust Washington College Grant and College Bound Scholarship awards for students attending private not-for-profit four-year institutions, using the average award at public institutions rather than the reduced formula adopted last session. The sponsor and many students, private college leaders, and business and workforce groups supported the bill as a matter of fairness, access, and student choice, while public university faculty and representatives opposed it, saying state aid should prioritize public institutions and that the bill would deepen funding inequities. The committee also heard Senate Bill 5909, which would require public baccalaureate institutions to review and potentially discontinue low-enrollment degree programs; supporters framed it as a transparency and efficiency measure, while faculty and student representatives opposed it as too blunt and potentially harmful to smaller, specialized, or equity-focused programs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• By keeping some programs funded, we can reduce costs for the state of Idaho by spending a dollar on programs
• The division consists of four budgeted programs.
• is not for the same program.
• because I had this program; I'll be there for her.'
• But instead, that program will suffer.

Summary: The committee began with a general fund update from Legislative Services, which reviewed the latest green sheet, explained where to find budget information and hearing schedules online, and noted that JFAC actions had updated the FY 2026 and FY 2027 ending balance estimates. Members asked about tracking workgroup progress and were told to consult analysts and workgroup members rather than circulate a public daily summary. The update also noted several bills moving between chambers, including House bills 503, 556, 684, 737, and 759, and Senate Bill 1226. The committee then considered and approved several agency budgets and supplemental requests. The Idaho State Tax Commission budget was reconsidered and approved with a revised FY 2027 motion that removed funding for the chief operating officer salary and set aside funding for property tax education, tax automation, fast tax collection services, seasonal employees, replacement items, and OITS hardware; accompanying language restricted the fast tax collection money to that purpose and required any unused amount to revert to the general fund. The Office of Information Technology Services received approval for FY 2026 supplemental funding for Chinden campus furnishings and the E-CORE grant, and FY 2027 enhancements for enterprise security, the E-CORE continuation, and the final IT modernization transfer of 58 positions from Health and Welfare, along with cash-transfer language tied to SWICAP costs. The Military Division’s request for indirect cost recovery funds passed, but a proposed add-on for the state education assistance program failed. The Industrial Commission and Public Utilities Commission budgets also passed with dedicated-fund increases for IRIS maintenance, training, disability fund costs, and replacement hardware. The Department of Fish and Game budget was approved with a large package of dedicated and federal fund enhancements for fishery habitat work, Good Neighbor Authority projects, hatchery and lab inflation, temporary employees, wolf depredation response, communications, and equipment replacement, along with reappropriation authority. The Department of Health and Welfare’s Division of Public Health Services drew the most debate: one motion would have funded home visiting, immunization assessment restoration, lab testing, ARPA grants, HIV and hepatitis prevention, and related items, while a substitute motion sought to keep some funding but move the home visiting program to Early Learning and Development and restore additional public health items. Both motions failed, leaving that budget unresolved in committee. The meeting ended with new language for the State Controller and State Treasurer requiring monthly cash reconciliations between Luma and TATERS, reporting to JFAC and LSO, and retention of supporting documentation for audit purposes. The committee adjourned after being reminded that budget setting would continue through the week and that Monday’s agenda would include education, administration, building fund, and lottery budgets.

Transcript Highlights:

• and career technical education programs, including certified nursing assistant, medical aide, pharmacy
• There are programs through WIOA.
• There are programs through WIOA.
• work program participation in a work program or training program, educational program, or doing community
• Because you're right, people inside state government all run programs, and everybody loves their program

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• So both in our disability services programs for youth and adults and then in our long-term care program
• So both in our disability services programs for youth and adults and then in our long-term care program
• And lastly, it helps us contain costs in the program.
• This next one, the Idaho Home Visiting Program.
• Just for a tiny bit of context on this program, it is... ...just for a tiny bit of context on this program

Summary: The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Juliet Sharon and Medicaid Director Sasha O’Connell. The department outlined numerous supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and support functions, including funding for state hospital billing authority, Medicaid caseload and cost growth, rural health transformation staffing and program funds, child care capacity and program integrity work, kinship navigation, home visiting, and IT and procurement modernization. The committee also discussed the department’s reorganization and the need for additional procurement support for large Medicaid contracts. Much of the discussion focused on Medicaid spending growth, especially in disability services and behavioral health. Sharon said higher utilization and more intensive services, including residential habilitation, youth residential treatment, and substance use services, were driving costs. Members asked about safeguards against provider overuse or steerage; the director said the department uses annual assessments, internal reviews, data mining, and referrals to program integrity, and that some provider behavior had already prompted a proposed rate reduction for residential habilitation. She also explained that the department is seeking to maintain contractor support for disability assessments rather than absorb the work in-house. The committee also reviewed the department’s response to budget reductions and federal changes. Sharon explained the 4% provider rate reduction, the resulting savings, and the need for an additional $22 million in general funds to balance Medicaid, with options for further cuts still before the legislature. Other topics included the state’s Medicaid estate recovery and program integrity contractors, the impact of new SNAP administrative cost-sharing rules, Medicaid work requirements and more frequent eligibility reviews under state and federal law, and a request for three dedicated procurement staff in the Department of Administration to speed Medicaid contracting. No further votes were taken beyond approval of the minutes, and the committee adjourned to attend the floor session.