Transcript Highlights:

• to find out if that model would work. to find out if that model would work.
• The stress impacted my ability to do my job, to take care of my children, and to care for myself.
• of my children, and to job, to take care of my children, and to care<00:41:53.839> for<00:41:
• healthy and mentally taken care of. healthy and mentally taken care of. health<00:45:40.720>
• this<01:08:02.240> challenge collaborate to address this challenge collaborate to address

Keywords: 1187, senate, all

Transcript Highlights:

• And so, again, this very simple model of the input, the model, and the output, that's what we have to
• Those have huge benefits, but those very same models, if they are models that do not have proper guardrails
• create a continuum of continuum of care create a continuum of continuum of care that<00:36:19.080
• , across all major models, across all major models, um, um, um, during<01:02:26.560> our<01
• could be models could be models here<01:08:52.359> as<01:08:52.520> well.

Keywords: 912, senate, all

Transcript Highlights:

• We provide respite care to families via our camp.
• It was the move from Medicaid to managed care Medicaid.
• The model for the way care is delivered in the medical sector as they work twelves Right.
• And take care of the things.
• So, it really helps take care of that extra $20 million.

Keywords: 914, all

Transcript Highlights:

• care, onto the federal government.
• more intensive facilities... ...in short-term care.
• that's the normal continuum of care.
• I've been in health care for 20 years.
• up an Indian managed care entity to provide care for Indian patients and then be recognized by CMS and

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• <01:14:56.880> to their Minute team um collaborated to their Minute team um collaborated to
• and very careful consideration to properly weigh the benefits and the risks.
• and very careful consideration to properly weigh the benefits and the risks.
• , great and very requires great care, great and very careful<01:20:39.360> consideration<01:20
• <01:24:56.400> or input to train a generative AI model or input to train a generative AI model

Keywords: 1183, house

Transcript Highlights:

• Minnesota's energy future is best secured through continued collaboration with its neighbors.
• Minnesota's energy future is best secured through continued collaboration with its neighbors.
• So frankly, I don't care what North Dakota does.
• We need to be caring about Minnesotans more than we care about industries in North Dakota.
• We need to be caring about Minnesotans more than we care about industries in North Dakota.

Keywords: 1183, house

Transcript Highlights:

• So, a collaborative of over 70 congregations.
• That is the whole business model.
• It costs money to deliver the mental health care that's necessary.
• We can't take care of people because of the outcomes of this.
• care programs.

Transcript Highlights:

• Currently there are about 1,800 licensed child care centers and about 5,800 licensed family child care
• <00:01:33.759> public experience in healthc care public experience in healthc care public
• by qualified individuals, and that care meets the needs of all children in their care.
• Care Development Fund.
• child care.

Keywords: 1183, house

Transcript Highlights:

• The model being imposed here is really a corporate, a model of corporate hierarchy, but higher education
• Texas ranks last in the nation for access to mental health care.
• These conversations are thrilling, but they require careful facilitation.
• This is not a model that a free society should follow.
• Vivek Datla: All right, I'm breaking my own rules, so be careful here.

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction

Transcript Highlights:

• And we, you know, always want to try to collaborate whenever there's someone who is interested in collaborating
• And we, you know, always want to try to collaborate whenever there's someone who is interested in collaborating
• And we, you know, always want to try to collaborate whenever there's someone who is interested in collaborating
• And we, you know, always want to try to collaborate whenever there's someone who is interested in collaborating
• And we, you know, always want to try to collaborate whenever there's someone who is interested in collaborating

Keywords: 987, senate, all

Transcript Highlights:

• On slide 13, the Health Care Authority also administers the Health Care Affordability Fund.
• Okay, where are the people going to go for Health care for mental health care.
• Okay, for people in Taos, Cuesta, and Penasco to be able to access Health care or mental health care,
• Because then we do not prioritize the funding that is needed, for the health care and mental health care
• We're working with large language models.

Transcript Highlights:

• There's a new model.
• There's a new model.
• And if anybody knows anything about health care, almost all errors in health care come back to communication
• There needs to be a business model.
• the model we're advocating for.

Keywords: 908, all

Transcript Highlights:

• Bill 2717 creates the Energy Efficiency Council and the Public Utilities Commission to foster collaboration
• We just accepted it as it was and used it in all of our modeling.
• And the data center, the other model is it could be down the street where it feeds into a...
• So I just want to be very careful.
• This has been a great collaboration. We continue to fight against property fraud.

Bills: SB 438, SB 512, SB 647, SB 648, SB 1495, SB 2121, SB 2145, SB 2154, SB 2167, SB 2184, SB 2211, SB 2268, SB 2349, SB 2443, SB 2629, SB 2702, SB 2902

Keywords: SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency

Summary: The meeting of the committee commenced with the establishment of a quorum, where members discussed and voted on five significant bills related to energy efficiency, insurance regulation, and public utility governance. Notably, Senate Bill 2717 was presented, incorporating feedback to foster collaboration among various state agencies for improved energy efficiency performance. This was followed by a detailed discussion on Senate Bill 1642, which proposed changes to the Texas Department of Insurance's executive structure to optimize management and consumer focus. Each bill saw active participation from senators who moved to adopt committee substitutes for clarity and responsiveness to stakeholder concerns, indicating a proactive approach to legislative issues.

Transcript Highlights:

• Increasingly, we work collaboratively with conventional providers in private care settings.
• Early intervention and coordinated care models improve outcomes. We know that.
• While there may be some social services involved in it to help coordinate care, it's a model that's overseen
• While there may be some social services involved in it to help coordinate care, it's a model that's overseen
• While there may be some social services involved in it to help coordinate care, it's a model that's overseen

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• The freedom to explore and collaborate is also critical. crucial, especially to younger scientists who
• Five years without debilitating pain in which she can take care of her children.
• You've been following all this because you care about patients, you care about their families, you care
• I can't imagine what you've gone through to make sure Charlie got the right care and treatment.
• It feels like the government doesn't care about families like ours if they take that away.

Transcript Highlights:

• Grant number three is to the Arkansas Foundation for Medical Care.
• This is funding for the Patient Centered Medical Home Model. Number 18 is DHS with UAMS.
• This is funding for the Patient Center Medical Home Model.
• Seventy-seven, UA Little Rock, with Strata Collaborative.
• It's for therapeutic foster care. 109 is with CET of Arkansas, also therapeutic foster care. 110 is with

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• Hansel to make sure INS is collaborating closely and productively and constructively with the ODNI?
• I'm always very careful with the way I characterize things. Excuse me. My time is running out.
• It's one I actually share your concern for and care greatly about.
• Now, it was the result of much analysis and careful planning. It's this document... right here.
• Sea models, yes, Senator, yep.

Keywords: Department of Defense, nominations, Matthew Lohmeyer, Justin Overbaugh, global security, military readiness, NATO, Russia, China, defense infrastructure

Summary: The meeting was primarily focused on discussing nominations for key positions within the Department of Defense, specifically for roles such as the Undersecretary of the Air Force and the Deputy Undersecretary of Defense for Intelligence and Security. Senators expressed urgent concerns about global security threats, the need for robust military readiness, and the emphasis on effective collaboration with NATO allies amidst rising tensions with adversaries such as Russia and China. Several senators highlighted the challenges facing military infrastructure and defense capabilities, suggesting a critical need for improvements and investment in these areas to ensure national security.

Transcript Highlights:

• And we're not asking for optional care. And we're not asking for optional care.
• a critical gap in access to care. a critical gap in access to care.
• based on only 40 members in the model. based on only 40 members in the model.
• with all three managed care contractors. with all three managed care contractors.
• But when that tax model, or when that supplemental payment model, blew up, the tax model to pay for it

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• <01:11:02.199> for uninhabitable families caring for uninhabitable families caring for disabled
• You're a good role model. KPT is the melting pot for all cultural backgrounds.
• You're a good role model. I, uh, we're those who want to sign up to testify.
• <01:41:39.480> Solutions<01:41:40.360> when collaborative Solutions when collaborative
• Next, Joshua Wish, Hula Collaborative. Aloha, Chair, Vice Chair, committee members.

Keywords: 910, house, all

Summary: The committee heard testimony on several housing, land use, and preservation bills. HB 1008 HD2 would require the Department of Land and Natural Resources to complete historic preservation determinations for state affordable housing projects within 90 days and create sensitivity-based review pathways. HHFDC, DLNR’s State Historic Preservation Division, and written testimony from DBEDT supported the bill as an expedited process for projects unlikely to affect significant historic resources. Members asked how the bill would define significant versus non-significant historic properties, how it would interact with Kapakai analysis, and whether burial councils had been consulted; SHPD said the bill would not replace Kapakai review and that burial councils had not been included. Written support also came from OHA, Hawaii Realtors, and the Maui Chamber of Commerce. HB 1093 would clarify the Hawaii Public Housing Authority’s powers relating to housing projects. HPHA supported the measure, saying it would align definitions with prior law and help deconcentrate poverty by allowing mixed-income rebuilding. The director also said the bill was increasingly urgent because of reported federal HUD priorities that could affect public housing and Section 8 funding. HB 1096 HD1 would repeal state low-income housing preferences for disabled veterans and spouses of deceased veterans, with HPHA saying federal veteran programs such as VASH are a better mechanism and that the state preference has not been used in years. HB 1411 would allow HHFDC projects to give sale or lease preferences to applicants who live or work within five miles of a project; HHFDC and the Hawaii Chapter of NAIOP supported it as a way to keep residents connected to their communities, while members raised constitutional concerns about broader local-preference policies. The committee also heard HB 367 HD1, which would create county permit exemptions for certain agricultural and maintenance activities. Written testimony included opposition from the Department of Planning and Permitting and support from the Hawaii Farm Bureau, Grassroot Institute, and others. A public testifier opposed the bill, arguing that permit exemptions could worsen safety and compliance problems. Finally, HB 826 HD1 would allow county planning commissions, by special permit, to authorize residential housing in agricultural districts for agricultural workforce housing, long-term rental, or fee simple ownership under certain conditions. HHFDC supported it as a faster alternative to lengthy state land-use redistricting, but the Department of Agriculture, Land Use Commission, and Office of Planning and Sustainable Development raised concerns about food production impacts, due process, service provision, jurisdictional conflicts, and the use of special permits for what could amount to district boundary changes. Public testimony was mixed, with some support and some opposition. No votes or final actions were taken in the portion provided.

Transcript Highlights:

• You look at the model, it is community to community.
• They can't leave the hospital without that plan of safe care.
• care.
• I can't find infant and toddler care.
• of our kids and take care of our family.