Transcript Highlights:

• sir and you're appreciate your service sir and you're appreciate your service sir and you're exactly
• chair is the lady from Jefferson service chair is the lady from Jefferson service chair is the lady
• or the person who is authorized services or the person who is authorized services or the person who
• can you tell me how the the services can you tell me how the the services can you tell me how the services
• what services aren't being the services what services aren't being the services what services aren't

Bills: HCR 21, HCR 22, HCR 23, HCR 24, HCR 25, HCR 26, HCR 27, HCR 31, HCR 41, HCR 42, HCR 43, HCR 44, HCR 45, HCR 52, HCR 53, HCR 66, HCR 67, HCR 73, HR 8, HR 10, HR 13, HR 20, HR 21, HR 50, HR 59, HR 61, HR 71, HR 74, HR 79, HR 84, HR 86, HR 90, HR 91, HR 102, HR 103, HR 107, HR 113, HR 125, HR 126, HR 132, HR 142, HR 145, HR 149, HR 150, HR 152, HR 167, HR 179, HR 181, HR 183, HR 186, HR 192, HR 196, HR 199, HR 207, HR 211, HR 212, HR 213, HR 216, HR 249, HR 256, HR 259, HR 261, HR 263, HR 272, HR 281, HR 285, HR 294, HR 295, HR 300, HR 305, HR 311, HR 313, HR 315, HR 316, HR 323, HR 331, HR 339, HR 340, HR 346, HR 349, HR 352, HR 357, HR 358, HR 360, HR 363, HR 374, HR 377, HCR 20, HCR 28, HCR 30, HCR 32, HCR 49, HR 14, HR 15, HR 19, HR 23, HR 24, HR 25, HR 26, HR 27, HR 29, HR 47, HR 48, HR 55, HR 56, HR 66, HR 85, HR 92, HR 93, HR 95, HR 96, HR 140, HR 155, HR 164, HR 204, HR 241, HR 242, HR 250, HR 253, HR 260, HR 262, HR 265, HR 279, HR 310, HR 312, HR 328, HR 332, HR 359, HR 362, HR 367

Keywords: recognition, award, petroleum industry, leadership, community service, HCR 22, House Concurrent Resolution, Texas Legislature, commendation, honorary resolution, Dr. James Olson, James Olson, University of Texas Permian Basin, UT Permian Basin, psychology professor, 50 years of service, faculty recognition, academic award, Piper Professor Award, Regents' Outstanding Teaching Award

Transcript Highlights:

• His lifelong commitment to education. service, and faith made a lasting impact on many lives.
• From his service on the Galveston City Council to his leadership in real estate and land development,
• in lieu of other state Medicaid plan services are for the committee on human services hb 75 by Smithy
• Human Services Commission officer to inspect general inspection, refer to the Committee on Human Services
• Services.

Bills: HCR21, HCR22, HCR23, HCR24, HCR25, HCR26, HCR27, HCR31, HCR41, HCR42, HCR43, HCR44, HCR45, HCR52, HCR53, HCR66, HCR67, HCR73, HR8, HR10, HR13, HR20, HR21, HR50, HR59, HR61, HR71, HR74, HR79, HR84, HR86, HR90, HR91, HR102, HR103, HR107, HR113, HR125, HR126, HR132, HR142, HR145, HR149, HR150, HR152, HR167, HR179, HR181, HR183, HR186, HR192, HR196, HR199, HR207, HR211, HR212, HR213, HR216, HR249, HR256, HR259, HR261, HR263, HR272, HR281, HR285, HR294, HR295, HR300, HR305, HR311, HR313, HR315, HR316, HR323, HR331, HR339, HR340, HR346, HR349, HR352, HR357, HR358, HR360, HR363, HR374, HR377, HCR20, HCR28, HCR30, HCR32, HCR49, HR14, HR15, HR19, HR23, HR24, HR25, HR26, HR27, HR29, HR47, HR48, HR55, HR56, HR66, HR85, HR92, HR93, HR95, HR96, HR140, HR155, HR164, HR204, HR241, HR242, HR250, HR253, HR260, HR262, HR265, HR279, HR310, HR312, HR328, HR332, HR359, HR362, HR367

Keywords: recognition, award, petroleum industry, leadership, community service, HCR 22, House Concurrent Resolution, Texas Legislature, commendation, honorary resolution, Dr. James Olson, James Olson, University of Texas Permian Basin, UT Permian Basin, psychology professor, 50 years of service, faculty recognition, academic award, Piper Professor Award, Regents' Outstanding Teaching Award

Transcript Highlights:

• to those who actually receive services. to those who actually receive services.
• So they've they've Human Services.
• programs, wavered services. So, Mr. programs, wavered services. So, Mr.
• of providing services.
• . services. services.

Keywords: 919, house, all

Summary: The House took up Senate File 4476, described as the human services program integrity package, and first adopted a motion declaring urgency so the bill could move quickly to conference committee before the end of session. The House then adopted a DE amendment to insert House language, followed by a technical A7 amendment clarifying that prepayment review would apply to all fee-for-service systems. Members then debated the A5 amendment, which would have removed a sunset on the periodic data matching reporting requirement tied to eligibility checks for medical assistance and MinnesotaCare. Supporters argued the report is essential for fraud prevention, accountability, and ensuring only eligible recipients receive benefits, citing missed or delayed reports and claiming the process can save the state money. Opponents said the report had been received, that federal HR1 changes would require different data-matching procedures, and that the amendment was not the right vehicle. After roll call, the A5 amendment failed, 63-67. The House next debated the A6 amendment, which would require DHS reporting on homelessness programs, including outcomes, costs, and participant movement, and would allow recoupment of funds if reporting was not provided. Supporters said the state spends tens of millions on homelessness without clear results and needs better data to guide policy; opponents said homelessness reporting and stakeholder work are already underway and objected to the amendment’s approach. Debate continued with questions about the amendment’s details and stakeholder consultation, but the transcript ends before a final vote on A6.

Transcript Highlights:

• Services and supports under the Medicaid program which the individual on the waiting list for services
• devices refer to the committee on public education HB 5 16 by Swanson relating to the notice of water service
• , referred to the Committee on Human Services, HB 535 by Lopez-Obear, relating to the operation of motor
• on State Affairs, HB 552 by Gonzalo Zopasso, relating to the study by Texas A&M AgriLife Extension Service
• . 594 by Cortez relating to the positions designated as exempt from sheriff's departments, civil services

Keywords: 1184, house, all

Transcript Highlights:

• HB 3319 by Marra Shaw relates to the establishment of the constable's Department of Civil Service Systems
• said certain duties of a public institution of higher education in relation to the Federal Public Service
• HB 3328 by Alan relating to the approval of purchases of supplemental special education services and
• incident stress management and crisis response services or for the Committee on Criminal Jurisprudence
• HB 3378 by Rosenthal relates to the uniform election date for certain emergency service district.

Transcript Highlights:

• decades of distinguished legal experience, deep roots in Vermont's communities, and a lifetime of service
• The assignment proved difficult for her due to the lack of on-site supervision or judicial peers, the
• due to the lack of on-site supervision due to the lack of on-site supervision or<00:25:55.000>
• :48:33.120> of a successful judge with many years of a successful judge with many years of service
• service to the users of Vermont courts. service to the users of Vermont courts.

Keywords: 927, senate, all

Transcript Highlights:

• Ranking Member, I believe every person assigned, whether they are a lawyer or a retired judge, has a supervising
• The question of whether the supervising judge would have to sign off on the findings, I don't believe

Transcript Highlights:

• What are we seeing in service workers.
• service array teams in our community. service array teams in our community.
• And this providing therapy services.
• that is providing uh therapy services. that is providing uh therapy services.
• . services. services.

Keywords: 1189, house, all

Transcript Highlights:

• We work... ...Services Chief and Megan Winston, the Chief of Transitional Services, we work really, really
• They're the people who staff the court service centers that offer such robust service right now to our
• Public confidence in that service.
• , general therapy services, some victim witness services in the DA's office.
• Department of Health and Human Services, standardizes adult protective services across the United States

Keywords: 995, all

Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.

Transcript Highlights:

• assisting clients in attaining Services assisting clients in attaining Services uh<00:18:24.320>
• <00:43:28.240> regain with social services to help them regain with social services to help
• <00:59:21.680> first administrator of General Services first administrator of General Services
• <01:10:04.120> on have enough Mental Health Services on have enough Mental Health Services
• system that doesn't have enough services system that doesn't have enough services for<01:11:26.280

Keywords: 912, senate, all

Summary: The Judiciary Committee heard several bills on January 30. SB 286 and SB 287 both concerned supplemental funding for the Honolulu Department of the Prosecuting Attorney: SB 286 for the career criminal prosecution unit and SB 287 for the victim witness assistance program. Testimony from the department explained that these bills are filed each year because the Attorney General’s core budget allocation may not be sufficient, though the department said the core had recently been increased and the supplemental request might no longer be necessary. For SB 287, the department also warned of a possible federal Victims of Crime Act funding freeze that could cut about $1.88 million and severely harm victim services. Both bills drew support from county and community witnesses, and members asked about prior-year funding and why the requests were limited to fiscal 2025-26; no votes were taken in the excerpt. SB 289, from the State Ethics Commission, would create a more uniform administrative fine process under the ethics code and lobbyist law. The commission said the measure would not change substantive enforcement but would let it issue a notice and order of fine first, with the respondent able to request a hearing within 20 days, which would speed up cases that are not factually disputed. Members questioned whether the bill would deny due process or function like an automatic parking ticket, and the commission responded that respondents could still challenge the fine and that the process would apply to violations with fines under $1,000. The committee also heard SB 304, which would add 11 positions for the First Circuit Adult Client Services Branch; Judiciary testimony said probation caseloads are high, with an average of 116 cases per officer, and the added staff would help meet national supervision standards and better serve higher-risk clients. Members asked whether the positions were already in the budget and about current staffing ratios; the witness said the positions were not already funded and that the Judiciary supported the bill with amendments. The committee then heard SB 311, a proposed constitutional amendment to exclude spending money to influence elections from protected free speech. Testimony was strongly divided: supporters argued that Citizens United has distorted elections and empowered special interests, while opponents warned the language was too broad and could affect nonprofit advocacy and grassroots groups. Finally, SB 313 would impose a 1% wealth asset tax on individuals with $20 million or more in assets. The Department of Taxation said it had concerns about the bill’s ambiguity and administration and noted it would require annual valuation and likely additional resources; opponents, including family business representatives and the Tax Foundation of Hawaii, argued the tax would be difficult and costly to administer, would require sensitive business disclosures, and could force family businesses to pay from company cash. Supporters said wealthy residents should pay a fair share. The committee heard testimony and questions on these bills, but the excerpt does not show final committee votes or actions.

Transcript Highlights:

• and discussed how his colleagues were leaving to more affluent areas and leaning into concierge services
• This amendment addresses concerns that brief interruptions of electrical service would necessitate the
• We provide comprehensive services, including primary medical care, dental care, behavioral health services
• , a full-service pharmacy, and an innovative food prescription program through our food pantries.
• That they need to show proof of completion of 3,000 hours of supervised experience, of which at least

Keywords: 909, all

Transcript Highlights:

• Thank you, Madam Chair, and thank you all for your service.
• Our clinics and our Health and Human Services...
• I'll do that as soon as we supervise it. Well, one of the other, I guess...
• actually do supervise.
• Thank you for your service. All right.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• She said building back this model is important for emergency services child care.
• 00:52:32.319> to<00:52:32.520> have<00:52:32.799> emergency<00:52:33.400> services
• <00:52:34.240> healthc us to have emergency services healthc us to have emergency services
• own home and so that is on supervision own home and so that is on supervision product<00:58:10.039
• to leave their kids at home alone, but it varies, and they want a model that is structured and supervised

Bills: HF656, HF655, HF633

Keywords: child care, childcare, day care, daycare, licensing, variance, licensed capacity, capacity limit, staff qualifications, staffing, child care center, family child care, provider flexibility, Minnesota career lattice, Department of Children Youth and Families, DCYF, licensing rules, enrollment, indoor space, professional development

Transcript Highlights:

• Well, why don't parents just supervise their children?
• Supervising children is a parent's gift and responsibility.
• Of a place where people from all walks of life get services and are treated with dignity and respect.
• So, first off, I'm a veteran, and this bill is just, it's in... ...insult to my service and the service
• My first career was in public health, specifically supervising an analytics team at a health center.

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Transcript Highlights:

• apply to this new service. apply to this new service.
• services, the child gets those services services, the child gets those services whether<00:38:43.040
• reimbursed for services. Correct. reimbursed for services. Correct.
• <00:39:18.320> Representative services? Representative services?
• First, staffing and supervision. First, staffing and supervision.

Keywords: 1189, house, all

Transcript Highlights:

• Some examples of VR services: In short, whatever services are necessary to help that individual achieve
• services.
• We provide services to adults, some who are looking for vocational services, and actually one of our
• of the services are complete.
• Service hours for the Medallion, 75 service hours, or Academic 100 service hours, or, for either particular

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• Services including the services provided under the Medicaid managed Care and Child Health plan programs
• Committee and Human Services.
• Issue 44,830 by FELA relating to the regulation of service contractors and service contract providers
• The 211 service provider for the Texas Information and Referral Network on Human Services, HB 4839 by
• the Committee and Human Services.

Transcript Highlights:

• service in 2026. service in 2026.
• <00:05:52.680> and maintained active worship services and maintained active worship services
• school and regular worship service. school and regular worship service.
• because we know a lot of our service because we know a lot of our service members<00:52:13.000><
• Involved in deprivation of necessary supervision, and also supervision that affected the health of the

Keywords: MS House Floor - 31 March, 2026; 10:00 AM, 925, all

Summary: The House convened with prayer, a guest vocalist, and the Pledge of Allegiance before moving into routine business. Members first recognized several special guests and school groups, including championship teams from Simpson County Academy, New Albany High School, Tougaloo College, Madison-Richland Academy, East Rankin Academy, Morton High School, and others, along with honorees such as Dr. Katrina Cox, Pamela Moody, Joe Helen Joey Walker, and Jimmy Carr. The chamber also noted a prior resolution honoring Reverend Dr. Victor Dixon and the Copiah County Ministerial Alliance, and Dr. Dixon led the opening prayer. On the calendar, the House adopted a conference report on House Bill 1752 dealing with judicial salaries. The report set new salary amounts for state court judges effective January 1, 2027, froze district attorney salary increases until January 1, 2028, and then tied DAs to 95% of circuit and chancery judges’ pay. It also removed mandatory raise language for judges and county court judges, and members briefly discussed the broader issue of legislative compensation. The report passed 115-2. The House then adopted a conference report on House Bill 377, the missing persons bill, which clarified definitions, added forensic genetic genealogy testing provisions, and set timelines for law enforcement to enter credible missing-person reports into NamUs and NCIC. That report passed 120-0. The chamber also adopted a conference report on House Bill 525, changing the penalty for sexual battery in a position of trust or authority from a 0-to-30-year range to a 5-to-30-year range; it passed 112-0. Later, the House adopted a conference report on House Bill 925 after removing veto-message language, and adopted another conference report on House Bill 939 combining a low-sat repealer change and a fire truck acquisition program that creates a Fire Equipment Fund supported by recurring black tag revenue. The House also approved unanimous-consent amendments to Senate Bill 3105 and recommitted Senate Bill 2747 for further work.

Transcript Highlights:

• We appreciate your service.
• We appreciate your service. We appreciate your service.
• reached the end of their service life. reached the end of their service life.
• Department for Communitybased Services. Department for Communitybased Services.
• offenses and supervision violations. offenses and supervision violations.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:09 State of the Judiciary: 00:02:33 The Corrections - KCTCS Reentry Program: 00:49:44 Update on 2022 RS SB 90: 01:27:49, 958, all

Summary: The Interim Joint Committee on the Judiciary met on November 6, 2025, approved the minutes, and welcomed guests including Kentucky Specialty Courts manager Elizabeth Nichols and Boyle/Mercer Family Court Judge Bruce Petri. The committee then heard the Chief Justice of Kentucky, Deborah Lambert, deliver her state of the judiciary address, focused largely on judicial branch funding, facilities, technology, and specialty court programs. Chief Justice Lambert said the branch is facing a projected $14.3 million shortfall for fiscal year 2026 and asked lawmakers for supplemental support, access to reserve funds, and higher base appropriations to cover inflation and nondiscretionary costs. She also requested a 15% across-the-board pay increase for judicial branch employees, citing salary gaps with other state workers and declining judicial compensation relative to national averages. She emphasized that the branch has received a clean FY 2025 audit and said the requests were intended to sustain current operations rather than expand them. A major portion of her remarks covered court technology and facilities. She described the move to Chamberlain during Capitol renovations, the purchase of that building as a cost-saving measure, and the need to fund courtroom audio/video systems and a new statewide case management system. She also discussed courthouse maintenance, flood damage, mold issues, security system upgrades, and the $47 million asset preservation fund created last session, while asking for additional local facilities funding and one-time disaster-related support. Lambert highlighted specialty court and statewide program results, including foster care review boards, family recovery courts, court designated worker programs, drug and mental health courts, and the Judicial Commission on Mental Health. She thanked legislators for prior bills and support, including House Bill 1, Senate Bill 26, and the CES law, and said 2026 recommendations will focus on civil commitment reforms under KRS 202C. During questions, Senator Wheeler asked whether some courthouses are being overbuilt; Lambert said most facilities are inadequate, though some may be larger than needed, and that future needs and population changes must be considered. She also noted that virtual hearings and technology have improved efficiency. No votes or formal committee actions were taken beyond approving the minutes and receiving the presentation.

Transcript Highlights:

• Supervision<00:11:46.399> is<00:11:46.720> lifelong Supervision is lifelong Supervision
• They're around 17 permissible classes: inpatient services, outpatient services, ambulance services, nursing
• Inpatient services,<01:04:26.559> outpatient<01:04:27.119> services.
• <01:04:27.680> Ambulance services, outpatient services.
• Ambulance services, outpatient services.

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.