Transcript Highlights:

• people again can can get the service people again can can get the service which<00:24:13.279>
• have a postal service in this country. have a postal service in this country.
• <03:48:02.160> Um earned through their service. Um earned through their service.
• schools, roads, and community services. schools, roads, and community services.
• appreciation for their public service. appreciation for their public service.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 21, 2025, 1012, house, all

Transcript Highlights:

• Yeah, I can speak to our SOC as a service.
• You know, they have to have a real passion for public service.
• Yeah, I can speak to our SOCAs a service.
• And I think that it has to do with a dedication to service.
• That’s where our advisory service is.”

Summary: The Assembly Select Committee on Cybersecurity and the Assembly Committee on Emergency Management held a joint informational hearing focused on maximizing the value of state cybersecurity investments, especially by fully using security features already included in existing vendor contracts. The first panel included representatives from Microsoft, Zscaler, and Palo Alto Networks, who described the products and services they provide to California and generally agreed that agencies often have strong adoption in some areas but still face challenges from tool overlap, limited staff, lack of awareness of available features, and the need for ongoing training and configuration support. They also discussed major threats such as ransomware, data loss, attack-surface exposure, IoT/OT vulnerabilities, and the growing role of AI in both attacks and defenses. Members pressed the vendors on whether state departments underuse purchased cybersecurity tools, how to improve utilization, and how to address the cybersecurity workforce shortage. The vendors said utilization is often constrained by staffing, procurement complexity, and the need to align tools with agency missions and maturity levels, but emphasized that training, leadership buy-in, and regular vendor-agency collaboration can improve results. They also discussed how AI can help with phishing triage, data-loss prevention, and security operations, while warning that agencies must manage AI safely and with human oversight. The second panel featured officials from the Department of Technology, Cal OES/CalSIC, and the California Military Department. They described statewide oversight efforts including audits, independent security assessments, continuous monitoring, advisory services, vulnerability disclosure programs, and workforce development initiatives such as the Information Security Leadership Academy and Cybersecurity Education Summit. Officials said some underutilization is real, but it is often tied to differing agency maturity, overlapping tools, and deliberate feature restrictions to reduce attack surface and complexity; they emphasized a balanced approach using people, process, and technology, with plans of action and milestones to hold departments accountable. They also noted federal uncertainty around MS-ISAC and the state and local cybersecurity grant program, saying California is advocating through federal partners and monitoring the impact. The hearing ended after public comment and adjournment.

Transcript Highlights:

• Medical Services.
• Medical Services.
• to be eligible for CMS services, stays in DOH.
• The medical services is essentially run now by AHCA.
• I'm not going to provide services for them in a non-emergency context.

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• The Human Services Subcommittee will come to order. Sabrina, please call the roll.
• Happy to see you all back in Human Services Subcommittee.
• Participation in a community service program and vocational education training.
• And it can be that they were very satisfied with the services.
• Good afternoon, Chair Mello, and members of the Human Services Subcommittee.

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• of Health and Human Services. of Health and Human Services.
• fund uh, syringe services through DHS. fund uh, syringe services through DHS.
• So outside of the syringe<01:26:00.800> services syringe services syringe services uh<01:26:02.560
• syringe service programs. syringe service programs.
• seeks our services. seeks our services.

Keywords: 1191, senate, all

Transcript Highlights:

• Jennifer Brisei, Director of the Division of Developmental Disability Services.
• Leslie Fiscan, Secretary of Shared Administrative Services.
• DSB is a little division of services for the blind, a little different.
• with the Division of Services for the Blind.
• He understands the... ...rehabilitation services administration.

Summary: The council opened with a prayer, approved the prior meeting minutes, and received the February 2026 Monthly Revenue Report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year to date, and said the updated forecast now shows a larger expected surplus. Members asked about declines in some tax categories, natural gas severance fee fluctuations, inflation, and economic development incentives; Silva attributed several changes to timing, refunds, tax cuts, weather, and price volatility, and generally described the state’s revenue trend as positive. The Executive Committee, Administrative Rules, Claims Review, Game and Fish, Higher Education, Infrastructure Investment and Jobs Act, Medicaid studies, Occupational Licensing Review, State Insurance Programs Oversight, and other subcommittee reports were adopted. The Medicaid studies report drew extended discussion about DHS staffing and contract nursing costs at state hospitals and human development centers; DHS officials said they were working on a recruitment and retention plan, reported significant vacancies and turnover, and said the state was not at risk of overspending the contracts. Several members urged reducing reliance on contract labor and moving staff onto state payrolls. The Review Subcommittee report prompted questions about a Department of Public Safety aircraft maintenance item and a Department of Shared Administrative Services contract for Deloitte to implement performance and goals management software tied to the state’s new personnel system. After discussion, the aircraft maintenance item was held briefly and then withdrawn from the hold, while the shared services contract was explained as a one-time integration/configuration project for a system that will support employee evaluations and performance-based pay; the report and the separate contract vote were approved. The Personnel Subcommittee also heard testimony from Commerce Secretary Hugh McDonald about reductions in force at the Division of Services for the Blind, which he attributed to funding shortfalls and fiscal mismanagement; members questioned the impact on blind and visually impaired clients, the status of board appointments, and whether federal funds could be at risk. The report was adopted with immediate consideration, and the meeting ended after filing the remaining APER report and adjourning.

Transcript Highlights:

• Thank you so much for your services.
• Durkey Irwin, who is a Veterans Care IPS Employment Services employee for the U.S.
• First, to Bill and Steve, I just wanted to thank you for your service.
• Because it's a complex system as well, and there are a lot of services available.
• And also recently, the last— Service members and people getting out can use.

Keywords: 995, all

Summary: The Disability Employment Subcommittee of the Massachusetts Commission on the Status of Persons with Disabilities met and began with roll call, but did not have a quorum, so approval of prior minutes and an inspirational quote were tabled. A planned presentation from a U.S. Department of Veterans Affairs employee was canceled shortly before the meeting, and the agenda shifted to an informal discussion with two Treasury employees, Steve Kroder and Bill Collievis, about veterans with disabilities in the workplace. Kroder and Collievis described barriers veterans face, including stigma, employer misunderstanding, the need for frequent medical appointments, invisible disabilities such as PTSD and other service-connected conditions, and challenges for Guard and Reserve members balancing service with civilian work. They also discussed supportive practices in public employment, the need for better outreach to employers, the role of local veterans service officers, Military OneSource, TAP, and the importance of helping veterans navigate benefits and transition services. Commission members responded by emphasizing education, employer outreach, and possible resource-sharing through the commission’s website and toolkit. The committee then heard a presentation from Commonwealth Corporation on its Young Adults with Disabilities employment grant program. Staff explained the program’s funding, eligibility, training and placement model, and data from the prior cycle, including participant demographics, completion rates, credential attainment, employment outcomes, and wages. Members discussed benefits counseling, underemployment definitions, stigma around addiction as a disability category, and the need to connect grantees and participants with work incentives and benefits information. Commonwealth Corporation said grantees now receive training on benefits impacts and that the agency is open to further partnership. The meeting ended with a brief update on a planned commission event focused on youth and young adults with disabilities, inclusive workplaces, PCAs, and job coaches. Organizers said they were still securing a venue and were considering a hybrid or virtual format, with participation from youth organizations, the PCA Council, and the Arc of Massachusetts. The subcommittee then voted to adjourn.

Transcript Highlights:

• Anybody that's providing any services of care to that Medicaid recipient.
• Elizabeth Pittman, Director for Division of Medical Services. Thank you.
• So we excluded orthodontic services from this.
• He contrasted that with pediatric dental services and dental services for special needs, saying those
• He said any general licensed dentist can perform these services.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• Anybody that's providing any services of care to that Medicaid recipient.
• Elizabeth Pittman, Director for Division of Medical Services. Thank you.
• So we excluded orthodontic services from this.
• And so any general licensed dentist can perform these services.
• To expand services when we have zero applications.

Keywords: 1204, all

Transcript Highlights:

• As you know, we've been Service delivery with a constrained hiring environment.
• and Washington Management Service.
• The civil service agreements are subject to the OFM financial feasibility test as well.
• This includes 8,726 faculty. from civil service.
• U-Dub, this includes public employees who are exempt from state civil service system.

Keywords: 904, all

Summary: The Joint Committee on Employment Relations met on May 8, 2026, to receive updates on upcoming collective bargaining for the 2027–29 biennium. OFM’s Jenny Sheehan reviewed the state workforce, noting that most employees are represented, the workforce remains constrained by hiring limits and civil service rules, and bargaining goals include financially feasible agreements, maintaining labor relations, supporting an inclusive workplace, and addressing issues such as AI use, leave, and immigration-related workplace protections. She also outlined the bargaining calendar, the role of the June revenue forecast in determining what compensation proposals can be funded, and the need to reach tentative agreements by September 2026 for October 1 submission and legislative consideration. She described recent bargaining themes from unions, including limits on AI, expanded leave, access to union members in hybrid workplaces, and classification changes, and she summarized prior-cycle costs, including about $1.2 billion in general funds and $1.7 billion in total funds for 2025–27 awards, excluding the delayed WPEA agreements that were later funded after a return to bargaining. The committee then heard from Western Washington University and the University of Washington on higher education bargaining. Western described its locally bargained contracts, the importance of re-opener clauses tied to state budget decisions, and concerns about the instability of the state “fund split,” which shifts compensation costs between state funds and tuition revenue. Western also emphasized that student employees are increasingly central to retention and urged inclusion of student compensation in the wage base. UW similarly described its large and diverse workforce, the split between RCW 41.56 and 41.80 bargaining frameworks, and the reliance on state funding, tuition, and other revenue sources to cover compensation increases. UW highlighted the financial strain of the fund split, the lack of state funding for academic student employee compensation, and the impact of rising ASE costs on class sizes and the university’s teaching and research missions. OFM also presented on Washington Management Service bargaining, explaining that only certain WMS employees are covered, that bargaining began in 2024, and that current agreements include addenda for WMS-specific provisions. The presentation noted that WMS bargaining is still limited in scope, with only a few represented units, and that compensation bargaining generally covers band minimums and maximums rather than all salary levels. Finally, OFM reviewed interest arbitration rules for certain state employee groups, explaining that arbitration is available for some essential-service and statutorily covered employees, that arbitrators decide disputed contract language based on statutory criteria, and that awards still must be found financially feasible by OFM. Committee members asked about PFML treatment, the timing of arbitration, and the budget pressures facing bargaining, and the meeting adjourned without any votes or formal actions.

Transcript Highlights:

• Manager, and Public Services Manager.
• Services for the loss or damage to personal property.
• For the Committee on Human Services, there is a bill related to services in place for certain legal expenses
• planning services, including the provision of those services, for the Committee on State Affairs.
• , Investments, and Financial Services.

Keywords: 1184, house, all

Transcript Highlights:

• work to extend MTA service to the Albany-Rensselaer train station.
• Residents don't really know when service is available.
• Almost 50 years of public service.
• I come from a family of service. Thank you. Very rewarding.
• I come from a family of service, so I'm happy to do my part.

Keywords: 993, senate, all

Summary: The joint meeting of the Senate Finance, Corporations, Authorities and Commissions, and Transportation committees considered four nominations to the Metropolitan Transportation Authority board: Melanie Hartzog, Jeanette Sadecott, Matthew Rand, and James O’Donnell. Each nominee gave opening remarks describing their public service or transportation-related experience and their interest in issues such as affordability, accessibility, state of good repair, regional connectivity, and transit safety. Senators also raised concerns about MTA transparency, the 2025-29 capital plan funding gap, fare and toll evasion, worker safety, and the need for better service in underserved areas. Members pressed the nominees on several policy questions, including the feasibility of free or reduced-fare buses, expanding bus service and bus lanes, restoring Hudson Valley and Harlem Line service, improving west-of-Hudson and Rockland County transit, and advancing the Second Avenue Subway and accessibility projects. The nominees generally said they were open to studying these ideas, emphasized collaboration with the MTA, governor, mayor, and legislature, and supported greater transparency and investment in transit infrastructure. Senators also highlighted labor concerns, including the MTA workers’ contract and safety for bus operators and other transit workers. At the end of the hearing, the committees voted separately on each nomination. Melanie Hartzog, Jeanette Sadecott, Matthew Rand, and James O’Donnell were each approved by the committees and advanced to the Senate floor. The meeting then adjourned.

Transcript Highlights:

• It's a service that needs to be rendered. Um, I don't, I don't get it.
• So that means that they cannot say, okay, you can't just go do that service.
• Diagnostic services cover a broad range of services.
• Diagnostic services cover a broad range of services spanning imaging, radiology, laboratory testing,
• So diagnostic services cover a broad range of services spanning imaging, radiology, laboratory testing

Summary: The caucus reviewed a long list of House bills with Senate amendments, with members generally indicating the sponsors intended to concur on most measures. Topics included public health and medical regulation (HB 2086 on face coverings/vaccinations, HB 2140 on gold and silver bullion investments, HB 2195 on nursing facility complaint timelines, HB 2189 on licensed health aides, HB 2932 on Access reimbursement and prior authorization, HB 2557 on medical records timing, and HB 2641 on PFAS firefighting foam), criminal justice and courts (HB 2673 creating an inmate mental health study committee, HB 2028 on community restitution for indigent homeless defendants, HB 2662 on expert testimony in parenting-time cases, HB 2440 on prisoner transition services, and HB 2594 on address confidentiality in family court), and education-related bills (HB 2830 on prenatal development instruction, HB 2249 on parents’ rights and social transitioning, HB 2481 on school district financial record compliance, HB 2482 on school construction job-order caps, HB 2895 on Native American language proficiency, HB 2423 on automatic advanced math enrollment, HB 2621 on special education and certificates of educational convenience, HB 2592 on AI rules, HB 2379 on school board training, and HB 2380 on out-of-state travel and public meeting materials). Other bills addressed transportation, development, housing, and local government issues, including HB 2909 on distracted driving, HB 2369 on photo enforcement citations, HB 2745 on legislative subpoenas, HB 2946 on development fees, HB 2999 on infrastructure finance districts, HB 2244 on eviction record sealing, HB 2342 on HOA shade structures, and HB 2752 on Commerce Authority trade offices. Several members raised concerns or asked questions on bills such as HB 2932, HB 2249, HB 2830, and HB 2028, but no formal votes were taken in the transcript; the meeting ended with adjournment after brief discussion of the final bills on Caucus Calendar 19, including HB 2248 on medical intervention requirements for businesses and schools.

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• committee is convened to examine the performance of Access and, specifically, its division of fee-for-service
• Arizona Medicaid members, particularly those seeking behavioral health treatment, recovery services,
• For each type of service provision.
• And even within behavioral health, for example, there are multiple iterations of service types.

Keywords: 1182, all

Transcript Highlights:

• services agency.
• services agency.
• services agency.
• service provider side. service provider side.
• service of the summons. service of the summons.

Keywords: 1187, senate, all

Transcript Highlights:

• appropriates $3 million from the State General Fund in fiscal year 2027 to the Department of Health Services
• Appropriates $3 million from the state general fund in fiscal year 2027 to the Department of Health Services
• State General Fund in fiscal year 2027 to access provider increases for home and community-based services
• to provide ambulance services if they demonstrate the ability to provide all services a certificate
• to provide ambulance services if they demonstrate the ability to provide all services a certificate

Keywords: 1182, all

Summary: The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules. Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements. No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.

Transcript Highlights:

• State Library Services is committed to supporting a wide array of library services for all 5.7 million
• <00:02:13.800> and our uh about State Library services and our uh about State Library services
• <00:03:50.879> all wide array of Library services for all wide array of Library services for
• is State Library Services uh State Library<00:04:04.640> Services<00:04:05.079> is<00:04
• um and upcoming and a youth services um and upcoming and a youth services early<00:05:03.039>

Keywords: 1187, senate, all

Transcript Highlights:

• services, home care nursing services, and adult rehabilitative mental health services.
• . services. services.
• many state programs and services. many state programs and services.
• for critical services. for critical services.
• continuity of service. continuity of service.

Bills: HF1338

Keywords: Inspector General, Office of the Inspector General, state oversight, government accountability, fraud, waste, abuse, audit, investigation, subpoena, whistleblower, public integrity, transparency, state agencies, executive branch, public funds, taxpayer funds, law enforcement oversight, public safety programs, advisory council

Transcript Highlights:

• Family Service in my previous work is a very needed service early on.
• Having services that are available when the family is ready for the service and in need of the service
• So it's having, I think, this focus on the services, getting the services out there.
• identify maybe a service array.
• So then we're going to refer them to your local human service center to get mental health services, ongoing

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• residential services, that Medicaid reimburses.
• We reimburse for psychiatric services, so mental health services.
• We reimburse for psychiatric services, so mental health services, and in psychiatric hospitals or in
• It is a way in which we verify the services, the start date, start time, end time, date, place of service
• It is a way in which we verify the services, the start date, start time, end time, date, place of service

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.