Transcript Highlights:

• options by allowing preductive coverage options by allowing preductive coverage of<04:23:08.520>
• as well by providing flexible coverage as well by providing flexible coverage options<04:23:39.439
• <04:25:04.560> for allow preductive health coverage for allow preductive health coverage for
• I rise today in strong support of my bill, the Chronic Disease Flexible Coverage Act.
• the chronic disease flexible coverage the chronic disease flexible coverage act<04:33:21.480>

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 4, 2025, 1012, house, all

Transcript Highlights:

• This plan finds coverage for those employers who are required to have workers' compensation coverage
• but cannot find that coverage on their own or through an agent.
• The plan guarantees that these employers will have coverage. On their own or through an agent.
• The plan guarantees that these employers will have coverage.
• The act requires states to provide certain coverage for eligible incarcerated youth.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• that we fix this and transparency that we fix this methane<02:49:41.960> problem<02:49:42.680
• In addition to the loss of health care access, many of those still with coverage will see their costs
• The average premium for 103,000 people who receive coverage under the Affordable Care Act in my district
• will<07:58:53.360> see<07:58:53.600> their<07:58:53.878> costs with coverage
• under the Affordable receive coverage under the Affordable Care<07:59:05.398> Act<07:59:05.558

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, February 26, 2025, 1012, house, all

Transcript Highlights:

• Well, we, in conference, added language that expands the insurance coverage for contraception from a
• conference committee report includes language, as I explained to the lady, that expands insurance coverage
• Insurance coverage for contraception from a six-month supply to a 12-month supply.
• anything that allows truly small Main Street business to participate in that same concept and broaden coverage
• I appreciate that you are offering an opportunity for clarification because I think being transparent

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the House Journal by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week, honor Rep. Prouty, and share personal remarks, followed by numerous introductions of special guests, including school groups, interns, a militia reenactment group, and student teams from the University of Missouri and Hallsville FFA. The chamber then handled Senate messages and committee reports before taking up House Bills 1839, 2921, and 3015. Rep. from Cass explained a Senate amendment as a technical correction to House Bill 1839, which would add age-verification requirements for online pornography; the House concurred 104-30 and then finally passed the package 112-25. The House also adopted and then passed the conference committee report on House Bill 2596, which was described as modernizing pooled health plan language for small businesses and adding a provision expanding contraception insurance coverage from a six-month to a 12-month supply, while removing a Senate-added blood pressure cuff provision. The conference report was adopted 120-26 and the bill was third read and passed 119-27. The final major item was Senate Bill 905, creating the Missouri Ranger training program and allowing school districts to optionally place highly trained rangers on campus with narrow law enforcement powers. Supporters argued it would give districts another local-control option to improve school safety, especially where school resource officers are unavailable, and emphasized that it could be volunteer-based and not require state funding. Opponents argued the bill would add guns to schools, increase trauma and liability, and fail to address underlying mental health and school safety needs. After extended debate and a successful previous-question motion, the House adopted the amendment and continued consideration of the bill.

Transcript Highlights:

• Independent investigations must be fair, and they must be timely and transparent.
• Independent investigations must be fair, and they must be timely and transparent.
• Independent investigations must be fair, and they must be timely and transparent.
• Independent investigations must be fair, and they must be timely and transparent.
• This investment helps and transparent.

Keywords: 1187, senate, all

Transcript Highlights:

• have what you think is adequate coverage have what you think is adequate coverage for<00:19:18.320
• This coverage to the state workforce at the employer's expense.
• to purchase and the individual coverage pool.
• They also have to provide that coverage as well.
• don't have coverage individuals who don't have coverage through<01:23:59.639> their<01:23:59.800

Keywords: 928, house, all

Summary: The committee heard testimony from Insurance Commissioner DJ Bettencourt on the New Hampshire Insurance Department budget. He said the department is self-funded through assessments on insurers based on New Hampshire premium volume, with about $8 billion in premiums written in the state and a department budget of roughly $15.5 million. He explained that the department has 88 authorized positions, eight vacancies, and that three full-time positions were unfunded after the governor’s requested 4% reduction exercise. He also said the department is trying to balance staffing needs with not overburdening carriers during a hard insurance market. A major topic was the department’s $2.6 million rebate to industry from the prior fiscal year, which Bettencourt described as a credit against the next assessment rather than a direct cash payment. Members questioned why that credit was not reflected as a reduction in the upcoming budget, and Bettencourt and staff explained that the budget assumes full staffing and full spending, with any year-end surplus returned to insurers. The commissioner said the department had added staff in recent years for succession planning and to preserve institutional expertise, and that the rebate reflects careful budgeting rather than excess spending. Members also asked about staffing changes by division, including positions unfunded in fraud, property and casualty examinations, life and health examinations, and tax. Bettencourt said fraud investigations remain strong and that the department can use outside contractors for examinations, with those costs billed to the company being examined. He also described the department’s examination process, including periodic financial exams and targeted market conduct reviews triggered by consumer complaints or trends. Additional questions covered OIT transfers, the department’s oversight of fully insured health coverage, the insurance premium tax and fines going to the general fund, and the department’s limited role in auto repair reimbursement disputes, where he said complaints have recently declined.

Transcript Highlights:

• eventual language for fertility coverage eventual language for fertility coverage in<00:26:11.120
• 26:24.559> provides having insurance coverage that provides having insurance coverage that provides
• to keep it at the three-month retroactive coverage.
• It's already um retro active coverage.
• And so I am putting forth this coverage.

Keywords: 919, house, all

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• <00:37:22.160> is<00:37:22.319> being coverage is being coverage is being confirmed<00:
• This bill does help to create efficiencies in Medicaid prescription coverage.
• additional Medicare coverage.
• There was a patient who had Medicaid coverage, also was under 26, so had coverage of a commercial plan
• also uh was under 26 so um had coverage also uh was under 26 so um had uh<00:40:32.800> coverage<

Keywords: 1187, senate, all

Transcript Highlights:

• In 2019, the federal government introduced a dairy margin coverage program.
• led to Minnesota dairy farmers becoming national leaders in enrolling in the federal dairy margin coverage
• introduced a dairy margin coverage introduced a dairy margin coverage program.<00:12:45.040>
• enrolling in the federal<00:13:22.680> dairy<00:13:23.040> margin<00:13:23.600> coverage
• <00:13:23.960> program, federal dairy margin coverage program, federal dairy margin coverage

Keywords: 918, senate, all

Summary: The Senate convened, established a quorum, and proceeded through routine orders of business, including receipt of House messages and first and second readings of several bills. House File 3615, a cannabis-related bill, was received and referred to Rules and Administration for comparison with Senate File 3670. Senate Files 3957, 4072, 3956, 239, and 3955 received second reading, and the introduction calendars were given first reading and referred as indicated. During motions and resolutions, the Senate approved several committee re-referrals: SF 4075 was moved from Transportation to State and Local Government; SF 4177, a bill related to the Secretary of State, was moved from Commerce and Consumer Protection to State and Local Government; SF 4262 was moved from Taxes to State and Local Government; and SF 4418 was moved from Health and Human Services to Human Services. The chamber also adopted committee reports and designated special orders. The main special order considered was SF 3832, which would modify eligibility for the dairy assistance investment relief initiative program to allow dairy producers established since 2022 to enroll. The author explained the bill would help new dairy producers access an existing program with no new fiscal impact, and Senator Dames spoke in support. The Senate then gave SF 3832 third reading and passed it by a vote of 66-0, with its title agreed to. The session concluded with announcements, including invitations to a Metro Parks pizza event and St. Louis County Days, a reminder about legislative auditor evaluation topic suggestions, and a brief St. Patrick’s Day reflection by Senator Murphy before the Senate adjourned until March 18 at 11:00 a.m.

Transcript Highlights:

• So I lose coverage. But is that coverage retroactive, or is it prospective?
• So I lose coverage.<00:35:56.560> But<00:35:57.040> that<00:35:57.359> coverage
• coverage.
• But that coverage coverage.
• insurers already provided the coverage insurers already provided the coverage and<00:42:09.920><

Keywords: 1189, house, all

Transcript Highlights:

• So, you know, how far from the reference line the structure can be, your lot coverage, you know, that
• , the structure can be, your lot coverage, the structure can be, your lot coverage, you<00:21:45.039
• So I think basis of flock coverage etc.
• They could add stricter lot coverage requirements or stricter setback requirements from the...
• > or<00:46:08.000> stricter lock coverage requirements or stricter lock coverage requirements

Keywords: 1189, house, all

Transcript Highlights:

• Commerce licenses insurers to sell in the state, either to sell commercial or homeowners coverage, but
• And that has resulted in more affordable coverage and availability of coverage. >> Yeah.
• <00:41:53.520> and resulted in more affordable coverage and resulted in more affordable coverage
• and availability<00:41:54.240> of<00:41:54.480> coverage.
• availability of coverage. availability of coverage.

Keywords: 919, house, all

Summary: The task force held its first meeting on the insurance affordability crisis affecting single-family housing, common interest communities, and multifamily rental housing. Members and staff introduced themselves, including representatives from insurers, the Department of Commerce, housing advocates, affordable housing developers, and HOA/community association interests. Representative Steve Elkins was elected chair by roll call vote with 10 members in favor, after discussion that the Senate appointee’s formal appointment had not yet arrived; the group noted the intent to later move to co-chair leadership once that appointment is finalized. Staff reviewed the task force’s enabling statute and open meeting law requirements. The task force is charged with studying homeowners and commercial property insurance, property resilience and risk mitigation, liability laws and possible tort reform, notice and oversight issues, public reporting, and the state-supported insurance program, including possible expansion to a catastrophic reinsurance fund or self-insured pool. The final report is due February 15 and will go to the commissioners of commerce, housing finance, and employment and economic development, as well as relevant legislative committees. Members were also briefed on meeting logistics, a draft charter to be voted on at the second meeting, a resource page for shared materials, and the schedule of future meetings. The Department of Commerce then gave an overview of Minnesota’s property and casualty insurance market. Commerce described its regulatory role, the state’s competitiveness test, and how homeowners insurance is often filed under a “file and use” process rather than prior approval. The presentation emphasized that homeowners coverage has been under pressure for years: insurers have lost money in many recent years, premiums have risen, some consumers are taking on more risk through higher deductibles or reduced coverage, and some are moving into the surplus market. Commerce also highlighted the impact of severe weather losses, the growth in premiums since 2014, and gaps in oversight for homeowners associations and related policies. The meeting then shifted to brainstorming the problems the task force should address. Early discussion focused on climate and construction-related resilience, including hail and wind-driven rain damage, discontinued building materials, and whether stronger materials are reflected in insurance pricing. Members also raised the need to study programs like Alabama’s fortified roof model and Minnesota’s own Strengthen Minnesota Homes effort, along with questions about whether the construction industry is prepared to support broader resilience measures. No additional votes were taken during the discussion segment.

Transcript Highlights:

• That's exactly what House Bill 4144 addresses with the addition of post-retirement coverage to Chapter
• These benefits are provided through their existing workers' compensation coverage and pay for time off
• as well as medical coverage.
• Benefit coverage is, is extremely important because these diseases are the result of years of duty and
• The coverage stops upon separation of service, uh, and is not commensurate with the time of service,

Transcript Highlights:

• But if you think about the coverage that you provide, our choice is do we do it or do we not do it?
• And if we don't do it, then every state that touches us by far surpasses us in coverage and in health
• about the coverage that you provide,<00:12:51.360> uh<00:12:51.519> our<00:12:51.839><
• <00:13:03.760> Uh<00:13:04.160> as<00:13:04.399> rural Coverage and in health
• through 8 with the following coverage through 8 with the following coverage and<00:16:59.839>

Bills: SB9, HB400, SB9, HB400

Keywords: Alabama Athletic Commission, Attorney General, criminal penalties, unarmed combat, regulation, boxing, mixed martial arts, civil fines, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, smoking ban, vaping, public health, indoor air quality, clean air, ambulance services, health insurance

Transcript Highlights:

• At present, coverage for Medicaid recipients. It coverage for Medicaid recipients.
• <01:15:34.320> I Medicaid coverage. Um but thank you. I Medicaid coverage.
• I see because the coverage has ended.
• And by moving 20 coverage in the past.
• Today, I ask you to support coverage.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• And that's how they lose their coverage. I'd be happy to see anything you have.
• that were at my agency that were disabled, that were qualified as disabled, that will lose their coverage
• I want to know who in that 3% is going to lose coverage because they're not exempt.
• in the last three months under this parameter, for whatever reason, you won't be able to have any coverage
• I guess my question is, so we know once this is implemented, people are going to lose their coverage,

Keywords: 959, house, all

Transcript Highlights:

• c><00:23:24.799> lose<00:23:25.159> that they don't lose that they don't lose that coverage
• c> couldn't<00:23:28.120> speak<00:23:28.520> to<00:23:28.760> people's coverage
• are building codes town to transparent are building codes town to toown<01:47:07.760> uh<01:47
• Not everybody's up to it, but the intent is to make building code amendments be more transparent and
• The intent is to make building code amendments more transparent and more available, and hopefully more

Keywords: 928, house, all

Summary: The committee first took up House Bill 216, which Representative Carol Maguire described as a fix to a workers’ compensation/retirement “glitch.” The bill would remove the current limit that only one year of workers’ compensation time can be credited as retirement service time. Maguire argued the limit is arbitrary and affects only a very small number of grievously injured workers, while committee members asked about the fiscal impact, available data, and whether the change could affect workers’ compensation rates or incentives. Mark Kavar of the New Hampshire Retirement System said Labor could not provide data on how many people exceed a year on weekly indemnity benefits, so the fiscal note used a conservative estimate that could be scaled down; he also explained that workers’ comp is not earnable compensation, which is why service credit stops after a year, and noted that many long-term cases move into disability retirement or lump-sum settlements. The committee closed the hearing, entered executive session, and voted ought to pass on HB 216 by a 13-0 roll call, sending it to consent and noting it would also go to Finance. The committee then acted on House Bill 85, adopting Amendment 0037 and then voting ought to pass as amended by another 13-0 roll call. The bill was described as allowing second-year respiratory therapy students to work under supervision using the skills they have already learned, with support from the Hospital Association and no opposition noted. Finally, the committee took up House Bill 267, the animal chiropractors bill. Members said the bill had been approved previously but was vetoed because of a defect; the problem has now been corrected, and the bill is intended to reduce delays caused by requiring veterinary referrals before chiropractors can treat animals. The committee voted ought to pass 13-0 and placed the bill on consent.

Bills: SJR85, SCR29, SCR38, SCR42, SB23, SB39, SB209, SB227, SB240, SB330, SB527, SB584, SB618, SB619, SB636, SB663, SB715, SB732, SB758, SB801, SB825, SB826, SB843, SB844, SB847, SB870, SB884, SB912, SB957, SB1013, SB1020, SB1065, SB1143, SB1152, SB1164, SB1183, SB1257, SB1299, SB1325, SB1349, SB1413, SB1455, SB1539, SB1558, SB1574, SB1583, SB1624, SB1642, SB1643, SB1667, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1784, SB1789, SB1832, SB1868, SB1870, SB1883, SB1896, SB1920, SB1924, SB1963, SB2010, SB2018, SB2024, SB2037, SB2052, SB2073, SB2111, SB2161, SB2196, SB2207, SB2253, SB2268, SB2322, SB2323, SB2332, SB2349, SB2371, SB2533, SB2570, SB2601, SB2626, SB2692, SB2705, SB2717, SB2774, SB2788, SB2877, SB2920, SB2, SB260, SB1786, SB1, HJR4, SJR36, SJR50, SJR63, SJR85, SJR84, SCR12, SCR39, SCR38, SCR42, SCR29, SCR4, SCR18, SCR43, SCR46, SB2023, SB825, SB2010, SB1870, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB618, SB393, SB1791, SB826, SB1257, SB870, SB529, SB209, SB1883, SB2024, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1963, SB1643, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB1727, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB844, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1642, SB1757, SB2050, SB1138, SB2626, SB2458, SB1864, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB23, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, HB135, HB1109, SCR48, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Transcript Highlights:

• and final offers from bidders and to rebid certain contracts, and acquires additional insurance coverage
• These public workshops increase a two-thirds supermajority vote to be safeguarded from transparency in

Bills: SJR85, SCR29, SCR38, SCR42, SB23, SB39, SB209, SB227, SB240, SB330, SB527, SB584, SB618, SB619, SB636, SB663, SB715, SB732, SB758, SB801, SB825, SB826, SB843, SB844, SB847, SB870, SB884, SB912, SB957, SB1013, SB1020, SB1065, SB1143, SB1152, SB1164, SB1183, SB1257, SB1299, SB1325, SB1349, SB1413, SB1455, SB1539, SB1558, SB1574, SB1583, SB1624, SB1642, SB1643, SB1667, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1784, SB1789, SB1832, SB1868, SB1870, SB1883, SB1896, SB1920, SB1924, SB1963, SB2010, SB2018, SB2024, SB2037, SB2052, SB2073, SB2111, SB2161, SB2196, SB2207, SB2253, SB2268, SB2322, SB2323, SB2332, SB2349, SB2371, SB2533, SB2570, SB2601, SB2626, SB2692, SB2705, SB2717, SB2774, SB2788, SB2877, SB2920, SB2, SB260, SB1786, SB1, HJR4, SJR36, SJR50, SJR63, SJR85, SJR84, SCR12, SCR39, SCR38, SCR42, SCR29, SCR4, SCR18, SCR43, SCR46, SB2023, SB825, SB2010, SB1870, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB618, SB393, SB1791, SB826, SB1257, SB870, SB529, SB209, SB1883, SB2024, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1963, SB1643, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB1727, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB844, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1642, SB1757, SB2050, SB1138, SB2626, SB2458, SB1864, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB23, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, HB135, HB 1109, SCR48, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SJR85, SB23, SB826, SB844, SB957, SB1413, SB1539, SB1583, SB1642, SB1643, SB1789, SB1883, SB1963, SB2024, SB2626, SB2774, SB825, SB1870, SB2010, SB240, SB618, SB870, SB1257, SB1727, SR424, SR428, SCR29, SCR42, SCR49, SB3056, SB3057, HB2, HB20, HB 120, HB142, HB210, HB215, HB451, HB 1022, HB 1151, HB1458, HB1700, HB2000, HB3093, SB3056, SB3057, HB2, HB20, HB 120, HB142, HB210, HB215, HB451, HB 1022, HB 1151, HB1458, HB1700, HB2000, HB3093

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Transcript Highlights:

• Coverage for occupational therapy, Coverage for occupational therapy, physical<01:16:45.240> therapy
• They have a change in coverage and a change in costs.
• in coverage or a change<01:19:08.280> in<01:19:08.360> costs.
• in change in coverage and a change in costs. costs. costs.
• <01:19:40.160> of this regulation expand the coverage of this regulation expand the coverage

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.