Transcript Highlights:

• The amendment creates two new tax credit programs and amends an existing program.
• health programs.
• programs.
• health programs.
• Does Medicaid cover this program?

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• The information and training programs are for both workers and supervisors.
• L&I administers and enforces a broad range of programs, including the workers' comp program, the Washington
• This bill started with a couple of our programs saying, we all... ...started with a couple of our programs
• For example, our retro program with employers.
• And so we found a couple of our programs who were...

Summary: The committee held public hearings on several Labor and Workplace Standards bills. HB 2492 would require building and construction apprenticeship programs, beginning in 2027, to include two hours of behavioral health and wellness training covering topics such as suicide prevention, substance use disorder, recognizing distress, peer support, and connecting to resources. The prime sponsor and many labor, apprenticeship, and contractor witnesses supported the bill, describing high suicide and overdose rates in construction and sharing personal stories about losses and struggles in the trades. No vote was taken on the bill during the hearing. The committee then heard HB 2405, a Department of Labor and Industries request bill creating a pilot to allow earlier treatment for PTSD claims in workers’ compensation, including up to 11 treatment sessions before claim adjudication and limited follow-up treatment after closure. L&I and NFIB supported the measure as a way to speed treatment and reduce barriers, while one legal advocate supported it but raised technical concerns about pre-claim treatment and urged more focus on workplace prevention; another witness cautioned against emphasizing psychiatric drug treatment. The bill was heard only; no action was taken. HB 2406 would expand L&I’s ability to send notices electronically, with opt-in/opt-out provisions and some changes to timing rules for workers’ compensation and WISHA notices. L&I supported the bill as a modernization measure, while labor and workers’ advocates opposed changes affecting workers’ compensation notices, arguing that email should not become the default for vulnerable workers who may miss deadlines. HB 2478 would give L&I discretion, rather than a mandate, to investigate wage complaints and allow penalties when the department initiates an investigation; L&I supported it as a more efficient enforcement tool, and the committee discussed how complaints would still be handled and communicated. Finally, HB 2471 would create a state collective bargaining framework for private-sector workers if federal labor law or the NLRB no longer covers them. Supporters said it would preserve organizing and dispute-resolution rights if federal protections fail, while agricultural employers and NFIB opposed it, arguing it would inappropriately apply to agriculture and small businesses, could disrupt perishable harvests, and should rely on secret-ballot elections rather than card check. No votes were taken on any of the bills in the hearing.

Transcript Highlights:

• </c> with the trails program in that reality? with the trails program in that reality?
• Uh, they seem to into the program.
• nurses.
• </c> division, and our Wyoming bred program. division, and our Wyoming bred program.
• </c> program. So, hopefully that helps. program. So, hopefully that helps.

Committee: Joint Appropriations

Keywords: 916, all

Transcript Highlights:

• No taxpayer dollars are used to fund this program beyond the cost of oversight of the program by the
• Some of those programs include improvements to the general surgery program, an orthopedic surgery program
• This is a chronic care program.
• This is a chronic care program.
• This is a chronic care program.

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• And we have in Broward County a smart growth program.
• It requires certified nursing assistants serving in a nursing home to receive training on recognizing
• Back to our regularly scheduled programming. Please read the next bill.
• home beds in a skilled nursing facility.
• the program.

Summary: The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session. The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0. The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.

Transcript Highlights:

• program as well as other um various program as well as other um various programs<00:19:10.080><c> that
• Occupations like nursing, early childhood education, and other fields where accredited programs are often
• The Minnesota State Grant Program is our state's largest financial need program.
• </c> state grant program. state grant program.
• </c> talked about to the work study program. talked about to the work study program.

Bills: HF4362 , HF4252 , HF4440

Committee: House Higher Education Finance and Policy

Keywords: firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry

Transcript Highlights:

• </c> general overview of the Medicaid Program general overview of the Medicaid Program how<00:02:30.200
• </c><00:02:31.760><c> that</c> how we are the largest program that how we are the largest program that
• </c><00:03:53.079><c> we</c> children's health insurance program we children's health insurance program
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.
• And as of the Medicaid program, again, the Medicaid program is going to be 60 years old this year.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• Chairman Cook said it was a great program and a great idea, and he voted yes.
• In this instance, one of the nurse practitioners decides to run a pill mill.
• </c> he has people that work under him nurse he has people that work under him nurse practitioners<00
• </c><00:49:19.640><c> practitioners</c> um one of the nurse practitioners um one of the nurse practitioners
• nurse nurse practitioners<00:49:32.720><c> um</c><00:49:32.920><c> and</c><00:49:33.040><c> he</c><00

Keywords: 958, all

Summary: The committee first took up House Bill 90 / Senate Bill 17, a birth-related measure backed by the Kentucky Birth Coalition. Sponsors said the bill had been worked on for several years and described changes including a transfer agreement, insurance requirements, proximity to a hospital, informed consent, and accreditation/medical director standards that helped win neutral or non-opposition from the Hospital Association. The bill was reported favorably after a roll call vote with unanimous support. The committee then heard Senate Bill 65, presented by Senator Steve West and Representative Derrick Lewis. They said the bill would make regulations found deficient through the committee review process null and void by statute, and would bar agencies from reissuing the same or similar language for up to a year. Supporters argued this was needed to hold agencies accountable because deficiency findings alone had not led to action. After questions about specific Medicaid behavioral health regulations and concerns about legislative overreach, the bill passed the committee on a roll call vote, with some members passing or explaining reservations. Finally, the committee considered Senate Bill 84, with a House committee substitute. Sponsors said the substitute was intended to strengthen the bill and reflect the U.S. Supreme Court’s Loper Bright decision by ending Chevron deference and requiring courts, not agencies, to interpret law. Opponents, including Audrey Ernsberger and Katherine Hargraves, argued the bill would intrude on the judiciary, violate separation of powers, and could harm public health, environmental, and workplace protections. Committee members also raised concerns about whether the bill told courts what standard to use; sponsors responded that agencies could still present persuasive arguments, but courts should not defer to them. The committee substitute was adopted, and the bill then passed the committee on a roll call vote, with several members passing or expressing constitutional concerns.

Transcript Highlights:

• This would create a new testing program, $5 million in each fiscal year to develop a comprehensive program
• The whole blood pilot program, this would appropriate $10 million for a whole blood pilot program and
• This is not a current program at the agency. That's Article 11.
• Is additional funding to maintain women's health, uh, program services.
• Page 119 home visiting program is Representative Ross.

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• This is a bill brought forth by school nurses.
• I am Heather Hedeen, the state school nurse.
• So the Direct Admissions Program, this is.
• and education programs.
• Participation, because of all the benefits of this program, it's a wonderful, wonderful program.

Committee: House Education Policy

Transcript Highlights:

• I like the thought of a tiered program.
• but into that bachelor's program and on into the master's program, which is what they actually have
• An SLP associate program would be vital to filling those needs. ...program would be vital to filling
• , or do you presently already have the program?
• We have a cancer program and a Parkinson's support program where we give products directly to these folks

Bills: HB441 , HB445 , HB477 , HB441 , HB445

Committee: House Health

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax

Transcript Highlights:

• The last thing is a pilot program to explore broadening...
• Today, this program is largely taken advantage of by...
• Those were nurses at Camp Sheridan. Next, we come all the way to the present.
• This is Raven Christopher, an Army Nurse employed with... an Army Nurse employed with... it's going to
• You see there on the right Army personnel serving at a nursing home in... Next slide.

Committee: House Veterans and Military Affairs

Keywords: 1136, house, all

Transcript Highlights:

• </c><00:03:40.640><c> home</c> living facility and nursing home living facility and nursing home licensing
• Um um as as good program evaluations.
• Senator Rest asked whether, from what she gathered, the emergency program, topic 30, is the program used
• </c><00:15:27.760><c> evaluation</c> just done as a um a program evaluation just done as a um a program
• </c> problems in that program legislatively. problems in that program legislatively.

Keywords: 919, house, all

Summary: The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring. Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination. On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.

Transcript Highlights:

• One was on the verge of closure before we instituted the financially distressed loan program.
• It helps stabilize the finances of the Medi-Cal program and reduces the need for additional budgetary
• I remember the AVID programs when I was in school in San Diego, and they did an amazing job.
• It's a program that I've known for quite some time.
• These nurses served closer to combat than in any prior conflict, under fire, all while continuing to

Keywords: 987, senate, all

Transcript Highlights:

• There is a novel rotation program in the South Texas area.
• Um, Texas is only currently spending $6 million on these programs.
• It is imperative that programs are funded to reach Texans young and old in all 254 counties.
• I'm a nationally certified school nurse and the executive director for Texas School Nurses Organization
• Items of clothing, and definitely the most concerning to school nurses, an asthma inhaler.

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• They must also have worked for the child care program for a minimum of 30 days.
• </c><00:09:26.680><c> will</c><00:09:26.839><c> be</c> of childcare programs will be of childcare programs
• We're not nurses. We're not doctors.
• /c> because I'm not a nurse I'm not a nurse because I'm not a nurse I'm not a nurse practitioner<00:39
• So thank you, Chair. program after school program and does a program after school program and does a

Bills: HF1247 , HF628

Committee: House Children and Families Finance and Policy

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• <00:05:08.960><c> facility,</c> nursing facility, nursing facility, um<00:05:10.800><c> several</c><00
• </c> um several Western State nursing facil um several Western State nursing facil or<00:05:13.520><c
• Uh, just as a quick Nursing Facility.
• </c><00:09:31.440><c> Facility</c> reminder, Western State Nursing Facility reminder, Western State Nursing
• </c> complications requiring skilled nursing. complications requiring skilled nursing.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:05 Approval of Minutes 00:01:48 Welcome New Members 00:02:03 Information Items 00:02:35 Review of Executive Branch Agency Plans 00:03:33 A. Cabinet for Health and Family Services 00:04:00 B. Kentucky Department of Education 00:17:03 C. Education and Labor Cabinet 00:29:33 D. Energy and Environment Cabinet 00:42:38 E. Finance and Administration Cabinet 0:53:30 F. Justice and Public Safety Cabinet 01:13:28 G. Personnel Cabinet 01:31:04 H. School Facilities Construction Commission 01:41:39, 958, all

Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.

Transcript Highlights:

• They came and met with me on nursing. They put out a lot of LPNs. Thank you.
• The fifth is student programs and initiatives. The sixth is infrastructure improvements.
• Now, if you want to go on and do an associate's degree and go into nursing, you can do that.
• She's in charge of the nursing licensure process.
• How many nurses were affected by that law? Ninety thousand. Staggering. Thirteen.

Committee: House Oklahoma Education Commission

Summary: The meeting focused primarily on planning for an upcoming AI symposium and related commission work. Members reviewed nomination and registration timelines, attendance categories, site logistics, and microcredential requirements for participants. They discussed the symposium’s structure, including slots for K-12, higher education, career tech, libraries, tribal groups, and innovation grant recipients, and noted that the event would likely be held in early June with a follow-up planning meeting on April 2. The group also discussed launching a newsletter via Substack and publishing a monthly podcast to share updates and build public awareness. A major portion of the discussion centered on School AI and a proposed $45 million AI initiative. Members described School AI pilot activity at OCCC and broader plans to work with K-12, career tech, higher education, and libraries, while emphasizing privacy, data governance, and the need for local training and agency-level negotiation. The $45 million proposal, referenced as House Bill 1782, would create a revolving fund, an advisory council, and broad allowable uses including tools, professional development, curriculum, research, student programs, infrastructure, and public outreach. Representative Williams said the bill was moving through the House appropriations process and that the goal was to keep the funding intact. The group also raised concerns about other AI-related proposals and initiatives, including three bills by Representative Cody Maynard and the Oklahoma AI Roundtable, which some members viewed skeptically because of its paid membership model. A podcast episode on ethics and legal issues in AI was previewed, including a controversial example about using AI to survey students for safety risks; members agreed the example was hypothetical but potentially sensitive. The meeting ended with broader discussion of workforce needs, especially nursing and corrections education, including efforts to expand LPN/RN pathways, address certification costs, and connect training to rural health and reentry programs.

Transcript Highlights:

• And, very importantly, nursing and medical care coordination.
• After my son completed the program, the PREP program closed due to lack of funding and other reasons.
• These programs won't cost the Commonwealth very much.
• These programs won't cost the Commonwealth very much.
• My first job was with psychiatric consult services in nursing homes.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• of the Arkansas Health Care Association, Arkansas and President of the Arkansas Health Care School Nursing
• We have a program out now where you can look on, you can get an app on your phone.
• They've done a great job administering this grant program.
• Bunch has a new nursing school where they're doing some workforce training.
• We may have her discuss some of what they're doing at their new nursing school.

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.