Transcript Highlights:

• Kindergarten includes TK as defined in Education Code Section 48000.
• California is a much more expensive place... ...to do business than states like, say, Mississippi or Alabama
• Is that in the Education Code?
• But that's all in the Education Code? That's right. Okay.
• assessment and the local control accountability plan reporting requirements set forth in Education Code

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• since 2001 when I came into this building and witnessed great water fights in Chapter 36 of the Water Code
• It goes everything from a tribal chief at the Alabama-Coshanna Indian Reservation.

Keywords: 1185, senate, all

Transcript Highlights:

• And this later number does exclude Alabama and Mississippi, as there are some major concerns with the
• So here, as I mentioned earlier, Massachusetts, Mississippi, and Alabama data are not able to be presented

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.

Transcript Highlights:

• This map says that Louisiana is not like Alabama. This map says that Louisiana is not like Alabama.

Summary: The Senate and Governmental Affairs Committee met on May 12, 2026, and focused primarily on Senate Bill 407, a congressional redistricting proposal, with Senate Bill 121 also scheduled for later. The chair explained the committee would first take up SB 407, consider amendments, then hear public testimony, and would not take up SB 116 or SB 130. Two amendment sets were adopted on SB 407: one technical set adjusting dates to align with the upcoming election cycle, and another updating the map in the bill. Committee members and the bill sponsor described the proposal as a 4-2 congressional map intended to comply with the Supreme Court’s CalA ruling, preserve traditional redistricting criteria, and avoid using race as the basis for district lines. Supporters of SB 407 argued the map was compact, contiguous, kept parishes and cities together, and created two opportunity districts without racial predominance. Several senators said the map better reflected Louisiana’s political and demographic realities and could withstand legal challenge under the Equal Protection Clause and First Amendment. Testimony in support also emphasized fairness, representation, and the idea that the state should not move to a 5-1 map. Some speakers, including former legislators and community advocates, said the state should maintain or preserve two districts where Black voters and Democratic voters could elect candidates of choice. Opponents of the broader redistricting effort criticized the process as rushed and confusing, especially because early voting had already begun and the Secretary of State was not present to answer questions. Some speakers said the legislature had not been properly involved in the election suspension process and raised concerns about whether votes already cast would count if maps changed. Others argued the proposed changes were an attempt to dilute political power and disenfranchise voters, particularly Black, poor, and queer communities. The committee heard extensive public testimony on both sides, but no final vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• interstate compact, which has been enacted by five states: Washington, Montana, Wisconsin, Iowa, and Alabama
• Interstate Compact, which has been enacted by five states, Washington, Montana, Wisconsin, Iowa, and Alabama

Keywords: 994, senate, all

Transcript Highlights:

• And with this bill, he's worked with the Alabama Department of Revenue.
• And with this bill, he's worked with the Alabama Department of Revenue.

Bills: HB139, HB220, SB274, SB282, SB277

Keywords: 923, senate, all

Transcript Highlights:

• and I want to make sure, as I’m sure everyone on the committee does, that Texas and California and Alabama
• and I want to make sure, as I’m sure everyone on the committee does, that Texas and California and Alabama

Summary: The Economic Infrastructure Subcommittee met to consider several bills, beginning with HB 335 by Representative Kendall, which sought to recognize space as a fifth mode of transportation, give voting rights to ex officio Space Florida board members, and reduce what the sponsor described as unnecessary state oversight of spaceport operations. The bill was presented as a response to feedback from NASA, Space Force, and other federal partners about clarifying the state’s role at federally owned facilities like Kennedy Space Center. Members raised questions about terminology, authority over federal property, and the role of Space Florida; the sponsor said an amendment would remove the voting-rights provision and instead require spaceports to provide an annual list of shovel-ready projects. The amendment was adopted, and HB 335 passed favorably. The committee then unanimously passed HB 885, which designates a road in Baker County near the courthouse in honor of former Representative and Judge John Cruz, and HB 403, which names a portion of the road leading into NAS Pensacola as Warriors Way to honor the sailors killed in the 2019 Pensacola attack and the broader naval community there. Both bills drew brief supportive remarks and no opposition. The committee also considered HB 25, a bridge designation for Coach Wilks, a longtime local basketball coach, and adopted a Senate amendment adding the Dickey Betts Memorial Highway designation on U.S. 41 in Sarasota County. HB 25, as amended, passed unanimously. The meeting concluded with adjournment after all measures on the agenda were reported favorably.

Transcript Highlights:

• , construction, and forestry with 26 locations throughout the Carolinas and Florida, Georgia, and Alabama
• Our business is Carolinas, Florida, Georgia, and Alabama.

Bills: S0386, S0528, S0806, S0696, S0930, S0874, S0898, S0826, S0838

Keywords: farm equipment, agricultural machinery, farm machinery, tractor, combine, harvester, implements, warranty, lemon law, defective equipment, repair rights, consumer protection, manufacturer liability, authorized service agent, replacement, refund, rural agriculture, urban agriculture, Florida Statutes, chapter 604

Summary: The Commerce and Tourism Committee met with a quorum and considered several bills, most of them receiving favorable reports. SB 386, relating to farm equipment repair rights, was briefly explained by the sponsor as a lemon-law style measure for farm equipment; it passed without questions or debate. SB 528, aimed at strengthening Florida’s manufacturing sector by expanding Department of Commerce responsibilities, codifying the chief manufacturing officer role, creating a workforce development grant program, and requiring reporting, drew support from several appearance forms and was reported favorably. SB 806, a broader right-to-repair bill covering portable wireless devices and agricultural equipment, drew the most discussion: dealership and industry representatives opposed it, arguing existing manufacturer agreements already provide access to repair information and that the bill could force manufacturers into competition with dealers, while supporters framed it as pro-consumer and pro-repair access; it was still reported favorably. SB 696 on trademark registration modernization and SB 930 creating a Florida Retirement Savings Task Force were both explained as administrative/policy measures and passed without opposition. SB 874, which creates a professional licensure reciprocity path for out-of-state surveyors and mappers to address workforce shortages, also passed favorably. The committee then took up SB 826 on gift certificates, which the sponsor said is intended to target bank-branded “reward cards” that function like gift cards but expire, while not affecting loyalty programs. The Florida Restaurant and Lodging Association expressed concern about unintended consequences and asked to work on tighter definitions, but the bill was reported favorably after the sponsor said clarifying language would be added later. The committee also heard SB 838, as amended, on electronic payments for retail installment contracts; the sponsor said it would clarify that reasonable convenience fees for optional electronic payments are permissible, require disclosure, and preserve a fee-free option. Members raised concerns about what counts as a “reasonable” fee and whether the bill could authorize junk fees, but the committee substitute was reported favorably. Several votes were taken by roll call, with the bills above reported favorably and SB 898 temporarily postponed at the sponsor’s request. Members later asked to be recorded as voting affirmatively on bills they had missed. The meeting concluded after the final vote on SB 838 and a motion to adjourn.

Transcript Highlights:

• Ralph Miller was born on August 13th, 1948 in Alabama as a student at California Lutheran.
• We already know that he was born in 1948, Alabama, went to California Lutheran University.

Keywords: 988, house, all

Transcript Highlights:

• States like Utah, Tennessee, and Alabama have already adopted similar policies.
• States like Utah, Tennessee, and Alabama have already adopted similar policies.
• 1 simply removes Section 1 of this bill, which allowed individuals to contribute directly on their tax
• refunds to the trust fund through their Kentucky individual income tax form.

Keywords: 958, all

Transcript Highlights:

• Counties in Arizona, Alabama, New York, Tennessee, and right here in Minnesota and Nobles County have
• Counties in Arizona, Alabama, New York, Tennessee, and right here in Minnesota and Nobles County have
• Counties in Arizona, Alabama, New York, Tennessee, and right here in Minnesota and Nobles County have
• Counties in Arizona, Alabama, New York, Tennessee, and right here in Minnesota and Nobles County have
• Those dollars come from local taxes, our tax dollars, which takes away from local schools, roads, and

Bills: HF3405, HF3413, HF3769, HF3768, HF3771, HF3465

Keywords: Bureau of Criminal Apprehension, BCA, Use of Force Investigations Unit, federal agents, Department of Homeland Security, DHS, Immigration and Customs Enforcement, ICE, Customs and Border Protection, CBP, U.S. Citizenship and Immigration Services, USCIS, officer-involved death, use of force, law enforcement accountability, police oversight, independent investigation, criminal sexual conduct, sexual assault, peace officers

Summary: The committee approved the minutes from February 25, 2026, and then took up several Department of Corrections-related bills. House File 3768, as amended by the A1 amendment, would extend the DOC’s graduated licensing and enforcement tools to juvenile detention facilities and state-licensed halfway houses, allowing corrective action plans and conditional licenses instead of only revocation. Commissioner Paul Schnell and Dakota County Juvenile Services Center Deputy Director Matt Bower testified in support, saying the bill would improve consistency, stability, and accountability without changing jail licensing. Members asked about costs and sheriff input; the commissioner said the bill is cost-neutral and that sheriffs were informed but did not provide input. The committee adopted the amendment and recommended the bill to the general register. The committee then heard House File 3769, another DOC technical update bill, which would clarify tuberculosis screening procedures when incarcerated people refuse testing, allow mental health units at more than one facility and short-term stabilization at Oak Park Heights when clinically appropriate, and clarify the department’s substance use disorder treatment programs. Schnell said the changes were technical but important for effective operations. Members again asked about county costs and sheriff support, and the commissioner said the bill affects only DOC facilities and is cost-neutral. The committee approved the motion to re-refer the bill to the Health Finance and Policy Committee. The final major item was House File 3405, the chair’s bill, as amended by the A3 amendment. The amendment broadened the definition of federal agents, made the effective date retroactive, and removed a sexual assault investigation section to eliminate the fiscal note. The bill would require the BCA’s use-of-force unit to investigate deaths caused by federal agents in Minnesota, not just Minnesota peace officers. Chair Mohler argued the bill closes a loophole and ensures state-level, independent investigations; Dr. B.B. Newman testified in support, saying it preserves Minnesota’s investigative authority and public confidence. Deputy Superintendent Scott Mueller said the BCA already investigates deadly-force cases and has handled some federal-related cases, but he did not think the bill was necessary and recommended a no vote. Members debated whether the bill was needed given existing practice, with supporters saying the statute should clearly require state investigation and opponents questioning whether it would change anything. The committee adopted the amendment and continued discussion of the bill as amended.

Transcript Highlights:

• Texas followed last year, and Alabama signed similar legislation just this month.
• taxpayers deserve transparency in what is being taught, who’s being hired, and assurance that their tax

Summary: The House Education Committee met on April 29, 2026, with a quorum present and heard several higher education and K-12 bills. SB 234 by Sen. Presley, which would provide grading for medical school students, was briefly discussed and reported favorably without objection. SB 142 by Sen. Reese, dealing with continued management and oversight of Board of Regents support fund matched endowments if a related constitutional amendment passes, drew questions about endowment matching, oversight, and the roughly $75 million in unmatched requests; it was also reported favorably without objection. SB 482 by Sen. Reese, expanding the role of career coaches in middle and high school graduation planning and reporting on career development fund spending, received support from BESE and others, with committee members discussing counselor workload and district flexibility; it was reported favorably without objection. The committee then took up SB 64 by Sen. Hodges, which would require two people to review initial video/audio recordings from cameras in self-contained classrooms when complaints arise, and the bill was reported favorably without objection. HB 1063 by Rep. Owen, a broad higher education governance bill that would increase board oversight of curriculum, hiring, faculty senates, and discipline, generated extensive discussion and testimony from Rep. Owen and a representative of Parents Defending Education Action, but the author said he did not want to vote on it yet and moved to voluntarily defer it; the committee agreed without objection. HB 818 by Rep. Riser, as amended, was converted into a reporting bill requiring public inventories and state reporting on assessments, with Cynthia Posey of the Louisiana Federation of Teachers explaining the amendments; the committee adopted the amendments and reported the bill favorably with one opposition card noted. Finally, SB 28 by Sen. McMath, carried by Rep. Carver, would lower the age for associate teachers from 25 to 21 to help address the teacher shortage; Department of Education staff said the change could expand the pipeline, and the bill was reported favorably without objection. The committee also announced it would meet the following week on Wednesday, May 6, and then adjourned.

Transcript Highlights:

• and Administrative Code.
• Expenditures were coded to the promotion fund as a matter of routine practice.
• The rules in the code are the rules we enforce.
• Contracts, the Model Penal Code, and the model codes that states should follow, they say here's...
• The Restatement of Contracts, the Model Penal Code, the model codes that states should follow.

Keywords: 908, all

Bills: HB1519, HB1541, HB1737, HB1782, HB1854, HB1860, HB2023, HB2104, HB2276, HB2335, HB2455, HB2468, HB2551, SB177, SB411, SB874, SB2053, SB2069, SB2108, SB2268, SB2360, SB2363, SB2405, SB2407, SB2530, SB2543, SB2568, SB2803, SB2818, SB2851, SB2907, SB2934, SB2969, SB2999, SB3097, SB3103, SB3233, SB3238, SB3245, SB3001, SB3138, HB1946, HB389, HB1510, HB469, HB1573, HB1705, HB1858, HB1875, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, SB888, SB2169, SB2367, SB2557, SB2575, SB2698, SB3082, HB344, HB939, HB1688, HB1853, HB2443, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR35, HCR98, HCR42, HCR53, HCR181, HCR101, HCR179

Keywords: campaign contributions, lobbyists, transparency, election funding, ethical regulations, HB1541, Act 057, Department of Health, Hawaii State Hospital, Developmental Disabilities Division, civil service, civil service exemption, HRS 76-16, HRS 334-4, mental health program, state hospital, secure psychiatric rehabilitation facility, associate administrator, project manager, security manager

Transcript Highlights:

• Um, but I can't answer your taxes.
• There's a reality: if mom, dad, adult children live in, I don't know, Alabama, California, Washington
• , California, Washington state, Alabama, California, Washington state, you<00:55:57.359> know,
• Uh, on C is staying with federal codes. See the added language. Yes.
• staying with federal codes. staying with federal codes. see<01:58:16.800> the<01:58:17.199

Keywords: 1191, senate, all

Transcript Highlights:

• For the last 20 years, the plumbing unions in the United States have been writing a building code that
• is about The plumbing unions have been writing a building code that is about life safety.
• the International Building Code.
• That building code addresses this bathroom issue, and they provide recommendations, including access
• That building code addresses this bathroom issue, and they provide recommendations, including access

Keywords: 1189, house, all

Transcript Highlights:

• Senate Print 8746, Cooney, an act to amend the Tax Law.
• Senate Print 10365, Liu, an act to amend the Real Property Tax Law.
• Services to conduct a study on the feasibility of property tax provisions.
• APPLICATION FOR RETROACTIVE REAL PROPERTY TAX EXEMPTION.
• Incorporated to receive retroactive real property tax-exempt status.

Keywords: 993, senate, all

Summary: The Senate convened, approved the journal, and then moved through a large number of motions to discharge bills from committees and substitute identical Senate bills for third reading. The chamber also received and accepted a Finance Committee report on nominations for Kathleen Mosier as Commissioner of Parks, Recreation and Historic Preservation, Terrence O’Leary as Commissioner of Homeland Security and Emergency Services, and John Kagia as Executive Director of the Office of Cannabis Management. All three nominees were confirmed, with Mosier and O’Leary confirmed unanimously and Kagia confirmed 57-1, with Senator Walczyk voting no. The Senate adopted previously approved resolutions recognizing June 2026 as LGBTQIA+ Pride Month and mourning the death of Susan Irene Wright of Harlem. Senators Brisport and Bottcher spoke at length in support of Pride Month, emphasizing LGBTQ+ history, resilience, and ongoing threats to the trans community. On the Susan Wright resolution, Senators Cleare, Bailey, and Bottcher praised her community leadership, philanthropy, and family legacy, and Assembly Member Jordan Wright was recognized in the chamber. The body then considered and passed many bills on the calendar, including measures on insurance, environmental conservation, public health, education, business law, labor, social services, highway law, and local tax exemptions. Several bills drew brief explanations of vote, including a measure to end higher insurance premiums for widows, a bill to prohibit correctional facilities from denying visitation because of menstrual products or IUDs, and a Medicaid-related bill to expand access to blood pressure monitors for pregnant people. Most bills passed with broad support, though some had notable opposition from a small group of senators. Late in the session, the Senate took up a proposed constitutional amendment on redistricting. Senator Stewart-Cousins sponsored the measure, and Senator Walczyk questioned it extensively, arguing voters had previously approved an independent redistricting process and objecting to changes that would remove the Legislature’s two-thirds map-approval requirement and alter the commission’s role. The sponsor said the changes were needed in response to aggressive partisan redistricting in other states and would still require voter ratification in future sessions. The transcript ends during that debate, with no final vote on the amendment shown.

Transcript Highlights:

• We've been to Charleston, we've done Huntsville, Alabama, and this year we're going to Chattanooga.
• We've been to Charleston, we've done Huntsville, Alabama, and this year we're going to Chattanooga.
• We've been to Charleston, we've done Huntsville, Alabama, and this year we're going to Chattanooga.
• We've been to Charleston, we've done Huntsville, Alabama, and this year we're going to Chattanooga.
• We've been to Charleston, we've done Huntsville, Alabama, and this year we're going to Chattanooga.

Keywords: 958, all

Summary: The committee met with a quorum, approved the September meeting minutes, and heard presentations from Carter G. Woodson Academy in Lexington and related school programs in Fayette County Public Schools. School leaders described the academy as an all-male public school option focused on culture, belonging, and opportunity, with a mission to educate, empower, and equip young men academically, socially, and morally. They emphasized culturally responsive instruction, restorative practices, mentorship, brotherhood circles, and access to advanced coursework, dual enrollment, and career pathways. Student speakers highlighted school culture, leadership opportunities, and clubs such as SGA, Beta Club, FFA, and the Bow Tie Club, along with service and community engagement. Presenters said the academy began in 2012, is housed with Frederick Douglass High School, uses an application and lottery process, and can serve up to about 350 students but is intentionally kept near 300 because of space. They reported 302 enrolled students, about 38 seniors, a 100% graduation rate, 95% average attendance, 100% postsecondary success, and $1.8 million in scholarship offers last year. They also shared demographic and achievement data, noting growth in MAP scores, strengths in reading and writing, and math as an ongoing focus area. The school said 90% of high school scholars are taking at least one dual credit class this year, and some students have earned opportunities at selective programs such as Gatton Academy and Craft Academy. Committee members praised the school’s results and asked about enrollment, funding, and whether the model could be replicated statewide. School leaders said the program is fully funded through Fayette County Public Schools, could be replicated with committed staff and training, and that teachers receive preparation through the Gearing Institute to better understand how boys learn. They also noted that Fayette County has other specialized programs, including girls’ academies and other options for underrepresented students. Members expressed interest in long-term tracking of graduates, and the school said it is preparing to study outcomes as the first graduating class approaches its 10-year anniversary.

Transcript Highlights:

• But I'm how we spend tax dollars.
• Let's end the wounded warrior tax.
• Let's end the wounded warrior tax.
• Let's end the wounded warrior tax.
• Let's end the wounded warrior tax.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 21, 2026, 1012, house, all

Transcript Highlights:

• So if your premiums are the same and what insurance companies measure is risk, then you have a risk tax
• So if your premiums are the same and what insurance companies measure is risk, then you have a risk tax
• dollar, state tax dollar, or even a local one.
• the previous couple of slides, I think one of the points is 24 of our local communities have a local tax
• So even when you put West Virginia, Arkansas, Alabama, Kansas, Mississippi, the states that don't have

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.