Transcript Highlights:

• That involves detailed analysis of our current and our previous claims to determine what needs to be
• That involves detailed<00:41:06.600> analysis<00:41:07.280> of<00:41:07.480> our
• <00:41:07.640> current<00:41:08.560> and<00:41:08.720> our detailed analysis of
• our current and our detailed analysis of our current and our previous<00:41:09.440> claims<00:
• So, can anyone access that information about rates and actuarial analysis?"

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• But we want to make sure that we give thoughtful consideration and analysis to each and every bill.
• We can't go through. ...thoughtful consideration and analysis to each and every bill.
• AB 836 directs the state to conduct a comprehensive landscape analysis of midwifery education in California
• Department of Corrections and Rehabilitation and the Department of State Hospitals to conduct a cost analysis
• Department of Corrections and Rehabilitation and the Department of State Hospitals to conduct a cost analysis

Summary: The Assembly met on May 23, 2025, established a quorum after a roll call, and proceeded through a long House of Origin floor session with prayers, the Pledge of Allegiance, and routine parliamentary actions. Early in the day, a motion by Assembly Member Gallagher to suspend the rules and take up AB 12 immediately failed on a 18-39 vote. The chamber then moved through the daily file, with many measures passing by wide margins, often with bipartisan support and little or no opposition. Among the notable bills discussed were measures on law enforcement oversight and records access (AB 847), CalFresh data-sharing exemptions (AB 593), campus-area housing for students and staff (AB 893), insurance and wildfire hardening updates (AB 1), missing middle housing code changes (AB 6), tribal peace officer status in a pilot program (AB 31), utility bill analysis before new mandates (AB 61), fairgrounds funding (AB 258), Diwali as a state holiday (AB 268), labor and worker organizing rights (AB 288), algorithmic price-fixing and antitrust enforcement (AB 325), elections and jail voter information (AB 331), protections for judges and court personnel (AB 343 and AB 352), school construction procurement (AB 361), school-zone speed limits (AB 382), transit worker protections (AB 394), blue carbon coastal mitigation (AB 399), K-9 standards for law enforcement (AB 400), livestock carcass composting (AB 411), translation of housing materials (AB 413), immigrant educational rights notices (AB 419), gun violence restraining order implementation (AB 451), special education and child care measures (AB 560 and AB 563), cannabis tax relief (AB 564), and disability access protections for businesses (AB 649). Several bills addressed housing, energy, public health, and public safety, and many authors emphasized affordability, transparency, and administrative efficiency. The session also included several ceremonial or recognition items, including ACR 73 declaring Italian American Heritage Month, which was adopted by voice vote after 65 coauthors were added. Most measures were approved overwhelmingly, though a few drew some dissent, including AB 421? no—AB 399 passed 42-30, AB 450 passed 49-6, AB 461 passed 49-8, and AB 621 passed 58-0. The transcript ends partway through AB 772, which was introduced as an educational equity bill addressing cyberbullying after school hours, but the remainder of that item is not included in the provided text.

Transcript Highlights:

• We wouldn't know for sure until we do a fiscal analysis and get that to the committee, but we do have
• We wouldn't know for sure until we do a fiscal analysis and get that to the committee, but we do have
• 01:08:08.559> fiscal know for sure until we do a fiscal know for sure until we do a fiscal analysis
• 09.760> that<01:08:09.880> to<01:08:10.000> the<01:08:10.119> committee analysis
• and get that to the committee analysis and get that to the committee but<01:08:11.000> um<01:

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• Sure, and I'm happy to do a full analysis for Dallas. Sure.
• And I'm happy to do a full analysis for Dallas, but, you know, attendance has been incorporated in real
• And so I would appreciate putting together an analysis that would show those separate pieces.
• I want to be very clear that my analysis. This gets to the resource question.
• I want to be very clear that my analysis is really just based upon state dollars and state cost.

Keywords: 1184, house, all

Transcript Highlights:

• that goes into a be part of an analysis that goes into a bigger<01:30:26.880> um<01:30:27.199
• The problem with that analysis is that that's not the bill that's in front of us.
• The problem with that analysis is that that's not the bill that's in front of us.
• Statistical analysis is a common one that's used.
• Statistical analysis is a common one that's used.

Keywords: 1187, senate, all

Transcript Highlights:

• An analysis of 86 different bullet calibers and cartridge sizes found no significant price difference
• An analysis<04:33:26.000> of<04:33:26.240> 86<04:33:27.039> different<04:33:27.760
• > bullet<04:33:28.240> calibers analysis of 86 different bullet calibers analysis of 86
• Unworkable unit-specific analysis before any regulation on lead can be proposed.
• A simple reading would suggest you have to do a complete forensic analysis that would, in the real world

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, March 18, 2026, 1012, house, all

Transcript Highlights:

• WE WILL BE TAKING UP TWO BILLS AND A MEMORIAL WHICH WERE FILED LAST NIGHT ALONG WITH THE BILL ANALYSIS

Keywords: illegal immigration, special session, budget committee

Summary: The Florida House of Representatives convened for a special session on February 11-14 to address illegal immigration legislation. Speaker Perez announced they would consider two bills and a memorial filed the previous night, with committee meetings scheduled for Wednesday and final passage on Thursday. The Speaker emphasized the legislature's role as equal participants rather than recipients of instructions, describing their approach as aggressive in combating illegal immigration while being thoughtful in methods. The session was designed to be surgical and efficient, bypassing the normal committee process except for Budget Committee review.

Bills: HB3329, HR1039, HR1040, HB3413, HB3414, HB3415, HB3416, HB3417, HB3418, HB3419, HB3420, HB3706, HB3711, HB4139, HB1268, HB3660, HJR1023, HB3298, HB3056, HJR1084, HB3934, HB3919, HB4118, HB4119, HB3791, HB4260, HB4178, HB4215, HB4324, HB3270, HB4352, HB4305, HB2955, HB3315, HB3066, HB1245, HB4125, HB3075, HB3129, HB3239, HB4153, HB3265, HB4491, SB680, HB4263, HB4268, HB1675, HB3885, HB2984, HB3697, HB2959, HB3671, HB3852, HB2933, HB3057, HB3802, HB4294, HB4285, HB3708, HB3979, HB3977, HB3986, HB3985, HB3588, HB3742, HB3845, HJR1070, HB3590, HB3595, HB3391, HB3183, HB3764, HB3765, HB1002, HB4434, HJR1086, HB4060, HB3881, HB3500, HB4408, HB3648, HB3127, HB3606

Keywords: long-term care, advisory board, sunset legislation, mental health, psychologists, University of Oklahoma, gymnastics, NCAA, congratulations, sports excellence, recognition, honor, athletics, Joseph Castiglione, leadership, education, sports management, HB3413, public finance, state budget

Bills: HB3329, HR1039, HR1040, HB3413, HB3414, HB3415, HB3416, HB3417, HB3418, HB3419, HB3420, HB3706, HB3711, HB4139, HB1268, HB3660, HJR1023, HB3298, HB3056, HJR1084, HB3934, HB3919, HB4118, HB4119, HB3791, HB4260, HB4178, HB4215, HB4324, HB3270, HB4352, HB4305, HB2955, HB3315, HB3066, HB1245, HB4125, HB3075, HB3129, HB3239, HB4153, HB3265, HB4491, SB680, HB4263, HB4268, HB1675, HB3885, HB2984, HB3697, HB2959, HB3671, HB3852, HB2933, HB3057, HB3802, HB4294, HB4285, HB3708, HB3979, HB3977, HB3986, HB3985, HB3588, HB3742, HB3845, HJR1070, HB3590, HB3595, HB3391, HB3183, HB3764, HB3765, HB1002, HB4434, HJR1086, HB4060, HB3881, HB3500, HB4408, HB3648, HB3127, HB3606

Keywords: long-term care, advisory board, sunset legislation, mental health, psychologists, University of Oklahoma, gymnastics, NCAA, congratulations, sports excellence, recognition, honor, athletics, Joseph Castiglione, leadership, education, sports management, HB3413, public finance, state budget

Bills: HCR1, HCR2, SB2001, SB2002, SB2003, SB2004, SB2005, SB2006, SB2007, SB2008, SB2009, SB2010, SB2011, SB2012, SB2013, SB2014, SB2015, SB2016, SB2017, SB2018, SB2019, SB2020, SB2021, SB2022, SB2023, SB2024, SB2025, SB2026, SB2027, SB2028, SB2029, SB2030, SB2031, SB2032, SB2033, SB2034, SB2035, SB2036, SB2037, SB2038, SB2039, SB2040, SB2041, SB2042, SB2043, SB2044, SB2045, SB2046, SB2047, SB2048, SB2049, SB2050, SB2051, SB2052, SB2053, SB2054, SB2055, SB2056, SB2057, SB2058, SB2059, SB2060, SB2061, SB2062, SB2063, SB2064, SB2065, SB2066, SB2067, SB2068, SB2069, SB2070, SB2071, SB2072, SB2073, SB2074, SB2075, SB2076, SB2077, SB2078, SB2079, SB2080, SB2081, SB2082, SB2083, SB2084, SB2085, SB2086, SB2087, SB2088, SB2089, SB2090, SB2091, SB2092, SB2093, SB2094, SB2095, SB2096, SB2097, SB2098, SB2099, SB2100

Keywords: recess, legislative session, Hawaii State Legislature, 2026, Governor address, joint session, legislature, Hawaii, state of the state, Banyan Drive, Waiakea peninsula, Makaokū, Hilo, Hawaii Island, HCDA, Hawaii Community Development Authority, community development district, redevelopment, urban renewal, blight

Transcript Highlights:

• It will also include an analysis of whether there are commercially available tools to help consumers
• It will also<03:08:26.800> include<03:08:27.120> an<03:08:27.359> analysis<03:08
• :27.840> of<03:08:28.080> whether also include an analysis of whether also include an analysis
• the existing office of policy analysis the existing office of policy analysis and<03:29:54.160><
• engineering testing and an analysis engineering testing and an analysis underpins<03:38:50.880><

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 14, 2025, 1012, house, all

Transcript Highlights:

• All we're asking is the commissioner to review it and make sure that there's a cost-benefit analysis
• We should expect a commissioner to do a cost-benefit analysis and I urge a green vote.
• done and that it has value uh analysis done and that it has value to<02:58:38.319> our<02:58:
• <02:59:22.960> Last analysis and I urge a green vote.
• Last analysis and I urge a green vote.

Keywords: 1187, senate, all

Transcript Highlights:

• on page three misses an analysis on page three misses an important<00:19:46.640> point<00:19:
• Obviously, we know it's quite feasible; it was really a cost and benefit analysis.
• It was a cost and benefit analysis that looked at this specific issue: what is the optimal time frame
• <01:31:06.880> analysis<01:31:07.360> that<01:31:07.480> looked<01:31:07.719
• > at cost and benefit analysis that looked at cost and benefit analysis that looked at this<01

Keywords: 1189, house, all

Transcript Highlights:

• We'd get a basic variance analysis, just color commentary on exactly what you are asked about: hey, how
• time we'd get a basic variance analysis time we'd get a basic variance analysis just<01:25:50.199
• <01:28:20.280> here<01:28:20.600> that notable piece of analysis here that notable
• piece of analysis here that that's<01:28:21.040> perhaps that's perhaps that's perhaps helpful
• if you feel it would help and analysis if you feel it would help and uh<05:18:27.718> you<05:

Keywords: 928, house, all

Summary: The committee heard a presentation from the University System of New Hampshire chancellor on the system’s budget, enrollment, finances, workforce role, and response to federal policy changes. The chancellor said the governor’s recommended budget would reduce university system funding by about $16.5 million over the biennium, or roughly 8.3%, and asked that state funding be held at the governor’s level. She described planned cost reductions already underway, including lower headcount, reduced benefits and retirement contributions, property sales, and lease reductions, and said the system expects to remove about $20 million from its cost structure in fiscal year 2026. A large portion of the discussion focused on enrollment and finances. The chancellor said fall 2024 enrollment was about 23,000, with New Hampshire enrollment increasing for the first time since 2013, and noted that the system remains a major workforce pipeline, with about 3,000 graduates entering the state workforce each year. She explained that net tuition has fallen over time because of declining enrollment and increased financial aid, while research grants and contracts have grown significantly. She also walked through endowment funding, explaining that payouts are based on a 12-quarter rolling average and are intentionally smoothed to reduce volatility; members asked for follow-up information on payout comparisons, administrative salaries, headcounts, and compensation per student. Members questioned the university about the relationship between state support, tuition, endowments, and research spending. The chancellor said the system has used state capital support to leverage major investments, including the UNH Life Sciences building, Plymouth’s Hyde Hall, and the Olson Advanced Manufacturing Center, and described partnerships with businesses such as Lonza and regional manufacturers. She also explained a long-running New Hampshire 529-related revenue stream that has built endowment support for scholarships, and said the system’s endowment now totals about $988 million. In response to questions about possible cuts, she said the system is considering academic program sharing, consolidation of specialties, online delivery, AI-assisted administrative efficiencies, and footprint reductions, but declined to name specific programs. The committee also discussed DEI-related issues and federal grants. The chancellor said the system is reviewing executive orders and a U.S. Department of Education Dear Colleague letter, and that general counsel is working through websites, programs, and more than 1,200 federal grants to ensure compliance. She said the system spends about $3 million on what it calls DEI-related offices and services, but emphasized that these services include disability support, veteran support, Title IX, ADA, and employment-law compliance, and that the system does not have race-based programs, separate housing, or separate graduation ceremonies. She reported that the system had received stop-work orders on four federal grants totaling about $700,000 and warned that reductions in federal direct or indirect costs could affect research, jobs, and innovation.

Transcript Highlights:

• This was reiterated in the sunset analysis published in 2025 by the state auditor.
• :44.240> 2025<00:19:45.080> by<00:19:45.240> the<00:19:45.360> state analysis
• published in 2025 by the state analysis published in 2025 by the state auditor<00:19:46.640> HB
• My question is: I know you've done a thorough analysis of this... either an OBGYN or perhaps either an
• showing that plan home meta analysis showing that plan home births<01:38:38.760> actually<01:

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• The collection and analysis of this data will help identify future opportunities to improve the quality
• The collection and analysis of this data will help identify future opportunities to improve the quality
• of care's robust continuous quality improvement program is built on statewide data collection and analysis
• care's robust, continuous quality improvement program is built on statewide data collection and analysis

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• Those analyses are in the analysis packet that you have, and those are the bills likely to come up on
• fundamentally, with our current revenue level that we have, our office has indicated that, based on our best analysis
• And, you know, so that's our analysis.
• people in prison this year and the next year and the year after that, as fully outlined in the floor analysis

Keywords: 988, house, all

Transcript Highlights:

• SB 1349 will direct the LAO, the Legislative Analyst's Office, to conduct an analysis of those major
• SB 1349 will direct the LAO, the Legislative Analyst's Office, to conduct an analysis of those major
• on this bill in Appropriations to narrow some of the definitions and scope of predictive behavior analysis
• The bill also adds predictive behavior analysis. It bans that.

Keywords: 987, senate, all

Transcript Highlights:

• Number one, a true fiscal impact analysis.
• Number one, a true fiscal impact analysis.
• have discussed partnering with LSU's research department to conduct a more rigorous fiscal impact analysis
• Through applied behavior analysis, or ABA therapy, she was given structure and consistency, with support

Summary: The committee met for public testimony on the Finance budget, with the main discussion focused first on funding for disability services and then on the LA GATOR scholarship program. Several individuals testified in support of fully funding Families Helping Families and Louisiana Rehabilitation Services (LRS), describing how advocacy, transition services, and direct support workers help people with disabilities access education, employment, and independent living. Witnesses urged the committee to preserve or increase state general funds to draw down federal matching dollars, and provider groups said current reimbursement rates and staffing shortages are leaving agencies in deficit, creating waitlists, overtime costs, and difficulty retaining workers. Committee members thanked the speakers and noted that the testimony would be used to compare the governor’s, House, and remaining budget requests. The committee then heard extensive testimony in support of increasing funding for the LA GATOR scholarship program. Supporters included policy groups, school leaders, parents, and students who argued that the program expands educational choice, helps low-income and special-needs students find schools that fit their needs, and should be fully funded at the level of demonstrated demand. Speakers from Catholic and Christian schools said GATOR funding had helped students thrive academically and spiritually, but that shortfalls left many eligible students without awards, hurt kindergarten enrollment, and forced schools to raise private donations to cover gaps. Several witnesses emphasized that the program is not a zero-sum attack on public schools, but a way to let education dollars follow students. A few committee questions focused on the fiscal impact and on whether choice programs improve outcomes without harming public schools. Testimony cited enrollment growth, parent demand, and data from other states to argue that school choice can improve student and parent outcomes and may also strengthen traditional public schools through competition. No votes or formal actions were taken during the public testimony portion of the meeting.

Transcript Highlights:

• Um, and so I think under your analysis, Baker, I think most laws would have to go through almost all
• Um and so I think under your um<00:13:09.680> analysis<00:13:10.240> Baker<00:13:10.639
• > I<00:13:10.800> think<00:13:10.959> most<00:13:11.360> laws um analysis
• Baker I think most laws um analysis Baker I think most laws would<00:13:11.920> have<00:13:12.000