Transcript Highlights:

• Senate Bill 5916 concerning non-opioid drugs for treatment of pain.
• And for me and many others, opioid treatments are not the ideal pain...
• Opioid treatments are not the ideal pain therapy.
• Timelines for all other services remain the same.
• I don't know of any other industry where you can get approval for service, provide a service, get payment

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Transcript Highlights:

• for executive, legislative, and judicial agencies of the state, other functions of government, debt service
• So that has reduced our debt service moving forward. includes the $18 million for the SEIB uh includes
• 00:19:36.799><c> debt</c> reduced drastically um our our debt reduced drastically um our our debt service
• </c> service moving forward. service moving forward.
• and so continues to ambulance services and so continues to be<00:20:45.760><c> a</c><00:20:45.919><c

Bills: SB146, SB143, SB144, SB145, HB224, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, HB224, SB152, SB153, SB154, SB162, SB226

Keywords: supplemental appropriation, FY2025 budget, general fund, Alabama State Board of Public Accountancy, Unified Judicial System, court automation, advanced technology and data exchange, judiciary funding, transportation debt service, highway bonds, bridge bonds, Alabama Department of Transportation, ALDOT, public highways, federal matching funds, state appropriations, bond principal and interest, special funds, budget amendment, SB143

Transcript Highlights:

• described under a specified NAICS code, which includes data processing, hosting, and related services
• It requires each electric utility with a data center in its service territory to make available a tariff
• or affordability of electricity service to other ratepayers.
• The bill requires a data center that seeks electricity service or is already receiving service to agree
• The original House bill allowed utilities to refuse service to... ...Portland salmon.

Bills: HB2338, HB2367, HB2426, HB2606

Keywords: weatherization, energy efficiency, community projects, sustainability, environment, coal-fired plant, preferential treatment, energy policy, electric generation, regulatory reform, pollution control, efficiency, appeals process, environmental regulation, hearing board, data protection, privacy, performance measures, reporting requirements, office of privacy

Transcript Highlights:

• as and in lieu of service, just as certain mental health and substance abuse services are currently
• We have seen 14 of 16 MCOs provide some form of mental health service in lieu of other services like
• So it is in lieu of other services.
• So it is in lieu of services.
• And so there, there would be no cost to Medicaid services with it being to the client services, um.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• So, but they will be directly supervised when they're doing these treatments for the patient or examinations
• that's going to change is the billing process because now they're unable to charge for any of that service
• Are they currently billing insurance companies for these services? Thank you for that question.
• reason they do collect data on someone who's completed a suicide that was being served with the services

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• So, but they will be directly supervised when they're doing these treatments for the patient or examinations
• that's going to change is the billing process because now they're unable to charge for any of that service
• Are they currently billing insurance companies for these services? Thank you for that question.
• Someone who's completed a suicide that was being served with services that they have.

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Summary: The Public Health Committee met for its first session and laid over House Bills 3884 and 4410. The committee then heard and advanced several bills. HB 3287 would require hospitals to post discreet notices in areas like X-ray, CAT scan, MRI, or bathrooms telling victims of domestic abuse, sexual abuse, physical abuse, or human trafficking how to alert staff and ensuring they are not discharged before appropriate reporting occurs; members discussed whether to include a phone number, and the bill passed 5-0. HB 2947 would allow clinics to bill Medicaid for services provided by master’s-level mental health interns working under supervision in accredited programs, with supporters saying it could help address rural workforce shortages; questions focused on supervision, liability, whether it would be limited to Medicaid, fiscal impact, and how many interns might participate, and it passed 5-0. The committee also considered HB 3784, as amended by a PCS, which would let permanent makeup artists come out from under physician oversight after three years of experience, while preserving supervision if they use prescription medications such as topical anesthetics; after clarification about the PCS, it passed 5-0. HB 3901 would create a psychological autopsy position in the Department of Health to review suicides and overdoses through voluntary family interviews and records review to improve prevention efforts; members raised questions about cost, whether the work should be housed elsewhere, the pilot nature of the proposal, and what data are currently collected, and it passed 5-0. Finally, HB 4275 would allow case managers and peer support specialists to be employed by cities and counties while keeping their certification, and it also passed 5-0. The meeting ended with adjournment and a notice that the committee would meet again the following Wednesday morning at 9:00.

Transcript Highlights:

• Cabinet for Health and Family Services, Department for Medicaid Services, 907 KAR 1:0840, Emergency,
• The staff suggested an services.
• Department for Community Based Services, 922 KAR 1:360, with staff suggested amendment. very unusual
• talked about it. and I took it services talked about it. and I took it as<00:27:10.720><c> a</c><00:
• in a way that's in offer the services in a way that's in their<00:30:20.799><c> best</c><00:30:21.080

Keywords: 0:16 – CALL TO ORDER 0:20 – ROLL CALL 0:56 – ELECTION OF CO-CHAIRS 1:54 – APPROVAL OF MINUTES 2:10 – OFFICE OF THE ATTORNEY GENERAL 3:28 – PERSONNEL BOARD 4:30 – EDUCATION AND LABOR CABINET, BOARD OF EDUCATION, DEPARTMENT OF EDUCATION 5:18 – PUBLIC PROTECTION CABINET, OFFICE OF CLAIMS & APPEALS 12:03 – PUBLIC PROTECTION CABINET, DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 12:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 14:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR COMMUNITY-BASED SERVICES 31:44 – NEXT MEETING ANNOUNCEMENT/ADJOURNMENT, 958, all

Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.

Transcript Highlights:

• </c> see the lowest of lows for service see the lowest of lows for service members<00:09:28.120><c> uh
• </c><00:42:16.119><c> is</c> people um among its core Services is people um among its core Services is
• </c><00:43:15.000><c> uh</c> twin cities wide um Community Service uh twin cities wide um Community Service
• I gained the B Management Services.
• </c> change their trajectory and the services change their trajectory and the services when<01:04:41.559

Bills: HF1439, HF1004, HF498, HF1326

Keywords: HF1439, Minnesota Grocers Association Foundation, Carts to Careers, workforce development fund, DEED, Department of Employment and Economic Development, grocery industry, food industry, food retail, retail workforce, job training, career pathways, scholarships, certifications, workforce pipeline, one-time appropriation, industry training, labor shortage, youth employment, apprenticeship

Transcript Highlights:

• </c> making service desks more accessible. making service desks more accessible.
• Um, the service across the ownership.
• And finally, we city services.
• So, as long as we are not duplicating services, services that maybe could be done elsewhere, and I guess
• </c> responders, and provide better service responders, and provide better service to<00:45:31.119><c

Bills: HF1972, HF229, HF1090, HF1084, HF1307, HF1274, HF1609, HF2110, HF211, HF216, HF222, HF224, HF225, HF203, HF206, HF207, HF208, HF227, HF246, HF427, HF466, HF502, HF680, HF971

Keywords: community center, Breckenridge, capital investment, state bonds, economic development, HF229, North Branch Area Hockey Association, Stacy Ice Arena, Chisago County, general fund appropriation, grant, ice arena, hockey rink, youth sports, recreational facility, community arena, nonprofit, DEED, Department of Employment and Economic Development, local infrastructure

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• However, the quality of this service often fails to meet provider needs.
• It's important that students with disabilities receive all services, including medically necessary services
• An example would be through personal care services.
• Mental health services are delivered within their communities.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• </c> with Burnsville Water Treatment with Burnsville Water Treatment Plant<00:08:48.399><c> please</c
• </c> have currently have a water treatment have currently have a water treatment plant<00:14:42.560><
• </c><00:28:59.840><c> plant</c> a wastewater treatment plant a wastewater treatment plant unfortunately
• </c> million thankfully the second treatment million thankfully the second treatment plant<00:29:17.159
• </c><00:35:32.760><c> system</c> to construct a water treatment system to construct a water treatment

Bills: HF201, HF217, HF314, HF315, HF406, HF408, HF425, HF426, HF730, HF731, HF652, HF761, HF1079, HF928, HF1017, HF1056, HF1081

Keywords: HF201, Minnesota income tax, tax subtraction, tax deduction, volunteer firefighter, volunteer fire and rescue, emergency responder, ambulance service personnel, EMR, EMS, search and rescue, canine search and rescue, underwater search and rescue, paid-on-call, part-time volunteer, tax relief, state tax law, section 290.0132, drivers license, identification card

Transcript Highlights:

• But the home is not providing any services.
• This is Senate Bill 437 by Senator Abraham, relative to treatment services provided at facilities providing
• Yeah, well, all the different services.
• , treatment programs, Individuals in need of behavioral health services walk into our hospitals, treatment
• and Central Louisiana Human Service District, and since we provide the crisis services in Region 4,

Bills: HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451

Keywords: fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity

Transcript Highlights:

• We have also recently in our commissioner's court added some... ...mental health restoration services
• Are you in favor of some other approaches, such as rehabilitation programs or community service?
• This leads to Cost-cutting measures sometimes compromise safety and reduce access to essential services
• Public servant, military veteran, 29 years of service to my country, and I'm formerly incarcerated.
• Over the years, MTC has consistently delivered innovative programs and cost-effective services.

Bills: HB153, HB1410, HB1461, HB1760, HB1762, HB3261, HB3773, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, private prisons, inmate confinement, criminal justice reform, Texas Department of Criminal Justice, government contracts, inmate housing

Bills: HB24, HB950, HB 1228, HB24

Keywords: zoning, public notice, local government, residential development, protests, municipal services, annexation, disannexation, zoning regulations, full municipal services, municipal obligations, landowner rights, service provision, groundwater, conservation, water permits, sustainability, resource management, 1184, house

Transcript Highlights:

• It would authorize a new local sales and use tax to fund services for children and families.
• It was authorized a new local sales and youth tax to fund services for children's and food.
• It was authorized a new local sales and youth tax to fund services for children's and families.
• This would require voter approval before the sales and use tax for services for children and families
• to get services is by telling people that if you want to provide services to the veterans and disabled

Bills: HB1717, HB2133, HB2135, HB2140, HB2442, HB2559

Keywords: affordable housing, sales tax, housing programs, tax incentives, economic development, property tax, senior citizens, tax exemption, local government funding, permanent legislation, adaptive housing, disabled veterans, tax preferences, housing affordability, retail sales tax, governmental transfer, agriculture, land use, local government, tax authority

Summary: House Finance heard briefings on several tax and housing-related bills, including HB 1717 on a local sales and use tax remittance program for affordable housing, HB 1859 on expanding affordable housing opportunities on religious organization property, HB 1960 on a renewable energy excise tax, HB 2133 on making a senior center property tax exemption permanent, HB 2135 on extending a disabled veterans housing tax preference, HB 2140 on tax treatment for land transferred to government entities, HB 2442 on a broad package of local tax and levy authorities, and HB 2559 on a local option excise tax on short-term rentals for affordable housing. Staff also described proposed substitutes and amendments for each measure, including changes to administration, eligibility, effective dates, tax credits, voter-approval requirements, and JLARC review provisions. During executive action, the committee adopted amendments to HB 1960 clarifying tax administration and JLARC independence, while rejecting an Orcutt amendment that would have adjusted property tax levies for renewable energy projects. The committee also adopted a technical correction to HB 2133 and an effective-date amendment to HB 2135. Amendments to HB 2442 and HB 2559 that would have required voter approval or provided state tax credits were rejected. Members debated the policy impacts of local taxing authority, housing affordability, and tax burdens on property owners, veterans, seniors, and short-term rental operators. The committee voted to report HB 1717, HB 1859, HB 1960, HB 2133, HB 2135, HB 2140, HB 2442, and HB 2559 out of committee with do pass recommendations. HB 1960 passed on a recorded vote of 11 ayes and 4 nays; HB 2442 and HB 2559 each passed 9-6; the other measures were approved by voice vote, generally 15-0. The meeting then adjourned.

Transcript Highlights:

• But we can certainly keep the revenue coming in from the services that are provided and... ...from the
• services that are provided and make sure that's commensurate with the economy and with the market so
• several bills here that are coming up that are appropriations and such for monies through different services

Bills: HB186, HB185, HB182, HB183, HB184, HB312, HB460, HB405, HB186, HB185, HB182, HB183, HB184, HB312, HB405

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• They only do the council. with, they don't do the medical services part.
• Offering medical services.
• So we sent a survey asking what services the 12 pregnancy centers offer.
• Health care services. Okay. I mean, I guess where I’m...
• Well, we're talking about providing medical services, right?

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• Families seeking ASD services are facing unprecedented delays.
• Families seeking ASD services are facing unprecedented delays.
• Community Autism Services? Thank you. Great.
• We provide ABA services to children and families.
• We provide ABA services to children and families.

Bills: H4353, H4425, H4453, H4623, H4770, S2587, S2737

Keywords: behavioral health, Medicaid, reimbursement rates, healthcare providers, service delivery, accreditation, Medicare, end-stage renal disease, healthcare access, patient coverage, renal failure, MassHealth, asset limit, personal vehicle exemption, vehicle value, healthcare, autism, ABA services, assistive technology, children

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care financing bills, with most testimony focused on autism/ABA services and kidney disease coverage. On House Bill 4623, Representative Lisa Field and providers from Community Autism Services and related groups urged the committee to recognize assistant-level ABA providers, including BCaBAs, in the MassHealth reimbursement structure to expand capacity, reduce wait lists, and improve access for children with autism. An actuary testified that moving from a two-tier to a three-tier ABA model could lower MassHealth costs, and providers said current reimbursement and new MassHealth requirements are contributing to long delays and workforce strain. On House Bill 4353 and Senate Bill 2587, testimony from ABA organizations supported a biannual Medicaid rate review process to better align reimbursement with service costs, workforce needs, accreditation requirements, and new administrative burdens, without mandating a specific rate increase.

Transcript Highlights:

• House File 1346, so I will move House File 1346 before the committee to be re-referred to the Human Services
• If this were a childhood disease, we would be pouring money into treatments and cures.
• If this were a childhood disease, we would be pouring money into treatments and cures.
• If this were a childhood disease, we would be pouring money into treatments and cures.
• If this were a childhood disease, we would be pouring money into treatments and cures.

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services

Transcript Highlights:

• If this were a childhood disease, we would be pouring money into treatments and cures.
• </c> would be pouring money into treatments would be pouring money into treatments and<00:11:07.600><
• </c><00:31:51.399><c> for</c> Protection Case Management Services for Protection Case Management Services
• They have taught me a lot, but also I know that they need a lot of support in services.
• I know they both need significant supports and services.

Bills: HF1346, HF1169, HF1276

Keywords: mandatory reporting, training requirements, child maltreatment, abuse detection, local welfare agency, child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services