Transcript Highlights:

• Okay, so DJ, state your name and what are we going to do about it? I was right.
• I will say that we're a growing state, growing metro regions.
• Please state your name for the record. Yes, sir. Travis Krogman. Go ahead.
• Medicaid funding is a shared responsibility between state and federal governments.
• State and local funds are collected and then matched with federal funds.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB 1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals

Summary: The Committee on Local Government heard a series of local bills and public testimony focused on hospital districts, municipal management districts, local provider participation funds, manufactured housing, transit financing, development moratoriums, and property tax procedures. Early items included House Bill 467, which would help dissolve the defunct Maybank Kemp Hospital District and establish an Andrew Gibbs Memorial Nursing Endowment, and Senate Bill 3063, creating the Bio Bell Municipal Management District in Liberty County; both drew no public opposition and were left pending subject to call. The committee also heard House Bill 1327, extending the Harris County local provider participation fund through 2027, and Senate Bill 1375, extending Collin County’s LPPF authority, both presented as mechanisms to draw federal Medicaid matching funds for hospitals. A major portion of the meeting centered on Senate Bill 2764, which would require earlier notice to buyers of manufactured homes about how to convert a home from personal property to real property. Senator Cook described the bill as a consumer-information measure tied to displacement concerns at a mobile home park in her district, and a resident testified in support, saying the notice would help families make informed decisions. The committee also discussed Senate Bill 2519, a bill by Senator Bettencourt aimed at preventing local governments from shifting maintenance-and-operations tax revenue into debt-like uses and from changing the purpose of tax rate elections after voters approve them. Supporters argued it would protect taxpayers and preserve the separation between M&O and debt service, while opponents tied the bill to Austin’s Project Connect transit financing and warned it would disrupt an approved project and invite litigation. The committee heard and left pending several other bills, including House Bill 1244 on agricultural land ownership changes without reapplying for an ag exemption, House Bill 2559 on development moratoriums, and Senate Bill 2063 on unequal appraisal protests. Testimony on House Bill 2559 came from developers and builders who said moratoriums in Conroe had delayed projects and harmed buyers, while supporters of the bill said it would impose clearer limits and notice requirements. On Senate Bill 2063, the sponsor explained a committee substitute narrowing how market value evidence may be used in unequal appraisal appeals. The committee also considered multiple local district bills, including new MUDs and management districts in Montgomery, Denton, Fannin, Travis, Hays, and Williamson counties. At the end of the meeting, the committee took up pending business and voted out several measures, including House Bill 1244, House Bill 2559, House Bill 467, House Bill 1327, House Bill 1399, House Bill 2723, House Bill 2730, House Bill 3307, House Joint Resolution 99, and multiple district bills such as Senate Bills 3037, 3043, 3047, 3048, 3050, 3052, 3053, 3056, 3057, 3063, and others. Most were reported favorably, often with committee substitutes, and many were recommended for the local and uncontested calendar. Several bills, including the transit-related SB 2519 and the manufactured housing bill SB 2764, remained pending subject to call after testimony closed.

Transcript Highlights:

• Guys, okay, state your name and who you represent, whoever's ready.
• Matthew, state your name and who you represent. Thank you.
• All right, Karen, state your name and who you represent.
• Please state your name and who you represent.
• Tiffany, state your name and who you represent. Yes, sir.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723, HB9, HJR1

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals

Transcript Highlights:

• Okay, so DJ, state your name and what are we going to do about it?
• State your name and your position on the bill. Yes, sir.
• I will say that we are a growing state, growing metro.
• , including school districts across our state.
• Medicaid funding is a shared responsibility between state and federal governments, and state and local

Bills: HB9, HJR1, SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723

Keywords: HB 9, Texas Tax Code, property tax, ad valorem tax, voter-approval tax rate, no-new-revenue tax rate, truth in taxation, local government finance, municipality, county, special taxing unit, sales and use tax, sales tax revenue, tax rate calculation, tax levy, maintenance and operations, debt rate, unused increment rate, disaster relief rate, taxing unit

Transcript Highlights:

• Hi Brian, state your name. Who do you represent?
• state of Texas render an opinion that says this is void.
• We've said many times cities exist by the grace of the state.
• OK, go ahead, state your name.
• I believe this body should pass state law.

Bills: SB 250, SB 375, SB 536, SB 845, SB 1633, SB 1944, SB 1957, SB 2081, SB 2137, SB 2262, SB 2299, SB 2419, SB 2452, SB 2522, SB 2549, SB 2594, SB 2605, SB 2631, SB 2639, SB 2675, SB 3029, SJR 60, HB 22, HB 1392, HB 2525

Keywords: municipal annexation, railroad, adjacent areas, local government, property rights, healthcare provider, Harris County Hospital District, hospital funding, healthcare services, public health program, home loans, nurses, veterans, public servants, Texas Heroes program, low-interest loans, social workers, housing assistance, SB 1633, Texas Tax Code

Transcript Highlights:

• .25 states, and I quote, "Ethnic studies analyzes the ways in which race and racism have been and continue
• The ethnic studies mandate suggests we as a state do not trust the expertise of our teachers.
• ethnic studies across our state.
• Thank you so much for allowing me to talk on the ethnic studies standard in its current state.
• Minnesota state social studies standards are first fully implemented in the 2026-2027 school year.

Keywords: 919, house, all

Summary: House File 29 was heard in committee as a proposal to suspend adoption of the revised social studies standards, push implementation to 2030-31, repeal the requirement to embed ethnic studies across all standards, and cancel related appropriations. The bill sponsor argued Minnesota schools should focus on basic academic achievement and that ethnic studies requirements add burdens and distract from reading, math, and science. The chair moved the bill to the Committee on Education Finance after opening the hearing and then took extensive public testimony. Testimony was sharply divided. Supporters of HF 29, including Katherine Kersten, Deanna Moose, Kendall Qualls, Hillary Swanson, and Diane Smith, argued the ethnic studies framework is ideological, overly focused on race, insufficiently transparent, and costly in professional development time; several said it would divide students or burden teachers. Some supporters also claimed the standards or framework promote activism, critical race theory, or racial stratification. Opponents, including Mark Westfall, Crystal Johnson, Jim Grathwol, Marcus Penny, Claude Sigman, and Courtney Major, said the standards are inclusive, research-based, and designed to help students understand multiple perspectives, civic life, and the contributions of diverse Minnesotans. They emphasized that ethnic studies can improve engagement, critical thinking, and representation, and that teachers should be trusted to implement the standards. No final vote on the bill was taken in the portion of the meeting provided. The only formal action noted was the chair’s motion to re-refer House File 29 to the Committee on Education Finance.

Transcript Highlights:

• The purpose of the study is to ensure the equitable distribution of state funding to school districts
• The property value study is the tool by which the state government ensures that. every school district
• The local greater than state value, there were 1.6% of the school district split study.
• and the results of that study those state values Are what we use what the what the education code tells
• Yep. 63 districts on... on assigned state values. But given the property value study is.

Keywords: 1184, house, all

Transcript Highlights:

• The ethnic studies mandate suggests we as a state do not trust the expertise of our teachers.
• ethnic studies across our state.
• Thank you so much for allowing me to talk on the ethnic studies standard and its current state.
• social study standards Minnesota state social study standards<00:39:47.319> are<00:39:47.480>
• Teaching ethnic studies for all strengthens our communities, our state, and our country.

Keywords: 1183, house

Transcript Highlights:

• So, what are the studies so far?
• A typical study, do you have any idea what it would cost the state of New Mexico to actually do the study
• Is like why doesn't the state do more studies before we implement stuff?
• I don't know, but that's what studies are about. That's what studies are about.
• The study will, I imagine, consider the states that are currently operating such a program and benefits

Keywords: 996, all

Transcript Highlights:

• We had, ...as compared to other states, surrounding states.
• And it's studied each year by NAM throughout this study.
• That study And Auden and Picus went forward with the adequacy study.
• The study components.
• Now for the study components. The major study component are the BLR reports.

Summary: The meeting began with approval of the prior minutes and then shifted to an update from Department of Education Secretary Jacob Oliva and Deputy Commissioner Stacey Smith on early childhood education, especially the state-funded Arkansas Better Chance (ABC) program. They said Arkansas had received a federal Preschool Development Grant and described ABC as a large state program with about 23,800 funded slots and roughly $114 million in annual appropriations. Department officials said they are reviewing slot allocations because about 1,000 seats are funded but unfilled, while more than 2,000 families are on waiting lists, and they plan to reduce or reallocate slots from providers that have not filled them over several years. They also said they are examining whether income thresholds, curriculum expectations, daily rates, and summer programming should be updated, and members raised concerns about access, local control, transportation, and whether the program should better align with K-12 choice and school readiness goals. The committee agreed to form an early childhood subcommittee and asked the Bureau of Legislative Research to help gather historical data and other information for future discussion. The committee then received a legal presentation from BLR attorney Taylor Lloyd on the constitutional and statutory framework for education adequacy in Arkansas. She reviewed the Dupree and Lake View cases, explaining that the state must maintain a general, suitable, and efficient system of free public schools, and that adequacy and equity are distinct but related concepts. She emphasized that the General Assembly is responsible for defining adequacy, studying whether the system meets that standard, and reacting to the evidence, while the courts ultimately decide constitutional compliance. Lloyd also explained the current adequacy definition, the role of the matrix as a funding tool rather than a spending mandate, and the distinction between unrestricted foundation funding and restricted categorical funding. BLR’s Elizabeth Bynum followed with a historical overview of how Arkansas responded to the court cases and developed the current adequacy process. She traced major legislative actions from the 1980s through the Lake View litigation, including the creation of funding formulas, categorical aid, isolated funding, declining enrollment funding, and the 2003-2004 adequacy study that led to the Continuing Adequacy Evaluation Act and the matrix used to set foundation funding. She also described later changes to the adequacy statute, the financial reporting requirements for districts, and the ongoing use of surveys, stakeholder testimony, and consultant studies in the biennial adequacy process. Members asked questions about whether private or homeschool programs could use public funds for expenses like utilities, whether stakeholders should include those groups, the difference between average daily membership and attendance, and whether school board members are surveyed; staff said those issues would need further research or were outside the scope of the presenters’ role.

Transcript Highlights:

• I don't think this study, for example, it doesn't include this members of the state and local government
• I don't think this study, for example, it doesn't include members of the state and local government committee
• So that's why I'd like to see the study. states. So, that's what I hope that this states.
• be a tremendous benefit for our state. be a tremendous benefit for our state.
• So that's why I'd like to see the study. So that's why I'd like to see the study.

Keywords: 1187, senate, all

Transcript Highlights:

• We also want to ensure that states and systems are, as part of this study, that we identified and addressed
• that a state might undertake on its higher education funding formula. two-decades study that a state
• Not that many states do really in-depth studies of their higher education funding approaches, models,
• In fact, New Mexico is joining only two other states in using the approach that we're using in this study
• Chair, you know, the University of Wyoming State University had a study that looked at regent systems

Transcript Highlights:

• the state that needs them?
• Teachers' salaries were low, especially as compared to other states, surrounding states.
• The adequacy study.
• The adequacy study.
• And it is studied each biennium throughout this study.

Summary: The meeting began with approval of the previous minutes and then focused on an update from the Department of Education on early childhood programs, especially the state-funded Arkansas Better Chance (ABC) program. Secretary Jacob Oliva and Deputy Commissioner Stacey Smith said Arkansas had received a federal Preschool Development Grant and described ongoing work to review ABC slots, which have been flat for years at about 23,800 slots and roughly $114 million. They said about 1,000 slots statewide are currently unfilled despite a waiting list of more than 2,000 families, and the department is shifting toward paying based on enrollment rather than guaranteed slots. Members asked about school choice, income eligibility, year-round access, curriculum flexibility, transportation, and whether funding should be increased or rebalanced; the department said it is collecting data, may survey providers more formally, and is considering whether to modernize income thresholds, daily rates, and other program rules. The committee agreed to form an early childhood subcommittee and asked the Bureau of Legislative Research to help gather historical information on income limits and other program details. The second major portion of the meeting was a legal presentation on the framework for Arkansas school adequacy by BLR education attorney Taylor Lloyd. She reviewed the constitutional basis for a “general, suitable, and efficient” public school system, the Dupree and Lake View cases, and the principle that adequacy and equity are different but related: adequacy asks what resources are needed, while equity asks whether those resources are distributed fairly. She explained that the General Assembly must define adequacy, study it, and react to evidence over time, and that the current adequacy definition includes curriculum and career/technical frameworks, the 38 mandatory Carnegie units, state testing standards, and sufficient funding. She also described the matrix as a funding tool, not a spending mandate, and noted that categorical funds are separate from the matrix. BLR’s Elizabeth Bynum then gave the historical framework, tracing legislative responses from Dupree through Lake View and into the present. She highlighted major changes such as the creation of equalization funding, fiscal distress and academic distress laws, the adequacy study process, the Educational Adequacy Fund, facilities and transportation changes, declining enrollment and student growth funding, and later adjustments to teacher salaries, isolated funding, and categorical programs. She explained that the adequacy study has evolved through committee hearings, surveys, site visits, and outside consultants, and that recent changes include updates to accountability references and the addition or removal of certain funding categories. Members asked follow-up questions about how the matrix is used, whether homeschool or private-school funding raises comparable issues, whether stakeholders include private and homeschool participants, whether school board members should be surveyed, and whether the state should revisit average daily membership versus attendance-based funding. No votes were taken on the adequacy presentations, but the committee did agree to continue the early childhood discussion in a future subcommittee meeting.

Transcript Highlights:

• And unlike the previous studies you've just heard, we are at the beginning phase of this study.
• And unlike the previous studies you've just heard, we are at the beginning phase of the study, so we
• Our study mandate uses the term farm worker, and we found that this term is not defined in state law.
• Next, I'll turn the presentation over to Hope to talk about the study scope and our study questions.
• Is this really a farm worker study, or is it an agricultural worker study?

Summary: The Joint Legislative Audit and Review Committee met on September 17, 2025, in hybrid format. After roll call, the committee initially lacked a quorum and deferred approval of the July 15 minutes until Representative Berg arrived; the minutes were then adopted. Members also discussed the proposed 2026 JLARC meeting schedule, including possible changes to address crowded July meetings and the annual tax exemption review workload. Staff presented the annual lodging tax expenditures report, noting that 213 municipalities received distributions in 2024, with 91% reporting compliance, $114 million awarded for more than 1,700 activities, and no independent verification of the self-reported data. Several members questioned the value and usefulness of the report, and the executive committee indicated it may recommend removing the statutory reporting requirement. The committee then heard the preliminary performance audit of the Office of Privacy and Data Protection, which found the office meets its statutory responsibilities and has high user satisfaction, but recommended updating the statute to better match the office’s current capacity and focus and improving performance measures to reflect long-term privacy outcomes rather than outputs. Members asked about FERPA and other federal privacy laws, and OPDP staff said they provide general privacy training and consultation but not law-specific training unless requested. The committee adopted the final report on Washington State recreational boating programs without recommendation, after staff reported that boating revenues support both general government and boating activities and that no participating agencies submitted formal comments. Members asked about boater safety education and possible overlap among the six agencies involved; Parks staff said education has reached more than 500,000 boaters and that fatalities and incidents have declined. The committee also reviewed planned study questions for a JLARC review of Labor and Industries’ enforcement of farm worker laws, with members raising scope questions about the term “farm worker” versus “agricultural worker,” and for DNR’s Eastern Washington sustainable harvest calculation, which JLARC will review as DNR completes its recalculation. Finally, staff outlined the 2026 tax preference performance reviews covering seven preferences, and members asked about racial equity, environmental impacts, disclosure of beneficiary savings, and how the reviews will measure effectiveness; the meeting adjourned before noon.

Transcript Highlights:

• the State Treasurer.
• Now, kind of looking at the State Investment Board and State Treasurer, they have some duties related
• So the State Investment Board The State Investment Board is responsible for investing the funds in the
• The other thing is we've stated—you stated this before—a seven-year smoothing period.
• State Actuary's Office, or technically one for the State Actuary's Office, one where the State Actuary's

Keywords: 904, all

Summary: The Select Committee on Pension Policy approved its minutes by roll call vote, then postponed an OSA annual update due to a family emergency. The committee received an Open Public Meetings Act refresher from Assistant Attorney General Kate Adams, who reviewed key compliance points including quorum and serial meetings, notice and agenda rules, executive session limits, public comment requirements, and the consequences of violations. She also noted a litigation hold notice sent to members and provided resources for further guidance. Staff then briefed the committee on E2 Second Substitute House Bill 2034, which restates and terminates LEOFF 1 on June 30, 2029, creates a restated LEOFF 1 funded by transferred assets, and places excess assets into a pension surplus holding account that could later be used by the state. The bill requires DRS to seek IRS guidance, directs OSA to calculate the transfer amount and assess any future unfunded liability, assigns implementation duties to DRS, OSA, the Pension Funding Council, the State Investment Board, and the Treasurer, and requires two SCPP studies on LEOFF 1 medical benefits and policy oversight. OSA’s actuary estimated the transfer to the surplus holding account at about $3.9 billion under current assumptions and said the bill increases the modeled chance of future state contributions if the restated plan falls below 100% funded; members asked about IRS timing, the 2029 transfer date, and whether the 110% buffer is sufficient. The committee also received an update on the LEOFF 1 medical benefits study required by the bill. Staff said the study will examine the administration of pension boards and medical liabilities, likely focusing on medical benefits, and will gather anonymized data from local boards, cities, counties, and related agencies over the next three years. Members and public commenters discussed the number and structure of local boards, whether spouses receive medical benefits, and the possibility of regionalizing or consolidating administration. No action was taken, but staff said they would return with milestones and further updates. Finally, staff outlined a possible Plan 3 study, prompted by DRS, to evaluate whether the original goals of Plan 3 have been met after 30 years. The proposed study would review historical context, member choice outcomes, policy questions, and possible recommendations over a two-year period. The committee also heard an update on new correspondence procedures, including a new online web form, a correspondence log in meeting packets, and removal of correspondence from the public website. During public comment, retiree groups urged the committee to pursue an ongoing COLA for PERS and TRS Plan 1, with interim ad hoc COLAs until then, while LEOFF 1 retirees urged caution about changing the current board structure and emphasized the complexity of medical benefit administration.

Transcript Highlights:

• the study.
• do this study? do this study?
• than these other states? than these other states?
• . state. state.
• state of Minnesota. state of Minnesota.

Keywords: 1183, house

Transcript Highlights:

• A study of how this service should be provided in a way that provides revenues to the state government
• While framed as a study, the clear trajectory of this proposal is to position the state as a significant
• will be available to help the state evaluate well, given that, should we, This study will be available
• And we've studied it and we think it's a good idea for the state to try to either own PNM or a portion
• What this memorial is studying is a direct investment, similar to what the United States is now doing

Bills: HB303, SB96, HM6

Keywords: public utility, certificate of public convenience and necessity, certificate of need, Public Regulation Commission, PRC, utility regulation, ratemaking, energy storage, battery storage, grid reliability, renewable energy, transmission, distribution, generation plant, utility expansion, service territory, mutual domestic water consumer association, economic development department, clean energy, fossil fuel reduction

Transcript Highlights:

• communities across the state.
• study.
• The purpose of this study is to understand the current gap between city and state investment in city
• The study provides information for decision makers. It does not commit the state to pursuing a P3.
• The study provides information for decision makers. It does not commit the state to pursuing a P3.

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• communities across the state.
• study.
• The purpose of this study is to understand the current gap between city and state investment in city
• The study provides information for decision makers. It does not commit the state to pursuing a P3.
• The study provides information for decision makers. It does not commit the state to pursuing a P3.

Keywords: 904, all

Transcript Highlights:

• <00:02:47.000> are guidelines and the states are guidelines and the states are responsible
• million children that live in the state million children that live in the state of<00:04:07.239>
• we met with providers legislators State we met with providers legislators State staff<00:12:26.480
• time where we were doing the rate study time where we were doing the rate study there<00:13:52.079
• The FMAP for every state is different. Some states are getting the 50%.

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:

• There weren't a lot of studies when I was a kid, but the best studies—and really the only studies out
• These are studies from Scotland, Sweden, the UK, Australia, and the United States—multiple studies.
• And over time, the scientific community studied and studied and studied and found that it was wrong.
• The state has a partnership with the state.
• studies, studies of the vaccine safety data link.