Transcript Highlights:

• It's for that moment to assess that the person is simply doing what they say they're doing. that they're
• I think we could have automated versions of the first two tests, and then a final assessment.
• Assessments have been made.
• The assessment tools that we're going to need as those responsible for taxpayer monies were half of what
• Committee Substitute House Bill 4 relating to the assessment of public school students, public school

Bills: SB801, SB867, SB2717, SB2919, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB111, HB112, HB121, HB126, HB146, HB186, HB223, HB229, HB322, HB367, HB500, HB521, HB640, HB705, HB783, HB1052, HB1056, HB1105, HB1106, HB1178, HB1211, HB1234, HB1306, HB1403, HB1449, HB1506, HB1661, HB1690, HB1871, HB1960, HB2017, HB2078, HB2128, HB2240, HB2243, HB2348, HB2407, HB2512, HB2820, HB2844, HB2853, HB2854, HB2885, HB3000, HB3005, HB3053, HB3057, HB3181, HB3333, HB3372, HB3425, HB3441, HB3516, HB3749, HB3783, HB3812, HB3848, HB3923, HB3963, HB4070, HB4134, HB4157, HB4158, HB4211, HB4449, HB4623, HB4638, HB4687, HB4690, HB4748, HB4749, HB4795, HB4848, HB5093, HB5115, HB5129, HB5138, HB5294, HB5616, HB5629, HB5646, HB5661, HB5672, HB5674, HB5699, HCR40, SJR5, SJR27, SJR59, SB4, SB6, SB8, SB9, SB10, SB12, SB22, SB23, SB25, SB27, SB34, SB36, SB37, SB38, SB40, SB57, SB140, SB261, SB293, SB441, SB447, SB467, SB512, SB650, SB777, SB785, SB924, SB1188, SB1281, SB1318, SB1333, SB1398, SB1448, SB1566, SB1579, SB1621, SB1723, SB1838, SB1862, SB2167, SB2405, SB2406, SB2407, SB2878, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HJR7, HB5115, HB3053, HB1403, HB223, HB748, HB5652, HB3395, HB180, HB1306, HB322, HB126, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB3812, HB3057, HB2035, HB721, HB346, HB2512, HB5695, HB5694, HB5674, HB3185, HB2348, HB1871, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4630, HB1523, HB2078, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB2820, HB1506, HB1234, HB640, HB521, HB229, HB186, HB119, HB4795, HB4466, HB3749, HB1106, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4285, HB4463, HB4995, HB5138, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HB1105, HB121, HB3372, HB367, HB783, HB3336, HB3441, HB4449, HB5616, HB2407, HB2854, HB3425, HB5294, HB1178, HB4623, HB14, HB3963, HB1211, HB5646, HB5629, HB3783, HB4236, HB46, HB4638, HB1052, HB4070, HB5509, HB5435, HB4134, HB3923, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB150, HB1057, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB126, HB150, HB322, HB367, HB500, HB640, HB705, HB783, HB1105, HB1178, HB1211, HB1234, HB1506, HB1690, HB1871, HB2078, HB2128, HB2240, HB2243, HB2407, HB2512, HB2853, HB2854, HB3000, HB3057, HB3181, HB3372, HB3425, HB3441, HB3749, HB3783, HB3812, HB3923, HB3963, HB4070, HB4134, HB4157, HB4211, HB4449, HB4623, HB4638, HB4687, HB4748, HB4795, HB5093, HB5129, HB5616, HB5629, HB5699, HB229, HB521, HB1056, HB1106, HB5138, SR583, SCR52, HB223, HB229, HB521, HB1056, HB1106, HB1403, HB3053, HB5115, HB5138

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• Legislative Analyst Office, we broadly concur with the assessment of the administration regarding the
• And there will be an ongoing assessment.
• The departments are assessing on a case-by-case basis.
• , but going back to my earlier comments, each individual department is still doing some of that assessment
• Yeah, just a question you keep saying that like each department is doing their assessment so we have

Keywords: 988, house, all

Transcript Highlights:

• some cases, insurers have relied on images that were made or that were more than 18 months old to assess
• strikes a balance by continuing to allow insurers to use fast, cost-effective aerial imaging tools to assess
• is not concentrated in the zip codes that we're dictating versus just letting the insurers sort of assess
• I am having a hard time including a zip code and not just generally allowing the insurers to assess the

Keywords: 987, senate, all

Transcript Highlights:

• and applied climatologist, Professor Dupigny-Giroux has contributed to all five National Climate Assessments
• 12.800> five<00:08:13.320> National<00:08:13.880> Climate<00:08:14.320> Assessment
• , to all five National Climate Assessment, to all five National Climate Assessment, including<00:

Keywords: 926, house, all

Summary: The House opened with a devotional by Representative Tom Stevens of Waterbury, who reflected on the Sermon on the Mount as a call to resist exclusion, greed, and coercion and to focus on blessing and care for those in need. After the devotional, the chamber suspended rules to take up Senate Bill 313, relating to transforming Vermont’s career and technical education system, and committed it to the Committee on Education. The House also adopted HCR 241, a concurrent resolution congratulating University of Vermont Distinguished Professor and Vermont State Climatologist Dr. Leslie Ann Dupigny-Giroux on receiving the Manny L. Bhaumik Award for Public Engagement with Science, with members offering remarks about her climate work and public service. On the action calendar, the House passed Senate Bill 157 on recovery residence certification in concurrence with proposal of amendment, and Senate Bill 239 on the child abuse and neglect reporting working group in concurrence with proposal of amendment. During discussion of S. 239, a member explained that the House amendment was a technical correction adding the Vermont School Counselor Association and the Agency of Education as stakeholders for the working group to consult. The House also concurred in the Senate proposal of amendment to House Bill 410, which concerns the calculation of recidivism and other criminology measures; the Judiciary Committee said the Senate change was a clarifying wording revision and supported it. The chamber then moved through announcements, including recognition of visiting family members, a UVM intern, and notice of a caucus discussion on permitting modernization. A member also invited colleagues to view Vermont Railways’ train in Montpelier. The House completed its orders of the day and adjourned until the next morning at 9:30 a.m.

Transcript Highlights:

• So, is this amount we are doing it based on the assessment amount or is this based on the sale amount
• Have you assessed other means for making this school whole through appropriations or otherwise instead
• Have you assessed other vehicles or other ways to make this one school whole rather than creating an
• Investment types, would you agree with that assessment? Thank you for the question. Yes, I do.

Bills: HB3044, HB3465, HB3625, HB3704, HB3759, HB3920, HB3972, HB4191, HB4311, HB4426

Keywords: veterans, tax refund, Oklahoma Department of Veterans Affairs, capital improvement, donations, Oklahoma Emission Reduction, incentive, taxation, environment, revenue, investment, school funds, treasurer, education funding, financial policy, income tax, scholarship, tax credit, Oklahoma Tax Commission, school funding

Transcript Highlights:

• SB 1246, HOA’s expense liens and special liens, special assessment, passed out unanimously and is on
• Senate, they amended it to provide an exception for penalties, to provide that penalties cannot be assessed
• entity that got no contributions or expenditures, probably no way to pay it even if they were to assess
• I'm going to open and close caucus. if they were to assess the fine yeah okay seems to be it i'm going

Keywords: 1182, all

Summary: The meeting was a caucus review of a large calendar of Senate bills, with members mainly hearing short titles, committee vote counts, and whether bills were on consent or pulled for further discussion. Many measures were reported out on party-line or split votes and several were flagged to be removed from consent, especially bills involving artificial intelligence content verification, public benefits eligibility, gender transition procedures liability, health insurance reimbursement for vaccines, light rail feasibility review, public employees merit hiring, public records fees, virtual currency payments, tax conformity, undocumented immigrants and financial services, central bank digital currency, and public monies investment in trust currency. The caucus also discussed a number of education, public safety, child welfare, health, and regulatory bills. These included measures on school communications, bullying liability, AED training, classroom management, school safety reporting, DCS procedures, fingerprinting at behavioral health facilities, probation conditions, missing children reporting, sex offender monitoring, crimes against children probation monitoring, and domestic violence release conditions. Several members raised objections or concerns about specific bills, including mandatory sentencing, religious sectarian law language, concealed weapons notice repeal, and a bill on death sentence by firing squad, with some members asking to pull those bills from consent. A final topic was a blue-sheet Senate amendment to HB 2874 on campaign committee termination statements and penalties. Rhonda explained the Senate changes would void penalties for committees with no contributions or expenditures, retroactive to December 2021, but noted the Senate did not secure enough votes for the emergency clause. Members asked about the rationale, the Secretary of State’s position, and the amount of outstanding penalties. The chair later announced that the Senate amendment was being refused, so the bill would not receive final passage that day and would instead be sent back for further action or conference.

Transcript Highlights:

• they're going for, the program admission criteria, GPA, SAT, ACT scores, the pass rates on exams and assessments
• c><00:10:56.480> on<00:10:56.800> exams<00:10:57.440> and<00:10:57.760> assessments
• the pass rates on exams and assessments the pass rates on exams and assessments that<00:10:58.560

Keywords: 1136, house, all

Transcript Highlights:

• It assesses whether or not the funds that are being proposed, special and revolving funds, meet statutory
• It it assesses<00:23:03.280> whether<00:23:03.520> or<00:23:03.679> not<00:23:03.840
• > the<00:23:04.000> funds<00:23:04.240> that assesses whether or not the funds that
• assesses whether or not the funds that are<00:23:04.559> being<00:23:04.720> proposed<

Bills: HB2240, HB2272, HB2273, HB2274, HB2275

Keywords: appropriations, legislative expenses, auditor, legislative reference bureau, state ethics commission, ombudsman, government transparency, HB2272, Act 026, public employment cost items, emergency appropriations, collective bargaining, bargaining unit 11, BU-11, state employees, excluded employees, salary increases, cost adjustments, health premium payments, benefits

Transcript Highlights:

• if an investigation finds harm or neglect, the courts can intervene and require substance abuse assessment
• if an investigation finds harm or neglect, the courts can intervene and require substance abuse assessment
• aging and disability resource centers, permits CARES to rely on the most current comprehensive assessment
• aging and disability resource centers, permits CARES to rely on the most current comprehensive assessment

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• It's going to require public institutions to set up threat assessment teams.
• It requires public institutions to annually conduct security assessments.
• It would require public institutions to annually conduct security assessments. require institutions to
• I think what you were getting at is trying to protect them early on doing security and risk assessment

Transcript Highlights:

• investigation finds harm and neglect, the courts can then intervene and require substance abuse assessment
• Permits CARES to rely on the most current comprehensive assessment, eliminating duplicative reassessments
• Care navigators deliver personalized assessments, ongoing coaching, and coordinated referrals that enable
• Care navigators deliver personalized assessments, ongoing coaching, and coordinated referrals that enable

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Transcript Highlights:

• And so, you know, they're allowed to do assessments on that, but we ran into some issues with some financial
• 35.760> do And so, you know, they're allowed to do And so, you know, they're allowed to do assessments
• 14:37.360> but<00:14:38.160> we<00:14:38.399> ran<00:14:38.560> into assessments
• on that, but we ran into assessments on that, but we ran into some<00:14:39.040> issues<00:14

Keywords: Meeting Start 00:00 Call to Order and Roll Call 00:16 HB 176 Discussion 01:10 HB 176 Vote 06:45 HB 184 Discussion 08:47 HB 184 Vote 09:53 HB 265 Discussion 10:39 HB 265 Vote 15:09, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and first passed over House Bill 164 pending a document. The committee then heard House Bill 176, sponsored by Rep. Kim Moser, which would create a framework for insurer-run prior authorization exemption programs, often called “gold carding,” for certain health care providers. Moser said the bill is the product of years of negotiation with insurers, would include behavioral health providers, would exclude prescription drugs, and would require annual reporting from the Department of Insurance and DMS on prior authorization activity. A committee member asked whether the 93% approval threshold for exemption matched other states; Moser and a witness said it was consistent with other states and current insurer programs, and that insurers could set a lower threshold if they wanted a competitive advantage. The committee voted on HB 176 after a motion and second, and the bill passed with a favorable expression. The committee also heard a guest introduction from Rep. All, who introduced a student shadow, Ava Oman, before moving on to House Bill 184. Rep. Meredith explained HB 184 would create a safe harbor for health savings account-qualified insurance plans so state mandates and cost-sharing rules would not conflict with IRS requirements and disqualify those plans at the federal level. The committee approved HB 184 unanimously with a favorable expression. Finally, the committee considered House Bill 265, also presented by Rep. Meredith with a Department of Insurance representative. The bill would allow workers’ compensation self-insured pools to have a dissolution process and would prohibit authorizing any new pools, while leaving existing pools in place. Meredith and the department said the change was prompted by solvency problems in some pools, including a large one that had entered receivership, and by limited regulatory authority over these arrangements. After questions about whether the bill affected health insurance, the committee was told it did not. HB 265 also passed with a favorable expression, and the meeting adjourned after a late-arriving member registered votes in favor of all three bills.

Transcript Highlights:

• Well, there's this little-known requirement called ADSS, which is essentially a disability assessment
• Housing and access to healthcare have been echoed throughout various assessments conducted in our state
• The health systems in Oklahoma City found them in the 2024 community health needs assessments.
• They've been referenced in the health assessments by the Tulsa health systems and the state...

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• Is that a fair assessment?
• Is that<00:09:24.000> a<00:09:24.240> fair<00:09:24.480> assessment?
• <00:09:25.120> House that a fair assessment? House that a fair assessment?

Keywords: 1183, house

Transcript Highlights:

• state government, you know, which you can't measure, you can't count, you can't evaluate, you can't assess
• You’ve got to figure that out to be able to make that assessment of that particular agency.
• Um, like Doge, they aim to improve government efficiency and how they assess programs and services offered
• a problem, so can you just enlighten me on that and give me clarification so I can get a better assessment

Bills: SB197, HB140, SB214, HB214, HB147, HB270, SB73

Keywords: business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates

Transcript Highlights:

• What's your assessment of the strategy.
• office, section 1074, a report on operational plans of the Department of Defense, which requires an assessment
• some of the key shortfalls that you believe the department should identify and highlight in their assessment
• In 2012, I was chartered by DOD to do the first assessment of what the force posture would be needed

Transcript Highlights:

• THE ASSESSMENT IS TURBOTAX LIKE.
• NECESSARY PAPERWORK TO FILE FOR THE INSPECTION OVER AT OIR AND DFS TO HAVE THEM COME IN AND DO AN ASSESSMENT
• SIX-YEAR GRANT TERM FOR THESE FUNDS AND SO WE GO THROUGH A WHOLE PROCESS REBUILD AND UNMET NEEDS ASSESSMENT
• COMMUNITIES AND CITIZENS IMPACTED AND WE HAVE A SUBJECT MATTER EXPERT BUT DOES THE UNMET NEEDS ASSESSMENT

Keywords: 999, senate, all

Transcript Highlights:

• And then the managed care 1% assessment, which we collect every year in March from all the MCOs, and
• Just another quick couple of questions on the provider tax and assessment report."
• on the provider tax and assessment on the provider tax and assessment report. report. report.
• We actually have to assess them.
• We actually have to assess requirements.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• by the BCA, which I'll assessment by the BCA, which I'll describe<00:01:39.759> later.
• threat assessment looking BCA threat assessment looking proactively<00:49:40.400> to<00:49:40.640
• coordinated threat assessment efforts. coordinated threat assessment efforts.
• We need to improve threat assessments We need to improve threat assessments and<01:42:01.440>
• said enough the BCA threat assessment said enough the BCA threat assessment that<02:44:24.560>

Keywords: 919, house, all

Summary: The House took up Senate File 3432, a public safety bill focused on removing identifying equipment and insignia from emergency vehicles sold to the public, and first adopted a House language amendment to bring the Senate file into the House form. Representative Mhler and co-chair Noatne described the bill as part of a broader security package covering judicial security and courthouse grants, Capitol grounds screening and security hardware, short-term protection for legislators facing credible threats, reimbursement for Department of Public Safety costs, and additional BCA analysts and investigators to examine threats statewide. They emphasized that the measures were intended to protect not only legislators but also staff, visitors, and the public, and the amendment was adopted by voice vote. Representative Schultz then offered an amendment to expand Capitol grounds protections by making destruction of permitted displays on the grounds automatically count as felony-level property damage. He argued that current enforcement is inconsistent and that the change would better protect First Amendment displays and ensure accountability. Schultz later withdrew that amendment after discussion. Schultz next offered another amendment aimed at school safety, proposing an increase in safe schools revenue and extending funding to charter, nonpublic, and tribal schools. He said the money could support school resource officers, mental health staff, counselors, and building security improvements, and argued that school safety should be prioritized alongside Capitol security. A point of order was raised that the amendment was not germane because it introduced a new subject and education funding; the Speaker agreed, ruled the point of order well taken, and the ruling was appealed, prompting a roll call. Representative Long supported the ruling, saying the amendment belonged in a different bill and committee, while Schultz argued the chamber should still address school safety. The transcript ends during the appeal process.

Transcript Highlights:

• County assessors assessing property at a lower rate than it was at the previous year is a rare occurrence
• over the past decade compared to decades past as property valuations have skyrocketed and those assessments
• Is that a fair assessment? It's just moving it to the constitution. That's my understanding.

Keywords: 914, all