Transcript Highlights:

• This bill also ensures health care professionals can put people, their health care needs, and their privacy
• Moving back to the dais. Any questions from the dais? Questions, comments? Very well.
• We’ll now turn it over to the dais.
• We'll now turn it over to the dais.
• And that's not even caring.

Summary: The committee heard AB 82, which would expand privacy and safety protections for patients and providers of reproductive and gender-affirming care. The author and supporters said the bill is needed because of rising harassment, doxing, and threats, and because sensitive health data could be used by hostile actors; opponents argued it would create constitutional problems, enable abuse of safe-at-home protections, and improperly shield providers and records from scrutiny. Public testimony was heavily divided, with many advocates in support and many privacy, civil liberties, and anti-trafficking or sex-based policy groups in opposition. The bill was moved on a due pass recommendation and remained on call. The committee then heard AB 331, which would clarify that county election certification is a ministerial duty, prohibit misleading ballot return envelopes, and require voter information guides to be delivered to jails in an acceptable format. The Department of Justice and several good-government groups supported the measure, the Secretary of State had no position after amendments, and a committee member noted ongoing concerns but supported it after the changes. The bill passed on a do pass recommendation to Appropriations and was placed on call. AB 1178 followed, proposing to protect undercover peace officers’ names, images, and likenesses in public records while preserving disclosure of sustained misconduct records. Law enforcement and public safety groups supported the bill as a needed safety measure, while journalists, transparency advocates, and civil liberties groups opposed it, saying existing law already protects officers and the new language could lead to overbroad withholding. After discussion about the scope of undercover status and the need for judicial discretion, the bill passed as amended to Appropriations. The committee also adopted a consent calendar. Later, AB 981 was heard, creating a five-county pilot program requiring intelligent speed assistance devices for certain reckless driving convictions. Supporters, including traffic safety advocates and crash victims, said the bill could reduce repeat speeding and save lives; opponents raised concerns about cost, installer oversight, liability for automakers, and the breadth of the pilot. The bill passed as amended to Appropriations. AB 22, which would repeal Proposition 57 and restrict release of sexually violent predators and certain sex offenders, drew strong opposition from youth justice, public defender, and civil liberties groups who said it would be unconstitutional and harmful; the chair recommended no, no motion was made, and the bill was held. Finally, AB 897, a squatter-removal bill, was presented with the author arguing it would protect property owners through a faster due-process process; the transcript cuts off during early support testimony and does not show a final action on that measure.

Transcript Highlights:

• we have, and the fact that these days we also have a lot more complex health care issues with a lot of
• We also make a distinction with regard to care and specialty care, but it's not different as far as what's
• So it's revised to 30 days in the strike-all? So it's revised to 30 days in the strike-all?
• to 30 days, and there's some other conversations.
• I'm Denise Rock, the executive director of Florida Cares.

Committee: Senate Criminal Justice

Keywords: 999, senate, all

Transcript Highlights:

• Today is National Health Care Fraud Take Down Day. It's a coordinated...
• It's National Health Care Fraud Take Down Day.
• Again, today on National Health Care Fraud Take Down Day, we are announcing filing criminal charges in
• Day in and day out, they're doing work to protect vulnerable patients, recover stolen funds, safeguard
• Day in and day out, they're doing work to predict vulnerable patients, recover stolen funds, safeguard

Keywords: 907, all

Summary: Oregon Attorney General staff held a press event on National Health Care Fraud Take Down Day to announce new Medicaid fraud enforcement actions and highlight the work of the state’s Medicaid Fraud Control Unit. The attorney general said the unit, created in 1986, has secured 348 criminal convictions, 156 civil settlements and judgments, and significant recoveries since 2010, and noted the legislature recently approved additional staffing. She framed the work as protecting vulnerable Oregonians and taxpayer dollars, and said the unit is a small multidisciplinary team of investigators, auditors, attorneys, data analysts, and a nurse investigator. The office announced criminal filings in four cases involving alleged fraud by providers or public employees, including charges against a Beaverton man tied to housing assistance funds, a Corvallis provider and company accused of billing Medicaid for services not provided, a former Lane County employee accused of improper personal purchases on a government credit card, and a Tigard man in a medical transportation-related case. The attorney general also cited recent outcomes in other cases, including a Portland nurse who pleaded no contest and was sentenced to jail, probation, and restitution for billing for services not provided. She emphasized that the defendants are presumed innocent. In response to questions, the attorney general said Oregon staff attended a recent federal meeting on Medicaid fraud despite late notice to many Democratic states, describing the issue as bipartisan even amid broader disagreements with the Trump administration. She said federal staffing cuts have made state enforcement more important and that Oregon is already evaluating how to adapt to a more complex fraud landscape. She also said the cases announced are primarily against providers and entities rather than Medicaid recipients, and that Oregon’s managed care system is not currently a major barrier to investigations.

Transcript Highlights:

• </c> providing direct health care services. providing direct health care services.
• </c> care health community model. care health community model.
• </c><00:53:19.280><c> of</c> going to take care of the health care of going to take care of the health
• </c> overall health care costs go down. overall health care costs go down.
• , expand access, and lower health care costs across the health care system.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• WE HAVE A LARGE AGENDAS DAY SO WE WILL MOVE TO THE PROGRAM REVIEW FOR ACHA FOR ALL INCLUSIVE CARE FOR
• SERVICES THAT ARE COVERED FOR BOTH MEDICARE AND MEDICAID SERVICES INCLUDE ACUTE CARE SERVICES, ALL DAY
• OUR ADULT DAY HEALTH CARE IS SOMETHING WE ARE VERY INTERESTED IN BECAUSE WE'RE AT THE END OF THE CONTINUUM
• I WANT TO HELP THE FAMILY BEFORE THEY GET TO THE NURSING HOME AND THAT IS FOR ADULT DAY HEALTH CARE.
• CARE?

Keywords: 999, senate, all

Transcript Highlights:

• Aimed at controlling spending costs, no less, in the world of health care, because health care and human
• Health care for retirees primarily, right?
• So this. $20,000 a year for center-based toddler care.
• , gender-affirming care, and more in the health care space.
• Health care costs are straining municipal budgets, Mr.

Summary: The Senate first adopted two resolutions commending the Plimpton Historical Society for Deborah Sampson Day and Megan’s Light for recognizing May 2026 as Cystic Fibrosis Awareness Month. It also suspended Joint Rule 12 on several House petitions, referred those matters to committees, and later took up final passage of two local bills: one authorizing Dartmouth to grant an additional off-premises liquor license and another relative to the charter of Westwood. Both bills were passed to be enacted and sent to the Governor. The main business of the session was the opening debate on the Senate Ways and Means FY27 budget, which was described as a balanced $63.3 billion proposal. The chair and supporters highlighted major investments in unrestricted local aid, Chapter 70 education funding, regional school transportation, rural aid, community college affordability, food security, housing, and health and human services. They also emphasized that the budget was built on the consensus revenue estimate, included no new taxes or tax cuts, did not use the rainy day fund, and relied in part on federal funds and Fair Share revenue. In extended questioning, the minority leader pressed for details on the budget’s assumptions and cost drivers, including federal participation, Fair Share revenue, debt service, MassHealth caseload and spending, pension and OPEB liabilities, settlement reserves, collective bargaining funding, and controls against waste, fraud, and abuse. The chair responded that federal funds account for about 22% of budgeted revenues, Fair Share revenue is estimated at about $2.7 billion, debt service is about $2.67 billion, MassHealth and related health and human services total about $36.4 billion, pension funding is $5.1 billion, and OPEB receives a $150 million payment. Members also discussed the C-3 child care program, DTA program integrity, and housing permitting reforms, with several senators speaking in support of the budget’s priorities and urging further debate and amendments before final passage.

Transcript Highlights:

• care for our most vulnerable.
• care for our most vulnerable.
• health care not to take<02:15:31.239><c> Health</c><02:15:31.559><c> Care</c> take Health Care take
• for her every a home health aid to care for her every single<02:20:43.600><c> day</c><02:20:44.040><
• shall I do on this day?”

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, February 26, 2025, 1012, house, all

Transcript Highlights:

• 1,250 free days of charity care,<01:59:07.920><c> costing</c><01:59:08.320><c> about</c><01:59:08.560
• Hawai's health care system care costs.
• We are requesting $128,425 to expand our day camp program so we can provide free child care to those.
• Mahalo for caring.” Mahalo for caring. >> Pono Roots Counseling Center.
• Have a nice day.

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• community-based care.
• care.
• No child should be coming into foster care. care because the state cannot meet the child's mental health
• It took me two days. year old or three to four years old.
• in and day out.

Committee: House Appropriations - S/C on Article II

Keywords: 1184, house, all

Transcript Highlights:

• , or go without care altogether.
• The model would have appropriate licensed or certified staff available 24 hours a day to take care of
• Patients can receive a 90-day supply through PBM mail orders, but are often limited to a 30-day supply
• Gone should be the days where health care providers are faxing health records or they are on the phone
• For the last 95 days, yes, 95 days, my district... Just a moment, Mr. Gonzalez. Mr.

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.

Transcript Highlights:

• We take care of our people. Thank you.
• We're focused every day on driving down costs for housing, for health care, for energy.
• We took that down to 30 days. Thank you.
• You lose days, weeks, sometimes months of care.
• We care about our kids. We care about education.

Summary: The joint convention convened to receive the Governor’s annual State of the Commonwealth address. Before the address, the chamber adopted orders appointing committees to escort the Lieutenant Governor, constitutional officers, Executive Council, and Governor into the chamber, and the Archbishop of Boston and Rabbi Elaine Zacker delivered the invocation and benediction. The proceedings also included the Pledge of Allegiance, the national anthem, and formal acknowledgments of guests and former officials. In her address, Governor Maura Healey focused on affordability and the state’s response to federal policy changes. She criticized actions by the Trump administration on tariffs, health care, immigration enforcement, and food assistance, while emphasizing Massachusetts’ efforts to lower costs and protect residents. She highlighted housing production and conversion of state and office properties, energy affordability measures, health care reforms including ending prior authorization for insulin and banning medical debt reporting, transportation improvements, economic development, education investments, and workforce training. She also announced short-term relief for winter utility bills, expanded support for food banks, and new proposals to protect children from social media harms. The Governor also discussed public safety and veterans’ services, citing reforms after the Gabriel House fire and improvements to the Chelsea and Holyoke veterans’ homes. She framed the speech around Massachusetts’ historical role in the nation’s founding and the upcoming 250th anniversary of American independence, urging continued unity and leadership. After the Governor’s remarks and the benediction, the joint convention adjourned without any legislative vote on policy matters during the session.

Transcript Highlights:

• They hold a unique and trusted position within our health care system.
• So I think it's important for us as health care providers, all health care providers, to ensure that
• AB 447 reminds us that our health care systems should serve people, not stand in their way.
• The day The day has come where we need to have a conversation about mental health, and I wanted to speak
• Necessary barriers, strengthens training, and improves patient access to care.

Committee: House Business and Professions

Keywords: 988, house, all

Transcript Highlights:

• The original bill, CS for HB 743, is health care practitioner to health care practitioner.”
• It punishes professionals who care and educate them.
• And the fact that, you know, gender-affirming care is care that's centered on treating dysphoria, improving
• Care, you are recognized. Thank you. Good morning.
• I was suspended for three days without pay.

Summary: The Judiciary Committee heard and voted on a series of bills covering child abuse reporting, firearms products liability, crime victim records, guardianship eligibility, historic monuments, animal welfare, juvenile justice, and restrictions on sex reassignment care for minors. HB 373, on the statute of limitations for violations involving required child abuse reports, passed unanimously. HB 1551, as amended, clarified that a firearm is not defective merely because it lacks optional safety features and preserved design-defect claims and nonretroactivity; after substantial testimony and debate, it passed 13-5. CS/HB 1113, expanding public-records protections for crime victims and briefly exempting law enforcement victims, passed unanimously. CS/HB 737, allowing courts more discretion in appointing guardians with prior felony convictions and adding a narrow exception for certain older convictions, also passed unanimously as amended.

Transcript Highlights:

• day.
• And there's more to do in a day than there are hours in a day.
• , providing care. ...can be done to prove the person is safe to continue care, providing care.
• Health care.
• Health care.

Summary: The House first established a quorum after introductions of the Freedom of the Road Riders and Warsaw High School students. Members then took up House Bill 1855, a reporting bill on alpha-gal syndrome. The sponsor described the bill as a public health surveillance measure to add alpha-gal to Missouri’s reportable conditions, require lab reporting to the Department of Health and Senior Services, and send aggregated data to the CDC. Supporters said the bill would help identify hotspots, guide education and funding, and address a serious tick-borne condition affecting rural and urban Missourians alike. Opponents raised concerns about cost, false positives/negatives, and privacy, but the sponsor and others said the system would be HIPAA-compliant and de-identified at the federal level. Two amendments to HB 1855 were debated. An amendment changing the department’s follow-up authority from “may” to “shall” was adopted, with supporters arguing that if the legislature funds follow-up, the department should be required to do it. A second amendment creating an opt-in/opt-out consent process for reporting was rejected 41-10 after extensive debate over privacy, data collection, and whether consent would undermine disease surveillance. The House then adopted the House committee substitute for HB 1855 as amended and ordered it perfected and printed. The chamber next considered House Bills 2230 and 2978, a revised education measure aimed at reducing screen time in K-5 classrooms and encouraging handwriting and cursive instruction. The sponsor said the bill was based on research linking heavy screen use to poorer educational and behavioral outcomes, and supporters emphasized local control, parent access to screen-time policies, and the need to bring experts together through a state-level focus group. An amendment to exclude virtual school programs was adopted. The House then adopted the committee substitute for HB 2230 and 2978 as amended and ordered it perfected and printed. Finally, the House began debate on House Bill 2355, the Food Is Medicine Initiative. The sponsor said the bill would let Missouri use federal funds through 1115 waivers to pilot medically tailored meals, produce prescriptions, nutrition counseling, and related interventions to improve health and lower Medicaid costs. Members generally supported the concept, citing food deserts and the benefits of better nutrition, but an amendment adding vitamin therapies and cleanup language prompted concern from one member about supplement quality and regulation; the transcript ends during that amendment discussion.

Transcript Highlights:

• We know that not only is that part of the education day, but it's also part of child care for so many
• Beyond direct care, we manage Child Care Circuit, one of the state's regional child care resource and
• As we move forward, we are doing this work at a time when the need for high-quality, full-day child care
• Your child is two days with the aunt, two days with the neighbor.
• Your child is two days with the aunt, two days, the neighbor.

Committee: Joint Joint Committee on Ways and Means

Keywords: 995, all

Summary: The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts. Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students. Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.

Transcript Highlights:

• Bad guys don't care.
• So this is only on family child care facilities in this bill.
• Amber Easter Day, thank you. Amber Easter Day, waive speaking in support.
• So, you know, one million seconds is 12 days. You know, one million seconds is 12 days.
• here and not necessarily care. ...in the fact that we're talking about preventive care here and not

Summary: The committee first took up CS for SB 896 on school safety, which would expand the Guardian program to public postsecondary institutions, require active assailant response plans and threat management protocols, improve reporting and information sharing, and make it a felony to discharge a weapon within 1,000 feet of a campus. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty at a public postsecondary institution are not eligible for the Guardian program. The bill drew strong opposition from faculty, students, and gun-safety advocates who argued that more guns on campus would create confusion, weaken safety, and undermine campus police; supporters said trained guardians would improve deterrence and protection. After debate, the committee reported the bill favorably by a roll call vote. The committee then considered SB 1690 on child care and early learning services, which updates child care laws, reduces some regulatory burdens, and expands the Florida Education Foundation’s authority to fundraise for early learning from birth through VPK. Members discussed oversight of the related direct-support organization and the removal of certain notice requirements, while supporters from Moms Rising and other advocates said the bill would help families access affordable, high-quality child care and support home-based providers. One opponent argued the bill added more government regulation, but the committee adopted the amendment and reported the bill favorably. Next, the committee passed CS for SB 118, a narrow bill on non-ad valorem special assessments for recreational vehicle parks, clarifying how assessments are calculated for RV spaces and campsites. The bill received supportive comments from RV advocates and was reported favorably without controversy. The committee then took up CS for SB 1220, the Department of Transportation package, which included provisions on seaports and airports, personal delivery devices, autonomous vehicles, broadband and utility permitting, and advanced air mobility. Amendments were adopted that revised research institute membership, limited some delivery-device provisions, and clarified cruiser light rules for law enforcement; after questions about utility preemption and PDD safety, the bill was reported favorably. Finally, the committee began hearing SB 1756 on medical freedom, which would require new vaccine educational materials, expand school-entry exemptions to include conscience-based objections, limit the Surgeon General’s emergency vaccination authority, and allow behind-the-counter ivermectin for adults with written information and liability protections. The bill drew extensive testimony from both supporters and opponents, with supporters emphasizing parental rights, informed consent, and vaccine injury concerns, and opponents warning about reduced immunization rates, public health risks, and the appropriateness of ivermectin provisions. The transcript ends during public testimony and debate on SB 1756, before final action on that bill is shown.

Transcript Highlights:

• We're hearing it every day.
• to day.
• to day.
• , and our health care, and more.
• Care is essential.

Bills: HB2334 , HB2140 , HB2326 , HB2100

Committee: House Finance

Keywords: cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund

Transcript Highlights:

• </c> living and caring for their loved ones. living and caring for their loved ones.
• </c> ensuring their loved ones are cared for. ensuring their loved ones are cared for.
• Because we are faced every day.
• So on day 365, the following next day they go into a waiver slot.
• </c> the level of care. the level of care.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• Together, the changes would prevent health care plans and providers from denying care or coverage to
• They happen every single day.
• I mean, I agree that 30 days is likely to put these medical care providers in a fair number of cases
• Word of the day, I'm a tweener.
• Word of the day, I'm a tweener.

Committee: Senate Judiciary

Keywords: 987, senate, all

Transcript Highlights:

• It's urgent care urgently needed to make sure care is appropriate and aligned with the individual child's
• Well, it's a care plan, right?
• So the STARS program is a care plan that is sent out to EMS workers to make sure that they have the care
• So that's built into the care plan.
• for Missourians every day while strengthening the health care system as a whole.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.