Transcript Highlights:

• I think it puts them in control of their health care benefit.
• </c> this health benefit to healthc care this health benefit to healthc care inflation<00:13:11.160><
• </c><00:25:14.880><c> of</c> natural progression of taking care of natural progression of taking care
• </c><00:30:25.840><c> to</c> retirement benefits to be directed to retirement benefits to be directed
• is this a direct beneficiary run direct<00:32:26.200><c> uh</c><00:32:26.440><c> for</c><00:32:26.720

Keywords: Meeting Start: 00:02 Attendance Roll Call: 00:49 Approval of Minutes: 01:55 CERS Retiree Health Subsidy Proposal: 02:14 SB 58: 24:05 TRS Sick/Annual Leave Proposal: 32:53 Adjournment: 48:00, 958, all

Summary: The committee first approved the prior month’s minutes after a roll call established a quorum. It then heard testimony on a draft proposal from Senator Robbie Mills to increase CERS retiree health subsidies for members retiring on or after July 1, 2003. The bill would raise the non-hazardous subsidy from $14.63 to $40 per month per year of service and the hazardous-duty subsidy from $21.94 to $50, with employee contribution rates adjusted based on the health trust’s funded status. Supporters from sheriffs, firefighters, police chiefs, and the Kentucky League of Cities said the change would improve recruitment and retention, better align the subsidy with the cost of a single health plan, and preserve the system’s financial footing through shared employer-employee costs and funding triggers. Committee members asked about the fiscal impact, the effect of funding levels above 150%, and how the subsidy would work for rehired retirees or employees who later take private-sector jobs. Mills and other witnesses said preliminary actuarial work was still forthcoming, that the bill was intended to be revenue-neutral or close to it, and that the subsidy would continue to be paid monthly; they also noted existing 2008 rules for rehired retirees and said the benefit would still be available even if a retiree later had other insurance. One member suggested looking at stable accounts as an additional option for special-needs planning in a later bill. The committee then heard Senate Bill 58 from Senator Robin Webb, which would allow state employees to designate a Special Needs Trust as a beneficiary for retirement benefits. Webb said the measure would help employees provide for disabled dependents without jeopardizing SSI or Medicaid eligibility, and that the bill follows federal special-needs trust rules. He said the proposal could be revenue neutral, but actuarial analysis was still pending and KPPA had asked for electronic rather than paper transfer provisions. Members questioned whether the authority already exists, how the trust would work, and whether stable accounts should also be considered; Webb said he would follow up with additional information.

Transcript Highlights:

• These are lawful activities. ...and care of the poultry.
• Direct harassment for all of us. Thank you.
• So this would be a big step in the right direction. So thank you.
• providers in the next four years to meet the demand for care.
• People push in one direction and then somebody else doesn't like it, and then you go in that direction

Keywords: 987, senate, all

Transcript Highlights:

• AB 1973 ensures patients get timely care from providers, AB 1973 ensures patients get timely care from
• health care and reproductive care to so many in the state of California, I'm very thankful that you
• We respectfully urge careful consideration of the price and any impact on health care premiums.
• And as we remind the Legislature every year, health care mandates do have a direct correlation to premium
• Hospitals care for patients with the greatest health care needs.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• Kendall: This is in a different direction.
• Like I said, it depends on your primary care doctor.
• When young people cannot seek care confidentially, they delay treatment or do not seek care at all.
• Every child deserves safety and care, not barriers.
• Crisis STI treatment and crisis mental health care treatment.

Summary: The committee met with a quorum and began by welcoming students and coaches participating in the inaugural Sunshine State Debate. Members then heard and voted on a series of education-related bills, with most measures receiving favorable reports by unanimous or near-unanimous votes. The first bill, HB 1081, created a Cybersecurity Internship Clearance Readiness Program in the Department of Commerce for NCACE-designated universities and Florida College System institutions; a friendly amendment expanded access to private schools, and the bill passed 19-0. HB 1201 updated Florida’s epilepsy/seizure plan law to clarify protections for charter school students, require acceptance of physician-submitted plans, extend training validity to five years, and expand training to regular bus drivers; epilepsy advocates supported it, and it passed 19-0. HB 851 required annual autism-specific professional learning opportunities for teachers and school-based administrators, and it also passed 19-0. HB 615, dealing with IEPs, required quicker parent notice when services are missed, faster access to service logs, individualized parent orientation, and standardized district service logs; parents and advocates testified strongly in support, and the bill was reported favorably. HB 1503 added technology-related competencies to education courses and directed the Department of Education to develop computer science certification coverage; it passed 19-0. HB 371 required public schools to display portraits of Abraham Lincoln and George Washington in common areas and passed 19-0 after testimony both for and against. HB 731 revised extracurricular eligibility rules and allowed local policies for compensating coaches and activity sponsors; an amendment broadened manual requirements and clarified fee actions, and the bill passed 18-0. The committee also took up HB 173, a parental rights bill that drew the most extensive debate and public testimony. The bill would require parental consent for many medical decisions for minors, give parents access to medical records, and expand parental review/opt-in rights for certain school surveys and biofeedback devices. Supporters argued it restores parental authority, improves safety, and prevents children from being cut out of important medical decisions; opponents warned it would remove confidential access to STI treatment, crisis mental health care, and other services for minors in unsafe or abusive homes. Members raised questions about abuse exceptions, emergency care, and how the bill would affect routine treatment and time-sensitive care. The bill was not voted on in the portion provided, and debate continued through multiple rounds of sponsor responses and member comments.

Transcript Highlights:

• Give him direction and protection. ...give him clarity, give him direction and protection in the next
• for those who selflessly care for us.
• They care for our seniors.
• And it was really, really tough for me because, like, I care for you. I care for you.
• We don't care. They didn't care so bad. You know what they did?

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several introductions and memorials, including a resolution designating August 9, 2026, as Bob Graham Day and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a long special-order calendar, with several bills substituted with House companions and adopted by voice vote or recorded vote. Early measures included a tax conformity bill tied to federal Internal Revenue Code changes, which passed 34-0, and a Medicaid/public assistance bill that drew extensive debate over work requirements, fraud reduction, behavioral health services, and SNAP/EBT reforms. Amendments offered by Senators Berman and Osgood to condition or soften the work and photo-ID provisions were rejected, and the underlying bill was placed on the third-reading calendar after lengthy questioning about implementation, exemptions, and eligibility effects. The Senate also passed bills on computer science education and AI instruction, a Parkinson’s disease registry public-records exemption and registry update, designation of the SS American Victory as Florida’s official state flagship, electronic payments for local governments, repeal of the legal-tender sunset for gold and silver, public-records protections for gold/silver custodians and stablecoin-related entities, a Florida stablecoin pilot program, and local government budget transparency/spending measures. Most of these measures were adopted after minor amendments or technical substitutions, with votes generally ranging from 31-3 to 34-0. The chamber also recognized the Florida Channel’s 30 years of legislative coverage. Later, the Senate approved a digital voyeurism bill expanding the reasonable-expectation-of-privacy definition to include private fenced yards, and an insurance customer representative licensing bill allowing high school students to complete insurance/personal finance coursework and later qualify for licensure. The final major item was a medical freedom bill that would expand parental vaccine information requirements, add a conscience-based exemption to immunization mandates, allow behind-the-counter ivermectin for adults, and repeal the sunset on the mRNA mandate prohibition; two amendments clarifying anti-kickback rules and requiring vaccine information to include risks, benefits, safety, and efficacy were adopted, while questions from Senators Smith and Massullo focused on public-health impacts and the content of the required materials. The transcript ends during discussion of that bill, with no final vote shown in the excerpt.

Transcript Highlights:

• We did adjust the part-time care to 50% of full-time care.
• And currently, our child care licensing rules only allow them to license through the Our child care licensing
• Of cost and care and lends itself to analysis of the processes as well as the outcomes of care, which
• So that's taken care of now. We do have... So that's taken care of.
• They didn't care. They knew there wasn't any repercussions. With malice. They didn't care.

Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.

Transcript Highlights:

• AB 1973 ensures patients get timely care from providers, AB 1973 ensures patients get timely care from
• Abortion care is safe, and appropriately trained advanced practice clinicians provide this care with
• And as we remind the Legislature every year, health care mandates do have a direct correlation to premium
• Care.
• Hospitals care for patients with the greatest health care needs.

Keywords: 988, house, all

Transcript Highlights:

• You know, you said the board not caring about people losing their jobs. I care deeply.
• So how do you translate your caring, your conversation?
• We take care of our own house first, right?
• We take care of our own house first, right?
• We all care about that.

Summary: The committee first established quorum and then approved several governor’s appointments and procedural items, including appointments to the Civil Rights Council, Board of Barbering and Cosmetology, UC College of the Law, San Francisco Board of Directors, bill referrals, and floor acknowledgments. Most of these items passed unanimously, while the Civil Rights Council appointment of Indira Cameron Banks passed 3-2. The bulk of the meeting focused on confirmations to the California Air Resources Board. Supervisor Linda Hopkins and Mayor Patricia Locke Dawson, both nominated to CARB, described their backgrounds and emphasized balancing climate and air-quality goals with economic impacts, community engagement, and practical implementation. Senators raised concerns about cap-and-trade costs, leakage, warehouse and truck traffic impacts, agricultural burdens, emergency vehicle and fleet electrification challenges, natural gas appliance rules, hydrogen, nuclear energy, and the need for socioeconomic analysis. Both nominees said they favored open-door engagement, listening to affected communities, and using data and technology-neutral approaches. Public commenters largely supported both nominees, and the committee voted to advance Hopkins 4-0 and Locke Dawson 5-0 to the full Senate. The committee also heard the appointment of Andrew Rakestraw as chair of the Board of Environmental Safety. Rakestraw, who previously worked in U.S. climate and legal roles, said he would focus on transparency, accountability, fiscal stability, and community responsiveness at DTSC. Senators questioned him about DTSC reform, community engagement in places like the Hinkley/Herupah Valley and Exide cleanup areas, fee-setting and fiscal stability, the hazardous waste management plan, and coordination with the Environmental Justice Advisory Council. He said the board should go beyond brief public comment periods, engage communities directly, and ensure community concerns are reflected in outcomes. Supporters from environmental justice and waste-management groups testified in favor, no opposition was offered, and the committee moved his nomination forward to the Senate floor, with one member abstaining.

Transcript Highlights:

• </c> children, received direct education. children, received direct education.
• We have kind of a direct view and involvement in child care centers' day-to-day operations and the change
• We have kind of a direct view and involvement in child care centers' day-to-day operations and the change
• and involvement in child direct view um and involvement in child care<01:52:25.840><c> centers</c><01
• link to the quality of have no direct link to the quality of child<02:05:04.560><c> care.

Keywords: 1187, senate, all

Transcript Highlights:

• this care in other settings.
• this care in other settings.
• The bill before care in other settings.
• This home care services in Minnesota.
• </c><00:01:37.280><c> fine</c> structure for use of home care fine structure for use of home care fine

Keywords: 1183, house

Transcript Highlights:

• 21st century health care. was helpful for continuing of care was helpful for continuing of care during
• For them, the exemption has meant timely care. health care professionals with the health care professionals
• While eligible veterans can receive care through VA's community care program, access to specialty care
• While eligible veterans can receive care through VA's community care program, access to specialty care
• Two small town clinics and one regional urgent care center in Virginia just closed as a direct result

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 15, 2025, 1012, house, all

Transcript Highlights:

• The bravery, the care. But they still didn't have any direction. They did not know. But...
• I really believe she cares, truly cares about everyone.
• In my story, I really believe she cares, truly cares about everyone.
• You have direction.
• With direct language directing DHS. This is not unequivocal.

Keywords: 1184, house, all

Transcript Highlights:

• of care.
• That includes direct care workers and support staff across both fee-for-service and managed care delivery
• maternity care, strengthens local capacity to reduce avoidable out-of-area travel for care.” “...care
• Again, funds may not be used for routine operating subsidies, direct patient care reimbursement, or to
• care, including care integrated into OBGYN or primary care visits.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• And so this is a good 559 bill step in the right direction. 560 >> Thank you.
• without seeking a DCF child care facility license.
• without seeking a DCS child care facility 1053 license.
• Now, that flu brochure is the very reason that I do child care legislation.
• I hope this is my last year after on child care bill.

Summary: The Student Academic Success Subcommittee met with a quorum and heard four bills, beginning with HB 423 on school elopement plans for students with autism or other elopement risks. The sponsors described the bill as a statewide framework for school elopement response plans, immediate parent notification, campus search procedures, and staff training. Public testimony from parents, disability advocates, and a teacher emphasized the dangers of elopement and the need for standardized procedures; members from both parties spoke strongly in support. The bill was reported favorably by a 15-0 vote. The committee next considered HB 1253, which allows coaches to use limited personal funds, up to $15,000 per athletic team per year, to support student-athletes with food, transportation, and physical rehabilitation services. An amendment added guardrails, including that the coach be a school employee, clarified the scope of athletic associations covered, and refined the rehabilitation language. Members discussed the bill as a way to help students in need while avoiding recruiting concerns, and the bill passed favorably 14-0 after the amendment was adopted. HB 1091 addressed dental screenings for K-12 students in districts that voluntarily offer them. The bill requires advance written notice to parents and an opt-out process, and clarifies that screenings are informational only, with any findings sent to parents rather than compelling treatment. An amendment added the language to student welfare provisions as well as school health services. Public testimony from dental and health advocates supported the measure, and the bill was reported favorably 14-0. Finally, the committee heard HB 765 on child care and early learning services. The bill expands before- and after-care options for certain school-based preschool programs without requiring a child care facility license, removes a flu brochure inspection requirement, bars insurance cancellation based on providing child care, creates a professional recognition program, and establishes a child care tuition fund. Two amendments broadened the bill to public and nonpublic elementary schools and created the Brighter Futures fund concept. After debate, the bill passed favorably 13-1, and the meeting adjourned.

Transcript Highlights:

• Some people would call it charity care.
• Some people would call it charity care.
• care.
• Uncompensated care.
• </c> the health care uh is delivered. the health care uh is delivered.

Keywords: 1187, senate, all

Transcript Highlights:

• The Idaho Child Care Program has historically been And how?
• There were directions when it came to work requirements.
• Idaho is a health care shortage state in nearly every county, and it's a behavioral health care shortage
• Because whatever managed care is told, they're going to pay it.
• Because whatever managed care is told, they're going to pay it.

Summary: The Senate Finance and House Appropriations committee met with a quorum present and first took up questions about a separate Rural Health Funding Task Force. Members asked who created it, its purpose, whether it was replacing JFAC, and whether it was tied to the governor’s task force. The chair said it was created by legislative leadership, not this committee, and that JFAC would still control funding decisions; the task force was described as a structure to help shape how any future appropriation would work. The committee also recognized guests from Boise State’s Executive Educational Leadership Program before moving to the General Fund Daily Update and then the Department of Health and Welfare budget review. Legislative Services analyst Alex Williamson reviewed Health and Welfare’s Division of Welfare, Mental Health Services, and Psychiatric Hospitalization budgets. Major items included one-time Medicaid eligibility system changes tied to federal law and House Bill 345, ongoing SNAP administrative cost shifts to the general fund, Medicaid expansion work requirement implementation costs, restoration of some transfer authority, and several behavioral health adjustments. In mental health, the department requested partial restoration of positions and funding tied to the former Behavioral Health Center of Excellence, but the director said the center itself had been disbanded and the request was instead for 15 FTE to support children’s mental health and the Jeff D. settlement. Other items included funding for mobile crisis services, a fund shift for hospital benefits and cost increases, replacement items at the state hospitals, and endowment fund adjustments. Director Juliet Sharon and Behavioral Health Administrator Ross Edmonds answered extensive questions about federal changes, managed care, and behavioral health service reductions. They said the department is implementing work requirements and more frequent Medicaid redeterminations required by federal law, starting with a one-month compliance period for applicants, and is not seeking a waiver to delay implementation. On behavioral health, they explained that reductions to Medicaid and non-Medicaid services were mirrored, that ACT services were discontinued as a bundled service but individual components remain available, and that the department is tracking hospital utilization, crisis services, and client touchpoints through Magellan. Members also asked about audits, deceased-member payments, endowment funds, staffing shortages, and whether some services were being duplicated; the director said program integrity processes are in place and that the department is trying to reduce duplication while maintaining reporting transparency. No formal votes were taken, and the committee adjourned after indicating it would meet again Monday morning.

Transcript Highlights:

• It also includes reproductive health care workers and providers of gender-affirming care that was recently
• ' federal health care coverage.
• needs are taken care of.
• AB 2160 requires the Department of Health Care Services to issue guidance clarifying health care coverage
• California has long recognized that reproductive health care is essential health care.

Keywords: 988, house, all

Transcript Highlights:

• And I want to be direct about the moment we're in.
• about the moment And I want to be direct about the moment we're<00:23:28.320><c> in.
• </c><00:24:35.800><c> agency</c> Veterans Affairs to direct agency Veterans Affairs to direct agency
• fund uh for hospitals uncompensated care fund uh for hospitals in<00:42:36.000><c> distress.
• ,</c> health care, health care, uh<00:46:20.760><c> and</c><00:46:20.920><c> takes</c><00:46:21.200><

Keywords: 1187, senate, all

Transcript Highlights:

• Hospital and County Health Care Act to allow personal authorized uses of county health care assistant
• and powers to the Early Childhood Education and Care Department.
• Exempting procurement by the Early Childhood Education and Care Department of child care for families
• Updating definitions and references in the Early Childhood Care Accountability Act.
• , including the financial direction of the distribution.

Transcript Highlights:

• It sought to ensure that Pass to clarify marketing by direct service providers.
• With a pass and that the direct service provider is not participating as a network direct service provider
• And the coverage includes care coordination...
• to care and services available in the geographic region of the juvenile's residence.
• rural Arkansas, and I care about them getting taken care of.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.