Transcript Highlights:

• I'm glad it's being a beneficial program to so many, and thank you, officer, for your service and for
• I'm glad it's being a beneficial program to so many, and thank you, officer, for your service and for
• I'm glad it's being a beneficial program to so many, and thank you, officer, for your service and for
• I'm glad it's being a beneficial program to so many, and thank you, officer, for your service and for
• program program program wonderful<00:10:20.279> uh<00:10:20.399> representative wonderful

Keywords: 1183, house

Transcript Highlights:

• services, and families in native services, a lot of our prevention programs like Pay Center for Girls
• So 30 years of history, and with our residential commitment programs, which are programs that agency.
• The other things I’ll kind of point out here: all of our kids, they’re getting ESE services, ELL services
• The other things I'll kind of point out here, all of our kids, they're getting ESE services, ELL services
• Because we have two levels of programming, our moderate risk programs are usually only about six to maybe

Summary: The committee heard a presentation from Department of Juvenile Justice Secretary Eric Hall on the Florida Scholars Academy, a new unified education model for youth in residential commitment programs. He explained that the academy replaced the prior decentralized district-run system with a contracted model through Florida Virtual School, allowing individualized blended learning, real-time progress monitoring, expanded special education services, and a broader course catalog including dual enrollment, CTE, GED testing, and postsecondary pathways through the Florida Youth College partnership with Tallahassee State College. Hall said the department is using data to focus on academic achievement, workforce credentials, and peer-group change as strategies to reduce recidivism, and reported early results including 60 diplomas or GEDs, a 5.5% teacher vacancy rate, and progress-monitoring gains for most students. Hall also reviewed implementation of House Bill 1181 on swift accountability and juvenile justice reforms. He said the law strengthened pre-arrest delinquency citation use, raised the target for eligible citations to 70%, required written justification for releasing youth charged with certain felony firearm offenses, and directed the department to develop a firearm-offending curriculum focused on avoidance and consequences. He described a new statewide graduated sanctions matrix for probation technical violations, intended to provide quicker and more consistent responses without overburdening courts. He said early data showed reductions in weapons/firearm offenses and auto theft, and that the department had conducted circuit-level outreach to law enforcement, courts, and providers to support implementation. Members asked about the number of unauthorized alien children in detention or residential care, teacher vacancies and whether instruction continues when staff are absent, screen-time and supervision concerns with laptops, and whether students are reentering local schools with improved academic performance. Hall said he did not have data on immigration status, that FLVS and classroom staff provide continuity when teachers are absent, that devices are checked in and out and security has been tightened, and that the department is still early in implementation but is hearing positive anecdotal feedback from parents. Vice Chair Smith asked for more detail on the firearm curriculum, and Hall offered to provide it. The committee took no formal votes and adjourned after no public testimony was offered.

Transcript Highlights:

• and in service with our partners in the community.
• Have fidelity over the actual program.
• This program provides an opportunity for service members to gain valuable civilian work experience. 3
• We heard, you know, about the grow program and what if Suu is you know, about the grow program and what
• Sorry with residential treatment programs which offer intensive around the clock, mental health services

Keywords: 999, senate, all

Transcript Highlights:

• work program in the current year.
• Under this program...
• To implement a direct payment program, DPP, for hospitals providing inpatient and outpatient services
• program in Region 5.
• program in Region 5.

Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.

Transcript Highlights:

• It's going to improve the program and help more taxpayers stay in the program.
• File as a service in 2026.
• This is a pretty novel program.”
• , the multifamily housing program, the portfolio reinvestment program, the Joe Serna Jr.
• a program to be considered.

Keywords: 988, house, all

Transcript Highlights:

• lunch program.
• Participants also cannot currently have another service obligation from a loan repayment program.
• Then the federal program is the National Health Service Corps, which is available through HRSA, the Health
• go to these programs, and we really should prioritize our Human Services needs against another type
• could go to these programs, and we really should prioritize our Human Services needs against another

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• services through the fee-for-service.
• services through the fee-for-service.
• to Medicaid fee-for-service versus how much the hospital would have received from a different rate program
• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• Our PAST program is a 1915(c) waiver. We have 1115 waivers for the expansion program.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• funds DDD services, or developmental disability services, within the Department of Economic Security
• determination for DDD services.
• in the program— Growth, the increase in the services in the program, is that growth related to more
• Vice Chair, and then, yeah, for the state-only program—Senator Finch next—which are optional programs
• This is the Arizona Training Program at Coolidge at the Department of Economic Services annual review

Keywords: 1182, all

Transcript Highlights:

• important program that we'll be launching here in Arkansas, the Rural Health Transformation Program.
• is and what this program isn't.
• But a program to connect ASU to another university in southern Arkansas as an extension of their program
• or train them in a program, is that something that could... ...extension of their program or train them
• in a program.

Summary: The committee first heard extensive public testimony from youth and advocates urging stronger restrictions on vaping. Speakers described vaping as a youth-targeted public health problem, citing flavored products, social media marketing, nicotine addiction, brain development concerns, school disruption, and exposure to harmful aerosol. They recommended prohibiting vaping in public indoor spaces and aligning vape rules with smoke-free laws. Committee members praised the speakers and encouraged them to continue building support for future legislation. The main presentation was on Arkansas’s Rural Health Transformation Program, administered through DFA. Secretary Jim Hudson and program director Brad Andi explained that Arkansas received about $209 million in the first year under the federal program, with potential for roughly $1 billion over five years if performance is strong. They emphasized that the program is meant for long-term rural health transformation, not general operating support, debt relief, or new construction. The state’s plan centers on four initiatives: HEART for prevention and community health, PACT for access and provider collaboration, RISE for workforce development, and THRIVE for technology and telehealth. Officials said applications will be handled through upcoming notices of funding opportunity, with a focus on local, shovel-ready projects, regional collaboration, and transparency. Committee members asked how the program would work for hospitals, clinics, nonprofits, schools, faith groups, and urban providers serving rural patients. Officials said eligibility is broad if applicants can show a connection to rural health, and that targeted renovations, mobile units, school-based clinics, farm-to-school or garden projects, EMS equipment, residency expansion, and behavioral health initiatives may fit if they align with the plan. They stressed that the program cannot fund working capital, routine maintenance, or new buildings, but can support repurposing space and collaborative networks. Members also raised concerns about protecting existing rural providers from being displaced, and officials said applications would be reviewed by a state committee with technical assistance and a reimbursement-based process. The committee then reviewed and took no objection to several DHS and Health Department rules. DHS presented a Medicaid/CHIP rule implementing federal requirements for incarcerated youth, including pre- and post-release coverage, care coordination, targeted case management, and screening services, with no public comments received. The Health Department also presented a licensing rule for audiology and speech pathology that implements recent acts and changes the renewal deadline; that rule was likewise reviewed without objection. The meeting adjourned after no further business.

Transcript Highlights:

• services and instruction.
• services and instruction.
• program, which educates physicians to provide services to medically underserved communities, be considered
• program, which educates physicians to provide services to medically underserved communities be considered
• I'm proud to say that one went on to a master's program and two went on to PhD programs.

Summary: The Assembly Budget Subcommittee on Education Finance held an extended hearing focused primarily on University of California budget issues, enrollment, housing, and Title IX. Chair David Alvarez opened by noting the governor’s proposed 8% ongoing General Fund reduction to UC, the deferral of compact funding, and the College of the Law budget item, while emphasizing that no votes would be taken that day. Public commenters, including UC Davis employees and lecturers, urged restoration of UC funding and opposed the hiring freeze, saying cuts would worsen staffing shortages, reduce research capacity, and harm students and patients. On UC core operations, the Department of Finance said the governor’s budget maintains the compact but defers $240.8 million in ongoing support and continues a planned 7.95% reduction, while the LAO recommended rejecting the deferrals and instead making any changes in the budget year. UC San Diego’s chancellor and UC Office of the President argued the cuts and deferrals would create major campus shortfalls, force hiring freezes, larger class sizes, fewer course offerings, delayed projects, and possible layoffs. Committee members questioned whether cuts could be shifted away from students and toward administration, discussed UCOP reserves and bond debt, and noted that UC’s budget structure makes the campus-level impact larger than the headline reduction. The committee also reviewed enrollment trends and nonresident replacement. The LAO said UC resident enrollment has grown and recommended revisiting 2026-27 targets and pausing the nonresident replacement plan if state funding does not improve. UC said it has exceeded California undergraduate enrollment and nonresident replacement goals, but warned that continued growth without funding would force enrollment reductions and harm quality. Members discussed the role of nonresident and international students, tuition rates, and the value of UC as a pathway for California students and a source of talent for the state. A separate housing item covered the state’s Higher Education Student Housing Grant Program. UC reported that recent bond savings could support additional affordable beds at UC Davis and UC Santa Barbara, but the LAO and Finance noted the Legislature would need to decide how to use the $6.2 million in savings from the original projects. The committee also heard a Title IX update from UC’s systemwide civil rights office, which described campus Title IX structures, training, and policy enforcement, and said the system has been working to improve confidentiality guidance and streamline complaint processes after survey feedback showed confusion and lengthy procedures.

Transcript Highlights:

• Services. Services.
• we have these services? we have these services?
• . program. program.
• personnel and services. personnel and services.
• . program. program.

Keywords: 958, all

Summary: The committee first approved a motion and then deferred a large batch of 246 contracts totaling about $187.8 million until the April 2026 meeting. It then moved through the agenda and reviewed several pulled items, beginning with four Attorney General contingent-fee contracts. Committee members questioned why the contracts were new, what the $20 million maximums meant, and how the fees would work; the AG’s office explained they were new awards from a September RFP, that the $20 million was an outside estimate tied to a full recovery, and that one contract would require a $380 million recovery to pay out the maximum. The committee voted to consider those contracts reviewed without objection. The Department of Highways then explained an “alternative delivery support” contract, describing it as a procurement method different from the usual design-bid-build model and noting it can help with innovation, speed, timeliness, or cost reduction. After that explanation, the committee again voted to consider the contract reviewed without objection. The Kentucky Horse Park/Kentucky Horse Racing and Gaming Corporation presented eight legal services contracts; members focused on differing hourly rates and retroactive approval. The corporation said it had selected four firms through an RFP to maintain flexibility and avoid conflicts, would use in-house counsel first, and did not expect to use the maximum rates. Senator Thomas argued the committee’s statutory hourly rate cap is outdated and should be revisited. The committee then approved the contracts. One Transportation Office of the Secretary contract was deferred to the April meeting, consistent with the agency’s prior request. The committee then reviewed Cabinet for Health and Family Services items from the Department of Community Based Services: three contract amendments and one memorandum of agreement. Members asked about funding sources, service outcomes, and whether the programs reduce future need; the agency said one amendment was a $55,000 increase offset by reductions elsewhere, that the total contract amount with the agency did not change, and that follow-up data show over 90% of children remain in the home after services. The committee approved those items. Finally, the committee reviewed a LIHEAP contract amendment from the Division of Family Support, which the agency said used federal funds, not state general funds, to add newly appropriated federal money for low-income home energy assistance and crisis heating support. Members asked about future funding and were told that continuation depends on Congress. The committee approved that item. It then began reviewing Behavioral Health, Developmental and Intellectual Disabilities memoranda of agreement tied to Kentucky Correctional Psychiatric Center staffing; members asked for a count of personnel, and the agency said it would provide that information, after which the discussion continued.

Transcript Highlights:

• connections through that referral process for early intervention services, other home visiting programs
• They support the Department of Health programs as it relates to community service, whether it's through
• They support the Department of Health programs as it relates to community service, whether it's through
• On your laboratory services, the purpose of the laboratory service program is to provide laboratory analysis
• We also have a home visiting program through our children’s medical services, and those are for children

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• And federally mandated regular and short-term special education programs and services.
• Human Services.
• program?
• Program (SHARS).
• This cut not only strains the program but also puts pressure on local taxpayers as these medical services

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• The Coyona Clubhouse offers an integrated behavioral and primary care service day treatment program.
• The Coyona Clubhouse offers an integrated behavioral and primary care service day treatment program.
• The Coyona Clubhouse offers an integrated behavioral and primary care service day treatment program.
• The Coyona Clubhouse offers an integrated behavioral and primary care service day treatment program.
• The Coyona Clubhouse offers an integrated behavioral and primary care service day treatment program.

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

Transcript Highlights:

• service.
• service?
• Are the volunteer ambulance services also eligible to participate in your program? Good question.
• service.
• , authorization for ambulance service taxing districts, and the Distressed Ambulance Service Program.

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• I believe my experience in the private sector, as well as my prior service at the General Services Administration
• These programs now are on hold and our farmers are going to suffer as a result of ending the USAID. programs
• Let me understand, in your view, are programs that counter human trafficking, programs that help families
• effective programs to limit migration.
• We've long benefited from new generations of folks joining the diplomatic service, the civil service,

Transcript Highlights:

• Services provided by the Doorway program.
• these services.
• providing similar services.
• Are there ways that we can consolidate the services rather than having three separate programs, drawing
• provide those ...types of programs that provide those additional services to help someone be successful

Keywords: 928, house, all

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• Could you give us some examples of how programs or services would be affected?
• Noting that these funds are directed to dedicated services and the programs that they serve.
• funds must come back and pay for program funds must come back and pay for program services.<02:44
• The radological health program services.
• in various services in the program in various services whether<03:16:11.040> they<03:16:11.200

Keywords: 1191, senate, all

Transcript Highlights:

• Prescription Assistance Program, the Kentucky Asthma Management Program, the COPD program, Education
• Um, we used to have programs that were in the home and we're very active wrapping services around these
• And the reason why these programs are declining in the home is because therapists and services we they
• Well, they're in the waiver program, but they're not able to receive the waiver services because there
• . program. program.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• services, home care nursing services, and adult rehabilitative mental health services.
• . services. services.
• many state programs and services. many state programs and services.
• allowing programs to onboard more quickly and strengthening protections for critical services.
• the program. the program.

Bills: HF1338

Keywords: Inspector General, Office of the Inspector General, state oversight, government accountability, fraud, waste, abuse, audit, investigation, subpoena, whistleblower, public integrity, transparency, state agencies, executive branch, public funds, taxpayer funds, law enforcement oversight, public safety programs, advisory council