Transcript Highlights:

• . ...to assist veterans and their families in identifying and accessing behavioral health care services
• Directing the Children, Youth and Families Department and the Health Care Authority to collaborate to
• Authority to set a minimum Medicaid fee schedule for reimbursing personal care services and requiring
• at least 70% of Medicaid reimbursement for personal care services to be used for covering direct care
• for personal care services to be used for covering direct care workforce expenditures, making an appropriation

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:

• We advocate on behalf of our nearly 200 members that provide direct services to children and families
• . our state from foster care, community-based care, family preservation, mental health services, and
• that the resources provided match with the actual number of children that they care for. of to direct
• Pilots that exist and we're hopeful to see some legislative direction to better coordinate the service
• to do that. deliver services for kids and families, specifically those involved in our foster care system

Committee: House Appropriations - S/C on Article II

Keywords: 1184, house, all

Transcript Highlights:

• Family planning and abortion care coverage, preserves direct access to hospice care, long-term care coverage
• We have to prioritize social services, health care, transit, and education, which our budget has made
• If we're not actually factoring In the cost of health care or other goods and services that keep increasing
• This revision would have had a direct and detrimental impact on the mental health services provided to
• We're here to support funding for legal direct services in our region.

Committee: House Budget

Keywords: 988, house, all

Transcript Highlights:

• service officers, who are the best... ...veterans who apply for benefits, a direct referral to county
• So the right thing to do is take care of our service members and their families.
• In 2018, the electronic transmission service was narrowed into the DOD FAC service, which allowed military
• Indeed, just in the last several months, the Postal Service announced that it would terminate mail service
• This service for counties was the simplest, cleanest, and most direct route for military and overseas

Committee: House Military and Veterans Affairs

Keywords: 988, house, all

Transcript Highlights:

• Um, in the next bar is the long-term care waiver and home care service set of services.
• ,</c> home care service. um set of services, home care service. um set of services, we're<00:04:23.840
• </c><00:20:27.200><c> services</c> certain health care services certain health care services um<00:20
• </c> care as well as services provided by care as well as services provided by federally<00:21:08.880
• 30:47.039><c> for</c> covers emergency care services for covers emergency care services for people<00

Keywords: 1183, house

Transcript Highlights:

• care services or prescribed drugs except for emergency medical care or if a minor falls under those
• The bill also describes a biofeedback device as a health care service, which may not be used without
• It can also allow parents to leave out information the health care service providers should know.
• And if they can access these health care services because of this bill and they're unwilling to tell
• But yes, they are receiving direct care, similar to how a 911 operator would respond and support.

Committee: Senate Rules

Summary: The committee first took up CS/SB 1606 on patient access to records. Sponsor Senator Grall explained an amendment that aligned the bill more closely with HIPAA by defining “designated record set,” allowing a 14-day extension, and requiring records to be produced in the requested form if readily producible. Several senators asked about patient portals, legal representatives, and whether the bill applied post-mortem; Grall said the bill was limited to authorized access during the patient’s life. Testimony was largely opposed, with health information and provider groups warning that the bill could create cybersecurity risks, conflict with HIPAA and meaningful-use rules, burden facilities, and improperly broaden access to portals and sensitive records. Supporters argued it would improve patient access and speed. The amendment was adopted, and the bill was reported favorably by roll call vote after debate on the bill as amended. The committee then considered CS/SB 712 on construction regulations. Grall described provisions on synthetic turf, change orders, public works bidding, elevator rails, alarm contractor scope, tall mass timber, pool and spa contractor scope, spaceport exemptions, permit document limits, and solar/energy storage inspections. Two amendments were adopted: one removed pool and spa contractor language and delayed the change-order provision until July 1, 2025; the other removed the tall mass timber section. Pool contractors testified against the scope expansion in the original bill, while others supported the remaining provisions. Senators raised concerns about the Florida Building Commission process and how the public-works language might affect small-business participation, but the bill as amended was ultimately reported favorably. Finally, the committee heard CS/SB 1288 on parental rights. Grall said the bill would require parental consent for most minor health care decisions, allow parental access to records, restrict surveys/questionnaires, and limit use of biofeedback devices, while preserving certain exceptions such as emergency care and STD testing. An amendment clarified questionnaire opt-outs for K-12 students, added court-order exceptions, addressed DNA sampling for criminal investigations, refined biofeedback language, and added emergency behavioral health exceptions; it was adopted. The bill drew extensive testimony both for and against: supporters said it restored parental authority and protected children from decisions they are not equipped to make, while opponents argued it would endanger minors seeking confidential STI, mental health, or abuse-related care, especially in unsafe homes. Senators also debated whether the bill would conflict with existing laws and whether it could leave some minors untreated. The transcript ends during continued public testimony on the bill.

Transcript Highlights:

• Because gender-affirming medical care is already banned, mental health services are the only lawful support
• &nbsp; 80 BECAUSE GENDER AFFIRMING MEDICAL&nbsp; CARE IS ALREADY BANNED MENTAL&nbsp; 81 HEALTH SERVICES
• On line 23 it talks about a health care practitioner who aids or abets another health care practitioner
• and intensive care units in long-term care settings.
• When patients lose access, care is delayed. When care is delayed, illness gets worse.

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• 3% for all premiums and prepayments for health care services collected or received by the taxpayer.
• health care services.
• health care services.
• direct patient service outcomes that are going to improve health care for Washingtonians.
• We are a limited health care services contractor that underwrites, administers, and sells standalone

Bills: HB2367 , HB1974 , HB2650 , HB2626

Committee: House Finance

Keywords: coal-fired plant, preferential treatment, energy policy, electric generation, regulatory reform, land bank, land banking authority, affordable housing, housing crisis, housing supply, public corporation, public housing authority, nonprofit housing, tax-foreclosed property, blight remediation, redevelopment, anti-displacement, equity, redlining, racial segregation

Transcript Highlights:

• I'm the owner of a direct primary care practice in Auburn, Massachusetts, and I've practiced primary
• As a result, many patients are turning to other options, such as direct primary care, because that offers
• Under the current laws, direct primary care physicians cannot issue an insurance referral for someone
• Then they're forced to find an in-network primary care doctor." "...and leave my services just to generate
• Last year, I switched to direct primary care, which is a membership-based model where patients pay a

Committee: Joint Joint Committee on Financial Services

Summary: The Senate Committee on Financial Services held a public hearing on late-filed matters, chaired by Senator Paul Feeney and Representative Jamie Murphy. The committee heard testimony on several bills, including S. 2738 on rising insurance costs for manufactured home residents, S. 2739 on creating a fire cistern program, and S. 2732 on direct primary care. Members were reminded to keep testimony brief, and several legislators and local officials testified out of turn as they arrived. The hearing ended with a motion to adjourn, which passed unanimously. On S. 2738, Senator Kelly Dooner, Representative Lisa Field, Taunton Mayor Sean O’Connell, Taunton City Council President Barry Sanders, and several residents and local officials described sharp premium increases, limited carrier options, and confusion over coverage for manufactured home communities. Testifiers said many residents are seniors, veterans, or low-income households on fixed incomes, and urged creation of a special commission to study the market and recommend solutions. Some asked that residents themselves be included on the commission and suggested more immediate relief if possible. On S. 2739, fire chiefs from Hopkinton and East Hampton supported a state fund for fire cisterns, saying many communities lack municipal water or hydrants and need reliable year-round water sources for structure fires, wildfires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response and can affect insurance ratings, but maintenance and installation costs are difficult for local departments to cover. The Massachusetts Insurance Federation opposed the funding mechanism, arguing that insurance assessments are being used as revenue generators and warning that the proposal would add to policy costs and trigger retaliatory taxes. The committee also heard strong support for S. 2732 from physicians and specialty groups, including Dr. Jenny Labonte, Dr. Wendy Cohen, Dr. Rica Nair, and the Massachusetts GI Association. They said the bill would allow direct primary care physicians to make referrals for HMO patients and permit in-office dispensing of medications, which they argued would improve access, continuity of care, medication adherence, and affordability. No votes were taken on the bills during the hearing.

Transcript Highlights:

• And then if the error rate is above 10 percent, that will be 15 percent direct state costs for direct
• , dental health, and other types of specialty care services across the state.
• Services primarily within Behavioral Health, Primary Care, and Maternal and Child Health.
• While primary care awards largely support routine and preventative care and integrated services like
• enough money to create new services?

Keywords: 996, all

Transcript Highlights:

• The bill defines the term direct support professional to refer to an individual paid to provide services
• The bill defines the term direct support professional to refer to an individual paid to provide services
• It allows unlicensed direct service providers to continue supervising the self-administration of medication
• The bill defines the term direct support professional to refer to an individual paid to provide services
• It allows unlicensed direct service providers to continue supervising the self-administration of medication

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing guests, students, advocates, and a resolution honoring the late USF men’s basketball coach Amir Abdur-Rahim. Senators also observed moments of silence for victims of recent campus violence and for former FSU President John Thrasher. The chamber then moved to special order bills, with several members explaining measures and, in some cases, substituting House companions before final passage. Among the bills passed were measures updating child care and early learning provider regulation; strengthening penalties and cost recovery for false reporting and swatting; extending protections against extraordinary medical debt collection; expanding hazardous walking condition criteria for schoolchildren; creating young adult housing support for foster and homeless students; and requiring private schools participating in the Family Empowerment Scholarship Program to disclose which accommodations they will provide. The Senate also passed a bill adjusting interest rules for trust accounts funding legal aid, after extended debate over the impact on legal aid funding and banking practices, and a transportation package that was heavily amended to address issues such as school bus camera hearings, beach vehicle use for equipment removal, flooded-street wake restrictions, expectant mother parking permits, micromobility regulation, and traffic signal modernization. The chamber also approved public-records exemptions for Agency for Health Care Administration investigators, Judicial Qualifications Commission employees, and appellate court clerks; a municipal water and sewer rate bill affecting Miami-Dade residents near a plant; motor vehicle offenses involving impersonating law enforcement and obscured license plates; trespass penalties at law-enforcement-controlled locations and large ticketed venues; refund requirements for patient overpayments; stem cell therapy authorization with source and consent limits; and insulin administration authority for direct support professionals and relatives in group homes. Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, and motor vehicle manufacturer/franchise dealer legislation. Most measures passed with strong bipartisan support, though the trust fund interest bill drew notable opposition and passed 28-10, and the Family Empowerment Scholarship bill passed 37-1.

Transcript Highlights:

• services.
• level, again, of intensity, meaning more direct care staff being allotted to provide direct care services
• So both in our disability services programs for youth and adults and then in our long-term care program
• services.
• Very similar process in terms of level of care needs, what services are best going to meet their needs

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• We advocate on behalf of our nearly 200 members that provide direct services to children and families
• across our state from foster care, community-based care, family preservation, mental.
• We'd ask you to direct DFPS to fund community-based care providers to maintain their caseloads, uh, by
• We'd love to direct DFPS and the community-based care providers to work better together to identify other
• providers to deliver services for kids and families, specifically those involved in our foster care

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• The program funds three core services: direct services, including mental health and wellness support,
• A total of 180 organizations across California have provided direct services and support to victims of
• We don't do direct service with the STH grant, so our grant money is minimal — $50,000 per year.
• , services, and programming. ...and deliver much-needed culturally responsive care, services, and programming
• Stop the Hate also provided much more than just direct services.

Summary: The Assembly Human Services Committee held an informational hearing with members of the API Legislative Caucus on California’s Stop the Hate Program and broader efforts to address hate incidents. Opening remarks emphasized the rise in hate during and after the COVID-19 pandemic, the importance of culturally and linguistically competent services, and the program’s role in serving not only AAPI communities but also Latino, Black, Jewish, Muslim, LGBTQ+, immigrant, and other impacted communities. Legislators and presenters repeatedly highlighted the value of trusted community-based organizations (CBOs) in reaching people who may not report to law enforcement or seek traditional services. The first panel included the California Commission on Asian and Pacific Islander American Affairs, the Department of Social Services (CDSS), and the Commission on the State of Hate. They described the program’s origins in the state’s equity budget, its funding structure, and its service model: direct victim services, prevention, and intervention. CDSS said 180 organizations statewide have participated, with grantees selected based on experience, capacity, and service to priority populations. The Commission on the State of Hate reported that hate remains widespread and underreported, citing survey data showing about 3.1 million Californians experienced at least one hate act in a year and that many victims need mental health, legal, and other supports beyond police response. Members asked about best practices, youth impacts, administrative costs, and the role of regional leads; CDSS said it would provide more detail on funding distribution and that the final evaluation is still in progress. The second panel featured grantees from Jewish Family Service San Diego, Inland Chinese American Association, Center for Empowering Refugees and Immigrants, and Equality California. They gave examples of how Stop the Hate funding supported culturally specific response teams, counseling, language-access services, self-defense and safety workshops, youth and elder programming, legal navigation, and reporting tools. Several speakers said the program helped build trust, reduce isolation, and connect people to services they otherwise would not use. Legislators pressed the panel on lessons learned, whether the model should be reauthorized, and what would be lost if funding ends. Panelists emphasized that the program’s flexibility, regional convenings, and support for small, trusted organizations were key strengths, while also noting the need for more direct funding to frontline providers and more data on what interventions work best.

Transcript Highlights:

• So I would just say that I think public service and being in health care and in kind of a caretaking
• States can also recover on other additional, so like... ...care services.
• As part of House Bill 345, we were directed to pursue maximum allowable cost sharing for Medicaid services
• As part of House Bill 345, we were directed to pursue maximum allowable cost sharing for Medicaid services
• If they have long-term care services that the state is covering, then yes, that program or that function

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• used to provide emergency medical care or services.
• And number two, tax levy used to provide emergency medical care or services.
• , health care, and basic necessities, while the state struggles to sustainably fund the services communities
• I was a with no care at all.
• Care is essential.

Summary: The committee held public hearings on several bills. HB 2140 would exempt land sold or transferred to a governmental entity from additional tax when removed from open space classification in certain circumstances. Staff explained the current use property tax system and said the bill would likely have minimal but indeterminate revenue effects, with about $30,000 in one-time Department of Revenue costs. Representative Lowe said the bill was intended to fix a niche problem where a farmer loses a small frontage strip to a county and is then charged back taxes despite no change in land use. FutureWise testified in support of the bill’s intent but asked for small language changes to ensure transferred land remains compatible with agricultural or open space use. The public hearing on HB 2140 was then closed. HB 2326 would allow a fire protection district that is partially overlapped by another district’s EMS levy to impose its own levy on the portion not already covered, subject to voter approval in the affected area. Staff said the bill would have no state general fund impact and about $28,000 in one-time Department of Revenue costs. Fire district and fire chief representatives testified in support, describing situations in Clark County and Kittitas County where most residents cannot vote on an EMS levy because a small overlapping area already has one. Opponents, including Washington Citizens Against Unfair Taxes, argued the bill would add to property tax burdens. The hearing on HB 2326 then closed. HB 2334 would require rounding of cash transactions to the nearest five cents as pennies are phased out of circulation, while leaving non-cash payments unchanged. Staff said the bill would apply to the final total after taxes and fees, with an indeterminate but minimal state revenue impact and significant Department of Revenue implementation costs. The prime sponsor said the bill was needed because the federal government ended penny production without giving states guidance. Retail and grocery groups generally supported the concept but requested amendments for clarity, consumer protection, SNAP compliance, and flexibility while pennies remain in circulation; one witness opposed the bill as another tax burden. The hearing on HB 2334 was then closed. The committee then heard HB 2100, a proposed statewide payroll expense tax on large operating companies to fund a new Well Washington Fund for higher education, health care, cash assistance, energy, and housing. Staff said the proposed substitute would apply to employers with at least 250 employees and $7 million in annual payroll, exclude certain public and health care entities, and generate substantial revenue, with the fiscal note estimating about $7.6 billion to the general fund and $4.2 billion to the new fund in the 2027–29 biennium under the revised threshold. Supporters, including poverty, housing, labor, education, disability, and faith advocates, said the bill would help offset federal cuts and protect vulnerable residents. Business, retail, hospitality, construction, and technology groups opposed it, warning of job losses, higher costs, reduced competitiveness, and broader impacts on consumers and employers. The prime sponsor said the bill was a response to federal divestment and that the state needed a progressive revenue source now; no vote was taken in the transcript.

Transcript Highlights:

• services.
• The bill updates the Early Steps program by aligning Neonatal intensive care services.
• Access to Health Care Act, allowing cosmetologists to provide aesthetic body contouring services without
• Access to Health Care Act, allowing cosmetologists to provide aesthetic body contouring services without
• Definition of careful and prudent matter for a right turns on. from the Senate bill, definition of careful

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments. The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes. The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.

Transcript Highlights:

• SECTION 2 SPECIFIES A PRACTITIONER MAY NOT PROVIDE HEALTH CARE SERVICES OR PRESCRIBED DRUGS EXCEPT FOR
• THAT TREATMENT IN CARE.
• AS A PARENT IT IS BOTH ARE CONSTITUTIONALLY PROTECTED RIGHT AND OUR RESPONSIBILITY TO DIRECT THE CARE
• IT MENTAL HEALTH CARE BECAUSE I DON'T THINK IT IS A THERAPIST ON THE LINE BUT THEY ARE RECEIVING DIRECT
• IF THEY ARE WORRIED ABOUT COMPROMISING THEIR PATIENT CARE THEY CAN DENY CARE.

Keywords: 999, senate, all

Transcript Highlights:

• Like with health care, we know that culturally competent care matters.
• The state benchmark for human services direct care staff median wage is just $20.79 an hour, while the
• The state benchmark for human services direct care staff median wage is just $20.79 an hour, while the
• We are therapists, case managers, counselors, direct care workers, holding families together in some
• Counselors, direct care workers, holding families together in some of the toughest times.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• Over the years, we run in the mid-30s to mid-40% state employee rate in direct care.
• Obviously, we make up the difference with contract agency direct care personnel.
• Over the years, we run in the mid-30s to mid-40% state employee rate in direct care.
• Obviously, we make up the difference with contract agency direct care personnel.
• We run in the high 30s to low 40% state employee rate in direct care at our two facilities.

Committee: All ALC-REVIEW

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.