Transcript Highlights:

• The House Bill 789 to cap it for a single contract here, but you could also have another contract with
• the agency, like an ME contract.
• the agency, like an ME contract.
• So you could charge 150% to your managing entity contract, 150% to your CBC contract.
• So you could charge 150% to your managing entity contract, 150% to your CBC contract.

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• But as I had a contract pulled and read that, this is an $8 million contract.
• It has a $14 million projected contract.
• No, we have not altered the contract. That was decided before the contract was signed.
• So that's what I'm putting out. contract if I'm not right. No, we have not altered the contract.
• EBD contracts with U.S.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• The contract would run through June 30, 2027.
• The maximum contract amount under this contract is $158,000.
• Yeah, I would see a need to have that in a contract. Is that normal, that it's in a contract?
• we're going to get ongoing return on the contract.
• I guess it's in other contracts. Can you work with BLR to?

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• So that, by me, you're using some contract negotiations.
• We've already heard kind of what these specific contract terms are.
• So are the contracts that have been existing?
• language that either limit... ...and including contract language that either limit our ability to contract
• It wouldn't allow for the contract to be renegotiated as a whole.

Committee: House General Laws

Summary: The committee first met in executive session and approved HB 2468 and HB 2481. HB 2481 was amended to replace earlier federal-style language with the governor’s recommended definitions and executive-order language, then rolled into a committee substitute and passed out of committee on a 9-3 vote. The discussion on HB 2481 centered on SNAP-related definitions and whether the revised language would affect federal waivers or change food-stamp purchasing rules; the sponsor said it would not. The committee then moved to regular session. The main public hearing was on HB 3070, the Second Amendment Preservation Act. Representative Hardwick said the bill was revised to remove language the Eighth Circuit had found problematic, while keeping Missouri’s anti-commandeering approach and prohibitions on state or local participation in certain federal gun-control actions, such as firearm registries, tracking, and confiscation from law-abiding citizens. Members questioned whether the bill would interfere with task forces, federal cooperation, courthouses, FFL paperwork, or local officers sharing information with federal agents. Hardwick and supporters said it would not affect Missouri enforcement of state gun laws or cooperation on other crimes, and that the bill was intended to stop Missouri officers from being used to enforce specific federal gun-control measures. Supporters from the Missouri Firearms Coalition and a gun-rights advocate backed the bill and emphasized civil penalties and anti-commandeering protections, while an opponent from Moms Demand Action argued it would handcuff police, weaken interstate trafficking enforcement, and create a dangerous patchwork of enforcement. No vote was taken on HB 3070 in the hearing. The committee also heard HB 388, which would prohibit certain anti-competitive health-care contracting practices, including anti-steering, anti-tiering, gag clauses, and most-favored-nation clauses. The sponsor and supporting witnesses described the bill as an anti-consolidation measure intended to improve price transparency, preserve competition, and help consumers and insurers steer patients toward lower-cost providers. They said the bill would apply to both providers and insurers and would not be anti-hospital or anti-payer. Members asked about effects on rural access to care, 340B pricing, physician-owned referral arrangements, and whether the bill would actually lower consumer costs. Supporters said the goal was to give payers more negotiating leverage and ultimately benefit patients through more competitive pricing, but no action was taken during the hearing.

Transcript Highlights:

• </c> of contracts that we do per year. of contracts that we do per year.
• And after the contracts are awarded, they are filed with government contract review committee.
• Contracts are subject to monthly review by the government contract review committee.
• </c> personal service contracts and MOAs. personal service contracts and MOAs.
• </c> contract review committee requirements. contract review committee requirements.

Committee: Joint State Government

Keywords: 958, all

Transcript Highlights:

• The contract would run through June 30th of 2027.
• The maximum contract amount... ...under this contract is $158,000.
• It's in a contract, and I don't mind doing it.
• I guess it's in other contracts.
• I guess it's in other contracts.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The committee met to review an audit and recommendations from the Alliance for Opportunity as part of a broader study of social service and workforce development reform under Act 145 of 2025. Members discussed creating a more integrated, regional, and “one door to work” system that would combine eligibility screening, service delivery, and workforce connections across DHS, workforce, and related programs. Much of the discussion focused on reducing administrative overhead, improving coordination, and using tools such as AI and centralized databases to help applicants learn about benefits, training, and job opportunities while still preserving case managers and in-person help for people without digital access. Members also emphasized targeting groups with low labor-force participation, including people in generational poverty, rural residents, individuals reentering from prison, and people involved in the court system who may be employable but are not currently connected to employers. Several members raised concerns about benefit cliffs, the burden of repeated paperwork across agencies, and whether the system should include performance measures tied to cost per person served and return on investment. The committee agreed that quantifiable savings and outcomes should be part of the study and future recommendations. The committee then considered and discussed a draft consultant services agreement with Work Ed Consulting LLC, represented by Mason Bishop, to assist with the study. Bureau of Legislative Research staff explained that the contract would run through June 30, 2027, with a maximum amount of $158,000, billed on actual hours and expenses, and could be expanded by up to 10% if needed. Bishop said he could provide ongoing ROI updates and technical assistance based on his experience in other states. After discussion, the committee voted to move forward with the contract, and the meeting adjourned.

Transcript Highlights:

• House Bill 2310 specifies that the contract and association created by the contract governing services
• The bill applies the contract requirements to any contract or addendum entered into after the effective
• House Bill 2310 specifies that the contract and association created by the contract governing services
• The bill applies the contract requirements to any contract or addendum entered into after the effective
• This gives the contractor the explicit right to contract to eliminate the contract on their terms solely

Summary: The committee heard House Bill 2010, which would prohibit sellers of digital goods from using terms like “buy” or “purchase” in a way that implies unrestricted ownership when the transaction is actually a license. The bill also requires clear disclosures, post-sale notice if license terms change, prorated refunds or alternative access in certain cases, and treats violations as unlawful practices under the Arizona Consumer Fraud Act. The sponsor said the measure was prompted by the common misunderstanding that digital media is owned outright, when it can be altered or removed by licensors. The committee voted 7-0 to give HB 2010 a do pass recommendation. Members also considered House Bill 2192, dealing with compensation and protections for minors featured in monetized online content. The bill requires earnings attributable to minors to be placed in trust, allows minors age 13 and older to create and publish their own content and keep compensation for it, and gives individuals who were featured as minors a process to request deletion or editing of content once they turn 18. An amendment clarified that platforms may rely on existing trust-and-safety systems, are not liable for third-party content if they meet mitigation requirements, and are not required to proactively monitor user-generated content. Google testified in support, describing the bill as a modern version of child-actor protections. HB 2192 was adopted as amended and passed 7-0. The committee then approved House Bill 2310, a technical clarification to Arizona’s qualified marketplace contractor law for gig-economy platforms. The bill specifies that contracts may be terminated without cause on reasonable notice and clarifies that the contractor may terminate the agreement unilaterally, with Lyft testifying that the change removes ambiguity and reduces litigation. Members briefly questioned the wording and whether it favored large platforms, but the bill passed 7-0. Finally, House Bill 2501, brought by the Department of Insurance and Financial Institutions, was heard and passed 7-0; it updates the definition of appraisal management company to conform Arizona law to federal statute.

Transcript Highlights:

• You've got nine contracts to oversee, and that's a lot more complex, as you can imagine.
• Hope to award those managed care contracts in May.
• and how they, you know, do prior authorizations, for example, or contract requirements.
• They've written contracts to help meet many of these needs, and they've learned from poor contracts previously
• So we wanted to look at those contracts and learn from them.

Summary: The Senate Health and Welfare Committee received an update from the Department of Health and Welfare on House Bill 345 and Idaho’s transition to comprehensive Medicaid managed care. Medicaid administrator Sasha O’Connell reviewed the bill’s directives, including rural hospital designation, work reporting and community engagement requirements, eligibility redeterminations for expansion adults every six months, changes to renewal processes, the choice waiver, state-directed payments, discontinuation of Healthy Connections Value Care and primary care case management, site-neutral payments, practice authority protections, and expanded cost-sharing. She also explained that the department is awaiting some CMS guidance and is pursuing federal approvals and public comment on several state plan amendments and waivers. A major focus was the planned move to comprehensive managed care, under which one managed care organization would coordinate most services for each enrollee, with Idaho planning three statewide plans rather than regional contracts. O’Connell said the department has held listening sessions, tribal consultation, and a request-for-information process, and that feedback has centered on continuity of care, timely provider payment, network adequacy, behavioral health and developmental disability services, and the need for clear, consistent contract standards. She said the department is using other states’ contracts and a set of program design pillars to shape the upcoming request for proposals, with a phased rollout planned for January 2029 for most services and January 2031 for developmental disability services. Senator Wintrow asked about EPSDT after a related statutory repeal in House Bill 345, expressing concern that families might think the protection had been removed. O’Connell responded that EPSDT remains a federal requirement for children and youth and that the department has not changed that obligation. The committee took no vote or formal action and adjourned after the update and questions.

Transcript Highlights:

• But as I had a contract pulled and read that, this is an $8 million contract.
• It has a $14 million projected contract.
• No, we have not altered the contract. That was decided before the contract was signed.
• So that's what I'm putting out. contract if I'm not right. No, we have not altered the contract.
• That was decided before the contract was signed.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.

Transcript Highlights:

• We are seeking your review of a contract extension for our contract with RTI International.
• I'm here today with a final amendment to the Sedgwick contract that was initiated as a three-year contract
• The contract is for covering the third-party administrators...
• The amount of this year five contract is $21,111,149.
• The, so that was only repeated in year two of the contract.

Keywords: 965, house, all

Summary: The Joint Legislative Committee on the Budget met on February 19, 2026, and first received an unchanged fiscal status statement and five-year baseline projection from the Office of Planning and Budget. Members approved the fiscal status statement, and the baseline budget was noted as unchanged from the prior month. The committee also approved Facility Planning and Control’s request to add five higher education deferred maintenance projects to the Act 751 eligible list, and reviewed four change orders over $50,000 for informational purposes. The committee then approved the Louisiana Lottery Corporation’s fiscal year 2026-2027 operating budget. Lottery officials reported $610 million in projected gross revenue, emphasized 29 consecutive years without legislative auditor findings or management comments, and noted the corporation’s long-running transfers to the MFP and State General Fund. Members also approved the 2026-2027 operating budgets for LASERS, TRSL, the School Employees’ Retirement System, and the State Police Retirement System en bloc. The retirement systems described modest budget increases or decreases, strong investment performance, and continued progress in reducing unfunded liabilities; members discussed COLA prospects, UAL paydown, and the impact of surplus dollars on retirement debt reduction. The committee approved prior-year deputy sheriff supplemental pay expenditures of $20,262.32 and then approved several legislative intent clarifications for prior appropriations, including items for Tangipahoa Parish, Harahan, Allen Parish, Morgan City, and DeSoto Parish. It also approved the Water Sector Commission’s recommendation for an additional $2.8 million for four ongoing water and sewer projects. Several contract items were reviewed without action, including DEQ’s extension with RTI International, Tourism’s marketing contract amendments, and the Office of Risk Management’s Sedgwick claims administration amendment. The meeting concluded with adjournment after no further business.

Transcript Highlights:

• I don't know the whole circumstances of these contingency contracts.
• Yeah, I mean, so 2,700 contracts, or, you know, municipalities, it became very... 2,700 contracts or
• Private attorney contracting.
• You can make a separate contract with them to work at an hourly rate.
• Why would the contract not comply?

Committee: House Commerce

Keywords: 959, house, all

Transcript Highlights:

• Frankly, in the contracts managed care organizations, including the procurement of the managed care contracts
• Frankly, in the contracts managed care organizations, including the procurement of the managed care contracts
• Frankly, in the contracts managed care organizations, including the procurement of the managed care contracts
• Frankly, in the contracts managed care organizations, including the procurement of the managed care contracts
• HB5416 relates to the contract requirements for a contract between a single-source continuum contractor

Keywords: 1184, house, all

Transcript Highlights:

• the future in terms of contracting with our PACE organizations.
• The two-party contract we're building off of is the statewide Medicaid managed care plan contract.
• We definitely understand that the SMMC contracts some of these PACE organizations.
• So the goal is to end up with a right-sized contract that meets the needs of all parties.
• Traditionally, with our previous dental contract, we were collecting monthly data.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• And so it allows us then to go into there and see if there is a contract.
• And sometimes these contracts are from other states or other agencies.
• And so this also clarifies that that is also allowed as we pull in those contracts.
• Contracts that this is going to be in effect.
• Contracts and how they get issued and how they get protected and written correctly.

Summary: The House Health and Welfare Committee approved the March 27, 2026 minutes and then heard two bills. Senate Bill 1410, presented by Representative Vander Woude, would create a clearer statutory process for updating Medicaid reimbursement rates for community federally qualified health centers when they add services, moving the authority from agency rule to statute and keeping legislative oversight. With no testimony signed up, the committee voted unanimously to send SB 1410 to the floor with a due pass recommendation. The committee then took up Senate Bill 1436 on procurement, which would clarify that state agencies may use cooperative purchasing agreements and shared contracts, including contracts from other states or entities such as NASPO, and make immediate effective-date changes through an emergency clause. Supporters said the bill would save time and money, improve flexibility, and clarify existing authority; opponents raised concerns about broad language such as “best interest of the state,” possible effects on Idaho vendors, and potential overreach into the free market. An initial motion to hold the bill in committee failed, and after a roll call vote the committee advanced SB 1436 to the floor on a 9-6 due pass recommendation. The meeting ended with brief procedural discussion after the vote and closing remarks from the chair, who noted it was the committee’s last meeting of the year and his final meeting as chair. The committee then adjourned.

Transcript Highlights:

• We did our first-ever procurement for our duals contracts.
• to get some things added to new contracts timely.
• But that was the first big contract that we awarded.
• or DEQ contracts or, you know, what have you, corrections contracts.
• We contract with a third-party entity that does a very We contract with a third-party entity that does

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• We have contract deputies, and we have the largest contract deputy program in Harris County. with the
• Us accepting contracts.
• Though the way the contracts work now is the Harris County Budget Office... a value for the contract
• so we can get additional contracts.
• Because a law enforcement agency has entered into a contract, if they lose that contract, the county

Keywords: 1184, house, all

Transcript Highlights:

• documents that are incorporating the contracts.
• as of July 1, managing entities had just re-procured new contracts through an ITN.
• It was noted that's in the new contract.
• State agencies do contract monitoring, but as you know, everything's not in the contract and their standards
• To finalizing contract terms that could push my day out one way or the other.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• contractor's bid due date or the date the contract is awarded if the contract is not awarded within
• That rate applies to the contract for the life of the project.
• So you're getting a contract to, let's say, build a school.
• That contract became the prevailing wage because we're to exist.
• So I used to work like union contracts, BAEW contracts, and they were like three-year contracts, and

Summary: The committee heard public testimony on several labor-related bills. On Substitute Senate Bill 5874, staff and Senator McEwen described a proposal to let the Employment Security Department waive penalties for minor quarterly reporting errors by employers, especially inadvertent electronic filing issues involving occupational codes and job titles. No one testified in opposition, and the public hearing was closed. The committee then heard extensive testimony on Engrossed Second Substitute Senate Bill 5847, which would expand injured workers’ access to medical providers, allow medically appropriate departures from L&I treatment rules, prohibit employers from requiring treatment from a specific provider, and set timelines for utilization review. Supporters, including workers’ advocates and union representatives, said the bill would improve access to care and reduce delays, while business groups opposed it as weakening the provider network and raised concerns about costs and claim duration. L&I said it could implement the bill with a technical fix and noted that the fiscal note was still being updated. A previously adopted claims-manager staffing amendment was discussed but not included in the version heard. On Engrossed Second Substitute Senate Bill 5061, the committee heard testimony on requiring public works contracts to update prevailing wage rates annually rather than freezing them at bid time. Labor groups supported the bill as protecting workers from wage erosion on long projects, while contractor groups opposed it unless amended to allow change orders for wage increases above 5 percent, citing unpredictable jumps in prevailing wage rates and added risk for small contractors. L&I requested a delayed effective date to July 1, 2028 because of IT changes. The committee also heard testimony on Senate Bill 5944, which would make missed or canceled appointment payments bargained economic compensation for language access providers, and on Substitute Senate Bill 5972, which would extend interest arbitration rights to correctional employees in city and county jails regardless of county population. Labor groups supported both bills; counties and a city representative opposed 5972 over cost concerns and asked for fiscal safeguards. Finally, the committee heard Engrossed Substitute Senate Bill 6302, which would require L&I to investigate possible misclassification when three or more independent contractors are used for the same type of finishing work on a public works project. Labor and contractor groups both supported the amended version, saying it targets misclassification without banning legitimate independent contractors. The hearing ended after testimony, with no votes or final committee actions taken during the meeting.

Transcript Highlights:

• FAR AS WE CONTRACT WITH PACE ORGANIZATIONS.
• MANAGED CARE CONTRACT AND WE WILL BE USING A LOT OF THE REQUIREMENTS THAT ARE INCLUDED IN THAT CONTRACT
• THIS WAS DONE THROUGH A CONTRACT WITH APD.
• WHAT YOU WILL NOTICE IS THAT IN FISCAL AND THEN ALSO THE DENTAL CONTRACT.
• DETAIL AS WE WORK TOWARD SELECTING A VENDOR AND ENTERING INTO A CONTRACT.

Keywords: 999, senate, all

Transcript Highlights:

• We did our first-ever procurement for our duals contracts.
• to get some things added to new contracts timely.
• But that was the first big contract that we awarded.
• or DEQ contracts or, you know, what have you, corrections contracts.
• We contract with a third-party entity that does a very We contract with a third-party entity that does

Summary: The Senate Health and Welfare Committee approved the January 26 and January 27, 2026 minutes, then took up the gubernatorial appointment of Juliet Sharon as director of the Idaho Department of Health and Welfare. Sharon described her background in public health and Medicaid administration in Arizona, Texas, and Idaho, and outlined her priorities if confirmed: program integrity, efficient operations, clearer outcome measures, child welfare, disability services, and resolving long-running class action lawsuits. Senators asked about measurable goals, balancing compassion with fiscal responsibility, audit findings, and collaboration with the disability community. Sharon said she expects to more than double program integrity recoveries, that audit findings are being addressed through corrective action plans rather than firings, and that disability collaboration should be embedded in daily operations. Committee members also discussed Idaho’s influence on federal policy and Medicaid administration. No vote on the appointment was taken in the portion provided. The committee then heard a lengthy Medicaid budget presentation focused on the Department’s supplemental request for state fiscal year 2026 and line-item requests for 2027. Sharon and Deputy Director/State Medicaid Director Sasha O’Connell explained that the supplemental request was driven by caseload growth, especially in traditional Medicaid, adult disability services, and youth/adult behavioral health, along with federally required rate and system changes. They also reviewed the impact of the governor-directed 4% provider rate reduction and the ending of some adult behavioral health services, saying the department had already been tracking budget sustainability before the executive order. O’Connell said the rate cuts drew the most public comment the agency has ever received, especially from home- and community-based providers, and that access monitoring is being developed to track whether services remain available. For 2027, the department requested funding for MMIS procurement, estate recovery, additional procurement staff, Medicaid admin reductions, and population forecast adjustments. Sharon said the MMIS modernization is on pause because of litigation over a major contract award, but other modules are moving forward. She also said estate recovery is underperforming and could bring in more general funds with contractor support. The committee discussed pharmacy costs and a possible Medicaid copay under House Bill 345, with Sharon saying implementation is underway and O’Connell noting savings estimates are still being developed. Senators also asked about expansion Medicaid growth and whether it affects other eligibility groups; Sharon said expansion growth is leveling off and that recovery rules apply to any Medicaid member receiving long-term care services. The meeting ended without any budget votes in the excerpt provided.