Transcript Highlights:

• It's just how the code is separated.
• We had a lady from Austin, Texas, down in Texas, where they're keeping it weird.
• They make a path from Chicago, from Canada, from Austin, Texas, to buy donkey milk In Luther, Oklahoma

Bills: HB1427, SB1403, SB1448, SB1489, SB1546, SB1557, SB1614, SB1377, SB1990, SB1439, SB1630, SB1632, SB1696, SB1796, SB1824, SB1362, SB1849, SB2066, SB2071, SB2104, SB933, SB1633, SB1224, SB1246, SB1280, SB1303, SB1346

Keywords: tax credit, clean-burning fuel, hydrogen fuel cells, compressed natural gas, liquefied petroleum gas, environmental impact, vehicle modification, renewable energy, job incentives, tax rebates, Oklahoma Quality Jobs Program, employment growth, wage requirements, Oklahoma Consumer Protection Act, consumer protection, unfair trade practices, deceptive practices, exemptions, statutory exemptions, Corporation Commission

Transcript Highlights:

• The Chair now recognizes the gentleman from Texas, Mr. Luttrell, for five minutes.
• Texas it's 223. In Georgia it's about the same thing. You know what the difference is?
• Texas it's 223. In Georgia it's about the same thing. You know what the difference is?
• Texas it's 223. In Georgia it's about the same thing. You know what the difference is?
• >> What purpose does a gentleman from Texas >> What purpose does a gentleman from Texas

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 21, 2026, 1012, house, all

Transcript Highlights:

• Texas is a great state.
• It was a need from the state of Texas, as identified by the Texas... Child...
• People across the state of Texas thought were some ideas that we could do in Texas to bolster the mental
• The Texas Child Mental Health Care.
• Health and Texas Council of Community Centers.

Keywords: budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits

Summary: The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.

Transcript Highlights:

• The American Society of Clinical Oncology endorses it and has updated coding to facilitate access.
• We have worked with the AMA and ASCO on coding and payment improvements.
• Currently, there aren’t even proper billing codes or protocols for treatment.
• There are no current diagnostic codes specific to detransition.
• I have heard that doctors can use workarounds with billing codes, but this is not...

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• The amendment is coded DEA 1615. All those in favor say aye. Those opposed nay.
• As amended, the amendment is coded A-1.
• As amended, the amendment to the amendment is coded A-6.
• The amendment is coded A18.
• You can get Medicare for some occupational health and therapies at home.

Transcript Highlights:

• What is Texas doing to handle the people that we would have qualified as eligible that they don't even
• Texas, in 2018, got a special waiver to help with uncompensated care from the federal government.
• um in I think uncompensated care Texas um in I think 2018<00:47:12.119> got<00:47:12.359>
• For example, I know that a school I worked in had an OT room for occupational therapy; that's a very
• Are you specifically familiar with Texas and something I think they call the STAR program?

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• Insperity was founded in 1986 in Kingwood, Texas. We operate in all 50 states.
• > which<02:04:53.199> cees<02:04:54.080> customarily<02:04:54.639> and occupation
• which cees customarily and occupation which cees customarily and regularly<02:04:55.599> receive<
• <02:14:11.840> in<02:14:12.079> which employed in an occupation in which employed in
• an occupation in which employees<02:14:12.639> customarily<02:14:13.199> and<02:14:13.440

Keywords: 1189, house, all

Transcript Highlights:

• If we have an occupancy problem, we don't have to refund until we're, frankly, good and ready.
• If we have an occupancy problem, we don't have to refund until we're, frankly, good and ready.
• The only time it puts it at risk is when you drop below a certain percentage of occupancy, are there
• And especially now with occupancy and the demand so high, we don't have a problem.
• , is there more that... ...and you have adequate reserves and you have good occupancy, is there more

Keywords: 995, all

Summary: The commission met to review its draft final report on continuing care retirement communities (CCRCs), with most of the discussion focused on whether recommendations required unanimous consensus and how to handle disagreements in the report. Members agreed that consensus meant no stated opposition, and several participants argued that unresolved issues should still be described in the report rather than omitted. The chairs said the report would include agreed-upon recommendations, note areas without consensus, and preserve written comments or dissent letters submitted by members. The draft report’s findings and slides were reviewed charge by charge, including CCRC definitions, financial condition, entrance fee refunds, regulatory oversight, advertising practices, and closure/change-of-ownership procedures. Members suggested several factual and wording edits, including clarifying financial data sources, correcting a presenter’s name, refining language about entrance fee use and refund timing, and revising statements about Attorney General authority and CCRC advertising. There was also discussion about the need to distinguish nonprofit and for-profit CCRCs and to better explain how different care levels and licensing structures are described. On recommendations, the commission kept the proposal to advance the disclosure bill (S. 478) and update the consumer guide, but removed a recommendation for annual open board meetings after objections that it was inadequate. The group spent considerable time debating whether to recommend resident representation on CCRC boards, timely refund requirements for entrance fees, and possible state registration or definition changes for CCRCs, but no consensus was reached on those items. The chairs said the final report would be completed by the statutory August 1 deadline, with final written comments due before then and the report and meeting materials posted on the legislature website.

Transcript Highlights:

• I think there's an argument that right now the code, other code sections, don't allow for this type of
• The new crime fills a hole in our criminal code that currently exists.
• Further, it ensures that the individual does not criminal code that currently exists.
• Engrossed Committee Substitute for House Bill 5065, relating to hotel occupancy tax.
• After House Bill 4606, with the amendment that was adopted related to bail provisions, that same code

Keywords: 994, senate, all

Summary: The Senate considered and passed a series of House bills on third reading, with several title amendments and a few effective-date motions adopted. Early in the session, members passed HB 4452 removing acreage limits on land owned by church or religious trustees, HB 4577 creating reciprocal driver’s license recognition agreements with Ireland and Japan, HB 4588 authorizing West Virginia participation in a federal tax credit scholarship program, and HB 4592 requiring higher education institutions to create coordinated campus safety maps. HB 4602 was amended to align with a prior Senate child welfare pilot program, and members discussed its projected cost and implementation timeline before passing it. HB 4603 created a pre-adjudicatory alternative disposition process in abuse and neglect cases, and HB 4606 narrowed bail rules by requiring consideration of residency and community ties while prohibiting personal recognizance bonds for violent felony offenses after an adopted amendment. The Senate also passed HB 4710 changing the party-registration deadline for candidates from 60 to 180 days before an election, with debate over its impact on independents, and made it effective January 1, 2027. HB 4712, known as Bailey’s Law, increased penalties for DUI causing death and related conduct, with emotional testimony from members about the victim and similar tragedies. HB 4765 established a pay raise for teachers, school personnel, and state police and added a market-pay enhancement system based on county cost-of-living differences; an amendment to the amendment capped county differentials and guaranteed at least a 1% increase in every county. HB 4865 created an optional program for high school and homeschool students to serve as election official trainees, and HB 4869 established narrow guaranteed-issue rights for Medicare supplement policies. Later bills included HB 4995, which strengthened video/audio recording rules in special education classrooms and was passed, then reconsidered and passed again; HB 4996 creating a new crime for making threats of violence against schools or children; HB 5048 guaranteeing virtual instruction for foster children in temporary placement; HB 5065 adding recordkeeping and geolocation requirements for hotel marketplace facilitators to ensure proper hotel tax remittance; and HB 5074 reallocating medical cannabis fund revenues to child protection, homeless services, research, law enforcement, and other purposes. The Senate also passed HB 5101, the Joanna Phillips Domestic Violence Prevention Act, which increased penalties for domestic violence offenses and adjusted bail provisions, after amending it to conform with the earlier bail bill. Additional measures passed included HB 5166 requiring notice before political committees are fined for filing violations and allowing limited extensions, HB 5168 directing $12 million in lottery funds to EMS first responders and county EMS support, HB 5182 authorizing certain state treasurer security personnel to carry concealed firearms, HB 5212 streamlining higher-education financial aid rules, HB 5214 allowing court-ordered drug testing of parents before reunification in abuse and neglect cases, HB 5353 regulating virtual currency kiosks with licensing, disclosures, and transaction limits, and HB 5366 exempting J-LAP records from FOIA to protect confidentiality for lawyers and judges seeking assistance. Most bills passed with strong bipartisan support, though HB 5074 and HB 5353 drew some dissenting votes.

Transcript Highlights:

• So I do a lot of work within the code bodies. If I seem a little nervous, I probably am.
• Following the Florida Building Code, at least those of us working in our scope of work are.
• All of the codes.
• We've re-nailed most of the pre-Florida Building Code roofs in Florida.
• They're prescriptive in the building code.

Summary: The subcommittee heard and approved four bills focused on reducing or modernizing professional regulation. HB 6015, by Rep. Oliver, repeals the word “reusable” from the wine keg statute to allow businesses more flexibility in container materials; members joked about the possibility of a Home Depot bucket, and the bill passed 16-0. HB 339, by Rep. Abbott, creates an alternative temporary licensure pathway for surveyors and mappers based on employer recommendation and exam passage, but members raised concerns about qualifications, liability, and oversight; Abbott said he was open to amendments, and the bill passed 14-1 with Rep. Overdorf dissenting. HB 139, by Rep. Lopez, allows pawnbrokers to use digital transaction forms instead of only printed forms; a technical amendment added readability and placement requirements for digital forms, and the bill passed unanimously. HB 195, by Rep. Chambliss, lets the Department of Corrections coordinate with DBPR boards so inmates who complete licensure-related classes can receive credit toward professional licensure; supporters framed it as a second-chance and workforce bill, an amendment clarified that DBPR handles professions without boards, and the bill passed favorably 15-0. The committee then received a presentation from DBPR Secretary Melanie Griffin on the department’s role overseeing more than 1.7 million businesses and professionals across over 30 fields. She highlighted enforcement and complaint data, including more than 24,000 inspections and complaints handled in the last fiscal year, a preference for education and voluntary compliance over formal discipline, and the department’s alternative dispute resolution program, which returned $2.7 million to consumers and saved $270,000 in costs. Griffin also reviewed recent deregulatory and efficiency efforts, including endorsement/reciprocity reforms, fee waivers, reduced processing times, and shorter call wait times, and said DBPR is continuing to look for ways to cut red tape while protecting public safety. Members questioned Griffin about permitting, continuing education, complaint processing, board vacancies, fraud in cosmetology and construction, coordination with other agencies, and whether schools can block students from taking state exams over unpaid tuition. DBPR staff said complaints are generally processed within 60 days, schools cannot bar graduates from taking the exam because of tuition debt, and the department works with other agencies when issues cross jurisdictional lines. The panel discussion that followed featured industry representatives from landscape architecture, building/code administration, pools, roofing, construction, HVAC/electrical, and hospitality, who generally supported reducing local permitting burdens, standardizing requirements, improving reciprocity and training pathways, and using technology and clearer scopes of work to make licensure and inspections more efficient.

Transcript Highlights:

• That may be somewhere else in the code.
• That may be somewhere else in the code.
• That may be somewhere else in the code.
• There may be other states that join Texas.
• There may be other states that join Texas.

Keywords: Public Health and Welfare - Room 216, 25 February, 2026; 3:00 PM, 925, all

Summary: The committee first handled House Bill 612, which had been laid on the table because of questions about section one. Senator Tate explained that section one would allow the state, counties, and municipalities to enter interlocal agreements to provide installation support services on military installations, mainly road and infrastructure work such as paving and dirt work, and that section two would add Coast Guard medics to an existing provision allowing trained military medics to sit for LPN certification. After questions about the breadth of “installation support services,” the committee adopted the motion for title sufficient, due pass, with opposition noted, and the bill was reported to the Veterans and Military Affairs Committee. House Bill 942 was then passed over at Senator McMahon’s request until Tuesday. The committee then took up House Bill 1034, which would allow terminally ill hospital patients to use medical cannabis gummies. The sponsor said the bill is intended to help terminally ill patients who already qualify for medical cannabis but are denied access in hospitals, and that it prohibits smoking or inhalation. Members raised concerns about whether the bill was too broad, whether it would interfere with hospital and physician judgment, possible drug interactions, federal law issues, liability for hospitals and doctors, storage and disposal requirements, and whether hospitals would incur costs or be forced to handle cannabis on their premises. The sponsor responded that the patient’s use would be logged in the chart, that the caregiver is generally responsible for the lockbox and disposal, and that the bill includes language allowing a facility to opt out if compliance would jeopardize federal funding or licensing. The bill’s author also described the measure as arising from a Coast Guard family’s experience in which a terminally ill patient was denied access to medical cannabis at one hospital but allowed at another, and said the goal is to prevent similar denials for terminally ill patients. He said he was not aware of other drugs treated this way in hospitals, but argued that terminally ill patients should have access to most anything they want. The discussion ended with Senator England asking whether changing the bill’s requirement that a facility “shall” allow medical cannabis to “may” allow it would better protect hospitals and preserve discretion, but no final action on House Bill 1034 was taken in the portion provided.

Transcript Highlights:

• in those code books.
• I'm looking forward to using the entire code. ...of what I do can be found in those code books.
• I have never heard somebody say they were excited to be able to use the entire code.
• And managing partner is just code word for HR.
• And so I had to have this absurd Texas accent, which I’m sure my friends from Texas would be horrified

Keywords: House Committee Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• I'm the gentleman from Texas, but I have a special introduction with the lady from Harrison.
• Thank you, gentlemen from Texas.
• The chair again recognizes the gentleman from Texas. Mr.
• At a congressional hearing, the former chairman of the Texas Association of Realtors testified that because
• At a congressional hearing, the former chairman of the Texas Association of Realtors testified that because

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the 56th day by a roll call vote of 131-2. The Speaker also signed several measures, including House Bill 1768, House Committee Substitute for House Bill 1866, Senate Substitute for House Committee Substitute for House Bill 1870, Senate Committee Substitute for House Bill 2180, and Senate Substitute for Senate Committee Substitute for House Committee Substitute for House Joint Resolutions 173 and 174. Members then offered a point of personal privilege recognizing National Infertility Awareness Week and shared a constituent’s testimony in support of HCR 28, followed by numerous introductions of student groups, guests, and legislative announcements such as Hat Day and Ken Waller Day. The House received Senate messages on a series of budget bills and other measures, including House Bills 2002 through 2013, and then adopted motions on each of the budget bills to refuse the Senate substitutes and send the bills to conference committees. During discussion, members highlighted major budget differences, including child care subsidies, transportation funding, higher education funding, and a large broadband-related funding shift that would affect the apparent size of the operating budget. The budget chair said he had not yet seen all of the Senate’s printed changes but supported going to conference and expressed hope for compromise on disputed items. The chamber then took up Senate Bill 975, relating to ambulance districts and emergency medical services. After adopting a House committee substitute and a House amendment that restored compromise language on community paramedics and made a minor change to first responder mental health services, the bill passed 136-7. Supporters said it would help struggling ambulance districts, improve emergency response, and keep patients out of emergency rooms when appropriate; one member noted the bill was the same language as a previously passed House bill. The House also considered a property tax reform package in Senate Bills 1066 and 1088, adopting two technical and policy amendments on assessor training, electronic notices, protest payments, levy uniformity, and timing of voter-approved tax increases. Despite support from several members, concerns were raised that the bill could limit local control and create legal or fiscal issues for counties and taxing districts. The combined bill ultimately passed 83-61, and the House adjourned until April 27, 2026.

Transcript Highlights:

• This is a tragic tragedy and it's a code of conduct and a method of doing business that just isn't acceptable
• trade, but all the obligations that they've made in various treaties, to include the water treaty with Texas
• committee and in the law legislation. and expediting the permitting of four new bridges from South Texas
• So when it comes to legal and lawful trade between Texas and Mexico, I'm an enthusiastic supporter.
• However, if they flout their treaty obligations to the detriment of Texas farmers and Texas residents

Keywords: U.S. foreign policy, Mexico relations, Japan relations, border security, trade agreements, drug trafficking, ambassadorial nominations, intergovernmental communication

Summary: The meeting of the committee focused on critical discussions concerning U.S. foreign policy, particularly relationships with Mexico and Japan. Notable attention was given to border security, trade agreements, and implications of drug trafficking. Ambassadorial nominees discussed their strategies to strengthen ties with these nations, emphasizing the importance of cooperation in addressing mutual challenges, particularly concerning security and trade. The committee engaged in extensive dialogue, highlighting the urgency of improving intergovernmental communications to deter drug trafficking and support democratic governance.

Transcript Highlights:

• with our code. with our code.
• There are ads in Texas that say be a surrogate for $60,000 to $100,000.
• Texas that say be a surrogate for 60 for Texas that say be a surrogate for 60 for $100,000.<00:35:17.800
• Spoke the other day about getting some CPT codes.
• They seem like getting some CPT codes.

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• Licensed occupations make up 25% of the workforce.
• That means one in four people are in a licensed occupation.
• And many licensed occupations operate with a compact agreement.
• discipline licensees and to follow a proven model that's already used across health care, with 21 occupational
• Under that current structure, we have EMS, the interstate medical, nurses, occupational therapy, psychology

Keywords: 959, house, all

Transcript Highlights:

• occupations want to be included as a part of this bill.
• occupations want to be included as a part of this bill.
• occupations want to be included as a part of this bill.
• occupations want to be included as a part of this bill.
• ,<00:12:37.760> there limited to only three occupation, there limited to only three occupation

Bills: HB268, SB279, SB304, SB303, SB298

Keywords: lottery winnings, lottery prize, state lottery, income tax exemption, tax exemption, gambling, games of chance, prize proceeds, Alabama Department of Revenue, state income tax, tax relief, winnings, jackpot, lotto, Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building

Transcript Highlights:

• answer any questions that you might have on behalf of the Fire Protection Licensing Board and our occupational
• Moving on to item E, which is a review of reports from occupational authorization entities, the Arkansas
• We appreciate the opportunity to be here and present our occupational licensing report for this cycle
• So ADH started Opportunity to be here and present our occupational licensing report for this cycle.

Summary: The committee met and first recognized a visiting student cohort from Arkansas State University’s Medical Laboratory and Radiation Sciences program. It then suspended the rules and approved a supplemental report, which was reviewed without objection. Members reviewed the Arkansas Fire Protection and Licensing Board’s occupational report. Department of Labor and Licensing counsel Lacey Kirchner answered questions and confirmed there were no fee increases. The report was then accepted as reviewed. The committee next heard from the Arkansas Department of Health’s Radiation Control Section. Officials Craig Smith, Charles Thompson, and Shane David explained the radiologic technologist licensing program, including full and limited-scope licensure, unchanged fees since 1999, and a current deficit covered through cost allocation from other programs. They also noted compliance with automatic licensure provisions for service members and said apprenticeship provisions already exist in the rules if such programs become available. The report was accepted as reviewed. Finally, the Arkansas State Board of Physical Therapy presented its report. Staff described the board’s structure, licensing and complaint functions, compact participation, and growth in licensees. Members asked about the board’s $200,000 scholarship program, which provides awards to 10 recipients per year, and about low fees and a $1.1 million balance. Officials said recent fee reductions and the scholarship program are intended to return funds to licensees. The report was also accepted as reviewed, and the committee moved to other business.

Transcript Highlights:

• a program which provides diagnostic and treatment services, case management, and physical and occupational
• a program which provides diagnostic and treatment services, case management, and physical and occupational
• and training for consistent use of the state CMS Net system, shortages of physical therapy and occupational
• Health is part of the public health care safety net and serves patients from 91% of California zip codes
• . ...care safety net and serves patients from 91% of California zip codes.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• :12.720> this We've talked about this before: this is a long overdue improvement to the tax code
• Minnesota doesn’t require citizens to hire a tax professional, but our state’s code is complex enough
• hire a tax professional our state's code hire a tax professional our state's code is<01:10:37.400
• lure where they're trying occupational lure where they're trying to<01:14:02.000> take<01:14:
• But we're going to be serious about really looking at improving the tax code and making a difference

Keywords: 1183, house