Transcript Highlights:

• <02:30:04.760> and<02:30:04.960> while Previously submitted to CMS, and while some
• And then there’s cost to completing and filing the waiver with CMS.
• CMS.
• That was an estimate at the time had the CMS approval not been withdrawn.
• Okay, we have a 4 to 2. of the waiver under the the CMS of the waiver under the the CMS requirements<

Keywords: 1191, senate, all

Transcript Highlights:

• those is related to actions taken by the Centers for Medicare and Medicaid Services, also known as CMS
• On January 6th, CMS indicated their intent to withhold $515 million in federal reimbursement.
• <00:50:07.200> This<00:50:07.360> is<00:50:07.480> the Services, also known as CMS
• This is the Services, also known as CMS.
• <00:50:13.920> their On January 6th, CMS indicated their On January 6th, CMS indicated their

Bills: HF3425

Keywords: supportive housing, grants, housing assistance, funding, Minnesota Statutes, 1183, house

Transcript Highlights:

• We are going to do that, and CMS and the federal law encourage us to do that.
• The guidance from CMS is still evolving, and we really don't expect to have it all until June.
• are also prepared to have to change some of that based on the actual full guidance that we get from CMS

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• what we're also replacing, and we added this in 2022, so in that same proviso language that required CMS
• Once we go live, CMS, which is our current footprint, is tiny.
• And so I will clarify that our CMS wave is live today. It is a public-facing website.

Summary: The State Administration Budget Subcommittee heard presentations from the Department of Financial Services on the My Safe Florida Home program, the My Safe Florida Condominium Pilot, and the Florida PALM financial system replacement project. For My Safe Florida Home, Stephen Fielder explained the wind-mitigation grant program, including its inspection-first process, two-to-one matching grants for most homeowners, low-income exemptions from the match, and eligible improvements such as roofs, clips/straps, water barriers, and opening protection. He reported roughly 109,000 initial inspections, nearly 59,000 grants approved, 31,000 final inspections, 25,000 reimbursements, and about $240 million paid out through the end of 2024. Members asked about premium savings, contractor pricing, fraud, owner-builder eligibility, reimbursement timing, and whether the program should have a dedicated funding source; Fielder said the program is currently closed, more than 40,000 people have signed up for updates, and the office has seen some price-gouging and impersonation issues but no major fraud trend. The committee also discussed the new prioritization rules that took effect July 1, 2024, which direct grant awards by age and income. Fielder said the program used a survey of existing applicants to implement the new priority groups and that the first group was over age 60 and low-income. Members raised questions about how premium reductions are measured, whether insurance company changes or rising insured values affect the data, and whether the program can track long-term outcomes after reimbursement. Fielder said the office reports raw premium changes based on declarations pages, knows the insurer for participants, and has validated results with multiple insurers, but does not track homeowners after they leave the program or enforce continued insurance coverage. For the My Safe Florida Condo Pilot, Fielder said the program is modeled on the home program but uses association-level applications, a maximum grant of $175,000 per association, and a similar two-to-one match. He said the application window opened briefly in November and was closed quickly because available funding could be exhausted and the department is prohibited from creating a waiting list. He identified several needed statutory changes, including better distinguishing condos from single-family homes, adjusting roof requirements for flat concrete roofs, and revisiting the unanimous unit-owner vote requirement, which he said has been a major obstacle. Chair Lopez noted the pilot is intended to be a learning process and thanked DFS staff for identifying implementation issues. The final presentation covered Florida PALM, the state’s effort to replace the 40-year-old FLAIR accounting system with a PeopleSoft-based financial management system. Fielder and PALM Director Jimmy Cox said the project began in 2014, the state contracted with Accenture in 2018, cash management went live in 2021, and the project was paused in 2022 for legislative review and remediation. They said the system is expected to go live in 2026, possibly in July rather than January, and that the project has spent about $225 million to date, with a current-year budget of about $60.9 million and a projected next-year request of about $64 million. Members asked about cybersecurity, cloud hosting, project scope, and whether the system is unique to Florida; staff said the system is not Florida-specific, access is credentialed through agency identity management, and the cloud host location is confidential. After the presentations, Chair Lopez assigned members to work with specific agencies on budget review meetings, asked them to discuss agency structure, priorities, staffing, waste reduction, and other budget issues, and set a deadline to report findings in the first week of regular session. The meeting then adjourned without objection.

Transcript Highlights:

• So some of the dismissals that have happened more recently are because of that CMS system and after the
• 08.079> our to the fact that we when we launched our to the fact that we when we launched our CMS
• system in late September, uh, 2024, CMS system in late September, uh, 2024, it<00:59:12.720> did<
• /c><00:59:33.920> because<00:59:34.160> of<00:59:34.240> that<00:59:34.480> CMS
• recently um are because of that CMS recently um are because of that CMS system<00:59:35.280>

Keywords: 1189, house, all

Summary: The Fiscal Committee met on January 23, 2026, approved the December 19, 2025 minutes, and adopted the remaining items on the consent calendar after noting several withdrawals. The committee then took up Department of Safety item FIS 26007, which involved Homeland Security/FEMA grant funding for equipment and UAS-related activities. Senators asked whether any of the funding would support federal civil immigration enforcement or shared operations with federal agencies, and about privacy protections for drone data. The department said the grant is governed by federal parameters, that the state uses the remaining 20 percent after federally directed uses, and that privacy law in this area is evolving. The item was adopted on an 8-2 vote. The committee next considered Department of Environmental Services item 26003, which had been withdrawn by the Senate. A senator said concerns about using the funds for a different project had been resolved after speaking with the commissioner, and the item was adopted without further debate. The committee then moved to Department of Health and Human Services item 260005, a request for about $700,000 in remaining ARPA-related funds for the Hampstead children’s facility project. Commissioners explained that the project had been funded in stages because the original appropriation was based on estimates and bid assumptions, and that the remaining money would cover alternates and finish the project without using general funds. Senators raised concerns about repeated requests for additional money, the adequacy of security, site-selection costs, and why the project had not been fully funded at the outset. The department said the project had been intentionally structured to proceed in phases and that required security would be provided.

Transcript Highlights:

• After receiving approval from CMS, the low-income subsidy will be available to New Hampshire residents
• ,<00:11:58.560> the After receiving approval from CMS, the After receiving approval from CMS
• remained more stringent than the CMS remained more stringent than the CMS standards.<00:39:58.400
• For that reason, CMS defers standards.
• So because of that, we have been in discussions with CMS.

Keywords: 1191, senate, all

Transcript Highlights:

• House Bill 689 directs the Department for Medicaid Services to seek approval from CMS and, upon approval
• to seek Department for Medicaid Services to seek approval<00:02:49.840> from<00:02:50.080> CMS
• and<00:02:51.040> upon<00:02:51.519> approval<00:02:52.239> to approval from CMS
• and upon approval to approval from CMS and upon approval to implement<00:02:52.879> the<00:02
• And Representative Fleming. to apply to CMS for a special program um to apply to CMS for a special program

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• that would be correct, as long as, you know, we're always assuming we can get these rates approved by CMS
• that would be correct, as long as, you know, we're always assuming we can get these rates approved by CMS
• that would be correct, as long as, you know, we're always assuming we can get these rates approved by CMS
• that would be correct, as long as, you know, we're always assuming we can get these rates approved by CMS
• that would be correct, as long as, you know, we're always assuming we can get these rates approved by CMS

Bills: HB0122, SF0004, SF0012, SF0013, SF0067, SF0070, SF0124

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• There's going to be a $4 million hole in the operational budget for CMS.
• 21:30.640> operational<00:21:31.200> budget<00:21:32.120> for<00:21:32.280> CMS
• hole in the operational budget for CMS. hole in the operational budget for CMS.

Keywords: 912, senate, all

Summary: The Committee on Water, Land, Culture, and the Arts held a confirmation hearing on GM 742 for John Komeiji, the gubernatorial nominee to serve as chairperson of the Mauna Kea Stewardship and Oversight Authority through 6/30/2029. Testimony was overwhelmingly supportive. The executive director of the authority, representatives of the Canada-France-Hawaii Telescope Corporation and the Mauna Kea observatories, and authority member Noenoe Wong-Wilson all praised Komeiji’s leadership, describing him as fair, transparent, steady, and effective at building trust and relationships among stakeholders. Chris Matsuda also supported the nomination, citing Komeiji’s presence at community workshops, his neutral facilitation of public discussion, and his careful handling of the authority’s work on observatory leases and the comprehensive EIS. In his remarks, Komeiji described the authority’s work as implementing Act 255 by building a new state agency, developing a master plan, drafting rules and regulations, and beginning the process for a comprehensive environmental impact statement related to observatory leases. He said the authority is trying to balance community voice, cultural and spiritual concerns, and the state’s policy supporting astronomy. He also discussed staffing and recruitment challenges, saying the authority is repurposing positions, using special project positions, and looking for creative ways to recruit qualified staff despite the controversy surrounding Mauna Kea. He noted that the authority is working through asset transfers from UH, managing operational needs, and addressing a projected $4 million federal funding gap affecting CMS. Members asked about timelines, contingency planning, staffing capacity, and financial sustainability. Komeiji said the authority is on track for the master plan and EIS, but would return to the legislature if delays require more time. He acknowledged that no detailed contingency plans have been developed yet for possible IT or other implementation problems, but said the board is continuing to monitor progress. He also said the authority is accelerating contracts to encumber funds while available and expects to cover planned EIS and master plan consultant costs if funding remains at current levels. After discussion, the committee voted to advise and consent; the chair and acting vice chair voted aye, with excused absences noted for Senators Inouye, Chang, and Lamosao. The measure was adopted and the committee adjourned.

Transcript Highlights:

• And then CMS is determining requirements for that other half that's basically performance-based.
• little bit more detail about what the stated goals of the Rural Health Transformation Program from CMS
• So CMS is looking for grants that are offering novel incentive programs to recruit clinicians to rural
• workforce recruitment and retainment activities supported by this grant. $50 billion five-year grant from CMS

Transcript Highlights:

• Most recently, we had a rule from the Centers for Medicare and Medicaid Services (CMS), that's the regulatory
• I know I mentioned earlier a finalized CMS rule.
• I will say some of what CMS said in their finalized rule was that they're actually going to be reversing
• There's always some changes, some tweaks here and there that come down from CMS and from other regulatory

Transcript Highlights:

• Um, it is required for CMS and Medicare and Medicaid. Um, so I think that it's—I’ll move ITL.
• /c><00:09:38.640> is<00:09:38.880> required<00:09:39.360> for<00:09:39.600> CMS
• Um it is required for CMS require that.
• Um it is required for CMS and<00:09:40.640> Medicare<00:09:41.519> um<00:09:41.760>

Keywords: 1191, senate, all

Transcript Highlights:

• On the federal level, the CMS interoperability and prior... circumstances remain unchanged.
• On the federal level, the CMS interoperability and prior authorization final rule has provisions requiring
• It also aligns with the recent pledge by Health and Human Services and CMS to streamline and improve
• authorization process for insurance plans that cover nearly eight out of 10 Americans. services and CMS
• In addition,... services and CMS to streamline and improve prior authorization process for insurance

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• And they also, at the same time, CMS changed how they fund those plans, which had a very direct impact
• You're talking about with the CMS changes and also with the federal changes.

Keywords: 923, senate, all

Transcript Highlights:

• We are going to do that, and CMS, the federal law, encourages us to do that, but we are going to do that
• The guidance from CMS is still evolving, and we really don't expect to have it all until June.
• are also prepared to have to change some of that based on the actual full guidance that we get from CMS

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• satisfy any of the following conditions: one, receive a four-star rating. on two or more of the listed CMS
• We decided to look at the CMS ratings. We have too many one-star ratings.
• I think that the staffing ratio in D.C. from CMS is going to be withdrawn because it hasn't been enacted

Bills: HB135, HCR64, SCR3, SCR30, SB500, SB739, SB816, SB898, SB1283, SB1351, SB1423, SB1531, SB1540, SB1666, SB1721, SB1886, SB1931, SB2001, SB2075, SB2154, SB2173, SB2217, SB2284, SB2375, SB2383, SB2386, SB2398, SB2448, SB2476, SB2540, SB2580, SB2589, SB2693, SB2707, SB2776, SB2786, SB2801, SB2864, SB2927, SJR84, SCR30, SB243, SB324, SB393, SB457, SB511, SB529, SB547, SB636, SB646, SB659, SB715, SB731, SB735, SB800, SB801, SB904, SB1065, SB1141, SB1181, SB1224, SB1241, SB1242, SB1250, SB1266, SB1285, SB1359, SB1434, SB1442, SB1467, SB1502, SB1524, SB1528, SB1551, SB1585, SB1640, SB1754, SB1757, SB1777, SB1844, SB1863, SB1972, SB2007, SB2035, SB2046, SB2055, SB2069, SB2082, SB2119, SB2139, SB2154, SB2200, SB2201, SB2269, SB2310, SB2330, SB2357, SB2366, SB2401, SB2422, SB2514, SB2530, SB2533, SB2543, SB2544, SB2550, SB2568, SB2589, SB2660, SB2693, SB2695, SB2707, SB2717, SB2721, SB2742, SB2753, SB2807, SB2846, SB2891, SB2925, SB2938, SJR3, SJR18, SB5, SB326, SB767, SB769, SB783, SB914, SB963, SB1035, SB1197, SB1271, SB1415, SB1437, SB1619, SB1637, SB1786, SB1806, SB494, SB530, SB2312, SB1, SB260, HB135, HB1109, HB1392, HB22, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2458, SB2201, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB1013, SB2797, SB2383, SB2119, SB2448, SB1777, SB1283, SB2076, SB2786, SB2876, SB2284, SB1540, SB2929, SB2540, SB2595, SB2217, SB715, SB500, SB1640, SB2001, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB410, SB2776, SB2580, SB1886, SB1234, SB739, SB456, SB1666, SB2801, SB2055, SB1012, SB2926, SB2138, SB1242, SB2615, SB2310, SB1224, SB2972, SB2841, SB3016, SB2139, SB1856, SB2035, SB1528, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865, HB2525, HB3093, SB1032, SB2165, SB2501, SB2675, SB2452, SB2835

Keywords: sales tax exemption, exotic animals, game animals, agriculture, livestock, gifted education, education support, student achievement, academic excellence, Texas education, cowboy culture, Bandera, cultural heritage, historical significance, Texas identity, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• term, from a financing standpoint, we are looking at what Medicare revenues can be drawn down by using CMS
• We're waiting on OHCA, which has told us that they have not gotten the final approval from CMS but have
• Now, we have to turn around and submit a revised project narrative and a revised budget back to CMS that
• the things we're gonna try to do forallisa is the first place to do it is for Medicaid and Medicare CMS
• So, and the challenge with CMS, we're doing it.

Keywords: 914, all

Transcript Highlights:

• There are several CMS corrective action plans that the department has submitted over the past couple
• of months to CMS as we take fraud seriously and have really taken a proactive approach to dealing with
• get into it today, but there are um to get into it today, but there are um several<01:18:53.840> CMS
• corrective action plans that several CMS corrective action plans that the<01:18:55.920> department
• the morning and we had to get it to CMS the morning and we had to get it to CMS 4<01:32:51.840><

Keywords: 1187, senate, all

Transcript Highlights:

• continue to prioritize high public payer hospitals, assessment changes, and new spending that will require CMS
• High public payer hospitals, assessment changes, and new spending that will require CMS approval.

Keywords: 995, all

Summary: The House took up several routine and ceremonial matters first, including a resolution honoring the Solomon Northup Committee and commemorating the arrival of the Solomon Northup sculpture in Boston, which was adopted. Members also adopted an order extending the Revenue Committee’s reporting deadline on House No. 4606, concurred in a Senate sick leave bank petition for Jeffrey Yatson, and suspended Joint Rule 12 for a similar sick leave bank petition for Jean McCarran. The House then advanced House No. 4413, a bill on the terms of certain Commonwealth bonds, to third reading and later passed it to be engrossed. The main floor debate centered on House No. 4601, the fiscal year 2025 supplemental appropriations bill. The bill was described as a $2.25 billion supplemental budget with a net Commonwealth cost of about $750 million, covering MassHealth, snow and ice deficiencies, Home Base, universal school meals, reproductive health care supports, a sports and entertainment fund, and other items. The bill also included outside sections on public health and finance, and it ratified seven collective bargaining agreements. The House adopted Amendment 70, which added Health Safety Net funding measures, including higher hospital assessments and a $50 million transfer from the Commonwealth Care Trust Fund, after supporters said it would help avert a projected shortfall and generate federal Medicaid revenue. A separate amendment on Home Base eligibility was rejected. The House also adopted a consolidated amendment that included provisions affecting western and central Massachusetts municipal health insurance costs and changes to violent injury benefit language for first responders, including clarifying the definition of a weapon and tightening the standard for covered injuries. Another consolidated amendment was adopted by roll call, and the bill itself was then passed to be engrossed by a recorded vote. The session ended with an order to meet the next day at 11 a.m. and a motion to adjourn in memory of former House members Thomas and George, which was agreed to before adjournment.

Transcript Highlights:

• wanted to highlight that we'd like to ensure that the reporting noted in the bill aligns with current CMS
• /c><00:17:35.360> with<00:17:35.760> um<00:17:35.919> current<00:17:36.240> CMS
• bill that it aligns with um current CMS bill that it aligns with um current CMS regulations<00:17

Keywords: 910, house, all

Summary: The Committee on Consumer Protection and Commerce heard testimony on several measures. SB 1402, relating to vessels in state commercial harbors, drew opposition from Captain Andy Sailing Incorporated, and later the committee agreed to amend the bill to exempt tour boat operators before passing it. SB 1411, relating to Medicaid third-party liability, received strong support from the Department of Human Services, which asked that the effective date be restored to upon approval. SB 1438, relating to home care agencies, was supported by the Department of Health and one individual testifier, with the department arguing that unlicensed personnel performing skilled nursing services puts kupuna at risk. The committee later moved that bill forward with a clean date. SB 1449, relating to prior authorization of health care services, drew support from the Hawaii Medical Association and comments from the Hawaii Association of Health Plans and HMSA. Health plans asked that reporting requirements align with upcoming CMS regulations, and HMSA noted the work of the stakeholder process. The committee discussed the bill as consumer-focused and adopted amendments to add laboratory and diagnostic tests and to require the working group’s first report before the 2026 session and before each session thereafter. SB 1291, relating to certified public accountants, received support from the Board of Public Accountancy, the Hawaii Society of CPAs, Hong Consulting LLC, and Ron Heler, who said it was substantially the same as a previously passed House bill and would help increase the CPA pipeline in Hawaii. The committee also heard SB 752, relating to insurance, with opposition and comments from the Hawaii Insurance Council and Liberty Mutual, which requested amendments on non-payment of premiums, material misrepresentation, and limiting the bill to homeowners insurance. Greg Mskian testified in support but urged clearer notice and denial explanations for homeowners. SB 385, relating to condominiums, drew support from Hawaii Realtors and detailed comments from Ray Tenno and Greg Mskian about making governing documents available online or by email to owners and agents, with discussion of website costs and access. Finally, SB 140, relating to invasive species, received support from the Department of Land and Natural Resources and CAPS, while the Department of Agriculture offered comments and proposed streamlining language; supporters emphasized firewood treatment standards and the need to prevent invasive pests. After a brief recess, the committee took votes on several measures, adopting the chair’s recommendations on SB 1402, SB 1411, SB 1438, SB 1449, and SB 1291.