Transcript Highlights:

• month of payment only if the child is absent for 10 or fewer days in a month.
• If a child is absent for 11 days or more, the provider will receive a half month of payment.
• In addition, prospective and enrollment-based payments are eliminated.
• In addition, perspective, and enrollment-based payments are eliminated.
• The fiscal note assumes these costs would come from the opioid settlement account.

Bills: HB2689 , SB5832 , SB5922 , SB5944 , SB5988 , SB6151

Committee: House Appropriations

Keywords: Working Connections Child Care, child care subsidy, subsidized child care, Washington DCYF, Department of Children, Youth, and Families, low-income families, child care providers, licensed child care centers, family child care, market rate survey, subsidy rates, income eligibility, state median income, SNAP, Basic Food, collective bargaining, provider reimbursement, daily payment, half-day care, partial-day care

Bills: HB4329 , HB3016 , HB4118 , HB3066 , HB3649 , HB3650

Committee: House A&B Health Subcommittee

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• clerk will read the bill. 1392 by Busey relating to the postponement of the delinquency date for a payment
• ensures that Texans aren't penalized for unexpected tax office closures that delay property tax payments

Bills: HJR1 , HJR2 , HB9 , HB22 , HB908 , HB1392 , HB195 , HB 13 , HB143 , HB135 , HJR1 , HJR2 , HB9 , HB22 , HB908 , HB1392

Keywords: constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, death tax, inheritance tax, estate tax, property transfer

Transcript Highlights:

• Um, we have a reversal of the weightings between optimistic and pessimistic.
• We typically do not do a line payments.
• </c> outweigh again the transfer payments outweigh again the transfer payments that<00:39:17.359><c>
• </c><01:20:34.159><c> correct</c> your tax payments correct your tax payments correct &gt;&gt; uh<01:
• year which will reverse itself in outer<01:22:02.719><c> years.

Summary: The meeting focused on reaching consensus on official Kentucky revenue estimates for fiscal years 2026 through 2028, using updated S&P Global economic forecasts compared with the September presentation. Staff explained that the updated forecast relied partly on alternative data because of the federal government shutdown, and they walked through changes in national and Kentucky economic assumptions across control, optimistic, and pessimistic scenarios. The control forecast was described as slightly more optimistic in the near term but more cautious in fiscal 2027 and 2028, with GDP growth revised up for the current year and down somewhat in the outer years. The pessimistic scenario now assumed a two-quarter recession beginning in the current quarter, while the optimistic scenario was given a higher probability weight than before. The presenters highlighted several Kentucky-relevant variables that changed since September, including weaker manufacturing employment, weaker housing starts, weaker consumer sentiment, and lower expected non-farm employment in fiscal 2026. At the same time, wage and salary disbursements were revised upward in fiscal 2027, reflecting higher disposable income from tax changes, and real consumer spending was expected to be stronger in the near term. They also discussed assumptions about tariffs, business profits, the Federal Reserve, unemployment, oil prices, retail sales, vehicle sales, exports, and consumer sentiment, noting that some indicators were little changed while others shifted materially. Consumer sentiment was attributed to affordability concerns, tariff impacts, and a general sense of malaise, but was expected to improve in later years from a low base. Members asked follow-up questions about why the forecast worsened in later years and about the consumer sentiment assumptions. Staff responded that the forecast assumed larger take-home pay and refunds from tax withholding changes, along with some easing of tariff effects, which they believed would help offset a negative wealth effect from stock market declines. They also noted that S&P Global’s December forecast, which had already been published, was essentially consistent with the presentation and that the firm believed its earlier assumptions had tracked recent data well. No vote or final action was recorded in the portion provided, but the discussion was aimed at settling the revenue estimates that will underpin the upcoming branch budget bills.

Transcript Highlights:

• Uh, Madam Chair, Senator Gallegos, I think you're asking, you know, do we expedite payment?
• OK, so, um, we will move on to, um, the opioid settlement update with Nick Buca.
• This one specific is, uh, was an appropriation using the state opioid settlement dollars, um, but we
• Is this also part of that nationwide opioid settlement?
• So, uh, sir, when does that money run out on the opioid settlement?

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• from taxable income by expanding to include settlements from recent fires.
• That means they would receive payment at the beginning of the service month instead of at the end.
• This settle up is for future payments, and we believe that it is a constitutional proposal, so I would
• We oppose any premiums because we know payments of any amount cause people to lose coverage.
• I want to thank the Legislature for the delay and the cut on Prop 66 dental payments.

Committee: House Budget

Transcript Highlights:

• And Texas kind of did the reverse.
• Then those payments immediately stopped, correct? Right.
• Right, but that payment stops before that process occurs. Is that correct?
• Now we're stopping payment to a vendor that it was legitimate prior to going through the due process.
• I'd rather be preemptive as much as possible than wait until it's here and have to reverse it. Yes.

Bills: HB113 , HB342 , HB632 , HB690 , HB1003 , HB1078 , HB1132 , HB1146

Committee: House Education

Keywords: grading scale, education reform, students, public schools, academic policy, data sharing, student information, privacy, education, LA FIRST, foreign adversaries, terrorism, contracting, school funding, overcapacity, school board, charter schools, education policy, local superintendent, tuition

Transcript Highlights:

• Naloxone is that opioid reversal drug that binds to the opioid receptor and reverses the effects of an
• </c> we looked through all the settlement we looked through all the settlement documents<01:02:42.960
• to certify that they are used for the purposes of the settlement.
• To what extent are you concerned that we'll start to see a reversal of the decline?
• to see a reversal of the decline?

Summary: The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes. Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex. The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained. Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.

Transcript Highlights:

• Now it's reversed. It's 25% or so, maybe even as low as 20% state investment compared to the rest.
• Oregon's antitrust unit is funded by awards and settlements revenue deposited into the Protection and
• On the amounts of settlements that they negotiate. Is that true?
• Yeah, yeah, let me try to rephrase because based on what you just said, the remedies or the settlements
• Co-Chairs, Senator McLean, it is from the settlements and awards from these cases. All right.

Summary: The Emergency Board met on June 17, 2026, and approved a series of subcommittee recommendations, mostly on consent, related to federal grant applications, agency funding adjustments, and position authority. Early actions included approval of four federal grant applications from natural resources agencies, three public safety grant applications, a one-time increase for Judicial Department court security, retroactive approval for an AmeriCorps volunteer-generation grant, and a $7.5 million allocation to Southern Oregon University from a special appropriation for short-term financial stability. Members supporting the SOU item emphasized the university’s structural deficits, declining enrollment, and the need for a long-term higher education plan; several members voted no or raised concerns about sustainability, but the motion passed. The board also approved a federal apprenticeship expansion grant for the Higher Education Coordinating Commission, a school nutrition equipment grant for the Department of Education, and an Oregon Health Authority request tied to Medicaid community engagement requirements under H.R. 1. Public safety items included funding for Oregon Military Department readiness facilities, a report on the stalled juvenile justice information system modernization project with a follow-up viability report due in 2026, and a statewide evacuation planning tool for emergency management. The evacuation tool drew strong support as a wildfire preparedness measure, with members noting it could significantly reduce alert times and save lives. A major point of debate was the Department of Justice request to add 16 permanent positions and increase other funds limitation for antitrust enforcement. Supporters argued the federal government has pulled back and Oregon needs capacity to pursue active cases and protect consumers; opponents objected to the process, the size of the expansion, and the incentive structure tied to settlements and awards. Despite those concerns, the motion passed. The board also approved Water Resources Department requests for the Water Well Abandonment, Repair and Replacement program, an assistant water master position in Washington County, and federal funding for Lower Umatilla Basin groundwater data collection. The water master item prompted questions about county cost shifts, but staff said the position would remain externally funded and would not be filled without those resources.

Transcript Highlights:

• What this will do is help facilitate a settlement before their conclusion by, once a judge—again, giving
• the judge discretion—if a judge determines that spoliation did occur, that can help facilitate a settlement
• is not limited to older renters; low-income older adults who own their homes may be one mortgage payment
• If upon appeal that decision is reversed, the election... ...the California Voting Rights Act.
• If upon appeal that decision is reversed, the election system can revert back to the at-large system.

Committee: House Judiciary

Summary: The committee heard testimony on several bills. AB 316, by Assembly Member Krell, would prevent AI developers or deployers from arguing that an AI system’s alleged autonomy absolves them of civil liability. Supporters said it is a narrow, common-sense guardrail that does not change existing burdens of proof, while opponents from TechNet and the Chamber of Progress raised concerns about possible strict-liability effects. The bill was moved on a due-pass vote to the Privacy and Consumer Protection Committee. AB 251, by Assembly Member Kalra, would let judges apply a preponderance-of-the-evidence standard when a skilled nursing facility or RCFE intentionally destroys evidence in elder abuse cases. Supporters said the measure is needed because vulnerable victims often cannot testify and electronic records are easily altered; opponents argued existing sanctions are sufficient and warned of more litigation. After discussion about the bill’s narrow scope and the governor’s prior veto concerns, the committee passed the bill to Human Services. AB 474, by Assembly Member Ward, would encourage nonprofit home-sharing for low-income homeowners, especially older adults, through tax and housing-law changes, but it also proposed changes to the lodger law. Supporters emphasized housing stability and companionship benefits, while the California Apartment Association and some members expressed concern about removing lodger protections; the author said he would continue working on that issue. The bill advanced to Human Services. The committee also passed AB 449, which would authorize the Civil Rights Department to run statewide media campaigns discouraging discrimination based on immutable characteristics. AB 1201, the “Reunity Act,” would give courts discretion to provide family reunification services to parents with violent felony convictions unless the offense involved force or a weapon against the child or reunification would likely endanger the child; supporters described it as a fairer, individualized approach, while some members raised concerns about domestic violence and child safety. AB 464, an anti-retaliation and accountability bill concerning sexual abuse in prisons, would extend reporting time, require 90-day monitoring, bar rehiring confirmed abusers, and strengthen reporting protections; survivors gave detailed testimony about retaliation, and the bill passed to Appropriations. Finally, AB 614 would standardize Government Claims Act deadlines at one year for all claims; the author and a civil rights attorney argued the current six-month deadline is too short for many injury and wrongful death victims, and testimony began from a parent describing a jail-related death claim.

Transcript Highlights:

• Reversions are assumed in this budget proposal at 1% of general fund state appropriations in fiscal year
• That would base provider payment on a child's number of absences per month.
• savings of $106 million for an assumed end or delay to the end of disproportionate share hospital payments
• And or delay to the end of disproportionate share hospital payments from the federal government.
• Please reverse this cut. Thank you. Can we please bring the next panel forward now? Please begin.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• Created by settlements and judgements resulting from both uninsured and underinsured causes of action
• And finally, there's our $4 billion settlement related to the AB-218 claims, brought under a law that
• The tentative four-billion-dollar settlement under AB 218, this settlement is unprecedented and by far
• Davenport, in your settlement you comprehensively addressed all the cases that you knew about.
• We are still working on settlement of additional claims.

Transcript Highlights:

• We've been given or extended the regulatory authority for charger payment methods for roaming, which
• for zero-emission vehicle purchase. ...with the reversal on the incentives for zero-emission vehicle
• This is the situation where some of that funding that I mentioned, the White House had reversed.
• $95 million, again from the Hino settlement, not from GGR funds or anything else.
• First, we look forward to engaging with the CEC on roaming and payment standards.

Summary: The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions on state clean-transportation programs. The chair emphasized California’s progress on EV adoption and charging reliability, but also noted ongoing problems with affordability, charger access, interoperability, and the need to support light-duty, heavy-duty, and fleet electrification. She also highlighted interest in inductive charging, bidirectional charging, and the transition to NACS, and said the hearing would help shape future legislative action. State agency witnesses from Go-Biz, CARB, and the California Energy Commission described their roles in market development, emissions regulation, incentives, and charging deployment. Go-Biz outlined its ZEV market strategy, equity action plan, and permitting streamlining work, while CARB detailed federal challenges to its clean vehicle rules, the need to defend waiver authority in court, and the importance of incentives and regulatory stability. The CEC discussed charger reliability rules, statewide inventory and planning, funding for public and multifamily charging, and efforts to expand fast charging and improve access in charging deserts. All three agencies stressed that federal rollbacks and the expiration of federal tax credits make state policies and funding more important. Testimony from industry, local government, and advocacy groups largely supported continued state investment. Cal ETC urged a continuous Greenhouse Gas Reduction Fund appropriation, more support for multifamily charging, and managed charging programs. The American EV Jobs Alliance proposed a state “conquest” incentive for new and used EV buyers and argued that multifamily charging is the biggest untapped market. Los Angeles County and LADWP described large-scale fleet and charger deployments, public housing and multifamily projects, and the need for sustained funding, agency coordination, and utility/grid interconnection support. The Union of Concerned Scientists recommended prioritizing Clean Cars for All, using fees on non-CARBOB gasoline to fund cleaner vehicle replacement, and expanding authority for bidirectional EV deployment. Members and witnesses also discussed Level 1 versus Level 2 charging for multifamily housing and other use cases. The chair noted that Level 2 is essential for many drivers but asked whether Level 1 could be a cheaper, faster option in some settings. Witnesses agreed that Level 1 can work in certain contexts, especially airports or some multifamily installations, but emphasized that consumer confidence, overnight range, dealer education, and reliable access to charging remain central to broader EV adoption. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• What this will do is help facilitate a settlement before their conclusion by, again, giving the judge
• If a judge determines that spoliation did occur, that can help facilitate a settlement.
• Low-income older adults who own their home may be one mortgage payment, one tax bill, or one health care
• , the system ...and then the appellate court reverse, the system could revert to the at-large election
• If upon appeal that decision is reversed, the election system can revert back to the at-large system.

Summary: The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection. AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services. AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations. AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.

Transcript Highlights:

• Uh moving now to the settlement fund and Uh moving now to the settlement fund and the<00:35:51.680><c
• </c> settlement yet. settlement yet.
• </c> this that they receive payment of it. this that they receive payment of it.
• </c> the settlement fund. the settlement fund.
• </c> suspicious of this whole settlement suspicious of this whole settlement thing.

Summary: Division Three of the Finance Committee met in work session on April 20, 2026, to consider Senate Bills 481, 603, and 663, with the discussion focused primarily on SB 481, relative to the sale of the Sununu Youth Services Center property. The chair explained that the bill was advisory only and that the committee’s recommendations would go to full Finance on April 27. For SB 481, members reviewed conflicting provisions in the prior budget law about whether sale proceeds should go to the general fund or the Youth Development Center Claims and Administration Settlement Fund, and the bill was described as a compromise that would direct proceeds to the general fund before June 30, 2027, and to the settlement fund after that date. It was noted that the settlement fund had originally received about $20 million and had roughly $10 million remaining. The committee also received an extensive update from DCYF Director Marie Noonan on the new Youth Development Center in Hampstead. She reported that construction remained on schedule, with major structural and interior work complete, substantial completion expected in late summer or early fall 2026, and occupancy anticipated in early 2027. The presentation highlighted the facility’s design features, including single-occupancy bedrooms, sensory rooms, an education wing, medical and clinical suites, visitation space, a gym, and multiple outdoor courtyards, all intended to support a trauma-informed setting. Members asked about the facility’s funding, square footage, fencing, and scanner; staff said the building is about 34,000 square feet, funded entirely with federal ARPA state recovery funds to date, and that the scanner is on site but not yet operational pending policy and staff training. Committee members also raised concerns about the facility’s design and security. In response, DCYF said some concrete walls are required for structural and safety reasons, but they are being painted to maintain a brighter environment, and that the fencing will be about 15 feet high with privacy netting because the campus is shared with Hampstead. Officials said the new facility is legislatively limited to a maximum of 12 youth, while the current center can house 12 to 18, and emphasized that courts ultimately determine placements. No votes or final actions were taken during the work session.

Transcript Highlights:

• My understanding is the federal payment of settlement costs is $20 million that we recouped from the
• This is the core for restitution payment. Page 46. This is the core for restitution payments.
• Payments are capped at $65,000, subject to appropriation.
• On the restitution payments, it looks like the governor reduced that amount.
• It looks like, well, the $400,000 in reversion.

Committee: House Budget

Summary: The committee first heard the Missouri National Guard’s FY 2027 budget request in House Bill 2008. Brigadier General Bob Payne outlined the Guard’s dual state and federal mission, recent deployments and state activations, counter-drug work, and the need to maintain readiness and aging armory infrastructure. Members questioned several items, including a proposed internal auditor position required by statute, a World Cup-related NDI, the use of general revenue versus other funds, and a federal match for base operations support at Rosecrans Airport. The presentation then shifted into executive session, where the committee reviewed a House committee substitute and several amendments. One amendment to fund the Missouri State Fair’s Great American State Fair participation with ag and tourism funds was rejected, while an amendment reducing $50,000 in House and Senate legal contingency funding was adopted. Another amendment directing budget information to all committee members rather than only chairs was rejected. The committee then adopted the substitute and voted House Bill 2014 do pass by a 24-0-1 vote. The committee next took up the Department of Corrections FY 2027 budget in House Bill 2009. DOC described a new CERT stipend increase, a reduction in the Office of Director’s Staff, and several core items including professional standards, federal funds, community treatment programming, education grants, population growth pool, restitution payments, human services staff, telecommunications, general services, fuel and utilities, food purchases, food service, staff training, employee health and safety, overtime, adult institution staff, institution E&E, wage and discharge, and individual institutions. Members asked about the CERT stipend, PREA allegations, education funding, restitution payments, the population growth pool, the working capital revolving fund, food service costs, overtime, retention, warden turnover, the prison nursery, and the use of inmate canteen funds. DOC said CERT members are full-time employees who volunteer for additional duty, that staffing has improved but remains a challenge, that the food service increase reflects the end of inventory credits and inflation, and that the department generally spends non-GR funds first when possible. Discussion also turned to whether DOC facilities could be repurposed for pretrial or mental health populations; DOC said it is legally limited to post-sentence inmates and that staffing and labor-market constraints make reopening closed facilities difficult.

Transcript Highlights:

• </c><00:04:08.640><c> for</c> the 1st, 2026 with retro payments for the 1st, 2026 with retro payments
• </c> for existing statedirected payment for existing statedirected payment programs.<00:04:34.400><c>
• </c><00:04:59.600><c> for</c> receive enhanced Medicaid payments for receive enhanced Medicaid payments
• ><c> federal</c><00:05:10.000><c> law</c> Payments would comply with federal law Payments would comply
• </c><00:12:21.440><c> is</c> payment rate in Medicaid. is payment rate in Medicaid. is substantially<

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• of any benefits for which they have not received payment from the employer and the employee.
• Those payments get smoothed out over a 15-year period.
• Those payments get smoothed out over a 15-year period.
• So there could be a situation where multiple payments are running at the same time.
• This would cease the payment. All right, so that was a question.

Committee: House Retirement

Summary: The Retirement Committee heard several retirement-related bills and deferred two measures at the start: HB 26 and HB 993 were voluntarily deferred by the author. HB 31, by Rep. Eccles, would allow certain small municipalities to terminate participation in the municipal police employees’ retirement system and create a lower-cost “Plan C” option for small towns like Stirlington. After discussion about population and officer-count limits, the committee adopted amendments, heard concerns from the Municipal Police Employees’ Retirement System about remaining issues, and reported HB 31 as amended favorably. The committee also advanced HB 1134, which creates a backdrop-style retirement option for judges whose positions are abolished, and HB 24, which would allow retired teachers to return to work as one-year contract teachers without the current retirement contribution structure. TRSL testified that return-to-work policy is complex and that a broader Senate study-group proposal is also moving, but the committee reported HB 1134 and HB 24 favorably. HB 21, a technical correction to the Municipal Employees’ Retirement System law, was amended to remove a sunset problem that would be fixed in another bill and was reported favorably as amended. Later, the committee reported HB 1017 favorably, which limits former spouses’ claims to post-divorce earnable compensation in the Firefighters’ Retirement System, with testimony that the bill would reduce litigation over promotions and raises after divorce. HB 43, which would let certain LASERS members retire after 35 years of service at any age, drew testimony from LASERS about its cost and workforce effects but received no motion and was voluntarily deferred. HB 30 was also voluntarily deferred because its substance would be moved into another bill. The committee then took up two major municipal police bills. HB 45, after extensive negotiations among the author, the Louisiana Municipal Association, EMPERS, and the City of New Orleans, was substantially rewritten by amendment to address retention pay, out-of-state service credit purchases, survivor benefits for certain officers killed in the line of duty, COLA funding, and a reduction in the non-hazardous accrual rate. The committee adopted the amendments and reported HB 45 as amended favorably. HB 49, a related bill on municipal police and firefighter retirement issues, was also replaced by a substitute that changed opt-out procedures, revised partial dissolution rules, and preserved full dissolution liability; after testimony that the changes would save New Orleans and other cities significant money, the committee adopted the substitute and reported HB 49 as substituted favorably. The meeting ended with adjournment.

Transcript Highlights:

• payments for specific providers and types of care.
• You have the state-directed payments. You have those huge rate increases you all made.
• Whether it's to impacts from enrollment or the state-directed payment, that's its own.
• So the MCO's payment to the providers is what is required. So have we done an...
• And part of what we saw today was, you know, we have money from the opioid settlement fund.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Of evidence like a settlement statement that would prove the purchase price that was paid for that home
• It started simply in that we already have a GRT exemption for co-payments and deductibles.
• Medicaid payments, and they have to pay GRT on medical supplies and certain types of insurance payments
• But also a long-term investment that pays off in reversing the flow and attracting new practitioners
• Does it mean there's a direct payment from the state?

Committee: House House Taxation & Revenue