Transcript Highlights:

• It's a good bill that's allowing our housing authorities to pull their liabilities.
• The bill is allowing our housing authorities to pull their liabilities.

Keywords: Housing - Room 409, 24 February, 2026; 11:45 A.M., 925, all

Summary: The committee considered House Bill 1075, described by the sponsor as a previously passed bill with the same language that needs a technical update. The bill would adjust the law governing housing authorities so they can handle liabilities in line with changes to how housing developments are funded. No questions were raised during the presentation. A motion was made for “title sufficient due pass.” The committee voted in favor, with no opposition noted. The motion passed, was adopted, and the bill was reported out of committee.

Transcript Highlights:

• They derive a benefit on their liability insurance by combining it with workers' comp.
• They derive a benefit on their liability insurance by combining it with workers' comp.
• They derive a benefit on their liability insurance by combining it with workers' comp.
• They derive a benefit on their liability insurance by combining it with workers' comp.
• They derive a benefit on their liability insurance by combining it with workers' comp.

Keywords: 928, house, all

Summary: The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team. Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department. Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.

Transcript Highlights:

• But we also, if we create a system where every doctor feels second-guessed, where liability increases
• Fox, if you'd like to weigh in a little bit about the still-sent reality of liability that doctors feel
• We just need to have a protocol, and then the liability on...
• We just need to have a protocol, and then the liability on both the staff member and the hospital is
• Whatever else needs to be addressed in the liability piece, we will.

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• Um, uh, we'll start with the liability to student waiver. Um, the governmental entity.
• So, uh, one 1-39-125, the liability and student expressions in schools.
• If a school violates this act and is not immune from the suit or liability of the violation.
• Um, we get to tort liabilities and we just expand through statute 125 and then we get to the effective
• <00:20:52.240> and<00:20:52.480> we And um we get to tort liabilities and we And um

Bills: HB0159

Keywords: student rights, free expression, K-12 education, speech protection, religious views, political speech, 916, all

Transcript Highlights:

• Liability is another thing to consider, constituent and consumer impact, and then bias and discrimination
• Liability is another when AI is being used.
• Liability is another thing to consider constituent and consumer impact and then bias and discrimination

Keywords: 1182, all

Transcript Highlights:

• My question pertains to the inherited liability.
• So, as an optometrist, our professional liability insurance covers us for claims that would emerge after
• So, it's a rider in a professional liability insurance policy that would cover claims that would emerge
• <00:41:57.920> uh<00:41:58.160> to people up to undo uh liability uh to people up to
• undo uh liability uh to being<00:41:58.960> part<00:41:59.040> of<00:41:59.119> the

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• Executive Law in relation to providing for review of bail data reports by the State Commission on Judicial

Keywords: 993, senate, all

Summary: The Senate Judiciary Committee met and advanced a series of bills, with little opposition and several members noting support for the committee’s bipartisan approach. Senate Bill 2305 (judgments by confession), Senate Print 3413 (judgments in Article 78 disability pension cases), Senate Print 3778 (annual reporting on the drug treatment court program), and Senate Print 4957 (review of bail data reports by the State Commission on Judicial Conduct) were each moved and reported to the floor. Members emphasized the importance of data collection and reporting, especially on bail and drug treatment courts. The committee also discussed Senate Print 8624, which would allow courts to award community damages against an estate in sexual abuse cases. Supporters described it as an important first step to provide justice for survivors and to create a carve-out from existing limits on punitive damages after death. Senator Canzoneri-Fitzpatrick raised concerns about the dead man statute and evidentiary issues, but said she was willing to work on revisions. The bill was advanced. Other bills reported to the floor included Senate Print 9766, making technical corrections to ensure gender neutrality in admission-to-practice rules and limiting required disclosure of prior law enforcement or criminal justice interactions; Senate Print 9770, concerning alternate jurors in civil cases, with some discussion about its civil-only scope; Senate Print 9792, allowing amendment of Court of Claims filings to correct jurisdictional pleading defects and setting procedures for dismissal for noncompliance; and Senate Print 9794, requiring disclosure of generative AI use in civil actions. Each bill was moved by committee members and approved without recorded opposition.

Transcript Highlights:

• First, it clarifies that each judicial circuit with more than one circuit judge must designate a duty

Summary: The Justice Budget Subcommittee met with a quorum present and considered two bills. First, the committee heard HB 813 by Rep. Tuck, the state courts’ legislative package, which would require each multi-judge circuit to designate a duty judge for weekends and holidays, repeal the cap on arbitrator compensation in court-ordered non-binding arbitration, and allow an alternative notarization option by a judge. Testimony was waived in support by court-related witnesses, there were no amendments or debate, and the bill passed 14-0. The committee then took up CS for HB 57 by Rep. Plakon, addressing xylazine. The bill adds xylazine to the same statute as fentanyl when packaged to resemble food or marked with cartoon characters, creates a new trafficking offense, and exempts veterinary use. Discussion focused on the bill’s mandatory minimum penalty and its potential fiscal impact on prison beds; Rep. Rainer raised concerns about minimum mandatories and deterrence, while Rep. Daniels said she would support the bill while continuing to work on amendments. Public testimony was waived in support by the Florida Sheriffs Association, the City of Coconut Creek, and the Seminole County Sheriff’s Office. The bill passed 13-1 without amendment. After completing the agenda, the chair noted the meeting had been unusually brief and adjourned the subcommittee.

Transcript Highlights:

• democratic principles, founded around a separation of powers between the legislative branch, the judicial

Keywords: Department of Education, Ms. McMahon, educational reform, public testimony, federal responsibilities, local governance

Summary: The meeting of the legislative committee encompassed discussions on key bills including HB22, SB4, and HB2214, with significant focus on the implications surrounding the Department of Education. Members expressed varying opinions on the nomination of Ms. McMahon to lead the department, underlining the need for reform and accountability. The committee witnessed passionate exchanges regarding educational values and the responsibilities of the federal government versus local authorities. Public testimonies contributed to the discussions, highlighting the community's concerns about educational policies and their impact on students from diverse backgrounds.

Transcript Highlights:

• It also includes liability insurance and the listed types of casualty insurance for which a school district
• It also includes liability insurance and the listed types of casualty insurance for which a school district
• proposes a $1.2 million settlement to fully resolve the issue, relieving the school board of further liability
• proposes a $1.2 million settlement to fully resolve the issue, relieving the school board of further liability

Summary: The Senate Education Pre-K-12 Committee heard and advanced a series of education-related bills, beginning with SB 540, the Evan B. Hartzell Act, which would require age-appropriate disability history and awareness instruction across grade bands. The committee adopted a delete-all amendment, heard emotional testimony from Melissa Hartzell about her son Evan’s experience with disability and inclusion, and reported the bill favorably. The committee also passed SB 1296, creating a pilot study on school cellphone bans; SB 1590, creating a task force to review educator preparation, certification, and professional learning; SB 1702, a broad education bill with provisions on private school facilities, marching band credit, school readiness reimbursements, and charter school monitoring tools; SB 1150, exempting school social workers from certain certification testing requirements; SB 1708, revising School of Hope rules and adding a Miami-Dade co-location framework; SB 822, updating charter school governance and operations; SB 444, requiring annual human trafficking awareness training for school personnel; and SB 742, expanding workforce development and money-back guarantee programs. Most of these bills were amended before being reported favorably by committee vote. The committee also considered and reported favorably SB 8, a claims bill providing a $1.2 million settlement for Marcus Button and his family arising from a 2006 Pasco County school bus crash that caused severe lifelong injuries. Senator Gaetz opposed claims bills in general, arguing the sovereign immunity cap should be raised so such cases can be resolved locally. Several bills drew questions and debate over implementation details, including concerns about charter school dress and hair policies under SB 822, the scope of human trafficking training under SB 444, and the zoning implications of private school facility provisions in SB 1702. Sponsor responses generally emphasized that the bills were intended to clarify existing policy or improve student safety, access, or educational outcomes. The committee also took up confirmation appointments. It recommended confirmation of the slate of appointees on Tabs 12 and 14 through 21 by voice vote, and separately recommended confirmation of Daniel Fogunoli to the State Board of Education after debate in which Senator Davis and Senator Osgood opposed the appointment. The meeting concluded with members recording additional votes, including Senator Burgess’s affirmative vote on SB 1150, and then adjourned.

Transcript Highlights:

• Also, 131 goes further by lowering the legal standard for negligence and expanding liability for our
• expanding liability for our schools. expanding liability for our schools.
• We should be careful not to create a system where liability drives decisions rather than what's best
• We should be careful not to create a system where liability drives decisions rather than what's best
• We should be careful not to create a system where liability drives decisions rather than what's best

Keywords: 1191, senate, all

Transcript Highlights:

• Madam Whip, members, House Bill 2205 establishes liability for aggravated criminal damage if a person
• Madam Witt, members, House Bill 2205 establishes liability for aggravated criminal damage.
• Madam Witt, members, House Bill 2205 establishes liability for aggravated criminal damage if a person
• owners who provide their watercraft for rent and boat livery owners to maintain a commercial boat liability
• owners who provide their watercraft for rent and boat livery owners to maintain a commercial boat liability

Keywords: 1182, all

Summary: The meeting covered a long series of bills, mostly in health, education, commerce, federalism, and government. In health, members discussed radiology technology updates (HB 2050), a tribal Medicaid waiver/drawdown measure with no state cost (HB 2177), an emergency medicine study committee (HB 2183), fetal death certificate and remains-transfer requirements (HB 2184), a physician assistant licensure compact (HB 2190), dementia care telemonitoring funding (HB 2202), SNAP error-rate reduction and fraud/eligibility oversight bills (HB 2206, HB 2442, HB 2797), child welfare protections like credit freezes and recorded interviews (HB 2321, HB 2322), and podiatric licensure compacts (HB 2438). Several of these were described as consent-calendar items, while HB 2206 and the SNAP-related measures drew discussion about fraud reduction, administrative burden, and work requirements. In commerce and finance, the committee heard bills on mobile food vendors and local permits (HB 2118), earned wage access services with fee caps and disclosure rules (HB 2309), CPA licensure changes (HB 2476), cash acceptance for retail purchases under $100 (HB 2555), drone delivery and unmanned aircraft guardrails (HB 2875), timeshare salesperson licensing (HB 2877), and a prohibition on state-mandated social credit scoring in lending decisions (HB 2903). The tax and retirement-related items included 529 plan conformity and Roth IRA transfer rules (HB 2477), annual tax conformity to the Internal Revenue Code (HB 2785), ASRS technical and disability-related changes (HB 2089, HB 2090, HB 2092), and a bill on employee health insurance definitions (HB 2089). The Arizona Commerce Authority bill (HB 2754) would add legislative members to the board and shift more control over trade offices and Arizona Competes Fund spending to the legislature. The education section focused heavily on school governance and finance. Bills included patriotic youth group presentations in schools (HB 2312), school board term limits (HB 2318), mandatory training for governing board members (HB 2379), independent municipal advisors for bond elections (HB 2320), restrictions on districts buying operating charter/private school sites to game enrollment formulas (HB 2376), conflict-of-interest limits for school facilities board architects and engineers (HB 2378), public meeting and travel transparency rules for districts (HB 2380), limits on long-term school property leases and reporting requirements (HB 2384), tighter bidding rules for school construction job orders using Building Renewal Grant funds (HB 2482), and a voluntary computer science proficiency seal (HB 2764). Sponsors repeatedly framed these as transparency, accountability, and anti-abuse measures, while some opposition centered on local flexibility, housing use, and existing training providers. In federalism and government, the committee heard bills to give counties more time to mail sample ballots (HB 2006), require courts to identify veterans at first appearance for possible veterans court referral (HB 2226), study veterans’ awareness of benefits (HB 2406), broaden military leave protections (HB 2663), require SAVE verification for voter registration and certain state services (HB 2806), require U.S.-sourced voting machine components by 2029 (HB 2901), affirm the Electoral College (HB 2902), and establish due process protections for justice of the peace courts against outside administrative action (HB 2976). Government committee items included a later deadline for library trustees’ annual reports (HB 2129), a two-year limit on certain adult protective services reports to the Attorney General (HB 2228), and an exemption for public and semi-public cold plunges from ADEQ spa rules (HB 2439). Several bills were reported as consent-calendar items, and a number of sponsors noted committee votes, fiscal neutrality, or favorable testimony in support of the measures.

Transcript Highlights:

• These requirements, coupled with the increasing liability and potential penalties, are scaring many small
• Especially including their role managing and taking on liability for their contractors' wage and hour
• prevailing wage were removed from the bill, and also the amendment that makes it clear that joint liability
• This creates huge liabilities for our members.
• AB 858 is an inelegant solution, looking for a problem and creating costly legal liabilities.

Summary: The committee heard several labor-related bills, with AB 1424, AB 1340, AB 288, and AB 746 all advancing on due-pass motions to Appropriations after testimony and roll calls. AB 1424 would require climate resiliency and extreme-heat protections in CDCR facilities; supporters described dangerous heat conditions for incarcerated workers and staff, while no opposition testified. AB 1340 would allow rideshare drivers to unionize and collectively bargain; drivers, labor groups, and researchers testified that app-based work is low-paid and unstable, while TechNet, Uber, Lyft, and other business groups argued the bill conflicts with Proposition 22 and could raise costs. AB 288 would let PERB step in when federal labor remedies are unavailable; supporters said it is needed because of NLRB dysfunction, while the Chamber of Commerce raised preemption and enforcement concerns. AB 746 would create an inmate cooperative program and a green reentry reserve; supporters framed it as a recidivism-reduction and reentry strategy, and there was no opposition testimony. The committee also heard AB 858, which would extend hotel and hospitality worker recall rights after declared emergencies and extend existing COVID-era protections. Hospitality workers and unions supported the bill as a way to protect jobs after pandemics, wildfires, and other disasters, while hotel, chamber, retail, restaurant, trucking, travel, and attractions groups opposed it, saying the current recall rules were meant to sunset and that the bill would create broad liabilities and hiring complications. The bill was moved to Appropriations but remained on call after the roll. AB 291, creating a credentialed educator apprenticeship program to address teacher shortages and improve diversity, drew support from education groups and stakeholders who said apprenticeships could lower preparation costs and provide better support; it was also moved to Appropriations and placed on call. Later, the committee took up AB 1104, a solar-energy bill intended to clarify that private solar customers are not “awarding bodies” and to ease certain business-to-business solar transactions while preserving prevailing wage and apprenticeship requirements for contractors. Supporters said the current interpretation has chilled commercial solar adoption and harmed jobs, while opponents from electrical workers, PG&E, and others warned about expanded “over-the-fence” power sales and the need for clearer limits. Members questioned the lack of a definition of “small,” and the bill was held without a second. The committee also heard AB 338, which seeks $50 million for Los Angeles and Ventura wildfire workforce recovery; the author and county officials described major job loss and business destruction and said the funds would support displaced workers and rebuilding, with the testimony continuing beyond the excerpt provided.

Transcript Highlights:

• The state has a unique role and has a unique liability for these structures due to the Paterno decision
• And so we have large state liability in the Central Valley that we don't have elsewhere after the Paterno
• And so with this higher liability, we have also a need to really think about how we plan for improvements
• The state has a unique role and has a unique liability for these structures due to the paterno decision
• And I'll give you one guess as to which liability is more costly: inverse condemnation or Endangered

Summary: The committee held an informational hearing on flood risk and flood management in California, with opening remarks emphasizing that flooding is a statewide and growing threat due to climate change, including the possibility of extreme losses in a worst-case event. Members noted recent flooding in places such as San Diego, the Tulare Basin, and Pajaro, and framed the hearing as a way to better understand prevention, response, and how to capture excess water for later use. Jeffrey Mount of PPIC gave the main overview, describing California’s high flood exposure, the different flood types the state faces, and the mix of structural and non-structural tools used to manage them. He stressed that levees, dams, bypasses, land-use planning, flood insurance, and emergency response all matter, but that risk is rising because current standards are based on past hydrology rather than future climate conditions. He also warned that flood management is underfunded, that the National Flood Insurance Program is weak, and that federal support is increasingly uncertain. Members asked about groundwater recharge, permitting, NOAA and federal cuts, and which communities are most at risk; Mount said recharge can help but does not eliminate flood risk, and that small Central Valley communities and heavily developed floodplains are especially concerning. State officials Laura Hollander of the Department of Water Resources and Jane Dolan of the Central Valley Flood Protection Board described the state’s role in forecasting, emergency response, grants, planning, and the Central Valley Flood Protection Plan. They highlighted aging infrastructure, the need for better coordination, and the state’s special liability in the Central Valley after the Paterno decision. Dolan reviewed the history of major floods and said the plan calls for about $1 billion per year over 30 years to meet current needs, while Hollander said the state works with local and federal partners on preparedness, response, and subventions projects. Both emphasized that floodplain planning, regional coordination, and faster permitting are important, but that more consistent funding is needed. A later panel from local flood agencies and districts reinforced those points, arguing that the state’s annual flood funding is below identified needs and that a proposed statewide flood and dam safety bond was reduced substantially in the broader climate bond package. Witnesses urged more routine maintenance funding, support for regional flood planning, and continued federal-state-local partnerships to reduce risk and maintain eligibility for federal assistance. No formal votes or legislative actions were taken during the informational hearing.

Transcript Highlights:

• person living in the house has 100% of the liability.
• It allows 100% of the property tax It allows 100% of the property tax liability<00:38:31.240> uh
• c> liability uh liability uh to<00:38:32.480> be<00:38:33.240> If<00:38:33.359> you're
• <00:38:44.400> Um has 100% of the liability. Um has 100% of the liability.
• <00:38:58.480> threshold, threshold with tax liability threshold, threshold with tax liability

Keywords: 927, senate, all

Transcript Highlights:

• <00:35:38.359> would<00:35:38.520> be city's obligation and liability would be city's
• obligation and liability would be to<00:35:39.440> um,<00:35:39.880> make<00:35:40.080
• <01:20:56.400> within<01:20:56.640> our assets and liabilities within our assets and
• liabilities within our pension<01:20:57.080> system.
• <01:21:15.000> for to help with unfunded liabilities for to help with unfunded liabilities

Keywords: 918, senate, all

Summary: The committee first approved the April 14, 2026 meeting minutes without objection. It then took up Senate File 4860 / House File 4812, the St. Paul Teachers Retirement Fund Association bill, which would reduce the employee contribution rate for coordinated members from 9% to 8% starting after June 30, 2026, raise the retiree COLA from 1% to 1.5% beginning January 1, 2027, and increase the state-funded employer contribution by 2.7%. Staff said the bill’s cost is just over $12 million per year over 15 years. Representative Lilly said the bill was intended to bring parity to St. Paul teachers after prior work in this area left some behind. Several St. Paul teachers testified in support, describing financial strain, burnout, and the difficulty of balancing teaching with family responsibilities. Hannah Geimer said the 1% contribution change would make a meaningful difference in her budget as a single parent. Eric Erickson said he and his wife have spent decades working extra hours and coaching, and argued that St. Paul educators pay more and receive less in retirement than other teachers. Arzoo Faroozan Yazdani, a Central High teacher, said the higher contribution rate and lower COLA make it hard to stay in the district and raise a family. Lisa Hodek said teachers are undercompensated for the demands of the job and that the pension disparity has created frustration and a sense of betrayal. Phil Tensic, the SPTRFA director, summarized the request as seeking an 8% contribution and 1.5% COLA to match TRA, and noted that the plan’s members are spread across legislative districts, not just in St. Paul. Members discussed the history behind the pension disparity. Senator Nelson questioned whether “parity” was the right term given the plan’s funding problems and the legacy of the “big red box,” referring to past underfunding. Tensic and Senator Pappas explained that the state had previously allowed St. Paul schools not to contribute for a period of years, that supplemental district and state aid began in 2018, and that the plan is projected to be amortized by 2039 and must be paid off by 2048. Members also noted that the bill and related pension proposals depend on available funding; Representative O’Driscoll and others said no final financing agreement had been reached, though leadership was continuing discussions. The committee received letters of support from Education Minnesota, the St. Paul Federation of Educators, and 40 individual supporters. No final vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• <00:25:49.920> Uh liability, where do they need to go?
• Uh liability, where do they need to go?
• So, that's a huge expense, more so on the liability concerns than just the reimbursement cost.
• providing at their own liability providing at their own liability transport<00:44:36.360> on<
• so on the liability concerns than just<00:44:44.640> the<00:44:44.720> reimbursement<00

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• of them, and it also allows the assessment cost to be deducted from a health plan's premium tax liability
• > the<00:20:10.919> North<00:20:11.159> Dakota<00:20:11.480> filings liability
• the North Dakota filings liability the North Dakota filings expressly<00:20:12.320> acknowledge
• the business community, what other private company or nonprofit asked the state to pay for their liability
• the business community, what other private company or nonprofit asked the state to pay for their liability

Bills: HF837

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, 1183, house

Transcript Highlights:

• Insurance coverage claims called a collateral liability
• Demonstrate collateral liability insurance
• amendment gives the options to contractual liability
• policies to either options to contractual liability
• either pay 100% of the claims as they liability