Transcript Highlights:

• Our health care providers in our communities need this discussion.
• We've got to have providers communicating with each other so that we're not providing duplicative services
• They don't necessarily provide more charity care. They're not providing this.
• If you talk to any of our health care providers...
• safety net providers.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• I'll provide that to staff.
• , and that's not the PASSEs, that's the provider who's providing the Medicaid-reimbursed services, if
• network direct service provider.
• And they actually provide dental provider support.
• We have surveyed some providers.

Keywords: 1204, all

Transcript Highlights:

• , to provide for effectiveness, and to provide for related matters.
• rating factors, to provide for exceptions, to provide for effectiveness, and to provide for related matters
• This instrument provides relative to the Department of Insurance, including provisions to provide for
• provide for related matters.
• This instrument provides relative to compulsory motor vehicle liability insurance, to provide relative

Summary: The House Insurance Committee met on March 18 and first took up House Bill 739, which would clarify the Department of Insurance’s authority to investigate insurance fraud, issue cease-and-desist orders against unlicensed actors, and work with law enforcement. The sponsor and department said the bill was meant to address ambiguity identified in recent administrative rulings. The committee adopted two amendment sets, including language requested by the Division of Administrative Law to route appeals through the Administrative Procedures Act and a clarification that the bill does not apply to lawyers lawfully engaged in the practice of law, while preserving authority over attorneys acting outside that role. HB 739 was reported favorably as amended. The committee then advanced House Bill 413, which prohibits property and casualty insurers from increasing auto rates solely because of a catastrophe claim on a homeowner’s policy, with an exception for multi-line policies. The sponsor and Insurance Commissioner Tim Temple said the bill is intended to protect consumers and prevent one line of coverage from being penalized by a claim on another line. After a brief clarification about bundled policies, HB 413 was reported favorably. The committee also reported favorably on House Bill 234, which continues the Department of Insurance for another five years, and House Bill 850, a cleanup measure updating the standard fire policy’s cancellation notice period from 30 to 60 days to match prior law changes. The longest discussion centered on House Bill 174, as substituted, which would allow law enforcement to impound out-of-state vehicles when the driver cannot provide required bodily injury liability insurance, treating out-of-state drivers more like Louisiana drivers. Members raised concerns about how insurance would be verified, whether all states participate in electronic verification systems, and what safeguards exist when proof of insurance is unavailable or outdated. Testimony from State Police and OMV explained current verification practices, the limits of interstate data sharing, and existing officer discretion and exceptions for safety. Supporters argued the bill would improve fairness, reduce uninsured driving, and help lower costs for Louisiana residents. The committee adopted the substitute and reported HB 174 favorably by substitute. The committee then adjourned.

Transcript Highlights:

• So I just want to provide that clarity.
• That's the only provider we allow in the system—no other private clinics, no other private providers,
• But at the same time, if the counties were not providing it and the general fund was also not provided
• It also does not provide work hours. It only provides wages.
• Her mom is her worker, the provider.

Keywords: 987, senate, all

Transcript Highlights:

• But the actual services provided could technically be provided on an outpatient level and in the community
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• Fish and wildlife lands are, there are taxes provided in lieu, or money provided in lieu of taxes for
• Thank you. ...provided in lieu, or money provided in lieu of taxes for that land.
• provide?

Keywords: 908, all

Transcript Highlights:

• By providing students with campus housing, we can ensure that rents remain stable and provide...
• Providing students with campus housing, we can ensure that rents remain stable and provide students with
• So, to provide some context, the state provided UC with $51 million ongoing General Fund support for
• be able to provide below-market rents.
• be able to provide below market rents.

Summary: The Assembly Budget Subcommittee on Education Finance held an extended hearing focused primarily on University of California budget issues, enrollment, housing, and Title IX. Chair David Alvarez opened by noting the governor’s proposed 8% ongoing General Fund reduction to UC, the deferral of compact funding, and the College of the Law budget item, while emphasizing that no votes would be taken that day. Public commenters, including UC Davis employees and lecturers, urged restoration of UC funding and opposed the hiring freeze, saying cuts would worsen staffing shortages, reduce research capacity, and harm students and patients. On UC core operations, the Department of Finance said the governor’s budget maintains the compact but defers $240.8 million in ongoing support and continues a planned 7.95% reduction, while the LAO recommended rejecting the deferrals and instead making any changes in the budget year. UC San Diego’s chancellor and UC Office of the President argued the cuts and deferrals would create major campus shortfalls, force hiring freezes, larger class sizes, fewer course offerings, delayed projects, and possible layoffs. Committee members questioned whether cuts could be shifted away from students and toward administration, discussed UCOP reserves and bond debt, and noted that UC’s budget structure makes the campus-level impact larger than the headline reduction. The committee also reviewed enrollment trends and nonresident replacement. The LAO said UC resident enrollment has grown and recommended revisiting 2026-27 targets and pausing the nonresident replacement plan if state funding does not improve. UC said it has exceeded California undergraduate enrollment and nonresident replacement goals, but warned that continued growth without funding would force enrollment reductions and harm quality. Members discussed the role of nonresident and international students, tuition rates, and the value of UC as a pathway for California students and a source of talent for the state. A separate housing item covered the state’s Higher Education Student Housing Grant Program. UC reported that recent bond savings could support additional affordable beds at UC Davis and UC Santa Barbara, but the LAO and Finance noted the Legislature would need to decide how to use the $6.2 million in savings from the original projects. The committee also heard a Title IX update from UC’s systemwide civil rights office, which described campus Title IX structures, training, and policy enforcement, and said the system has been working to improve confidentiality guidance and streamline complaint processes after survey feedback showed confusion and lengthy procedures.

Transcript Highlights:

• Second families, providers and advocates.
• We also have a provide we have a provider capacity issue.
• It's also the other providers.
• And this will provide that pathway.
• to school districts, private providers that provide services through the managing entity to school districts

Keywords: 999, senate, all

Transcript Highlights:

• , and I am the only home provider to do so.
• But when you bring 10 providers together, one of them might be a home provider like Laura, another might
• be a provider with 30 employees.
• A lot of states are able to provide it 100% free to child care providers.
• Some of the providers provide child care to families who receive ICCP.

Summary: The committee met to hear presentations on proposed uses of temporary Millennium Fund money for youth- and family-focused prevention programs. The chair opened by emphasizing that the funds are one-time and not ongoing, and that the committee would not make decisions at this meeting. Minutes from the prior meeting were approved before testimony began. Roger Sherman of the Idaho Children's Trust Fund described the fund’s statutory role in preventing child abuse and neglect and requested $682,000 for mid-sized grants to community organizations for child sexual abuse prevention, abusive head trauma education, parenting programs, family resource centers, and school-based family supports. Royal Lockhart of The Children’s Bridge proposed $3.5 million over four years for a shared-services model to stabilize child care businesses through software, coaching, bookkeeping, purchasing, and benefits access, arguing that stronger child care infrastructure supports prevention and family stability. Nancy Windmill of the Idaho Safety Assessment Center Coalition requested $1 million for 12 youth assessment centers, citing diversion and early intervention outcomes for youth facing substance use, behavioral, or mental health crises. Sonia Howerton of the Idaho Network of Children’s Advocacy Centers asked for $3 million in bridge funding for 10 children’s advocacy centers, explaining that declining federal funds and prior one-time state support created a sustainability gap. Ross Edmunds of the Department of Health and Welfare requested $150,000 for a 10th recovery community center, the Upper River Youth Leadership Council in Kamiah, noting that the department now serves as the pass-through and accountability entity for existing recovery centers under prior intent language. Representative Jordan Redmond also presented a proposed $5 million statewide drug-use awareness campaign through the Office of Drug Policy, with research, survey work, and multi-platform media buys to test and refine messaging. Members asked about grant criteria, referral networks, sustainability, oversight, and coordination with state agencies; presenters generally described extensive application processes, multidisciplinary collaboration, and plans to transition toward earned revenue or state oversight. The chair closed by reiterating that the Governor’s recommendation already includes $150,000 for recovery centers and that the Governor has proposed $25 million from the Millennium Fund, limiting available funds, and said the committee would reconvene later for further discussion.

Transcript Highlights:

• the service provider.
• It also supports our dedicated training center, which provides our state and contracted provider employees
• We provide training to We provide training to first responders, including municipal police systems, State
• And they serve individuals by providing service providers to go with them to help with communications
• And they serve individuals by providing service providers to go with them, to help with communications

Keywords: 995, all

Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• , to provide for definitions, applicability, and implementation, and to provide for related matters.
• for applicability, and provides for related matters.
• provides for related matters.
• for implementation, and to provide for related matters.
• for implementation, and to provide for related matters.

Keywords: 974, senate, all

Transcript Highlights:

• We have almost 118,000 Medicaid providers in the state.
• CMS provides 75 beneficiaries, CMS provides 75% of our funding, and so we are obviously bound to some
• be a provider?
• "Providers or drop them?
• I know there's also front-end education for providers provided by DHS."

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.

Transcript Highlights:

• I've actually provided that to Amanda.
• Flipping back and forth can always keep them with the same providers.
• There's also a local fiscal note that provides some helpful context.
• Many of our members already provide strong health benefits.
• The care provider of the client is extremely important.

Bills: SB5834, SB5835, SB5883, SB5905, SB6151, SB6163, SB6177, SB6173

Keywords: Washington retirement systems, retirement trust funds, interest earnings, public employee retirement system, teachers retirement system, state patrol retirement system, judicial retirement system, judges retirement system, school employees retirement system, public safety employees retirement system, law enforcement officers and firefighters retirement system, PERS, TRS, LERS, legal expenses, medical expenses, administrative expenses, fraud prevention, overpayment recovery, trust fund protection

Transcript Highlights:

• So do you have some information you can provide?
• That is provided by different partners.
• That is provided by different partners.
• Can you provide some context as to when you provide that as a recommendation, what you mean by that?
• Can you provide some context as to when you provide that as a recommendation, what you mean by that?

Keywords: 988, house, all

Transcript Highlights:

• Everything we provide is on site. We used to refer everyone out. Everything we provide is on site.
• There are 10 core services we all have to provide.
• There are 10 core services we all have to provide.
• more beds or provide more services.
• education, support, and technical assistance to such service providers, and then it identifies the providers

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• In addition to that, also providing examples of treatment and care that are best provided in that primary
• In addition to that, also providing examples of treatment and care that we best provided in that primary
• And of the types of providers, you know, we had those four provider types on the initial slide or earlier
• For 2024–2025, when you listed the provider types, there were really just those two provider types.
• This slide is really not geared so much to provide in this deck; it's to provide an overview of what

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• </c> health care providers? health care providers?
• providers.
• </c> help people get to the right providers. help people get to the right providers.
• </c> county-based purchasers to provide county-based purchasers to provide continue<00:09:09.360><c>
• I shouldn't use providers. People don't talk in terms of providers. Doctors and nurses and clinics.

Keywords: 918, senate, all

Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.

Transcript Highlights:

• Can we provide some clarification on that, please?
• Can we provide some clarification on that, please?
• What COLA, if any, do you want to provide?
• So I will just provide an overview before Ms. Veritaine provides more detail.
• UC Health public hospitals provide high-quality services...

Summary: The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid. On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary. The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed. The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.

Transcript Highlights:

• So you have a quality provider who's providing high quality care, is submitting prior authorizations
• The purpose of the program was to help provide surety for the providers that payment would be made.
• Sometimes care would be provided. Payment would be provided retrospectively. This system was...
• Set in place to help provide surety for providers.
• It has been provided, and now the hospitals have come here to—not just hospitals, providers have come

Summary: The committee first met in executive session and voted House Bill 2309, Representative Jones’ Oregon Harvesting bill, do pass by a vote of 13 ayes and no nays. The committee then moved to public testimony on House Bill 1881, which would schedule xylazine as a controlled substance. Representative Bill Allen said the bill is intended to address xylazine’s role in fentanyl-related overdoses, improve tracking and enforcement, and preserve legitimate veterinary use through carve-outs. A veterinarian from the University of Missouri testified in support, emphasizing xylazine’s long-standing and safe veterinary use and the need to protect agricultural practice while targeting illicit diversion. No opposition was presented, and testimony on the bill concluded. The committee then heard House Bill 1855, which would add alpha-gal syndrome to Missouri’s reportable conditions and create a reporting/surveillance framework. Sponsor Representative Matthew Overcast said the bill was revised to shift reporting from providers to private labs, create a standalone non-communicable disease reporting section, and support data collection for prevalence, education, and federal funding opportunities. Supporters included a lobbyist for the AlphaGal Alliance, a University of Missouri dermatologist/researcher, Extension staff, cattle industry representatives, and multiple patients and family members who described severe dietary restrictions, anxiety, school and work impacts, and the need for better public awareness and treatment research. Opponents argued the bill’s language would expand DHSS authority too broadly, especially the provision allowing the department to designate and enforce rules for noncommunicable diseases, and suggested narrowing the bill and adding opt-in protections. No vote was taken. Finally, the committee began hearing House Bill 2355, Representative Holly Jones’ “food as medicine” bill. Jones argued that nutrition should be treated as a public health intervention and described medically tailored meals, produce prescriptions, and nutrition counseling as tools that can improve outcomes and reduce costs. In questions, members raised concerns about how the proposal would interact with existing food assistance programs such as SNAP, WIC, school meals, and other federal nutrition benefits, and whether the bill would create a new entitlement or duplicate existing aid. The hearing on HB 2355 was still in progress when the transcript ended.

Transcript Highlights:

• Let me ask a question right provide.
• There are primary care provider.
• </c><00:31:54.159><c> that</c> and they they have a provider that and they they have a provider that
• But these primary care providers.
• This provider um has over state.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• push them out across Texas. to TVFC providers, some of those, it's Texas Vaccines for Children. providers
• But long term care providers such as nursing homes and assisted living facilities, child care providers
• , wherever you provide it.
• And the treatment provider.
• We don't provide those services, is that correct? I can provide you with that information.

Keywords: 1184, house, all