Transcript Highlights:

• and regional level.
• We're loaning out, in some cases, 0% interest with some entry-level homes.
• There continues to be a level of disparity.
• So I will give you that, but income levels haven't risen on that level, right?
• to incentivize via our ZIP program entry-level homes that are coming in at about the... 250 level, but

Bills: SB48, SB64, SB100

Keywords: State Fairgrounds District, fairgrounds bonds, public financing, bond authorization, gross receipts tax, gaming tax, tax-backed bonds, infrastructure funding, Albuquerque fairgrounds, State Fair Tid, economic development, municipal bonds, revenue pledge, capital projects, New Mexico finance, special education, office of special education, deputy secretary, public education department, IEP

Transcript Highlights:

• So that's your very high-level summary. So that's your very high-level summary.
• Next, if you will turn to page 14, this is the Higher Education Department high level.
• One is the tier level of the actual credit.
• And so they're teaching our teachers how to teach college-level courses.
• And so they're teaching our teachers how to teach college level courses.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• a township level.
• available at a more granular level that would have been more applicable.
• So taking away from that level of service does have an actual impact.
• So taking away from that level of service does have an actual impact.
• In actually 13 areas, there are levels of compliance.

Summary: The committee first heard an update on the Joint Transportation Committee study of transportation impacts if the Lower Snake River dams were removed. WSDOT and Jacobs described the study’s phases, including current work on geology, infrastructure risk, and a total logistics cost model. They explained that the study is examining how freight now moved by barge—especially wheat, fertilizer, and wood—could shift to rail and roads, and they outlined several scenarios ranging from no-dam future conditions to new unit-train terminals, short-line rail options, and a combined “many solutions” scenario. Members asked about irrigation, impacts in Idaho and Oregon, port capacity, emissions, competition, EV trucks, and whether the model could estimate transportation effects if grain volumes decline. The presenters said the study assumes current production levels continue, does not model irrigation changes or broader farm-economics impacts, but does account for transloading costs and can estimate transportation impacts under different volume assumptions. WSU’s independent review team said the model has improved substantially but still needed refinement, especially in routing, road data, and spatial detail, and that stakeholder engagement had been strong though delayed by model development. No votes were taken. The committee then received a presentation on the alternative sidewalk funding study. Staff and consultants said the study is exploring ways local governments could sustainably fund sidewalk maintenance, repair, and new construction, using a statewide survey, interviews, national research, and case studies in eight jurisdictions. They noted sidewalks are important for pedestrian safety and connectivity, but there is no dedicated funding source in Washington, and existing grants and local revenue tools are highly competitive or limited. The consultants highlighted sidewalk fees or utility-style charges as the most promising option to study, while a parcel tax was largely set aside because of state property-tax uniformity concerns. Members asked whether the study would duplicate existing funding or add to current taxes, and how a sidewalk fee would be collected; the consultants said the goal is to expand local options, not mandate adoption, and that fees would likely be billed through utilities rather than property taxes. A preliminary draft report is due December 15, with a final report due in mid-June. Next, staff gave a brief update on the ocean-going vessels study, which is examining shore power and emissions rules for vessels at berth. The presenter explained that federal Clean Air Act rules and California waiver authority create legal limits on how far Washington can go if it wants to adopt similar standards, and that deviations from California’s approach can increase litigation risk. The report will summarize stakeholder outreach and will be presented in draft form at the next JTC meeting. Finally, county engineers from Chelan and Douglas counties began a presentation on county transportation challenges, with the association’s director emphasizing collaboration with state agencies and local partners on issues such as fish passage barriers and infrastructure needs. The county presentation was only beginning when the transcript ended, and no committee action or votes were recorded.

Transcript Highlights:

• Chairman, there are requirements for the disposition of buildings that are valued at a certain level
• We have a very good program with excellent teachers and staff at all levels.
• We don't have quite the numbers per grade level; we have around 40 to 55 students per grade level, so
• That isn't often enjoyed at the public school level, at the non-charter level.
• A lot of the freedoms come from the fact that we get to make decisions at the school level.

Transcript Highlights:

• highest level, these eligibility highest level, these eligibility criteria<00:42:19.680> require
• You have level you have three levels.
• flip these around. we have level one flip these around. we have level one that<00:48:37.760>
• <00:48:43.520> three applied to a situation and level three applied to a situation and level
• offset that level of financial exposure. offset that level of financial exposure.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• Dual special needs plans is, I won't get into all the different acronyms here, but call level one, level
• two, level three.
• level<00:46:26.000> three.
• call level one, level two, level three. call level one, level two, level three.
• We heard from the home care levels.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• That is a high-level overview.
• The highest level of judicial scrutiny.
• He was very, very clear on that point, and the same is true on the state level.
• <01:36:29.159> in<01:36:29.320> addition<01:36:29.679> to level in addition to level
• <01:36:57.080> of law right now because of that level of law right now because of that level

Bills: HF1837, HF361, HF2725, HF2566, HF2744, HF1685, HF501, HF1889, HF1389

Keywords: state policy, employment, health insurance, fossil designation, public funds, community resources, Capitol Mall, grantmaking, community vitality, livability, funding, healthy aging, aging policy, older adults, seniors, elderly, gerontology, long-term care, assisted living, nursing homes

Transcript Highlights:

• <00:43:49.119> Working the local level every day. Working the local level every day.
• provider, performing a significant level provider, performing a significant level of<00:54:45.839
• It's found differing levels of savings in this benefit set.
• am a program manager for high level am a program manager for high level disinfection<01:31:43.600
• at the federal level to public health. at the federal level to public health.

Keywords: 1183, house

Transcript Highlights:

• Again, for today, keeping it very high level.
• Again, for today, keeping it very high level.
• <00:14:57.600> of jurisdiction to the right level of jurisdiction to the right level of government
• <00:45:41.119> of adequate level of adequate level of proficiency<00:45:43.640> uh<
• This bill is removing a process from what is happening at the federal level.

Bills: HF1167, HF1242

Keywords: Northern Lights Express, NLX, Minneapolis-Duluth rail, passenger rail, intercity passenger rail, high-speed rail, Duluth, Minneapolis, MnDOT, Minnesota Department of Transportation, Metropolitan Council, transportation funding, rail appropriation, general fund, trunk highway fund, rail project cancellation, infrastructure spending, commercial driver training, CDL, financial assistance

Transcript Highlights:

• It does not affect our level five community, which has about 4,000 people on any given day on average
• within our level five population, and it does not affect the Delaware Correctional Industries or any
• programming within level five.
• It does not affect our level five community, which there are about 4,000 on any given day on average
• programming within level five.

Bills: SB309, SB309

Summary: The House Corrections Committee met and considered Senate Bill 309 with Senate Amendment 1, which would end the Department of Corrections’ practice of deducting room-and-board charges from wages earned by incarcerated people. Supporters said the bill would help people in work release and other correctional programs keep more of their earnings for reentry needs, while still allowing deductions for child support, restitution, court costs, fines, and other court-ordered obligations. The sponsor also argued the current collection process costs the state more to administer than it brings in, citing roughly $40,000 in annual revenue versus about $137,000 in administrative costs. A Department of Correction witness clarified that the bill applies to level four work release only, affecting about 300 people, and would not change level five populations or Delaware Correctional Industries programming. He also said the funds are held in a non-interest-bearing account and then sent to the general fund. Public commenters, including a private citizen, the ACLU of Delaware, and the Tide Shift Justice Project, strongly supported the bill and argued that incarceration costs should be borne by the state rather than deducted from already low wages. After discussion, a motion was made to release the bill from committee and a roll-call vote was taken. The vote appeared to have enough support among members present, but because fewer than five members were present, the committee could not fully release the bill and instead would circulate it for additional signatures. The committee then adjourned.

Transcript Highlights:

• <00:04:33.600> and tend to have lower staffing levels and tend to have lower staffing levels
• <00:17:50.679> So,<00:17:50.840> there x-axis, and staffing levels.
• So, there x-axis, and staffing levels.
• <00:17:57.400> of from public funding and levels of from public funding and levels of staffing
• worker survey data to facility-level worker survey data to facility-level administrative<00:19:35.880

Keywords: 1187, senate, all

Transcript Highlights:

• We are at the need level here, critical level, to see these increases in fees.
• <00:18:23.360> uh we are at the uh at the need level uh we are at the uh at the need level
• uh from the degree to the degree level uh from the degree level<00:19:04.240> to<00:19:04.480
• So you're not so smaller schools level.
• cap that down to the minstate level. cap that down to the minstate level.

Keywords: 1187, senate, all

Transcript Highlights:

• that, there were 238 individuals classified as minimum custody who were highest in, again, higher level
• that if someone, let's say, commits the greatest misconduct, they're stuck for 18 months at a certain level
• indicated, because by moving people downstream faster they have access to more programs at the lower levels
• c> have access to more programs at the have access to more programs at the lower<00:37:42.720> levels
• lower levels of of custody. lower levels of of custody.

Keywords: 912, senate, all

Summary: The committee first heard Senate Bill 3040, which would create an Office of Gun Violence Prevention. Supporters, including Moms Demand Action and a crime-victim advocate, argued the office would improve data collection, research, and coordination to help reduce gun violence. Opponents, including several gun-rights advocates, said the proposal was duplicative, lacked oversight, and would exclude the firearms community. The chair noted 41 testimonies in support and 77 in opposition, but no vote was taken on the bill in the portion provided. The committee then moved through a series of decision-making items and adopted the chair’s recommendations on several measures. SB 17 on wildfire mitigation passed with amendments from multiple agencies and a report date shifted to the 2028 session. SB 2730 on criminal justice reform passed with a defective effective date amendment, SB 2749 on sentencing passed with a defective effective date, SB 2688 on compassionate release passed with amendments narrowing eligibility and adding notification and funding language, and SB 2798 on law enforcement passed with a defective effective date to make the agricultural enforcement pilot program permanent. SB 2645, a short-form bill, was amended to insert substantive provisions and recommitted to the committee. SB 2383, which would have provided a $15,000 retention bonus for sworn law enforcement officers, was reconsidered and held in committee because it was identified as a duplicate. The committee also passed SB 2575, relating to firearms, with amendments adopting a proposed SD1 that would establish minimum mandatory prison terms for certain class A firearm felonies and add clarifying language. SB 2720, which would create a Hawaii firearm injury restitution fund funded by firearm manufacturer licenses, also passed with amendments clarifying the fund’s scope and eligible injuries. Later, the committee began hearing SB 3107 on parole eligibility. The Office of the Public Defender and the Hawaii Paroling Authority supported language allowing the parole board to waive certain program requirements, while the Hawaii Correctional System Oversight Commission opposed the bill, warning it could keep people incarcerated longer if program access remains limited. The Department of Corrections said it is working on classification changes and a pilot project to move inmates through the system faster.

Transcript Highlights:

• So those are the high-level takeaways. Let's get into the details.
• are responsible for, what level of funding is needed to achieve health and safety licensing, what level
• <00:55:42.800> of we are comfortable with the level of we are comfortable with the level of
• So we kids that can read at grade level.
• So, I think that level of detail hasn't been determined yet.

Keywords: 919, house, all

Summary: The presentation focused on Think Small’s recommendations for Minnesota child care licensing modernization, including a proposed three-tier system for early care and education: unregulated “trusted caregivers,” state-licensed health and safety programs, and “recognized” early care and education programs that would pursue board-approved quality pathways. Dr. Nicole Smarillo said the recommendations came from an extensive engagement process with providers and field experts, and emphasized that the goal is not deregulation but a right-sized system with clearer funding aligned to state expectations, a reduced and more health-and-safety-focused licensing framework, and a profession-led quality system with multiple pathways rather than a single rating model. A major recommendation was creating a Minnesota Board of Early Care and Education with real decision-making power, made up of providers, families, and experts. The board would set quality expectations, approve multiple recognition pathways, address professional qualifications, advise on funding and supports, and monitor policy impacts on child outcomes, supply, and workforce stability. Presenters said the current Parent Aware system would be replaced in this future model, and that programs would have a roadmap from health-and-safety licensing to a time-limited candidate status and then to recognized program status. Several providers testified in support of the framework. Shauna Maranovich said the process welcomed field voices and produced recommendations grounded in proximity expertise. Cindy Cunningham, a licensed family child care provider, said the proposal reflected provider feedback, supported a Minnesota-specific model, and would separate health and safety licensing from quality improvement while reducing fear-based enforcement. Maria Harms, a child care center operator, said current licensing is overly burdensome and that the board and multiple pathways would better reflect day-to-day practice and reduce silos across program types. Candace Yates of Child Care Aware of Minnesota supported aligning supports with quality pathways and said the system needs a shared floor for quality and more continuous, less fragmented support. No votes or formal committee actions were taken in the excerpt.

Transcript Highlights:

• I'm the Public Advocate, the commissioner-level head of the Department of Public Advocacy.
• Nothing I say is intended at any level to be they shouldn't have that.
• And I fund them at at the current level.
• prosecution program is to take low-level prosecution program is to take low-level non-violent<01
• the program for other low-level the program for other low-level non-violent<01:13:11.760> offenders

Keywords: 0:00:04 Call to Order 0:00:50 Dept for Public Advocacy 0:51:31 Life Learning Center 1:21:06 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary heard testimony from the Department of Public Advocacy (DPA) on attorney compensation and alternatives to incarceration. Because the committee lacked a quorum, the chair skipped formal roll call and minutes approval, then invited DPA Public Advocate Damon Preston, Deputy Public Advocate Melanie Lowe, and alternative sentencing worker Cena/Tina Mills to present. Preston said DPA is fully state-funded, has 698 funded positions, and was near full staffing with 673 filled positions and 42 new law graduates expected to join in August. He argued that DPA’s resources lag behind those of prosecutors, noting that local prosecutorial offices receive substantially more total funding and have additional revenue sources beyond the state budget. Preston focused on salary disparities and turnover. He said DPA trial-office attorneys total about $26 million in salaries, compared with about $41.9 million for prosecutors on publicly listed state funding, and estimated that more than 100 additional prosecutors are paid through other sources, bringing total prosecutor compensation to a little over $50 million versus DPA’s $26 million. He said starting DPA attorney pay is $58,200, experienced attorney pay averages about $73,000, and that these levels are too low given law school debt and the state’s constitutional obligation to provide defense counsel. He also said DPA attorney turnover is about 20%, median service time before separation was 15 months in 2024, and exit interviews often cite salary as the main reason for leaving. He gave examples of former DPA attorneys moving to prosecutor offices for raises ranging from 12% to 50%. Committee members asked about how often defendants are represented by private counsel versus DPA and how that affects workload. Preston said a 2017 study found about 50% of misdemeanor cases and about 75% of circuit court cases were handled by DPA, with DPA handling most of the most labor-intensive cases. He said DPA will step aside when a defendant hires private counsel or is found ineligible, and he acknowledged the system historically erred by denying counsel in some cases, though he said the current concern is whether DPA is now appointed too broadly. Members requested updated trend data on appointments over the past decade. Preston also described DPA’s pay scale and said the agency’s compensation structure makes retention difficult. Mills then described DPA’s alternative sentencing worker program, which she said has operated for about 20 years and has received national recognition. She shared a case example involving a client named Patrick, who faced a prison sentence on a possession charge and was referred to a horse-based treatment and certification program in Shelbyville. She said the client wanted treatment and a fresh start, a bed became available, and she and the client’s attorney presented an alternative sentencing plan to the court. The presentation was interrupted briefly by a technical issue, but the testimony continued.

Transcript Highlights:

• That, to me, says that those youth are not getting the most, the best care at a fundamental level when
• Certainly those folks could follow that opportunity and relocate and continue that level of care, that
• good level of care they're already providing.
• And I want to share a little bit of those at a high level.
• The license would have to be obtained on the state level prior to moving youth into a new facility.

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• The next most important consideration I ask of you is regards to proper staffing levels.
• Typically, budgetary cuts always impact staffing levels first. Proper staffing levels are critical.
• Funding for training at the county level is something that should not decrease.
• I don't know if there's been any at the state or county level.
• County level. The gentleman mentioned his trip there.

Keywords: 995, all

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on union and correctional staff testimony. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Union representatives from KOUF, NCEU, AFSCME, and local county correctional unions described the daily realities of correctional work, emphasizing staff safety, staffing shortages, retention problems, mental health impacts, and the need to preserve local sheriff’s offices and collective bargaining agreements. Testimony centered on several recurring concerns: violence inside facilities, the spread of synthetic drugs such as K2, inmate suicides and suicide attempts, and the strain these issues place on officers, EMS, and local resources. Speakers also raised concerns about gender-identity housing policies, arguing they can create safety and workplace issues for staff, and urged more support for officer wellness, debriefing, and programs like OnSide Academy. Several witnesses argued that county facilities should remain locally controlled and that consolidation with the Department of Correction would weaken programming, staffing, and community-based reentry work. One witness described the Norwegian correctional model as a possible source of ideas for more rehabilitative approaches. Commission members responded with support for correctional staff and asked questions about K2 detection, paperless systems, EMS transports, and possible metrics to quantify incidents and facility needs. Members also discussed the importance of individualized assessments of each facility rather than a one-size-fits-all approach. The commission voted to seek an extension of its reporting deadline from September 30 to November 30, and agreed to continue site visits, including the upcoming Barnstable visit and a June 15 hearing. The meeting adjourned after the motion passed.

Transcript Highlights:

• They don't want to have things that cause harm and cause wounds to their community at every level.
• They don't want to have things that cause harm and cause wounds to their community at every level.
• But we have some way of introducing knowledge on wound care at the street level, if you will, and in
• But we have some way of introducing knowledge on wound care at the street level, if you will, and in
• To think of that systems-level approach, you know, to be honest, Think of that systems-level approach

Keywords: 995, all

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• and at the community program level.
• and at the community program level.
• And so there you're able to actually find, ...program level.
• I think we know, you know, Medicaid Tier 1—there's still a high level of needs.
• And it has nothing to do with anything that they did; it's what happened at the federal level.

Keywords: 1204, all

Transcript Highlights:

• It does not expand who is eligible for this level of care.
• <00:07:06.360> Conflating<00:07:06.919> them levels of medical need.
• Conflating them levels of medical need.
• <00:08:15.040> Doctors eligible for this level of care.
• Doctors eligible for this level of care.

Keywords: 918, senate, all

Summary: Senators and House members held a press event in support of HF 4188, a bill addressing commercial insurance coverage for home care nursing for medically complex children who also receive medical assistance. Speakers said the issue arose after Medica and HealthPartners began imposing caps on coverage that had been provided for years under Minnesota law, and argued that the change would shift costs to Medicaid and taxpayers, create budget pressure, and force families to reduce other needed services. They emphasized that home care nursing is distinct from short-term home health visits and said the bill would prohibit quantity limits and clarify that insurers must continue covering authorized nursing care. Parents and family members described the impact on children who depend on continuous skilled nursing to remain safely at home, including one family whose child Nash has spent extensive time hospitalized and another speaker who said her niece Isabel’s care showed how many nurses, aides, and hospice workers are involved in these cases. Testimony stressed that the coverage caps could lead to more hospitalizations, ICU stays, and trauma for children and families, while costing more overall than home care. Several lawmakers, including Sen. Matt Klein and Rep. Robert Bierman, said the statute’s original intent was clear in 2010 and that the plans’ reinterpretation and the Commerce Department’s response should be corrected. Lawmakers said the Commerce and Consumer Protection Conference Committee has completed its work but is being kept open for the remaining days of session in hopes of resolving the issue this year. In response to questions, supporters said the bill is intended as a clarification rather than a new mandate, that it would simply bar caps on already-authorized home care nursing, and that they believe there is support to move it through the House and Senate before adjournment.