Transcript Highlights:

• It's in some areas of the state, very recent applications, so rather than a polluter-pays model, now
• pays model pays model now<00:14:41.120> this<00:14:41.240> is<00:14:41.480> one
• And if you want a particular metric or mechanism or model that you want to use, we can use it.
• <00:43:26.880> that<00:43:27.160> you metric or mechanism or model that you metric
• :54:03.720> that<00:54:04.040> but we've got modeling that can do that but we've got modeling

Bills: HF363, HF2155, HF1524, HF821, HF1677, HF1292

Keywords: HF363, property tax credit, agricultural water quality credit, Minnesota agricultural water quality certification program, clean water fund, class 2a, class 2b, certified acres, conservation incentive, water quality, agricultural property, county assessor, county auditor, Department of Revenue, Department of Agriculture, property tax reimbursement, school district reimbursement, legacy finance, taxes committee, southeastern Minnesota

Transcript Highlights:

• But this is really about testing some new models, being innovative, supporting the state's behavioral
• It's why I think we really were requiring Kaiser to invest in innovative models.
• This model creates a factory-like setting, where both clinicians and patients feel like they're on a
• This model denies patients from getting the true specialized help they often need.
• And in my model, you know, you cannot do good clinical work in 20 or 25 minutes.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• You know, a couple years ago we were able to launch a new educational model for our state.
• We took that accountability model to the State Board of Education. It was approved.
• to deliver that Train-the-Trainer model.
• We have business managers that are facilitating that model.
• We have also just recently moved into an inmate facilitator model.

Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.

Transcript Highlights:

• So, not exactly conducive to Kāneʻohe to model a bill on that program.
• So, not exactly conducive to Kāneʻohe to model a bill on that program.
• So, not exactly conducive to Kāneʻohe to model a bill on that program.
• <01:12:37.040> It model is very promising and exciting.
• It model is very promising and exciting.

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• lays out some duties to evaluate current governance structure, evaluate governance and ownership models
• help them with the reimbursement model help them with the reimbursement model that<01:15:50.160>
• and the model or the problem.<01:47:05.720> And<01:47:05.840> I<01:47:05.920> share
• So, um these business model tougher.
• that the family the business model that the family provider<02:04:06.680> is<02:04:07.480>

Keywords: 1187, senate, all

Transcript Highlights:

• We've built one that generates model.
• <00:21:08.559> primarily sustainable model that relies primarily sustainable model that relies
• The ideological framing of DEI models The ideological framing of DEI models are<01:30:06.880>
• There are school effective model.
• look more deeply into what that model look more deeply into what that model could<01:50:45.199><

Keywords: Call to Order and Roll Call - 0:00:00 Approval of Minutes – 0:03:50 Robotics Education – 0:04:18 Canopy KY – 0:14:15 Comprehensive Support and Improvement – 0:23:20 Postsecondary Credit Alignment – 0:53:15 Diversity, Equity, and Inclusion in K-12 Settings – 1:21:25 Consideration of Referred Administrative Regulations – 2:05:15 Adjournment 2:05:41, 958, all

Summary: The committee opened with a roll call, confirmed a quorum, approved the minutes by voice vote, and recognized a guest of Senator Hickden, retired judge Dan Kelly. The chair then moved through a tight agenda and limited public presentations and questions. The first presentation was on robotics education in Kentucky, led by Representative Chris Lewis, Kentucky FIRST Robotics executive director Kelly Gowen, and students from Whitfield Academy. They argued that robotics should be expanded in high schools as a workforce pipeline for engineering, manufacturing, and advanced technology jobs. The presentation emphasized hands-on learning, industry certifications, teacher development, and a proposed framework to fund robotics education programs statewide. Committee members were not allowed to ask questions because of time constraints. The second presentation was from Canopy Kentucky, led by Adam Watson and founder Scott Collins. They described Canopy’s business and entrepreneurship education programs for fifth graders and high school students, including the NextGen Good Biz initiative and an eight-classroom high school unit. Canopy requested a one-time $750,000 appropriation for fiscal year 2026, matched by private funds, to expand into more schools and rural areas, train educators, and report outcomes. Members asked a brief question about how the programs fit into school schedules and the difference between the elementary and high school offerings. The final presentation, from KDE’s Kelly Foster and Todd Allen, reviewed the state’s school improvement classifications. Foster explained CSI, TSI, and ATSI status, the federal and state legal framework, and how House Bill 298 returned CSI identification to an annual cycle. She reported that Kentucky identified 50 CSI schools on the most recent release, with 53 CSI schools statewide, along with 39 TSI schools and 102 ATSI schools. She also outlined KDE’s support process, including education recovery staff, diagnostic reviews, turnaround plans, and required professional learning for CSI schools.

Transcript Highlights:

• Do we have models we can copy and really tell us about the programs? Yes, yes.
• of care and if we think about this model of care and if we think about this model right<00:32:07.360
• health clinic and that's also a model health clinic and that's also a model that<01:27:37.920>
• think about what the operational model think about what the operational model with<01:27:56.440>
• work to figure out how to have a model work to figure out how to have a model that's<01:35:40.600

Keywords: 928, house, all

Summary: House Finance Division III held an informational hearing with the Department of Health and Human Services focused on child and family services, children’s behavioral health, DCF, juvenile justice, and adult mental health. Before the presentation, members discussed scheduling a future site visit to Waypoint, including possible dates, mileage reimbursement logistics, and whether to reschedule the department’s developmental disabilities and healthy aging presentation because the associate commissioner was out sick. The department then outlined that it would concentrate on children’s behavioral health, DCF residential care and the Sununu Youth Services Center/YDC new build, and adult mental health, while noting the broader DHHS structure and the value of keeping related services under one leadership. The department emphasized an integrated “system of care” approach and said it was trying to shift resources toward earlier, lower-intensity interventions rather than relying mainly on high-cost residential and acute services. It cited youth risk data showing roughly four in ten New Hampshire high school students feeling sad or hopeless and about one in five considering suicide in the past year, and said these trends worsened during the pandemic, peaking in 2021 and easing somewhat by 2023. Members asked how New Hampshire compared with neighboring states and about pre-COVID trends; the department said it would follow up with more exact data. The presentation also described a long-term policy effort beginning with federal funding in 2012, the state’s 10-year mental health plan, and later legislation aimed at strengthening children’s behavioral health and transforming juvenile justice so that youth with behavioral health needs are not routed into punitive systems first. Members raised questions about out-of-state residential placement oversight and the statutory basis for inspections and follow-up. The department said the General Court had funded more “boots on the ground” oversight, in coordination with the Office of the Child Advocate, and agreed to provide a longer follow-up presentation on that topic after the governor’s budget is released. The department also described evidence-based prevention efforts, including home visiting programs such as Healthy Families America and a DCF-connected home visiting cohort for families already touching the child welfare system, as examples of trying to keep children out of deeper system involvement.

Transcript Highlights:

• participated in the NCOIL model participated in the NCOIL model development<00:10:11.720> process
• <00:10:15.120> received we're proud that the model received we're proud that the model received
• I and just go with the statewide model.
• between well-regulated insurance models between well-regulated insurance models can<01:36:06.360
• deposit insurance model. deposit insurance model.

Bills: HF3766, HF3972, HF3437, HF4118

Keywords: travel insurance, regulation, insurance licensing, consumer protection, travel assistance, short-term rental, vacation rental, home sharing, rental marketplace, online platform, property damage guarantee, damage waiver, reimbursement insurance, insurance regulation, commerce department, platform user, Airbnb, Vrbo, host protection, rental home marketplace

Transcript Highlights:

• Biological sex is an extremely useful model that is, like all other models, wrong.
• The model is wrong.
• The model is wrong.
• That's how we came up with the model policy.
• The model policy went into effect June 1 of this year.

Bills: SB7, SB14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct

Summary: The Committee on State Affairs heard testimony on Senate Bill 7, the Texas Women’s Privacy Act, with the author and committee substitute explaining that the bill would require public facilities to designate multi-use private spaces by biological sex, restrict access to women’s restrooms, locker rooms, showers, sleeping quarters, shelters, and correctional facilities, and create civil penalties and enforcement mechanisms. Members asked about how the bill would apply to family violence shelters, children in mixed-family settings, venue layout, and venue for lawsuits; the author said the bill was similar to prior legislation but with stronger penalties and the 15th Court of Appeals as the exclusive intermediate appellate court for challenges, while clarifying that trial venue should generally be local except for state agencies. The committee also heard that the bill would be amended to better address local venue concerns and shelter-related issues. Invited testimony was largely in support of the bill from witnesses who described personal experiences in women’s sports, prisons, shelters, and public facilities, arguing that single-sex spaces are necessary for privacy and safety. Supporters included parents, former incarcerated women, a Republican county chair, a legal advocate, and a prison educator, who cited incidents involving transgender-identifying individuals in locker rooms, shelters, prisons, and restrooms, and said the bill would restore sex-based boundaries and protect vulnerable women and girls. One witness from Texas Values said the bill was needed despite the recently enacted Women’s Bill of Rights, and another ADF witness said the measure would protect privacy in schools and shelters. Opponents testified that the bill would harm transgender and intersex Texans, create harassment and “gender policing,” and expose cisgender women and children to invasive enforcement. Several witnesses argued there is no evidence that transgender women pose a restroom safety threat, while others said the bill would worsen mental health, employment, and school conditions for trans people and could conflict with prison standards and federal law. Family violence advocates urged changes to protect shelter operations and clarify that children can stay with parents, while other witnesses said the bill would create barriers for victims seeking help. The hearing featured extensive public testimony on both sides, but no final vote or committee action was taken in the portion provided.

Transcript Highlights:

• There's no documented need to upend the current delivery model.
• There's no documented need to upend the current delivery model.
• <00:14:06.399> in and three, we already have a model in and three, we already have a model
• Fifty cases over two years is what was settled on in these model regulations.
• Fifty cases over two years is what was settled on in these model regulations.

Keywords: 1191, senate, all

Transcript Highlights:

• This is another NIC model<00:10:33.440> act.
• Um, this makes modifications model act.
• NIC model law for limited long-term care.
• NIC model law for limited long-term care.
• NIC model law for limited long-term care.

Bills: HF1545, HF2426, HF1615, HF2403

Keywords: medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• Thus, you see the emphasis to support these models by the current administration.
• We believe these models are safe. They’re effective, they’re proven, and they are patient-centered.
• or pharmacists lack the expertise skills or information needed compared to the current models.
• We believe these models are safe. They're effective, they're proven, and they are patient-centered.
• Senate Bill 2402 is modeled after legislation passed in Idaho back in 2018.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• Did you do some modeling when looking at the type of sidewalks, locations, various needs, ADA?
• So when you're looking at that with the revenue model...
• So when you're looking at that with the revenue model, comparative, how much you can build, right?
• So, what you're actually referring to are the various different models under a P3. I'm a...
• I would say it felt to me like there's a lot of interest in looking at the P3 model.

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• This model was discontinued under the Obama administration because it led to rampant racial profiling
• nicious type of 287 contract, the so-called task force model.
• This model was discontinued under the Obama administration because it led to rampant racial profiling
• Massachusetts can model the values this country was founded on.
• Massachusetts can model the values this country was founded on.

Keywords: 995, all

Summary: The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses. Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role. Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.

Transcript Highlights:

• We have a residential model that's grounded in applied behavior analysis.
• We have a residential model that's grounded in applied behavior analysis and whole-health principles.
• We have a residential model. We have Program Forge.
• It’s the neurodiversity in the Northwest Arkansas workforce study, modeled off of a U.K. study.
• This is a study that’s modeled off of a U.K. study.

Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.

Transcript Highlights:

• So we do operate several different payment models.
• We also have an organized care model called the PASS program.
• So we do operate several different payment models.
• We also have an organized care model called the PASS program.
• I would have to go back and look at the model for the individual hospitals.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• We tried the lottery for education, which was on a Georgia model.
• And then we found out that if we had a semi-autonomous entity like this, we modeled it after Georgia
• <00:10:12.640> And<00:10:12.880> then<00:10:13.040> we was on a Georgia model
• And then we was on a Georgia model.
• it after Georgia because that's modeled it after Georgia because that's what<00:10:20.079> they

Bills: SF0024

Keywords: lottery, debit card payments, gambling regulations, state revenue, financial transactions, 916, all

Transcript Highlights:

• TSTC is fueled by their unique return value funding model. and laser focused on quality and job placement
• TSTC operates on an outcomes-based funding model known as is the return value formula.
• would serve as a permanent reliable revenue source for the future support and expansion of the TSTC model
• stable funding source for capital improvements and modernization, the state can leverage its proven model
• So every little fix helps, and TSDC's model is extremely extremely efficient and well focused.

Bills: SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59

Keywords: accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio

Transcript Highlights:

• Article 3 is the Limited Long-Term Care Insurance Model Act by the National Association of Insurance
• This is another NAIC Model Act. This makes modifications to Chapter 60D.
• NAIC model law for limited long-term care.
• This is an NAIC model law that would allow companies to sell long-term care policies that provide coverage
• My business model is vetting the best products in the country all in one place.

Bills: HF1545, HF2426, HF1615, HF2403

Keywords: medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• Years, um, there are some wins with that model which include the potential of fewer fees, fewer, um,
• That's one, type of model.
• Another type of model is to set the amount that you wanna distribute per child born, of which for New
• particular is allowing the task force to navigate those very important details using the national models
• Um, you know, representatives from the state who can, um, discuss those models and make a determination