Transcript Highlights:

• wanted to highlight that we'd like to ensure that the reporting noted in the bill aligns with current CMS
• /c><00:17:35.360> with<00:17:35.760> um<00:17:35.919> current<00:17:36.240> CMS
• bill that it aligns with um current CMS bill that it aligns with um current CMS regulations<00:17

Keywords: 910, house, all

Summary: The Committee on Consumer Protection and Commerce heard testimony on several measures. SB 1402, relating to vessels in state commercial harbors, drew opposition from Captain Andy Sailing Incorporated, and later the committee agreed to amend the bill to exempt tour boat operators before passing it. SB 1411, relating to Medicaid third-party liability, received strong support from the Department of Human Services, which asked that the effective date be restored to upon approval. SB 1438, relating to home care agencies, was supported by the Department of Health and one individual testifier, with the department arguing that unlicensed personnel performing skilled nursing services puts kupuna at risk. The committee later moved that bill forward with a clean date. SB 1449, relating to prior authorization of health care services, drew support from the Hawaii Medical Association and comments from the Hawaii Association of Health Plans and HMSA. Health plans asked that reporting requirements align with upcoming CMS regulations, and HMSA noted the work of the stakeholder process. The committee discussed the bill as consumer-focused and adopted amendments to add laboratory and diagnostic tests and to require the working group’s first report before the 2026 session and before each session thereafter. SB 1291, relating to certified public accountants, received support from the Board of Public Accountancy, the Hawaii Society of CPAs, Hong Consulting LLC, and Ron Heler, who said it was substantially the same as a previously passed House bill and would help increase the CPA pipeline in Hawaii. The committee also heard SB 752, relating to insurance, with opposition and comments from the Hawaii Insurance Council and Liberty Mutual, which requested amendments on non-payment of premiums, material misrepresentation, and limiting the bill to homeowners insurance. Greg Mskian testified in support but urged clearer notice and denial explanations for homeowners. SB 385, relating to condominiums, drew support from Hawaii Realtors and detailed comments from Ray Tenno and Greg Mskian about making governing documents available online or by email to owners and agents, with discussion of website costs and access. Finally, SB 140, relating to invasive species, received support from the Department of Land and Natural Resources and CAPS, while the Department of Agriculture offered comments and proposed streamlining language; supporters emphasized firewood treatment standards and the need to prevent invasive pests. After a brief recess, the committee took votes on several measures, adopting the chair’s recommendations on SB 1402, SB 1411, SB 1438, SB 1449, and SB 1291.

Transcript Highlights:

• So what I've seen from other states and what CMS, Centers for Medicare and Medicaid Services, will allow
• I have not seen a differential for level of severity of the diagnosis, and I'm not sure that CMS would
• approve that. ...the diagnosis, and I'm not sure that CMS would approve that.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• But rather than that, they went to CMS and said, "Hey, we're out of control. We can't handle this."
• c> he<00:16:07.160> was<00:16:07.560> and Risk, as Governor Walz felt he was, and CMS
• When you ask your dad to help you out, which would be when Governor Walz went to the CMS, they said,

Keywords: 918, senate, all

Summary: The discussion focused on disability advocacy and the impact of Minnesota’s fraud crackdown on people who rely on home and community-based services. The senator highlighted Lydia Dolly’s testimony about losing services after her provider was placed under a payment withhold, leaving her without care for months and forcing her mother to quit her job. He said her situation illustrates the risk of cutting off services too abruptly and criticized the state’s safe-transitions process as not working well enough. The senator argued that fraud is real and should be aggressively addressed, but said the state’s response has been too haphazard and has harmed innocent clients and legitimate providers. He cited reports of homelessness, possible deaths, and suspended services tied to the crackdown, and said earlier warnings about fraud in child care, PCA, and housing stabilization were not handled thoughtfully. He also referenced recent raids and investigations, saying the administration has been reactive and has not worked closely enough with providers. He described Senate File 2939, the Home Care Stability and Accountability Act, and a broader umbrella bill, Senate File 4222, as bipartisan efforts to add scrutiny, protections, and due process so fraudulent providers can be removed without leaving clients stranded. He also mentioned Senate File 4354, which would modify program integrity requirements, including a new expectation that providers demonstrate they can actually deliver the services they claim. No votes or formal committee actions were taken in the conversation, but he expressed optimism that the Legislature could make progress before session ends.

Transcript Highlights:

• <00:10:05.880> aren't<00:10:06.040> approved<00:10:06.560> by<00:10:06.720> CMS
• , changes still aren't approved by CMS, changes still aren't approved by CMS, the<00:10:07.480>
• 53.640> for Despite the fact that we still await for Despite the fact that we still await for CMS
• 54.720> for<00:12:54.839> last<00:12:55.200> year's<00:12:55.480> waiver CMS
• approval for last year's waiver CMS approval for last year's waiver amendment,<00:12:56.640> we

Keywords: 1187, senate, all

Transcript Highlights:

• CMS has been very, very clear.
• CMS has been very, very clear.
• don't deliver on the objectives in the don't deliver on the objectives in the grant,<00:13:24.240> CMS
• rescore<00:13:25.440> us<00:13:25.680> every<00:13:26.000> year grant, CMS
• will rescore us every year grant, CMS will rescore us every year and<00:13:26.880> come<00:13

Keywords: 958, all

Summary: The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities. Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation. Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.

Transcript Highlights:

• CMS only authorizes DHS as the agency to administer and oversee Medicaid, and this bill cannot alter
• fraud which is the Medicaid Program CMS fraud which is the Medicaid Program CMS uh<00:09:09.560>
• He said when you look at the requirement under CMS, it requires the state agency to be responsible for
• And so we have to follow the law based on the requirement from the CMS and also other requirements.
• And so we have to follow the law based on the requirement from the CMS and also other requirements.

Bills: HF1, HF98

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• This was always important, but new CMS regulation actually raise When pressure is put on any part of
• This was always important, but new CMS regulation actually raise Anything like it in my entire career
• This was always important, but new CMS regulation actually raise Studies that have been performed by
• This was always important, but new CMS regulation actually raise This is an unacceptable reality, but
• This was always important, but new CMS regulation actually raise But new CMS regulation actually raise

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• So this is included because that is a requirement for CMS in order for the state to get its match.
• <01:58:42.800> that coverage and it's required by CMS that coverage and it's required by CMS
• So we we're regulated by CMS question.
• program would have to cover it and CMS program would have to cover it and CMS would<02:05:29.360
• My experience is that if we're willing to pay our portion, then CMS is willing to pay our portion.

Keywords: 1189, house, all

Transcript Highlights:

• as to what happened since 2017 to currently that has put the program in trouble and is having, uh, CMS
• I probably got to look at that a little bit closer. >> Well, the state sent a letter to CMS beginning
• I probably got to look at that a little bit closer. >> Well, the state sent a letter to CMS beginning
• I probably got to look at that a little bit closer. >> Well, the state sent a letter to CMS beginning
• >> Well, the state sent a letter to CMS >> Well, the state sent a letter to CMS beginning

Keywords: 1187, senate, all

Transcript Highlights:

• So CMS has to approve that actuarial rate and those calculations before we're able to use them.
• <00:14:22.320> So<00:14:22.560> CMS<00:14:23.120> has<00:14:23.279> to
• So CMS has to Medicaid uh services.
• That's the same amount of money we draw down from CMS.
• So there's no $5 million left over because we never drew all that down from CMS. >> Okay.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• We did immediately notify the legislative auditor, CMS, and MMB, and have kept them updated throughout
• We did immediately notify the legislative auditor, CMS, and MMB, and have kept them updated throughout
• We did immediately notify the legislative auditor, CMS, and MMB, and have kept them updated throughout
• We did immediately notify the legislative auditor, CMS, and MMB, and have kept them updated throughout
• What the CMS requires is that if we're going to cover prescription drugs, we have to cover drugs that

Keywords: 1183, house

Transcript Highlights:

• It's a huge problem nationally, and it's estimated by CMS that about 6% of the money that we put into
• Chair, Representative, yes, that's what CMS says. Oh, wow. Okay. Yes, that's what CMS says.
• It'll also be based on CMS figures and recommendations, and these audits can appear to be somewhat predatory
• CMS places a cap on those, so you can't really go after tons and tons and tons of money because there's
• years, it seems like multiple times throughout a calendar year we get reports from AHCCCS and from CMS

Keywords: 1182, all

Summary: The committee first heard HB 2079, which authorizes a memorial for Arizona journalist Don Bolles in Wesley Bolin Plaza. The sponsor described the memorial as a no-cost way to preserve Arizona history and honor Bolles, who was assassinated in 1976 while investigating corruption and drug cartels. The bill was moved and passed unanimously, 7-0, for a due pass recommendation. Members then considered HB 2080, a strike-everything amendment addressing deed and title fraud. The bill would require photo identification for certain county recorder filings, add identifying measures for deeds and real property documents when notarized, create an assessor alert system tied to property addresses, and increase penalties for knowingly filing false claims or forged real property documents from a misdemeanor to a class 4 felony. Testimony from county assessors, the Attorney General’s Office, and a fraud victim emphasized the scale of the problem and the need for layered protections. The committee adopted the amendment and passed the bill 7-0. HB 4064, concerning municipal improvement districts, drew more debate. The bill would move the petition requirement earlier in the process before a city or town adopts a resolution of intention for an improvement district. Supporters from Camp Verde, the League of Arizona Cities and Towns, a developer, and the Yavapai Apache Nation said the change would improve transparency, reduce wasted planning costs, and help finance sewer and infrastructure projects in rural areas. Opponents argued it could force property owners into infrastructure they do not want and infringe on property rights. The bill passed 5-2. The committee also approved HCR 2048, which would withhold pay for statewide elected officials and legislators if the general appropriations bill is not enacted by April 30 and send the measure to voters. Supporters said it would create a stronger incentive to finish the budget on time; opponents said more work was needed on session length and bill volume. The resolution passed 4-3. Later, HB 2324, allowing municipalities with their own fire codes to petition for county buildings inside city limits to be inspected under local code through an intergovernmental agreement, passed 7-0 after testimony from county and state fire officials who supported the concept but wanted technical amendments. The committee then passed HB 4087, authorizing a memorial plaque for former legislator Barbara Leff, with the family covering costs. Finally, HB 2239 created a child care grant program and infrastructure fund to expand child care in underserved and rural communities. Supporters described severe child care shortages, economic impacts, and safety concerns; the sponsor framed it as an investment in workforce participation and child well-being. The bill passed 5-0 with one present and one not voting. The committee then began hearing HB 2375 on historic districts and middle housing, but the transcript cuts off before final action on that measure.

Transcript Highlights:

• to the work that I've done here in the state, I also had the opportunity for two years to serve at CMS
• to the work that I've done here in the state, I also had the opportunity for two years to serve at CMS
• Do you know, in your role at CMS, with that generally?

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• inspections that ensure they meet the standards set by the Centers for Medicare and Medicaid Services, or CMS
• While CMS approves these standards, they can vary from CMS requirements, and state and federal laws and

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• New Mexico currently has over 50% of our members that are enrolled in CMS, so either in Medicare or Medicaid
• At this point, they are not going to get coverage from CMS for Medicaid or Medicare.
• funds. to reimburse for all of the drugs in this coverage because we know that the federal mandate in CMS

Transcript Highlights:

• Uh, the same has been seen with HHS and CMS and recent reports that they've released and have been releasing
• 25:31.520> and Uh the same has been seen with HHS and Uh the same has been seen with HHS and CMS
• > recent<00:25:32.880> reports<00:25:33.200> that<00:25:33.360> they've CMS
• and recent reports that they've CMS and recent reports that they've released<00:25:33.840> and

Bills: HB55, SB15, SB247

Keywords: fishing, licensing, jubilee, Marine life, Alabama, regulations, sex offenders, employment restrictions, first responders, public safety, juvenile offenders, local laws, registration requirements, picketing, protesting, residential protest, noise amplification, amplified sound, residential picketing, harassment

Transcript Highlights:

• People with rare diseases are defined by CMS and SAMHSA and other federal entities as one person in 200,000
• the bill, the different categories, and again the different categories came from SAMHSA it came from CMS
• Yes, I should say that CMS is our Centers for Medicare and Medicaid, and SAMHSA is the Substance Abuse
• We have a List from CMS. You asked for a lesser time than three years. We could go with one year.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• The CMS came out with some managed care final rules that came out just in this past summer, July or August
• add on to<00:12:15.399> that<00:12:16.240> uh<00:12:16.360> the<00:12:16.480> CMS
• came<00:12:17.199> out<00:12:17.399> with<00:12:17.519> some to that uh the CMS
• came out with some to that uh the CMS came out with some Managed<00:12:18.160> Care<00:12:18.320

Keywords: Due to a technical issue in the room, the quality of the stream will be diminished. We apologize for the inconvenience. Meeting start 00:00:00 Roll Call 00:02:00 SB 61 Discussion Only 00:03:25 SB 13 Discussion Only 00:07:19 SJR 25 Discussion 00:25:33 SJR 25 Vote 00:28:40 SB 61 Discussion Only 00:29:44, 958, all

Summary: The committee first took up Senate Bill 61, relating to swimming pools, but initially had no representative from the governor’s office or cabinet available to explain the fiscal estimate. Senators questioned why the executive branch’s estimate was $4.25 million to $8.5 million while the committee’s internal fiscal note showed little or no impact. When Department for Public Health staff later joined, they explained their estimate was based on a roughly $85,000 cost for a large outbreak investigation, using a 2014 outbreak as a benchmark, and said the bill could increase workload and outside laboratory costs if private swimming pools became more common as rental properties. They reported 822 waterborne cases in 2024, with 8 tied to private swimming pools, and later corrected an earlier figure to 14 private-pool-related investigations over five years. Senators pressed on the discrepancy between those numbers and the projected 50 to 100 incidents, and staff said the higher figure was a ballpark estimate. The discussion also clarified that private pools are generally excluded by definition, while pools held out for rent may be treated as public pools under current definitions. No vote on SB 61 was taken in the portion provided. The committee then heard Senate Bill 13, concerning the reprocurement of managed care organizations for Medicaid. Department for Medicaid Services officials said the bill would require work on a new RFP, system changes, and oversight improvements, and estimated the cost at $2.8 million based on prior procurement spending of about $2.5 million in 2018-2019, with a 10% growth adjustment. They explained that the work is administrative and therefore matched at 50/50 federal-state funding, not the 80/20 rate used for benefits, and said the expense would be incurred whether the bill passed or not if the state proceeded with an RFP. Senators discussed possible savings from reducing the number of MCOs from five to three, but agency staff said those savings were hard to quantify and that provider and member disruption could create offsetting costs. The committee later moved on to Senate Joint Resolution 25, which would ask the Revenue Department to report on the cost of issuing farmers a wallet-sized tax-exempt card instead of a paper certificate. The resolution was adopted by roll call, with all members present voting aye, and it was reported favorably to the floor.

Transcript Highlights:

• If they prove solvency, if they prove that they can meet the CMS requirements, they would be able to
• eligible any business that can prove solvency and prove to the federal government that they meet the CMS
• Costco, the labor union, anyone that could prove the solvency and prove they're able to follow the CMS
• heard about affordability are just flat wrong. and prove to the federal government that they meet the CMS
• Costco, the Labor's Union, anyone that could prove the solvency and prove they're able to follow the CMS

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and recognition of the Doctor of the Day. Members also read a proclamation honoring National School Social Work Week, with remarks emphasizing the role of school social workers in supporting students’ mental health, safety, and access to services. The House then handled a long series of first readings and committee/calendar actions before moving into multiple Committee of the Whole sessions. In the first major round of floor action, the House advanced HB 2123, HB 2140, and HB 2144 after adopting amendments. HB 2123 would affirm gold and silver as legal tender and allow their use through electronic systems; HB 2140 would let the state treasurer invest up to 10% in gold and silver; and HB 2144 would require child support to begin at pregnancy, prompting debate over paternity, genetic testing, rape-related pregnancies, and recourse for mistaken paternity. The House also advanced HB 2492 on urban growth boundaries, HB 2875 with clarifying language, HB 2946 on housing affordability and construction sales tax, and HB 4115/HCR 2051 on ballot initiative petition rules and disclosure. Supporters framed those measures as transparency reforms and protections against out-of-state influence, while opponents argued they would make it harder for citizens to qualify initiatives and local measures for the ballot. Later Committee of the Whole action advanced HB 2175, HB 2270, HB 2416, HB 2557, HB 2697, HB 2940, and HB 4010, along with HB 2324, HB 2573, HB 2601, HB 2876, and HCR 2004. HB 2175 drew debate over whether political affiliation should be included in hate-crime law; a proposed Garcia amendment to add gender identity and remove political affiliation failed, and a later motion to add it to the report also failed by roll call. HB 2557 clarified a medical-records timeline to business days. HB 2697 created a good-Samaritan style protection for use of expired opioid antagonists such as Narcan. HB 2940 was defended as reducing improper enrollment in Access/SNAP-related programs and opening managed-care bidding, while opponents said it would cut benefits and burden vulnerable residents. HCR 2004, dealing with photo enforcement, was amended to let cities put the issue to local voters; supporters called it a compromise and opponents argued photo radar saves lives and reduces speeding-related crashes. In third-reading votes, HB 2264 passed overwhelmingly on Arizona Geological Survey matters, HB 2373 passed unanimously on income tax refunds for veterans, HB 2413 failed on sex offender monitoring, and HB 2862 passed on sentencing enhancements for crimes committed while wearing a mask. The House also reconsidered and revived HB 2055, HB 2150, HB 2426, and HB 2755 related to state land and groundwater measures. The transcript ends with the House beginning third-reading consideration of HB 2941 on motorcycles, with members speaking in support of roadway safety and personal experience.

Transcript Highlights:

• And lastly, the bill directs APD alongside AHCA to seek the appropriate CMS federal approval for a newly
• has been a huge issue for us, especially when they age out of the Medicaid program and working with CMS

Keywords: 999, senate, all