Bills: HB292 , HB307 , SB33 , HB292 , HB307 , SB33

Committee: House Military and Veterans Affairs

Keywords: economic development, incentives, transparency, compliance, Alabama Jobs Act, speedy trial, visiting judge, court administration, public interest, criminal justice, SB33, marriage, premarital class, conflict resolution, marriage license reform, probate judge, Administrative Office of Courts, AOC, domestic violence, intimate partner violence

Bills: HB2421 , HB1652 , HB2367 , HB2284

Committee: House Environment & Energy

Keywords: 6PPD, tires, environmental impact, public health, chemical regulation, HB1652, Salish Sea Protection and Marine Clean Fuels Act, marine fuel, low-sulfur fuel, sulfur emissions, ocean-going vessels, shipping, maritime pollution, air quality, particulate matter, Department of Ecology, port visit, regulated waters, fuel switching, vessel emissions

Transcript Highlights:

• So the total of Medicaid expansion...
• Deficiency, so the total of Medicaid expansion is $662 million, 90% of which is federal and 10% state
• Section 31 is intent language that they just study Medicaid. Mr.
• I believe we have like over 120,000 people in Medicaid alone. And Medicaid alone.
• Yeah, and likely the cuts would come probably in FMAP and Medicaid expansion.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.

Transcript Highlights:

• there was also some decision packages or items that were listed here separately that had a 50-50 Medicaid
• House 22, Senate 20, is $262 million and is continuing the Medicaid expansion program as we have, and
• I'm told that the House is not going to argue with the Senate on Medicaid expansion, which might reduce
• House 22, Senate 20, is $262 million and is continuing the Medicaid expansion program as we have, and
• I'm told that the House is not going to argue with the Senate on Medicaid expansion, which might reduce

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.

Transcript Highlights:

• I don't think when we hire a new Medicaid director 18 months ago and they're trying to make a better
• We're really lucky to have you in our Medicaid program.
• Sir, are these Medicaid dollars? Mr. Chair, yes, they are. So. These Medicaid dollars? Mr.
• So removing them is simply a matter of underfunding Medicaid, because if they come back and earn those

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Bills: SB248 , SB242 , HB44 , SB266 , HB44

Committee: Senate State Governmental Affairs

Keywords: Alabama Administrative Procedure Act, APA, administrative law, judicial review, agency deference, Chevron deference, de novo review, contested case, state agency, regulatory power, individual liberty, statutory interpretation, rule interpretation, license revocation, license suspension, tax assessment, tax refund, administrative appeal, circuit court, Montgomery County

Transcript Highlights:

• to set us up use of funds for PBM reform to set us up for<00:18:03.520><c> success</c><00:18:03.920>
• Looking at MAC pricing alone is a really small subset of PBM reform.
• Looking at MAC pricing alone is a really small subset of PBM reform.
• </c><00:32:48.160><c> managed</c><00:32:48.520><c> care</c> including Medicaid managed care including
• Medicaid managed care programs,<00:32:49.800><c> to</c><00:32:49.920><c> cover</c><00:32:50.200><c>

Bills: SB2433 , SB2047 , SB2425 , SB3045 , SB2761 , SB3001 , SB2852 , SB2471

Committee: House Consumer Protection & Commerce

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• It also causes issues with Medicaid—who covers these costs in the hospital if the birth mom changes her
• Also, Medicaid babies need medical care, and who's going to pay for that?
• Medicaid. If they can get the Medicaid. I think that, oh, you just started. Okay.
• This is the other piece—building a... ...pro-life state, and improving adoption and reforming our foster
• comprehensive report to guide. future policy efforts, and HB 12 of the 88th legislature extended Medicaid

Bills: HB163 , HB216 , HB721 , HB2035 , HB2038 , HB3057 , HB3153 , HB3233 , HB3595 , HB3801 , HB3812 , HB4076 , HB4129 , HB4377 , HB4535 , HB4666 , HB4730 , HB4743 , HB4903 , HB5149 , HB5155 , HB1534 , HB163 , HB216

Committee: Senate Health & Human Services

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• 02:09:48.239><c> the</c><02:09:48.880><c> um</c><02:09:49.119><c> heat</c> You know, we have the Medicaid

Bills: SB2024 , SB896 , SB2613 , SB494 , SB2391 , SB2125 , SB2614 , SB2615 , SB3262 , SB3325 , SB3118

Committee: Senate Education

Keywords: charter schools, public-private partnership, school facilities, education funding, community need, education, capital improvement, reporting, transparency, technical expertise, public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139

Transcript Highlights:

• About $700,000 over Medicaid fraudulent. So this is a fraud.
• That’s Medicaid billing.
• the Medicaid vision benefit instead of administering it themselves.
• It is the main core structure of Medicaid managed care.
• alternatives to the standard state plan Medicaid benefit.

Bills: HB136 , HB451 , SB425 , SB466 , SB905 , SB1986 , SB2311 , SB2450 , SB2805 , SB2826 , SB2919 , SB3001

Committee: Senate Health & Human Services

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• Medicaid and Healthcare Partnership.
• We have expertise on the Medicaid program and Medicaid billing, and I think that one of the things that
• to bill for Medicaid medically necessary services.
• They are subject to all of the Medicaid regulations and policies.
• Medicaid program, but this is not entirely accurate.

Bills: SB623 , SB1266 , SB1310 , SB1373 , SB1580 , SB1952 , SB2032 , SB2269 , SB2544 , SB2653 , SB2796

Committee: Senate Health & Human Services

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Bills: HJR1096 , HJR1097 , HJR1098 , HJR1099 , HJR1100

Committee: House Administrative Rules

Keywords: Oklahoma Medical Marijuana Authority, OMMA, medical marijuana, cannabis, marijuana regulation, administrative rules, major rule changes, joint resolution, legislative rule approval, Title 75, Oklahoma Administrative Code, OAC, licensing, compliance, enforcement, dispensary, grower, processor, patient access, health care authority

Summary: The committee considered three resolutions, all presented by Chairman Kendrick with full PCS substitutes. H.J.R. 1096 approved a medical marijuana rule that had originally been treated as a major rule but was later determined not to be one; members asked no questions and the resolution was adopted unanimously. H.J.R. 1099 was described as a direct result of H.B. 1576 from the prior session concerning Oklahoma Health Care Authority rules; it also drew no questions and passed unanimously. H.J.R. 1100 addressed a rule from the Oklahoma Management and Enterprise Services that was discovered late to be a major rule; after brief discussion and no substantive questions, it too passed unanimously. During the meeting, members voted on each resolution after motions for adoption and do pass. The recorded votes were unanimous in favor on all three measures, with no nay votes. After H.J.R. 1100 passed, Chairman Kendrick noted there would be one more committee meeting the next morning at 9 a.m. to address a late-arriving resolution, and he offered to discuss the late major-rule issue with Representative Chapman after adjournment.

Bills: HB1576 , HB2490 , HB1546 , HB1588

Keywords: HB1576, Hawaii film industry, DBEDT, BLNR, Department of Business Economic Development and Tourism, Board of Land and Natural Resources, film permits, motion picture production, television production, commercial filming, digital media tax credit, film production tax credit, public notice, transparency, state lands, film studio, land set-aside, revocable permit, memorandum of agreement, memorandum of understanding

Bills: HB1576 , HB2490 , HB1546 , HB1588

Keywords: HB1576, Hawaii film industry, DBEDT, BLNR, Department of Business Economic Development and Tourism, Board of Land and Natural Resources, film permits, motion picture production, television production, commercial filming, digital media tax credit, film production tax credit, public notice, transparency, state lands, film studio, land set-aside, revocable permit, memorandum of agreement, memorandum of understanding

Transcript Highlights:

• So this legislation is just simply saying that those that are on Arizona Access or Medicaid, that we
• We have 17 states where Medicaid covers non-opioids without restrictions.
• And so we oppose the strike-everything amendment. ...and cost effectiveness of drugs in the Medicaid
• Members, Arizona spends roughly $20 billion a year on Medicaid, and the agencies spending it are the
• We're the health plans that cover the Medicaid population.

Bills: HB2048 , HB2189 , HB2248 , HB2403 , HB2728 , HB2729 , HB2730 , HB2731 , HB2906 , HCR2058

Committee: Senate Health and Human Services

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Transcript Highlights:

• But we do want to say that we really think that we need financial assurance reform and bonding reform
• What is the surcharge to Medicaid, and what percentage of deduction or savings are Medicaid recipients
• Medicaid enrollees do not currently pay premiums.
• So for those individuals that will qualify for Medicaid, they ought to Medicaid.
• So for those individuals that will qualify for Medicaid, they automatically are routed to Medicaid.

Bills: SB241 , SB145 , HB2

Committee: House House Appropriations & Finance

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• And that's if the Medicaid rate increases from money that they put up comes in.
• If the Medicaid rate increases from money that they put up comes in at a higher level, they would be
• If the Medicaid rate increases from money that they put up comes in at a higher level, they would be

Bills: SB241 , SB145 , HB2

Committee: Senate House Appropriations & Finance

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Summary: The committee first took up Senate Bill 241 and reviewed a Senate Finance Committee substitute that incorporated several amendments. Staff explained changes related to the child care fund, residency determinations for federally eligible applicants, expanded child care assistance eligibility for grandparents raising grandchildren and foster parents, updated payment-rate rulemaking, tribal child care sovereignty and culturally appropriate services, limits on land grant permanent fund use for nonsectarian/non-denominational services, provider licensure pathways, and reporting clarifications. Members also discussed whether the bill would maximize federal and state child care tax benefits and how the nonsectarian language would apply to faith-based child care providers. The committee adopted the substitute and then passed it on a 7-3 vote. The committee then moved into House Bill 2 budget language review, focusing on budget adjustment authority and other fiscal provisions. Members discussed proposed BAR language for the State Investment Council, State Treasurer, PERA, and the Economic Development Department, with concerns about caps, whether the language was too broad, and whether some items should revert to existing law or be removed. The committee approved some of the BAR language items, but flagged the Treasurer and Economic Development provisions for later review. Members also discussed extending certain appropriations and project timelines, including a Rio Grande Trail Commission item and several IT and public safety projects, generally favoring extensions where work was still underway. The committee then debated proposed public school support language that would bar PED from approving budgets for schools with fewer than 180 instructional days and from approving new moves to four-day school weeks. Several members argued the 180-day language conflicted with existing statute, which is based on instructional hours, and that the four-day-week restriction could have unintended consequences. The committee ultimately voted down both public school support provisions. The meeting ended with a brief discussion of reviewing the rest of House Bill 2 and related supplemental and language items in the next session, and then adjourned.

Bills: HB2 , SB193 , SB132 , SB35 , SB145

Committee: House House Appropriations & Finance

Keywords: general appropriation, budget, Medicaid, education funding, public safety, SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law, agricultural water, farmers, Rio Grande, acequia association, forest land protection revolving fund, state fund transfer, irrigation projects